STATE OF MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS OF HEALTH CARE SERVICES BOARD OF MEDICINE DISCIPLINARY SUBCOMMITTEE

Similar documents
STATE OF MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BUREAU OF PROFESSIONAL LICENSING BOARD OF PHARMACY DISCIPLINARY SUBCOMMITTEE

PETITION FOR DISSOLUTION OF SUMMARY SUSPENSION. , hereinafter referred to as Respondent, by and

RULES AND REGULATIONS OF THE MAINE STATE BOARD OF NURSING CHAPTER 4

STATE OF FLORIDA DEPARTMENT OF HEALTH

ALABAMA DEPARTMENT OF MENTAL HEALTH BEHAVIOR ANALYST LICENSING BOARD DIVISION OF DEVELOPMENTAL DISABILITIES ADMINISTRATIVE CODE

IN THE COMMONWEALTH COURT OF PENNSYLVANIA

OKLAHOMA ADMINISTRATIVE CODE TITLE 435. STATE BOARD OF MEDICAL LICENSURE AND SUPERVISION CHAPTER 15. PHYSICIAN ASSISTANTS INDEX

MARYLAND BOARD OF PHYSICIANS P.O. Box 2571 Baltimore, Maryland

Bold blue=new language Red strikethrough=deleted language Regular text=existing language Bold Green = new changes following public hearing

MEDICAL LICENSURE COMMISSION OF ALABAMA ADMINISTRATIVE CODE CHAPTER 545 X 6 THE PRACTICE OF MEDICINE OR OSTEOPATHY ACROSS STATE LINES

Healthcare Professions Registration and Standards Act 2007

DIVISION OF CORPORATIONS, BUSINESS AND PROFESSIONAL LICENSING

RULES OF THE TENNESSEE DEPARTMENT OF HUMAN SERVICES ADMINISTRATIVE PROCEDURES DIVISION CHAPTER CHILD CARE AGENCY BOARD OF REVIEW

NC General Statutes - Chapter 90 Article 18D 1

ADMINISTRATIVE COMPLAINT

STATE OF FLORIDA DEPARTMENT OF HEALTH

BEFORE THE WYOMING STATE BOARD OF NURSING SETTLEMENT AGREEMENT, STIPULATION AND ORDER FOR VOLUNTARY SURRENDER

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS DIRECTOR'S OFFICE MEDICINE - GENERAL RULES

Regulatory Council for Community Association Managers Telephone Conference Meeting Wednesday, December 6, 9:00 A.M. EST.

STATE OF FLORIDA DEPARTMENT OF HEALTH

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS DIRECTOR'S OFFICE CHIROPRACTIC - GENERAL RULES

ALABAMA~STATUTE. Code of Alabama et seq. DATE Enacted Alabama Board of Medical Examiners

STATE OF FLORIDA BOARD OF CLINICAL SOCIAL WORK, MARRIAGE AND FAMILY THERAPY AND MENTAL HEALTH COUNSELING

NORTH CAROLINA VETERINARY MEDICAL BOARD

RULES AND REGULATIONS FOR THE CERTIFICATION OF ADMINISTRATORS OF ASSISTED LIVING RESIDENCES (R ALA)

Missouri Revised Statutes

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS DIRECTOR'S OFFICE CHIROPRACTIC - GENERAL RULES

In re: ) ) NOTICE OF CHARGES Jorge David Flechas, M.D., ) AND ALLEGATIONS ) NOTICE OF HEARING Respondent. )

STATE OF FLORIDA DIVISION OF ADMINISTRATIVE HEARINGS

STATE OF FLORIDA DEPARTMENT OF HEALTH

ALABAMA BOARD OF MEDICAL EXAMINERS ADMINISTRATIVE CODE CHAPTER 540-X-19 PAIN MANAGEMENT SEVICES TABLE OF CONTENTS

STATE OF FLORIDA DEPARTMENT OF HEALTH

STATE OF FLORIDA DEPARTMENT OF HEALTH ADMINISTRATIVE COMPLAINT. COMES NOW, Petitioner, Department of Health, by and through its

