Georgia Composite Medical Board Minutes of the April 1, 2021 Meeting

The Georgia Composite Medical Board (GCMB) held its regular meeting on April 1, 2021 via teleconference at 2 Peachtree Street, Atlanta, GA 30303, to consider Medical Board matters. Board members on the call: John S. Antalis, MD Management staff present: William Bostock, DO LaSharn Hughes, MBA, Executive Director Gretchen Collins, MD Phyllis White, Executive Assistant Debi Dalton, MD Jonathan McGehee, Director of Investigations E. Dan DeLoach, MD Latisha Bias, Enforcement Supervisor Charmaine Faucher, PA (ex-officio) Judy Gardner, FASHP, Consumer Member Legal staff on the call: Alexander Gross, MD Max Changus, JD, Assistant Attorney General Shawn Hanley, Consumer Member Betsy Cohen, JD, Assistant Attorney General Thomas Harbin, MD, Vice Chair J. Jeffery Marshall, MD Matthew Norman, MD Andrew Reisman, MD David Retterbush, MD Barby Simmons, DO, Chair Richard Weil, MD

CALL TO ORDER Dr. Simmons called the meeting of the Georgia Composite Medical Board to order at 7:30 a.m.

AGENDA Dr. Retterbush made a motion, seconded by Dr. Norman to approve the agenda of the April 1, 2021 meeting. The motion carried unanimously.

MINUTES Dr. DeLoach made a motion, seconded by Dr. Retterbush to approve the minutes of the March 4, 2021 meeting. The motion carried unanimously.

EXECUTIVE DIRECTOR’S REPORT LaSharn Hughes, Executive Director, presented the following report:

Ms. Hughes gave the Board members a copy of Governor’s Kemp Executive Order 01.14.19.03(5) regarding Conflict of Interest Policy. Dr. Simmons asked the members to review as a refresher.

Department of Public Health regarding HB 1125 that provides a list of factors that identifies individuals as having a high risk for breast cancer. The Legislature requires assistant from the Board. The Board agreed to post to its website and include information for physicians in the Board’s newsletter.

The Board reviewed an email from Michele Madison, JD, regarding whether PAs and APRNs can supervise CT and MRI with contrast. The Board asked the staff to notify her that this can be done under 1

Georgia Composite Medical Board Minutes of the April 1, 2021 Meeting an APRN Protocol or PA Job Description.

Stephen C. Jacob, MD – requesting formal written clarification on the delegation to paramedics, EMTs, and nurses. Refer to the Office of the Attorney General for advice.

Roz Cordini – Medical assistants - does the physician need to be in the office at the time such medical tasks are being delivered by an MA such as injections. See rules. The physician must be in the building.

Revisit – John Mansour responded to the Board’s request for additional information on pharmacist performing IV injections. The Board considers this the practice of medicine.

The Board accepted as information the following items:

Letter from Kannaa Ramar, MD, American Academy of Sleep Medicine – expressing concerns regarding a recently published position statement issued by the American Academy of Dental Sleep Medicine on the use of home sleep apnea tests by dentist.

The PDMP Report which is registered by user.

North Carolina Medical Board Position Statement, “Licensee use of innovative or new treatment.”

Minutes from the FSMB Board of Directors Meeting February 17-19, 2021.

RULES COMMITTEE REPORT Motion Dr. Harbin, seconded Dr. Marshall and motion carried to send the following Rules to the Attorney General for review and approval before posting:

Rule 360-32-.05 “Additional Requirements Regarding Physician Delegation to an APRN”

Motion Dr. Retterbush, seconded Dr. Harbin and motion carried to post the following Rules for Comment:

Physician Assistant Rules Rule 360-5-.02 “Qualifications for Physician Assistant License” Rule 360-5-.03 “Application for Physician Utilization of a Physician Assistant” Rule 360-5-.04 “General Job Description” Rule 360-5-.05 “Limitations on Physician Practice” Rule 360-5-.06 “Renewal of Physician Assistant License” Rule 360-5-.11 “Standards for Physician Assistant Practice” Rule 360-5-.12 “Guidelines concerning Prescriptive Authority”

