LICENSE STATUS CHANGES – MD

The following is a list of licenses that have become non-active within the last 90 days. Licenses may become non-active for a variety of reasons: failure to renew (expiration), surrender of license, suspension, revocation, or licensee-requested inactivation or cancellation.

This list only includes changes from active to non-active license status - if such a change to a license is subsequently reversed, that license will no longer be listed here. Please note the disclaimer below.

Should you wish more information on a licensee, click on their license number at the right. This will take you directly to their detailed profile page.

For help with terms and definitions please consult the Glossary.

License Status Changes: 11/06/2011 - 02/04/2012 (most recent first)

Licensee Name License Status Effective as of: Licensee City, State License No. Manjula Kumar, M.D. Expired 02/04/2012 Greystone Park, NJ 28135 Robert Eugene Adler, M.D. Expired 02/04/2012   30351 Joseph Ira Cohen, M.D. Expired 02/03/2012   17511 Orrenzo Benally Snyder, M.D. Expired 02/03/2012 Mesquite, NV 37792 Al Joseph Uy, M.D. Expired 02/03/2012 Gilbert, AZ 32523 Karen Frances Arcotta, M.D. Surrendered 02/03/2012   15646 Sandeep Chowdhary, M.D. Expired 02/02/2012   42482 Zakiya Sultana Karim, M.D. Expired 02/02/2012   40766 George Sterling Boren, M.D. Expired 02/02/2012 Las Vegas, NV 37545 Robert Earl Germann, M.D. Expired 02/02/2012 Waco, TX 31096 Arthur Joseph O'Connor, M.D. Revoked 02/01/2012 Tempe, AZ 6361 Gary David Rubin, M.D. Expired 01/31/2012   44172 Michelle RoseAnn Shaw, M.D. Expired 01/31/2012   41830 Augusta Simpson Roth, M.D. Inactive 01/31/2012   17184 Ramak Abumehdi Attaran, M.D. Expired 01/30/2012   40972 Michael Schmerler, M.D. Expired 01/30/2012 Cincinnati, OH 33495 Mangala Prabha Kumar, M.D. Expired 01/29/2012 Yuma, AZ 29129 Suzette Ann Denise Panton La Touche, M.D. Expired 01/29/2012   43592 Jigar Bharat Patel, M.D. Expired 01/29/2012   42937 David Bruce Jackson, M.D. Expired 01/28/2012   40113 Isam Naoom, M.D. Expired 01/27/2012   37804 Michael Scott Hisey, M.D. Expired 01/27/2012 Denton, TX 30384 James Jay Watson, M.D. Expired 01/26/2012 La Porte, TX 37735 Douglas Dean Chausow, M.D. Expired 01/26/2012 Milwaukee, WI 23223 David Julio Naar, M.D. Expired 01/25/2012   40417 Philip Mark Ditmanson, M.D. Expired 01/25/2012   40811 Michael Anthony Lukenda, M.D. Expired 01/24/2012   33251 Pauline Laggui Jacinto, M.D. Expired 01/24/2012   42866 Nicolau Jarjoura Chamma, M.D. Expired 01/23/2012   31698 Ayman Nicolas Awad, M.D. Expired 01/23/2012 Lake Havasu City, AZ 20281 Thomas Elliot Newman, M.D. Expired 01/22/2012   8098 Marcia Mshewa, M.D. Expired 01/22/2012   34903 Mark David Siletchnik, M.D. Expired 01/22/2012   36806 Rafael Fleury Perini, M.D. Expired 01/21/2012   40103 David Steven Shea, M.D. Expired 01/21/2012   29812 Faith Ann Farley, M.D. Expired 01/20/2012   34721 Rosalyn Michele Morrell, M.D. Expired 01/19/2012   33268 Christopher Kent Wyman, M.D. Expired 01/18/2012   