KANSAS STATUTES ANNOTATED Article 35 LICENSURE OF ADULT CARE HOME ADMINISTRATORS

NAY Deputy Agency Clerk

Section (1), Stats. Statutory authority: Sections (5) (b), (2) (a), and (1), Stats. Explanation of agency authority:

CHAPTER MEDICAL IMAGING AND RADIATION THERAPY

STATE OF FLORIDA BOARD OF CLINICAL SOCIAL WORK, MARRIAGE AND FAMILY THERAPY AND MENTAL HEALTH COUNSELING

KANSAS STATE BOARD OF NURSING ARTICLES. regulation controls. These articles are not intended to create any rights, contractual or otherwise, for

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS DIRECTOR S OFFICE PHARMACY GENERAL RULES

Referred to Committee on Health and Human Services. SUMMARY Provides for schools to obtain and administer autoinjectable epinephrine.

HOUSE BILL NO. HB0296. Representative(s) Zwonitzer, Dv. and Meyer and Senator(s) Johnson A BILL. for

STATE OF FLORIDA DEPARTMENT OF HEALTH ADMINISTRATIVE COMPLAINT. COMES NOW, Petitioner, Department of Health, by and through its

ADMINISTRATIVE COMPLAINT

STATE OF FLORIDA DEPARTMENT OF HEALTH

Chapter II OVERVIEW OF THE MEDICAL BOARD OF CALIFORNIA

GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2011 H 1 HOUSE BILL 639. Short Title: Clinical Exercise Physiologist Licensure.

ALABAMA BOARD OF MEDICAL EXAMINERS ADMINISTRATIVE CODE

Session of 2008 No AN ACT

LOUISIANA REVISED STATUTE 37: THE LOUISIANA RADIOLOGIC TECHNOLOGIST LICENSING LAW

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS DIRECTOR S OFFICE BOARD OF NURSING - GENERAL RULES

Interim Commissioner Lauren A. Smith and Members of the Public Health Council

)

/13/2017

California Statutes Pertaining to Childcare First Aid/CPR and Preventive Health Training Effective January 1, 2003

Senate Bill No. 453 Committee on Health and Human Services

STATE OF FLORIDA DEPARTMENT OF HEALTH ADMINISTRATIVE COMPLAINT. Petitioner, Department of Health (Department), files this

STATE OF FLORIDA BOARD OF NURSING FINAL ORDER. This matter appeared before the Board of Nursing at a dulynoticed

STATE OF FLORIDA BOARD OF NURSING

State of Arizona Board of Behavioral Health Examiners

GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 1999 SESSION LAW SENATE BILL 10

247 CMR: BOARD OF REGISTRATION IN PHARMACY 247 CMR 21.00: REGISTRATION OF OUTSOURCING FACILITIES. Section

Chapter 247. Educators' Code of Ethics

STATE OF FLORIDA DEPARTMENT OF HEALTH

BEFORE THE REVIEW COMMITTEE OF THE AMERICAN MIDWIFERY CERTIFICATION BOARD

Senate Bill No. 294 Senators Cegavske and Leslie

STATE OF MICHIGAN COURT OF APPEALS

BEFORE THE REVIEW COMMITTEE OF THE AMERICAN MIDWIFERY CERTIFICATION BOARD

Last updated on April 23, 2017 by Chris Krummey - Managing Attorney-Transactions

STATE OF FLORIDA DEPARTMENT OF HEALTH BUREAU OF EMERGENCY MEDICAL SERVICES ADMINISTRATIVE COMPLAINT

TRUE AND EXACT COPY OF ORIGINAL

R.S. 37:3081. CHAPTER 41. DIETITIANS AND NUTRITIONISTS

CHAPTER FIFTEEN- NEGATIVE ACTIONS

MISSOURI STATE BOARD OF NURSING NURSING PRACTICE ACT AND RULES

Family Child Care Licensing Manual (November 2016)

RULES OF TENNESSEE BOARD OF MEDICAL EXAMINERS COMMITTEE ON PHYSICIAN ASSISTANTS

a. Principles of administration including budgeting, accounting, records management, organization, personnel, and business management.