Rule 360-2-.05 “Renewal Applications” Rule 360-16-.01 “Renewal and Expiration Dates”

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Georgia Composite Medical Board Minutes of the April 1, 2021 Meeting Rule 360-32-.01 “Definitions” (APRN) Rule 360-32-.02 “Requirements for Nurse Protocol Agreement Pursuant to Code Section 43-34-25”

The following rules are at the Office of Attorney for review and approval before posting:

Rule 360-35-.01 “Definitions” Rule 360-35-.05 “Practice”

CLOSED SESSION Dr. DeLoach motioned seconded by Dr. Dalton to go into closed session to discuss applications, investigations and disciplinary matters. The motion carried unanimously.

OPEN SESSION Dr. Simmons declared open session.

APPEARANCE BEFORE THE BOARD RS, MD. The Board voted to uphold denial.

APPEARANCE BEFORE THE BOARD HJVP, MD. The Board voted to uphold denial.

ATTORNEY GENERAL (AG) Max Changus, Assistant Attorney General presented the AG Status Report. Dr. Marshall submitted a motion, seconded by Dr. DeLoach and motion carried to accept the report as information and approved the following Board Order:

Stephen Jarrard, MD—Consent Order (Sexual Misconduct/Impairment Order) 20200656, 20201349 - Order 2021106 - Order

PHYSICIAN LICENSURE COMMITTEE Dr. Retterbush presented the Licensure Committee Report:

The Board took the following actions: Approve Petition(s) to Waive Rules Mian, Amir – 360-2- .01 (f) Mixter, Ingrid – 360-2- .01 (f) Assad, Samer – 360-2- .01 (f) Bakdash, Terek – 360-2- .01 (f)

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Georgia Composite Medical Board Minutes of the April 1, 2021 Meeting Deny Petition(s)to Waive Rule(s) Houjaij, Ali – 360-2- 01 (g)-Based on non-ACGME training Darwish, Oussama – 360-2- .01 (g)-Based on non-ACGME training

Questions/Requests Deny request to reopen renewal from Shehata, Bahig to avoid late fee. Deny request to reopen renewal from Thomas, William to avoid late fee. Deny request for late fee reimbursement of renewal from Mathai, Mathew. Deny Emergency Practice Permit for Angelito Tan - malpractice history. The Committee accepted as information USMLE – FSMB Webinar Series.

Approve License Applications Amico, Frank Benedicto, Alberto Berman, Daniel Cohen, Daniel (Administrative License) Domm, Guy Gray, Jim Johnson, Jonathan Kurtz, David McManus, Daniel Miller, Council (RNST) Nguyen, Phi (Telemedicine) Schwartz, Kenneth Stone, James Williams, Wendell

Approve Residency Training Permits Abbasi, Rahat Herbert, Sheldon Kabler, Patrick

Applications pending AH - Interview RK – proof of clinical practice and CME

Accepted as Information Only – Withdrawal of application MG

Applications Administratively Approved

Physician Designation Abossallue, Imad MD Abu-Speitan, Mohanad H MD Accilien, Yves-Dany MD Adeyiga, Adebunmi MD

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Georgia Composite Medical Board Minutes of the April 1, 2021 Meeting

Adorno Rivera, Zaiyara MD Agarwal, Beamon MD Agbe-Davies, Olanrewaju MD Aguirre, Rene V MD Ahmad, Amier MD Ahmad, Rehman B DO Aiyejorun, Ayodeji MD Akabogu, Akuoma Y MD Akamiro, Ezinne I MD Akbari, Yasmin S MD Akenji, Sylvia MD Al Jammal, Mustafa MD Alapati, Sindhura MD Albanese, Natalie N MD Al-Helou, Georges MD Ali-Mucheru, Mariam MD Allison, John B DO Amico, Frank J, Sr. DO Andrick, Jonathan J MD Angleton, Paul M MD Antoine, Gregory MD Arojo, Itunu-Oluwa O MD Arora, Anandita MD Attupurath, Reji A MD Aung, Andre MD Avila, Audrey A MD Avotri, Selom K MD Bacon, Bruce R MD Badami, Anjali MD Bajwa-Dulai, Sonia T MD Bakdash, Tarek MD Ballah-Leahey, Deddeh M MD Ban, Byung H DO Bankhead, Keeland MD Barde, Susan H MD Barker, Tobias D MD Barrett, Gregory S MD Bartfield, Jessica MD Bartholomew, Chase DO Baumel, Daniel DO Beau, Jordan G MD 5