22603 Charles Donaldson Glazzard, M.D. Deceased 01/17/2012   30314 Carsten Reinhold Seemann, M.D. Expired 01/17/2012 Flagstaff, AZ 35380 Ayman Naseri, M.D. Expired 01/17/2012 San Francisco, CA 29721 Jason M. Zellner, M.D. Expired 01/16/2012   31906 William Michael Maguire, M.D. Expired 01/16/2012   18963 Jaime Manuel Sheperd, M.D. Expired 01/16/2012   40633 Earl John Baker, M.D. Expired 01/16/2012   2841 Matthew Bruce Baird, M.D. Expired 01/15/2012   41611 Thomas William Pettinger, M.D. Expired 01/15/2012   33883 Jessica Marie Griffin, M.D. Expired 01/15/2012   42671 John L. Carmody, M.D. Expired 01/15/2012 Carefree, AZ 30889 Pamela Kim Phillips, M.D. Expired 01/14/2012   32482 Marie-Martine Marguerite Logvinoff, M.D. Expired 01/14/2012   11463 Lynn Marie Morski, M.D. Expired 01/14/2012   36118 Alice Marie Kachman, M.D. Expired 01/14/2012   40909 Kevin Lamont Scott, M.D. Expired 01/14/2012   37885 Rodrigo Bayon, M.D. Expired 01/14/2012   41839 Madhan Shanmugasundaram, M.D. Expired 01/14/2012   42940 Kapil Mohan Bhagirath, M.D. Expired 01/14/2012   43000 Maria Margarita De La Garza-Grahm, M.D. Expired 01/13/2012 Tyler, TX 19088 Bita Nooranbakht, M.D. Expired 01/13/2012   30670 Samuel Cornelius Cissel, M.D. Expired 01/12/2012   3585 Mark Richard Matthes, M.D. Expired 01/12/2012 Des Moines, IA 25146 Scott Ryan Goodwin, M.D. Expired 01/12/2012   41826 Kirk Lewis Wilcox, M.D. Expired 01/12/2012   29870 Bryan Douglas Berkey, M.D. Expired 01/12/2012   40896 Gonzalo J Carrizo, M.D. Expired 01/10/2012   40993 Eugene Fitzpatrick, M.D. Expired 01/10/2012   7040 Nur Paul Matthews, M.D. Expired 01/09/2012   8038 Mary Joseline Gasataya Cenizal, M.D. Expired 01/09/2012   34887 Michael Simon Tsipursky, M.D. Expired 01/09/2012   41856 Uzma Zaidi, M.D. Expired 01/08/2012   37049 Sonia Jain, M.D. Expired 01/07/2012   41125 Michelle Maria Park, M.D. Expired 01/06/2012 Phoenix, AZ 29441 Gomburza M. Abad, M.D. Expired 01/05/2012   12238 John Davey Douthit, M.D. Expired 01/04/2012 Denver, CO 30569 Suresh Kumar Mukherji, M.D. Expired 01/04/2012   42103 Julie A. Gibson, M.D. Deceased 01/03/2012   19623 Ann Spiegel, M.D. Expired 01/03/2012 Phoenix, AZ 16082 James Jesse Hansen, M.D. Expired 01/02/2012 Rapid City, SD 31695 Patrick Philip Sullivan, M.D. Expired 12/31/2011   40210 Jonathan Robert Roylance, M.D. Expired 12/31/2011   41290 Fermin Jose Santos, M.D. Expired 12/31/2011   42010 Gregory Burrow Wingate, M.D. Expired 12/31/2011 Phoenix, AZ 8907 Salvatore Jerry De Francesco, M.D. Expired 12/30/2011 Phoenix, AZ 3934 Ian Leslie Love, M.D. Inactive 12/30/2011   23051 Edward Hance Shortliffe, M.D. Expired 12/29/2011   37630 Jeffrey Paul Steeno, M.D. Expired 12/29/2011 Gilbert, AZ 20862 Kevan Allen Pickrel, M.D. Expired 12/29/2011   30069 Luther Tatum Adams, M.D. Expired 12/29/2011   4415 Mark Randall Keane, M.D. Expired 12/28/2011 Lewiston, ID 24256 Monica Lisa Saenz, M.D. Expired 12/28/2011   44100 Carmen Rose Barnes, M.D. Expired 12/28/2011   45083 Paul Francis Mulcahy, M.D. Expired 12/27/2011   40223 Leon Poli