STATE OF FLORIDA DEPARTMENT OF HEALTH

Policies and Procedures for Discipline, Administrative Action and Appeals

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS DIRECTOR S OFFICE NURSING HOME ADMINISTRATORS GENERAL RULES

H 7608 S T A T E O F R H O D E I S L A N D

DEPARTMENT OF REGULATORY AGENCIES. Office of Addiction Counselor Program

TITLE 4. PROFESSIONS AND OCCUPATIONS CHAPTER 33. BOARD OF EXAMINERS FOR NURSING CARE INSTITUTION ADMINISTRATORS AND ASSISTED LIVING FACILITY MANAGERS

NC General Statutes - Chapter 90A Article 2 1

RULES and REGULATIONS: PRESCRIBING CONTROLLED SUBSTANCES IN MS. Mississippi State Board of Medical Licensure June 24, 2016 Thomas Washington, CMBI

Pharmacy Law Update for Pharmacists & Technicians October 1, 2017 Greg Baran, B.S., Pharm., M.A.

COLORADO REVISED STATUTES

STATE OF FLORIDA DEPARTMENT OF HEALTH

244 CMR: BOARD OF REGISTRATION IN NURSING

Prescription Monitoring Program State Profiles - California

HP0860, LD 1241, item 1, 124th Maine State Legislature An Act To Require Licensing for Certain Mechanical Trades

YORK HOSPITAL CREDENTIALS POLICY AND PROCEDURE MANUAL

PATIENT RIGHTS TO ACCESS PERSONAL MEDICAL RECORDS California Health & Safety Code Section

Alert. Changes to Licensed Scope of Practice of Physician s Assistants in Michigan. msms.org. Participating Physician. Practice Agreement

MISSOURI. Downloaded January 2011

TRUE AND EXACT COpy OF ORIGINAL

Provider Credentialing and Termination

REGISTERED NURSES ACT

APPLICATION FOR PERMANENT LICENSURE IN SLP OR AUDIOLOGY REQUESTING RECIPROCITY WITH A CURRENT LICENSE IN ANOTHER STATE INSTRUCTIONS TO APPLICANTS

The Registered Nurses Act, 1988

Transcription:

1 BUREAU.. STATE OF MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS OF HEALTH CARE SERVICES BOARD OF MEDICINE DISCIPLINARY SUBCOMMITTEE In the Matter of FARID T. FATA, M.D. License Nos. 43-01-072629 53-15-009042 ----------~' Complaint No. 43-13-129793 ORDER OF SUMMARY SUSPENSION An administrative complaint has been issued against Respondent under the Public Health Code, 1978 PA 368, as amended; MCL 333.1101 et seq, promulgated rules, and the Administrative Procedures Act of 1969, 1969 PA 306, as amended; MCL 24.201 et seq. After consideration of the documentation filed in this case and consultation with the Chairperson of the Board of Medicine, the Department concludes that the public health, safety or welfare requires emergency action, as allowed by section 16233(5) of the Public Health Code and section 92(2) of the Administrative Procedures Act. THEREFORE, IT IS ORDERED that Respondent's license to practice medicine and controlled substance licenses in the State of Michigan shall be summarily suspended commencing on the date this order is served. Under 1996 AACS, R 338.1610, Respondent has the right to petition for the dissolution of this order of summary suspension. This petition shall clearly state that it is a Petition for Dissolution of Summary Suspension and shall be filed with the Department of Licensing and Regulatory Affairs, Bureau of Health Care Services, P.O. Box 30670, Lansing, Michigan 48909, with a copy served upon the Department of Attorney General, Licensing & Regulation Division, P.O. Box 30754, Lansing, Michigan, 48909. Questions concerning the Order of Summary Suspension may be directed to (517) 373-1146. Upon receipt of such a petition, an administrative hearing will immediately be scheduled before an administrative law judge, who shall dissolve the order of summary suspension unless sufficient evidence is

... produced to support a finding that the public health, safety, or welfare requires emergency action and a continuation of the suspension order. DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS LF:2013-0057376-A/Fata, Farid Tamoa, MD., 129793100010989578045 p order of ss Carole H. Engle, Dir Bureau of Health re Services 2