Georgia Composite Medical Board Minutes of the April 1, 2021 Meeting

Beck, Jennifer L MD Bedini, Tabitha MD Berman, Daniel S MD Beshay, Melissa Y MD Betancourt, Renee L MD Beveridge, Gloria B MD Beydoun, Nour MD Bhadsavle, Hershel MD Bickel, Richard A, JR MD Blewett, Christopher MD Bodar, Vipul MD Boggs, Michael N MD Bosserman, Andrew J MD Bowie, Stephen H MD Bradshaw, Stace T MD Burroughs, Melissa S MD Cadiz, Emilia Maria C DO Cail, Kenneth H, III MD Carballo, Erica V MD Cavanagh, Julien J MD Chacko, Justin DO Chalfin, Renata MD Chang, Wilbur MD Charles, Antony J MD Chaudhry, Farrukh S MD Chauhan, Ayushi MD Chen, Jimmy MD Cheng, June F MD Chhetri, Sumit MD Chiribau, Mona MD Choe, Wonsick MD Choi, David J MD Chowdhury, Jehan F DO Chretien, Yves MD Chung, Chris MD Constant, Marie M MD Cooley, Kim DO Cooper, Robert E, Jr MD Corey, Ashley D DO Cunningham, Kayla E MD Daginawala, Naznin MD 6

Georgia Composite Medical Board Minutes of the April 1, 2021 Meeting

Danielczok, Amara S MD Davidson, James E MD Davis, Franklin MD Davis, Jana MD Devarapalli, Mallika DO Diaz Fernandez, Virmarie MD Dinh, Tru Khang T MD Dittmer, Trenton P MD Dodd, Alexandra L MD Domm, Guy A MD Du, Hongling MD DuBiner, Lauren MD Duerson, Frank C, III MD Duhon, Gregory J MD Dunlap, Robert H MD Edwards, Matthew L, Jr. MD Edwards-Salmon, Sofia E MD Egbo, Chinwe J MD Ehlers Jaschen, Brynn E DO Eloliby, Mohamed MD Fang, Vincent MD Fincher, Justin MD Fogo, Agnes B MD Forehand, William L, III MD Forrester, Chelsea MD Fowe Makue, Leyla MD Freeman, Daniel A MD Garcia, William MD Givens, Vanessa M MD Goff, Tyler C MD Golightly, Cameron E DO Goodwin, Andrea D MD Goorland, Jeffrey R MD Gopalakrishnan, Ragisha MD Gordon, Paul R MD Gray, Jim MD Grays, Breyanna N MD Greenberg, Leslie A MD Gunn, Jason E MD Gutman, David M MD Hall, Michael A MD 7

Georgia Composite Medical Board Minutes of the April 1, 2021 Meeting

Handapangoda, Iroshan S MD Hanos, Dustin S MD Harrington, Benjamin S DO Harrison, Gena L MD Hawkins, Jasmine L MD He, Siping MD Herbst, Karen L MD Herlihy, Summer MD Hitchcock, Robert J MD Hogan, Christopher D MD Hollcraft, Charles M MD Honeycutt, Michael W MD Hou, Stephanie MD Hrishneko, Maureen L MD Humes, Kathryn M MD Husain, Mohsin MD Iams, Wade T MD Imbus, Joseph MD Itri, Jason N MD Iwere, Roli B MD Jackson, Grace E MD Janopaul-Naylor, James R MD Javed, Faiza MD Jha, Ruchi MD Johnson, Chelsea D MD Johnson, Jonathan MD Kakarla, Venkata R MD Kalia, Nisha MD Kamalpour, Shahraam MD Kaminsky, Joseph B MD Kansal, Adilakshmi MD Karakattu, Monika S MD Karakattu, Sajin Mathew MD Kathuria, Inderjote S MD Kebbel, Frederick A MD Khasnavis, Tanya V MD Khaw, Adrian MD Kim, Michael MD Kim, Peter MD Koestner, Danielle K DO Koldhekar, Amol S MD 8