Matsuo, M.D. Expired 12/27/2011   43927 Sinh Nguyen, M.D. Expired 12/27/2011   44631 Gail Elizabeth Mizner, M.D. Expired 12/25/2011   32584 Frederick Joseph Davis, M.D. Expired 12/25/2011   43540 Holly Christine Paugh, M.D. Expired 12/25/2011   42410 Perry Mims Waggoner, M.D. Expired 12/24/2011 Reno, NV 21610 Larissa Anne Szeyko, M.D. Expired 12/24/2011   36992 Amir Homayon Raeesy-Nezhad, M.D. Expired 12/24/2011   36003 Ethan Daniel Miller, M.D. Expired 12/23/2011   37013 Bashar Niman Alshareef, M.D. Expired 12/23/2011   41327 Bassem Adeeb Georgy, M.D. Expired 12/23/2011   35094 Tanya Susan Feinberg, M.D. Expired 12/23/2011 Scottsdale, AZ 29161 Gary Hugh Spivey, M.D. Inactive 12/23/2011   30293 Augusta Ellice Hays, M.D. Expired 12/22/2011   37756 Donald Henry Marcus, M.D. Cancelled 12/21/2011 Los Angeles, CA 7061 Annemarie Stephenson Welch, M.D. Expired 12/21/2011 Sedona, AZ 24710 Asela Reyes San Felipe, M.D. Expired 12/21/2011   15061 Juan C. Esteva, M.D. Expired 12/21/2011 San Francisco, CA 40414 Andrew Frederick Ducruet, M.D. Expired 12/21/2011   44138 Jon Martin Casbon, M.D. Cancelled 12/20/2011   13638 Hee Soo Jeong, M.D. Expired 12/20/2011   41808 Ted David Cox, M.D. Expired 12/20/2011   40576 Muhammad Asim Munir, M.D. Expired 12/20/2011   41350 David Charles Hall, M.D. Expired 12/20/2011   23664 David Schick Trump, M.D. Expired 12/19/2011   4763 Alan Sloan Diamond, M.D. Expired 12/19/2011   36502 Phon Dewey Sutton, M.D. Expired 12/18/2011   4985 John Menelaos Aliapoulios, M.D. Expired 12/17/2011 Palm Desert, CA 22978 Kanwaljit Kaur Gadhok, M.D. Expired 12/17/2011   23653 Alberto Maria Righi, M.D. Expired 12/17/2011 Port Charlotte, FL 37352 Sukhwinder Singh Sandhu, M.D. Expired 12/17/2011 Santa Monica, CA 40059 Timothy Eugene Rider, M.D. Expired 12/16/2011   28757 Jeffrey Holmes Garrison, M.D. Expired 12/16/2011 Colorado Springs, CO 25821 Kristin Nicole Yannetti, M.D. Expired 12/15/2011   42356 Kalpana Pankaj Desai, M.D. Expired 12/15/2011   33849 Matthew Stephen Cole, M.D. Expired 12/15/2011   41918 Omar Habib, M.D. Expired 12/15/2011   42200 Scott Christopher Lastrapes, M.D. Expired 12/15/2011   41173 Paul Duane McKernan, M.D. Suspended E 12/15/2011 Glendale, AZ 17534 Vincent Michael Bournique, M.D. Expired 12/14/2011   44734 Bao-Khanh Quy Do, M.D. Expired 12/14/2011 Fontana, CA 29681 Omar Mendoza, M.D. Expired 12/14/2011   33157 Allison Endalene Crawford, M.D. Expired 12/14/2011 Phoenix, AZ 29932 Sajjad Haider, M.D. Expired 12/14/2011   36061 Alberto Carlos Benedicto, M.D. Expired 12/14/2011   44031 Brian Scott Fiedler, M.D. Expired 12/13/2011   40573 James Keith Paquin, M.D. Suspended E 12/13/2011   12914 Dorothy Davies Johnson, M.D. Cancelled 12/12/2011   31148 David Manh-Tung Vu, M.D. Expired 12/12/2011   42055 Richard Doyan, M.D. Expired 12/11/2011   40950 Thomas Melvin Golbert, M.D. Expired 12/10/2011 Princeton, NJ 5026 Joseph Paul Schenck, M.D. Expired 12/10/2011   44836 William Douglas Cowan, M.D. Expired 12/09/2011 North Muskegon, MI 34994 Vito John Badalamenti, M.D. Expired 