\ ' In the Matter of STATE OF MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BUREAU OF HEALTH CARE SERVICES BOARD OF MEDICINE DISCIPLINARY SUBCOMMITTEE FARID T. FATA, M.D. License Nos. 43-01-072629 53-15-009042 Complaint No. 43-13-129793 ADMINISTRATIVE COMPLAINT Attorney General Bill Schuette, through Assistant Attorney General Stephen M. Rideout, on behalf of the Department of Licensing and Regulatory Affairs, Bureau of Health Care Services (Complainant), files this complaint against Farid T. Fata (Respondent) alleging upon information and belief as follows: 1. The Board of Medicine, (Board), an administrative agency established by the Public Health Code, 1978 PA 368, as amended, MCL 333.1101 et seq, is empowered to discipline licensees under the Code through its Disciplinary Subcommittee (DSC). 2. Respondent holds a current license to practice medicine in Michigan and a current controlled substance license pursuant to the Public Health Code.

3. Section 16233(5) of the Public Health Code provides for the summary suspension of a license, reading, in pertinent part, as follows: After consultation with the chair of the appropriate board or task force or his or her designee, the department may summarily suspend a license or registration if the public health, safety, or welfare requires emergency action in accordance with section 92 of the administrative procedures act of 1969, being section 24.292 of the Michigan Compiled Laws. 4. Section 16221(a) of the Code provides the DSC with authority to take disciplinary action against Respondent for a violation of general duty, consisting of negligence or failure to exercise due care, including negligent delegation to, or supervision of employees or other individuals, whether or not injury results, or any conduct, practice, or condition which impairs, or may impair, the ability to safely and skillfully practice medicine. 5. Section 16221(b)(i) of the Code provides the DSC with authority to take disciplinary action against Respondent for incompetence, defined at section 16106(1) to mean: "[A] departure from, or failure to conform to, minimal standards of acceptable and prevailing practice for a health profession whether or not actual injury to an individual occurs." 6. Section 16221(b)(vi) of the Code provides the DSC with authority to take disciplinary action against Respondent for "lack of good moral character." 2

Section 16104(5) of the Code and section 1of1974 PA 381, as amended; MCL 338.41 et seq, define "good moral character" as "the propensity on the part of the person to serve the public in the licensed area in a fair, honest, and open manner." 7. Section 16221(c)(iv) of the Code provides the DSC with authority to take disciplinary action against Respondent for selling, prescribing, giving away, or administering drugs for other than lawful diagnostic or therapeutic purposes. 8. Section 1622l(d)(iii) of the Code provides the DSC with authority to take disciplinary action against Respondent for fraud or deceit in obtaining or attempting to obtain third party reimbursement. 9. Section 16221(e)(i) of the Code provides the DSC with authority to take disciplinary action against Respondent for misrepresentation to a consumer or patient or in obtaining or attempting to obtain third party reimbursement in the course of professional practice. 10. Section 16221(e)(iii) of the Code provides the DSC with authority to take disciplinary action against Respondent for promotion for personal gain of an 3

unnecessary drug, device, treatment, procedure, or service. 11. Section 16226 of the Code authorizes the DSC to impose sanctions against persons licensed by the Board, if after opportunity for a hearing, the DSC determines that a licensee violated one or more of the subdivisions contained in section 16221 of the Code. 12. Section 7311(6) of the Code provides that a controlled substance license is automatically void if a licensee's license to practice is suspended or revoked under Article 15 of the Code. FACTUAL ALLEGATIONS 13. ' Respondent, at all times relevant to this Administrative Complaint, owned and operated Michigan Hematology Oncology, P.C. (MHO), and was enrolled as a participating provider with Medicare. 14. From at least the summer of 2012 and continuing through May 2013, Respondent directed that MHO employees enter diagnoses of anemia or fatigue in MHO patieii.t records in order to obtain Medicare reimbursement for Procrit injections for these MHO patients, despite no medical support for the diagnosis and

the resulting "treatment" by Procrit injections. 15. From at least the summer of 2012 and continuing through May 2013, Respondent delegated to medical assistants at MHO the authority to determine which patients ofmho would receive prescriptions for Oxycontin or Oxycodone or a refill of Oxycontin or Oxycodone. 16. From at least the summer of 2012 and continuing through May 2013, Respondent administered or directed to be administered by MHO staff, unnecessary chemotherapy to MHO patients in remission. 17. From at least the summer of 2012 and continuing through May 2013, Respondent deliberately misdiagnosed MHO patients as having cancer to justify unnecessary cancer treatments. 18. From at least the summer of 2012 and continuing through May 2013, Respondent administered or directed to be administered by MHO staff, chemotherapy to end-of-life patients who would not benefit from this treatment. 5