Georgia Composite Medical Board Minutes of the April 1, 2021 Meeting

Kolli, Mahitha MD Kornbluth, Craig M MD Kovalchuk, Nadia V MD Kozyr, Sergey MD Krishna, Sheila M MD Krug, David MD Kudaravalli, Praneeth MD Kumar, Rahul MD Kurtz, David MD Kuttappan, Vishnu DO Le Bec, Nastane MD Leef, George C MD Lewis, Kelli MD Lobosco, Matthew V MD Locklin, Jasmine N MD Lusco, Mark A MD MacLean, Ainsley V MD Maloney, Keisha C MD Manocha, Pankaj MD Mansoor, Sahar MD Marino, Allen T MD Marley, Meaghan M MD Masabni, Khalil MD McDowell, Rachel H MD McManus, Daniel P MD Mehta, Sagar MD Meshberger, Christopher L MD Miller, Wesley H DO Mohr, Brandt C MD Momin, Zobiya Z MD Morel, Laurent m MD Mueller, Casey S MD Mustafa, Husam Elden B MD Myers, Sara S DO Neal, Rachel M MD Nguyen, Phi V MD Noel, Thomas E MD Ochsner, Jordan T MD O'Donnell, Jeffrey A MD Okoh, Alexis K MD Okwubunka-Anyim, Ahunna N MD 9

Georgia Composite Medical Board Minutes of the April 1, 2021 Meeting

Oliver, Andrew T DO Oshikoya, Amelie M MD Paczkowski, Gregory F MD Park, Joseph R MD Patel, Kamal MD Patel, Mayur MD Patel, Meera C DO Patel, Milind D MD Patel, Monika B MD Pirmohamed, Fermina A MD Quach, Giang T DO Rahmanov, Amangeldi MD Rajaram, Krishna M DO Rao, Suraj MD Raymond, Alex G DO Reed, Tyler MD Ren, Rongqin MD Robbins, Patrick MD Robinson, Caroline N MD Rodriquez Rodeiquez, Melissa N MD Rosati, Renee DO Rowell, Jeremy A MD Ruparelia, Sudeep H MD Russell, Lonnie N MD Ryan, Marisa A MD Sajedi, Payam MD Samindla, Kiran MD Sandhu, Jaspreet MD Sasimangalam, Asha N MD Sathiyakumar, Vasanth MD Sautter, Robert T MD Scheiderer, Ashley N MD Scheinert, Jocelyn MD Schinco-Schaffer, Miren A MD Schlotzer, Lynsey K MD Schlub, Riley A MD Scully, Timothy, Jr DO Seamon, Keri DO See, Reiner Henson B MD Sehgal, Ila DO Shah, Harshal MD 10

Georgia Composite Medical Board Minutes of the April 1, 2021 Meeting

Shah, Rutvij J MD Shapiro, Eve C MD Shapovalova, Svitlana MD Sharkawi, Musa A MD Sharma, Pooja S MD Sheehan, Theresa C MD Silva, Kyle DO Silvester, Nick C DO Sim, Jae MD Smallwood, Ronald C DO Smith, James L MD Soule, Sara C MD Spadafina, Sarah M MD Spencer, Racquel D MD St.Clair, Kristina J DO Stavely, Taylor C MD Stout, Mary M MD Suilmann, Caitlin W MD Sundberg, Thorsten MD Sung, Ee-Rah DO Tawfeek, Kerolos R MD Taylor, Susan d DO Thandra, Krishna C MD Thoguluva Chandrasekar, Viveksandeep MD Thomas King, Shanthi S MD Thummala, Gowri Padma M MD Tipton, Shane MD Torphy, Bradley D MD Trost, Landon W MD Tummala, Jagdish MD Ul Haq, Aejaz MD Uragoda, Lalith C MD Ursani, Aneel A MD Vanstrum, Marnie A MD Vats, Abhay N MD Vega, Arturo R MD Vinter, Dana A MD Viswanathan, Kartik MD Walker, Dallin S DO Walker, Quintisha M MD Wallace, Michael T MD 11