12/09/2011   27540 Joel Richard Barkoff, M.D. Expired 12/08/2011 Albuquerque, NM 28967 Alim Pyarali Mitha, M.D. Expired 12/08/2011   41851 Euni Skylar Suk, M.D. Expired 12/08/2011   43925 Michael Ray Hicks, M.D. Expired 12/08/2011   43675 Gary Lee Berg, M.D. Suspended E 12/07/2011   21112 Neetu Gakhar, M.D. Expired 12/06/2011   43479 Gerard Vincent LaSalle, M.D. Expired 12/06/2011 Federal Way, WA 40530 Jeffrey Alexander Kahn, M.D. Expired 12/06/2011   42056 Barbara Brunet Hamdan, M.D. Deceased 12/05/2011   43689 Becky Lynn Murray Carpenter, M.D. Expired 12/05/2011   40699 Paul John Licata, M.D. Expired 12/05/2011 Anaheim, CA 10394 Bruce Melvin Berens, M.D. Expired 12/05/2011 St Paul, MN 40220 Azhar Turab Ali, M.D. Expired 12/05/2011 Saint Paul, MN 40230 Kathleen Melanie Mahon, M.D. Inactive 12/05/2011   17777 Robert Paul Walker, M.D. Expired 12/04/2011   30134 David Walter Albrecht, M.D. Expired 12/04/2011 Colorado Springs, CO 18766 Charles Stuart Thompson, M.D. Expired 12/04/2011 Orlando, FL 28125 Jennifer Rebecca Price, M.D. Expired 12/03/2011   32593 Frances Ibasco Pasion, M.D. Expired 12/03/2011   43908 Harry Joseph Lefebre, M.D. Cancelled 12/02/2011 Calgary, AB 15931 Sohail Anjum Rana, M.D. Expired 12/02/2011 Ancora, NJ 29067 Debora Maria Goncalves Gama Lima, M.D. Expired 12/01/2011 Scottsdale, AZ 31899 Daksha Tribhuvan Bhansali, M.D. Expired 12/01/2011   40433 Silvio Antonio Aristizabal, M.D. Expired 12/01/2011   8043 James Bailey Dolan, M.D. Expired 12/01/2011   43235 William Charles Stief, M.D. Expired 12/01/2011   42412 Regino Brioso Urgena, M.D. Expired 12/01/2011 Sedona, AZ 25128 Cynthia Ann De Meester, M.D. Expired 12/01/2011 Holyoke, MA 32463 Carl Raisonne Tahn, M.D. Expired 12/01/2011 Merritt Island, FL 33196 Joseph Harry Tashjian, M.D. Expired 12/01/2011   40805 Jeffrey Ronald Cave, M.D. Expired 12/01/2011   41110 William Richard Bilotta, M.D. Expired 12/01/2011   41441 John Paul Knoedler, M.D. Expired 11/30/2011   40234 Joseph James Barrows, M.D. Expired 11/30/2011   40489 Brian George Pell, M.D. Expired 11/28/2011 Alpharetta, GA 36523 Carol Ann Van Der Harten-Algier, M.D. Expired 11/28/2011   24869 Michael Joseph Grusenmeyer, M.D. Expired 11/26/2011   26550 Alexis Udall Schmitt, M.D. Expired 11/26/2011   27824 Gregory Charles Tomlinson, M.D. Expired 11/26/2011   14647 Octavio Melendez, M.D. Expired 11/26/2011   24354 Rangaswamy Akhanda Chintapatla, M.D. Expired 11/26/2011   43343 Dennis Gordon Youshaw, M.D. Expired 11/25/2011 Altoona, PA 11586 Gregory Scott Simmons, M.D. Expired 11/25/2011   42632 James Jerome Augustine, M.D. Expired 11/25/2011 Naples, FL 31717 David Scott Rankey, M.D. Expired 11/25/2011   44395 Sara M Goich, M.D. Expired 11/24/2011   43544 Cathy Maureen McGowan, M.D. Expired 11/24/2011   28533 Thomas Louie Embry, M.D. Expired 11/24/2011   13084 Richard Lewis Aplin, M.D. Expired 11/22/2011 Saint Cloud, MN 34795 Linda Ruth Holifield-Kennedy, M.D. Expired 11/21/2011 Washington, DC 32893 Suresh Vemuri, M.D. Expired 11/21/2011 Phoenix, AZ 37649 