19. From at least the summer of 2012 and continuing through May 2013, Respondent deliberately misdiagnosed MHO patients without cancer to justify expensive billing. 20. From at least the summer of 2012 and continuing through May 2013, Respondent prescribed and distributed, or caused to be prescribed and distributed by MHO staff, controlled substances to patients without medical necessity. COUNT I 21. Respondent's conduct as described above constitutes negligence, in violation of 1622l(a) of the Code. COUNT II 22. Respondent's conduct as described above constitutes incompetence, in violation of 1622l(b)(i) of the Code. COUNT III 23., Respondent's conduct as described above constitutes lack of good moral character, in violation of 1622l(b)(vi) of the Code. 6

COUNT IV 24. Respondent's conduct as described above constitutes provides the selling, prescribing, giving away, or administering drugs for other than lawful diagnostic or therapeutic purposes, in violation of Section 16221(c)(iv) of the Code. COUNTV 25. Respondent's conduct as described above constitutes fraud or deceit in obtaining or attempting to obtain third party reimbursement, in violation of 16221 (d)(iii) of the Code. COUNT VI 26. Respondent's conduct as described above constitutes misrepresentation in obtaining or attempting to obtain third party reimbursement in the course of professional practice, in violation of 16221(e)(i) of the Code. COUNT VII 27. Respondent's conduct as described above constitutes the promotion for personal gain of an unnecessary drug, device, treatment, procedure, or service, in violation of Section 16221(e)(iii) of the Code. 7

THEREFORE, Complainant requests that this complaint be served upon Respondent and that Respondent be offered an opportunity to show compliance with all lawful requirements for retention of the aforesaid license. If compliance is not shown, Complainant further requests that formal proceedings be commenced pursuant to the Public Health Code, rules promulgated pursuant to it, and the Administrative Procedures Act of 1969, 1969 PA 306, as amended; MCL 24.201 et seq. FURTHER, Complainant requests that pending the hearing and final determination Respondent's license to practice as a medical doctor in the State of Michigan continue to be summarily suspended pursuant to section 92 of the Administrative Procedures Act and section 16233(5) of the Public Health Code for the reason that, based upon the allegations set forth herein, to permit Respondent to continue to practice the profession constitutes a danger to the public health, safety and welfare requiring emergency action. RESPONDENT IS HEREBY NOTIFIED that, pursuant to section 16231 (7) of the Public Health Code, Respondent has 30 days from receipt of this complaint to submit a written response to the allegations contained in it. The written response ' shall be submitted to the Bureau of Health Professions, Department of Licensing and Regulatory Affairs, P.O. Box 30670, Lansing, Michigan 48909, with a copy to the undersigned assistant attorney general. Further, pursuant to section 16231(8), 8

failure to submit a written response within 30 days shall be treated as an admission of the allegation contained in the complaint and shall result in transmittal of the complaint directly to the Board's Disciplinary Subcommittee for imposition of an appropriate sanction. Respectfully Submitted, BILL SCHUETTE Attorney General Date: October 21, 2013 A~~ Stephen M. Rideout (P38753) Assistant Attorney General Licensing & Regulation Division P.O. Box 30758 Lansing, Michigan 48909 (517) 373-1146 LF 2013-0057376-AfFata, Farid Tamos, MD, 129793/0001098945S045 p ac 9