Georgia Composite Medical Board Minutes of the April 1, 2021 Meeting

Ward, Gregory M MD Watkis, Patricia MD Watson, Amy T MD Watson, John T MD Webb, Eric D MD Wechter, Elizabeth MD Weible, Nancy E MD Wessler, Jeffrey D MD White, Cynthia MD Wicks, Jaime M MD Wiedel, Lisa MD Williams, Jessica N MD Williams, Wendell N MD Wilson, Hunter C MD Wood, Jocelyn B MD Woodson, Benjamin W MD Wu, Rebecca MD Wyatt, Joan M MD Yin, Han Yang MD Yoon, Hee MD Yoon, Jane C MD Zafar, Atif MD Zetir, Mohamad MD Zheng, Andrew MD

NURSE PROTOCOL ADVISORY COMMITTEE Dr. Norman presented the Nurse Protocol Report:

The Board took the following actions:

The Committee recommended the following: 1. I need clarification on whether PAs and APRNs can supervise CT and MRI with contrast. Answer: Not an issue as long as it is approved by the physician, with a protocol or job description.

2. Is it possible for a GA licensed MD who lives outside of GA (like NY) to supervise GA licensed nurse practitioners (who also live outside of GA) who are practicing via telemedicine? Answer: The physician has to be in Georgia or within in 50 miles of where the protocol agreement is being used.

3. My question is that we have a NP-C with a Delegating Physician as well as a Designated Physician. Does the Designated physician have to “physically” see the patient on these Class III-V 12

Georgia Composite Medical Board Minutes of the April 1, 2021 Meeting medications? Does the Delegating Physician have to "physically" see the patient on these class of medications on at least a quarterly basis or is the MD reviewing and signing off on the charts is sufficient? Answer: They must physically see the patient.-Refer to the rules.

4. Section 3708 of the Cares Act allows a Medicare -eligible home health patient to be under the care of a NP, PA, CNS who is working in accordance with state law. These changes were effective March 1, 2020. Medicare allowed these changes for social distancing and timely attention to home bound needs. These changes have nothing to do with pharmaceutical change. Only those advance practice providers with NPI and DEA In the Medical composite state board I ask that definition of treatment include Home health services start of care by certification by NP, PA and recertification as medically necessary per Medicare definition of home bound patients. Answer: There is not a law prohibiting nor granting. If the information is provided in the protocol agreement or the job description to order home health.

5. If a radiologist who moonlights as an urgent care physician can be the delegating physician for APRNs practicing in the same clinic? Answer: If the physician is functioning as an Emergency MD then yes, if the physician is doing radiology, then no.

6. I know there are many RNs in Georgia practicing aesthetics. I need to know who has implemented the regulations for their practice, or where to find this information? Answer: The CRNA would need an NP license in GA and a protocol agreement.

The following Form C’s were approved:

APRN Delegating Physician Gagne, Erin Sarah Allen, MD Merritt, Amanda Joel Greenberg, MD Martin, Judith, Matthew Smith, MD Ondieki, Damaris Lakshmi Tummala, MD Randolph, Bridgett Modele Ogunnigi,,MD Rizkalla, Chelsea Todd James, MD Sattefield, Erin Daryoosh Derakshan,DO Shirley, Brian Drew Prosser, MD Sides, Scott Travis Carroll, MD Sukalsk, Brooke Daryoosh Derakshan, DO Wolfe, Roshmoti Kenneth Pittman, MD

Tyler, Christina Arvind Chakravarity accept w/changes

The Committee reviewed and approved the following protocols under the provision of O.C.C.A. 43-34-25. APRN Delegating Physician Adebisi, Abiodun Lelan Byrd, MD Clopton, Jonathan Jason Gardiner, MD Cooper, Terrill Wendy Vandemark, MD 13

Georgia Composite Medical Board Minutes of the April 1, 2021 Meeting Couch, Amanda Digant Bhatt, MD Cross-Robinson, Anicia Lelan Byrd, MD Fountain, Tara Jo John Andrews, MD Vega, Alicia Surendid Malhota,, MD Patterson, Jexandria Eric Chang, MD Lewis, Ashley David Deuser, MD

APRN Delegating Physician Spencer, Vincent Ganiat Ajayi, MD Webb, Jill (resubmit) Stephen Fleming, MD Mullis, Tabitha Surrenda Mahotra, MD

The Committee determined that the following protocol agreements meet the provisions of O.C.G.A. 43-34-25 with changes.