Stephen James Durant, M.D. Expired 11/19/2011   34922 Miguel Angel Melgar, M.D. Expired 11/19/2011 New Orleans, LA 24753 Jennifer Rose Shultz Gordon, M.D. Expired 11/19/2011   43884 John Melvin Ritland, M.D. Suspended E 11/19/2011   17268 Kenneth Aaron Brown, M.D. Expired 11/18/2011   11656 Beth Iva Abella, M.D. Expired 11/18/2011   32260 William Joseph Dunn, M.D. Expired 11/18/2011   2907 Bridget Ann Dyer, M.D. Expired 11/18/2011   41860 Roy Migirdich Bak, M.D. Expired 11/18/2011   42727 Corinna Schrankel, M.D. Expired 11/17/2011 Leesburg, VA 16305 Marin Dan Radulescu, M.D. Expired 11/17/2011   40636 Immanuel Dickson Amissah, M.D. Expired 11/17/2011   41895 William Louis Jobe, M.D. Expired 11/16/2011 Englewood, CO 31141 Satinder Singh Husson, M.D. Expired 11/16/2011   14596 David Keysmith Halley, M.D. Expired 11/15/2011   5210 James Ballantine Brown, M.D. Expired 11/15/2011   27442 Ulrich Cameron Luft, M.D. Expired 11/15/2011   41394 Barry Kenneth Gould, M.D. Expired 11/15/2011   42836 Richard Paul Giannotto, M.D. Expired 11/14/2011   30641 Stanley Scott Waddell, M.D. Expired 11/14/2011   14501 David Kent Nace, M.D. Inactive 11/14/2011 Bryn Mawr, PA 31385 Edward James Barvick, M.D. Expired 11/13/2011   26266 Manuel S. Alandydy, M.D. Expired 11/12/2011   26730 John Robert Davis, M.D. Expired 11/11/2011   4806 Jo Ellen Feugate, M.D. Expired 11/11/2011   40895 Michael Dean Neill, M.D. Expired 11/11/2011   36836 Brian William Hands, M.D. Expired 11/11/2011 Toronto, ON 11125 Cyrus William Partington, M.D. Expired 11/11/2011 Fort Carson, CO 40052 Sherif Armia Azer, M.D. Expired 11/10/2011 Loma Linda, CA 31379 James Craig Budde, M.D. Expired 11/10/2011   35364 Cory Michael Lee Nitzel, M.D. Expired 11/10/2011   41724 Gerald Leonard Barr, M.D. Expired 11/10/2011 Phoenix, AZ 15330 Ignatius Stanley Hneleski, M.D. Expired 11/10/2011 West Chester, PA 25972 Kevin Scott Ladin, M.D. Inactive with Cause 11/10/2011 Phoenix, AZ 20895 Emilio Luna, M.D. Revoked 11/10/2011   41114 Nancy Alexander, M.D. Expired 11/09/2011 Roswell, NM 28570 Kambarajapuram Raman Desikan, M.D. Expired 11/09/2011 Little Rock, AR 27448 Eduardo Rodolfo Huergo, M.D. Expired 11/07/2011   32775 Alex Favelukes, M.D. Expired 11/07/2011   14470 Thomas O McNamara, M.D. Expired 11/07/2011   42460 Thomas Leo Dimatteo, M.D. Expired 11/06/2011   28708

Disclaimer

The Arizona Medical Board presents this information as a service to the public. The Board relies upon information provided by licensees to be true and correct, as required by statute. It is an act of unprofessional conduct for a licensee to provide erroneous information to the Board. The Board makes no warranty or guarantee concerning the accuracy or reliability of the content of this website or the content of any other website to which it may link. Assessing accuracy and reliability of the information obtained from this website is solely the responsibility of the user. The Board is not liable for errors or for any damages resulting from the use of the information contained herein.