STATE OF MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BUREAU OF HEAL TH CARE SERVICES BOARD OF MEDICINE DISCIPLINARY SUBCOMMITTEE In the Matter of FARID TANIOS FATA, M.D. License Number: 43-01-072629 File Number: 43-13-129793 FINAL ORDER On October 21, 2013, the Department of Attorney General, Licensing & Regulation Division, on behalf of the Department of Licensing and Regulatory Affairs, Bureau of Health Care Services, hereafter Department, filed an Administrative Complaint, hereafter Complaint, with the Disciplinary Subcommittee of the Michigan Board of Medicine, hereafter Disciplinary Subcommittee, charging Farid Tanios Fata, M.D., hereafter Respondent, with having violated sections 16221(a), 16221(b)(i), 16221(b)(vi), 16221 (c)(iv), 16221 (d)(iii), 16221 (e)(i) and 16221 (e)(iii) of the Public Health Code, 1978 PA 368, as amended; MCL 333.1101 et seq. Based upon the Complaint and after consultation with the Chairperson of the Michigan Board of Medicine, hereafter Board, the Department summarily suspended Respondent's license to practice medicine in the state of Michigan by Order of Summarv Suspension commencing on the date the order was served, October 22, 2013. The Complaint notified Respondent that, pursuant to sections 16231 (7) and 16231(8) of the Public Health Code, supra, Respondent's failure to respond to the Complaint within 30 days from the date of receipt would be treated as an admission of the 1

allegations contained in the Complaint and would result in transmittal of the Complaint directly to the Disciplinary Subcommittee for imposition of an appropriate sanction. Contrary to section 16231 (7) of the Public Health Code, supra, Respondent failed to provide a written response to the allegations set forth in the Complaint within 30 days from the date of receipt. The Disciplinary Subcommittee, having read the Order of Summarv Suspension and Complaint, considered the within matter at a meeting held in Lansing, Michigan, on January 15, 2014, and imposed a sanction pursuant to section 16231(8) of the Public Health Code, supra. Now, therefore, IT IS HEREBY ORDERED tha~ the Order of Summarv Suspension served on October 22, 2013, is DISSOLVED, as of the effective date of this Order. IT IS FURTHER ORDERED that for the violations of sections 16221(a), 16221(b)(i), 16221(b)(vi), 16221(c)(iv), 16221{d)(iii), 16221(e)(i), and 16221(e)(iii) of the Public Health Code, supra, Respondent's license to practice medicine in the state of Michigan is REVOKED, commencing on the effective date of this Order. Section 7311(6) of the Public Health Code, supra, provides that a controlled substance license is automatically void if a licensee's license to practice is suspended or revoked under Article 15 of the Public Health Code. Pursuant to section 7311 (6) of the Public Health Code, supra, Respondent's controlled substance license is automatically 2

void, commencing on the effective date that Respondent's license to practice medicine in the state of Michigan is revoked. IT IS FURTHER ORDERED that in the event Respondent's license to practice medicine expires during the period of revocation, Respondent must apply for relicensure, in accordance with section 16174 of the Public Health Code, supra. IT IS FURTHER ORDERED that in the event Respondent's license to practice medicine does not expire and remains revoked, Respondent must apply for reinstatement of the license and application shall be in accordance with sections 16245 and 16247 of the Public Health Code, supra. Further, in support of the application for reinstatement, Respondent shall supply clear and convincing evidence to the Michigan Board of Medicine that Respondent is of good moral character, is able to practice the profession with reasonable skill and safety, that it is in the public interest for Respondentto resume practice, and that Respondent has met the guidelines on reinstatement adopted by the Department. IT IS FURTHER ORDERED that in the event Respondent violates any provision of this Order, the Disciplinary Subcommittee may proceed to take disciplinary action pursuant to 1996 AACS, R 338.1632 and section 16221 (h) of the Public Health Code, supra. CONTINUED ON NEXT PAGE 3

IT IS FURTHER ORDERED that this Order shall be effective on the date signed by the Disciplinary Subcommittee's Chairperson or authorized representative, as set forth below. Dated: -~/-~tl.~1-~/~{ MICHIGAN BOARD OF MEDICINE DISCIPLINARY SUB OMMITTEE Carole H. Engle, Director Bureau of Health Care S This is the final page of a Final Order in the matter of Farid Tanios Fala, M.D., File Number 43-13-129793, before the Disciplinary Subcommittee of the Michigan Board of Medicine, consisting of four pages, this page included. kp 4