APRN Delegating Physician Banes, Candace Gabriel Onofre, MD Campbell, III, James David Samuels, DO Jackson, Tremeze Wendy Vandemark, MD Jones, Anita Ashokkumar Jain, MD Kierce, Bianca Briccio Valdez, MD Nelome, Pamela Fady Henein, MD Walsh, Holly Gena Volas-Redd, MD Nesset, Justine Herman Levy, MD Zaman, Badrun Ranjana Bhargava, MD Savage, Denni Frank Curvin, MD Sattler, Tmothy Sudha Reddy, MD Lynch, Lorraine Crystal Owens, MD

The Committee determined that the following protocol agreements do NOT meet the provisions of O.C.G.A. 43-34-25.

APRN Delegating Physician Adeyemi, Afusat Michele Casoli-Reardon, MD Hickman, Jennifer Adam Sasso, MD White, Keena Douglas Cooper, MD Williams, Nicole Ganiat, Ajayi, MD Pipkin, Lisa Nasira Rubina, MD

Protocols Administratively Reviewed:

The following protocol agreements meet the provisions of OCGA 43-34-25:

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Georgia Composite Medical Board Minutes of the April 1, 2021 Meeting APRN Last APRN First Middle SupervisingPhysicianName Ali Noureen Martha James Tasha Nick Taher Buffington Howard Dhru Girard Busse Elizabeth Atkins Carter-Sims Linda Tuvia Breuer Charaniya Selina Jeffrey Culpepper Chung William Christa Springston Clark Princess James Chappuis Cocco Paige Jay Joseph Collier Samuel Syeda Fatima Copper Jennifer Erum Farooqi Curtis Ida Karla Booker Davis Rita-Marie Eric Calfee Dinkins Learmont Beverly Kayur Patel Dumas Twanna Nalini Ramaiya Edgeman Michelle Stephen Tidwell Enoch Tansha Charles Alexis Flynn Kathleen Karen Turner Fortenberry April Sherry Taylor Akers Fults Selvi Syeda Fatima Gonzales Kamla Iris Castro-Revoredo Goss Jenny Richard Loftis Jr. Greene Angela Dale Green Hann Courtney Shereef Girgis Hansen Eleanor Reginald Warren, Jr. Herron Paige Jose Vazquez Hill-Patterson Daneisha Ugo Ireh Holloway Kerri Wenhui Zhu Houston Kathryn James Smith, Jr. Hyland Susan Andrew Toledo Johnson Marah Bradley Goldberg Johnson Joi Ron Alleyne Jones Courtney Ronald Sites Jones Tracy Iwayemi Olayeye Jun Miraya Omokhuale Omokhodion Kibwage Deborah Bruce Pendley Kobia Sonya Philicia Andrews Lamar Exie Clyde Watkins Lantaff Tracy Kory Taylor Lashley Steven Glen Bunn Lewis Amanda Gregory Petro

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Georgia Composite Medical Board Minutes of the April 1, 2021 Meeting APRN Last APRN First Middle SupervisingPhysicianName Lleva III Oscar Mark El-Deiry Lovell Jennifer Jose Becerra Magallano Allie Benita Bonser Marquez Orlin Milly Bhalani Martin Autumn Neil Sinha Martino Laura Brinkley Goodson McElveen Charles Thomas Federico Moesch Sarah Gill Moesch Julie Sarah Gill Momin Almas Karitha Tellakula Mosher Bradley Heerain Shah Mowery Sara Jeffrey Visser Mulliniks Johnny Solomon Teckle Nadeau Stephanie Justine Henao Nguyen Ana Joseph Hannan Njungwe Eric Mark Goldberg Noble Kellie Tamer Attia Nwaokolo Onyebuchi Sabine Barlatt O'Bear Paula Jeffrey Visser Olawale Olusola Charmaine Wilson Oliver Natasha Mark Waterman Onyekachi Blessing Tiona Praylow Osborne Lauren Nonyelum Erinma Ejieke Painter Susan Steven Figiel Parquet Shawn Joseph Leroy Pasko Brittany Sasidhar Guthikonda Patel Sejal Ron Alleyne Patel Dola Jaymal Patel Patel Divyalata Zahidul Islam Chowdhury Peoples Sabrina Eric Chang Price Keywanna Charles Alexis Pruitt Kelley Michael Stiefel Richy Tiffany Vikash Modi Sanders Trina Tiffany Delice Scarborough Joy Blake Milner Scott Janice Terrell Bond Scott Jill Regina Justice Shafer Kristi Diana Maria Vallecilla Lukauskis Stallings Sheraon Sharon Taylor Amy Donald Menya Thiry Zechariah Christa Springston

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Georgia Composite Medical Board Minutes of the April 1, 2021 Meeting APRN Last APRN First Middle SupervisingPhysicianName Thornton Shnita Aful Devani Todd James Olalekan Akinyokunbo Torres Marissa Husham Mishu Tuberville Audra Michael Moss Uba Sabo Figiel Wetter Vicki Rhonda Moorman Wikoff William Steven Nguyen Williams Jacqueline Julie Crusor Williams Margaret Charles Campbell Jr Wise Marlana Crispin Barlatt Wood Phyllis Billy Greening Wright Paula Richard Epter

Any Old/New Business— Rule 360-32-.05. Additional Requirements Regarding Physician Delegation to an APRN The delegating physician shall document and maintain a record of onsite observation at least once annually and review of medical records on a quarterly basis which may be conducted via telecommunications and/or electronically to monitor quality of care being provided.

PHYSICIAN ASSISTANT ADVISORY COMMITTEE Dr. Antalis presented the Physician Assistant Committee report.

The Board took the following actions:

Approved the following applications for initial licensure with a supervising physician: PA Supervising Physician Ashley Bell Mary Jacobson Heather Bissell Maria C.Visitacion Marie Bruske Tarak Patel Gavin Dawson Noween Thomas Ngoc-Diep Do Edmund Waller Colleen Donahue Craig Coopersmith Jessica Gomillion Waseem Ghannam William Jackson Darius Watts Aji Kurian Ana Maria Hubert Janet Lescantz Sharlisa Hutson Michael McDaniel Rahim Wooley Jesse Mumm Frederick Durden Kaitlin Neese Omar Khan Haley O’Reilly Alfredo Voloschin Pace Rothery Sanford Sanders Paige Spurgeon Grant Scarborough

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Georgia Composite Medical Board Minutes of the April 1, 2021 Meeting Approved the following applications for initial licensure without a supervising physician: PA Sabura Aleem Cristina Bayardelle Ashley Best Kimberly Bundick Joshua Caruso Joseph Early Ruhee Gadhia Saige Gurtowski Andrea Johnson Elaheh Kheirbakhsh Amy Lee April Lowery Jeremy Palmer Erica Parks Shivani Patel Tammi Quintero Samah Ramadan-Nassar Kevin Robertson Jared Robinson Valerie Sarni Joseph Sinacori Naomi Simins Coleman Smith Gabriel Valdez Mitchell Nettleton Adam Wyble

Approved the following applications for licensure reinstatement with a supervising physician: PA Supervising Physician Barbara Anderson Joseph Boaen Carol Lindsey Ross Campbell

Approved the following applications for additional duties: Allison N. Andrews- Dr. Stephen Donahue Botox Injections

Brianna Breg- Dr. Deepa Patel Central Lines Arterial Lines Intubation

Brent Boyd- Dr. Andrew Klien Placement of PA catheter insertion Placement of vascath Placement of arterial lines

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Georgia Composite Medical Board Minutes of the April 1, 2021 Meeting Removal of balloon pumps

Melissa Brown- Dr. Michael Lloyd Cardiac Stress Test Cardioversion, direct current Implantable Loop Recorder Nicole Chandler- Dr. Vincent Arlauskas Central line insertion (femoral & internal jugular)

Laura Durell- Dr. Kathleen Viscusi Botox Injections

Chason Worthy Garcia- Dr. Onaopemipo Ofodile Botox Injections

Nicole McCarthy- Dr. Michael Moody Cosmetic Fillers: Hyaluronic acid (Juvederm, Pestylane, Collagen Stimulator) Cosmetic Neurofexin (Botox, Dysport)

William Aaron Retterbush- Dr. Kathleen Viscusi Botox Injections

Kalyani Pandya- Dr. Allyson Maske Administering neurotoxins such as botulinum toxin Administering dermal fillers

Other Business: 1. Debbie Dawson- Request for Clarification-rules governing prescription drug or device orders and corresponding medical records entries. - New rule currently pending update from Attorney General. Additional information about new law is upcoming.

2. Christina DiCioccio-Investigation Committee, (ADD/CHANGE app.) - Committee approved ADD/CHANGE application.

3. Brandi Eaton- Submission of Completed Shadowing Hours (240Hrs) - Committee approved.

4.Devin Grant- Request for Clarification- rules regarding physician assistant chart review. - New rule currently pending update from Attorney General. Additional information about new law is upcoming.

5. Michele Madison- Request of Clarification- rules governing whether Pas and APRNs can supervise CT and MRI with contrast. - PA’s may order but not supervise. Committee requested further clarification from requestor.

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Georgia Composite Medical Board Minutes of the April 1, 2021 Meeting 6.Lucinda Mahaffey- Shadowing Hours (240Hrs) -Tabled for additional information.

7. Kenneth Phelps-Request for Clarification-rules governing PA’s providing aesthetics services. -Yes, PA’s can order Botox. Applicant needs to submit additional duties application.

8.University of Pittsburgh School of Health and Rehabilitation-Notice and Request for Clarification- board approval for students placed in clinical facility. -Committee does not require pre-approval.

Approved the following Add/Change applications: PA Supervising Physician Caroline Adobah Hiba Tamim Igor Alvarez-Forte Richard Sola Nate Anderson Ryan Box Annie Andrews-Bodi Crystal Owens Kelly Angotti Gary Stolonitz Berenice Arias Adolfo Molina Richard Benefield Daniel Nicholson Brianna Berg Deepa Patel Kathryn Berman John C. Williams IV Juvenal Bermude Nadine Halliburton-Foster Bina Bhakta Amber Degryse Kizuwanda Blackburne Reneeta Basu Phillip Boatright, Jr. Michael Gaines Danielle Bowen Jonathan Bender Tobias Bradshaw Michael Duggan Tracey Brebner Samuel Fam Eshan Budhwani Steven Garst Barbara Burk Sanjay Vinjamaram Erica Campbell Desiree Villadolid Katelyn Capers Michael Caudell Jennifer Capito Houman Tamaddon Jennifer M. Carr Babar Fiza Jan Ceyssens Sean Jovahesi Jyothsna Challa Robert Monett Mary Catherine Chitwood Woodrow McWilliams III Rebecca Coman Desiree McCarthy-Keith Lynn Cooper Vinayasekhara Reddy Jamison Daniels Sarah Siddiqui Cody Davis Farrah Harden Frankie Davis Elias Dagnew Karishma Dayani Jason Lichtenstein Maria DeFritas James Short, Jr. Jennyfer Delva Charanjit Shikh Christina DiCioccio Naureen Adam

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Georgia Composite Medical Board Minutes of the April 1, 2021 Meeting PA Supervising Physician Alton Dinkins Jason Nesmith Kristen Donaldson Benjamin Holton Karen Donato Charles Jackson Madison Dooley Sinan Haddad Lynn Dunaway Tiffany Lance David Farmer Shannon Barton Kathryn Farrell Juan Geldress Kathryn Farrell Lee Shauntaye Hayling Findlay Conduah Augustine Tamara Gilchrist Steven Garst Rachel Gilmore Robert Jarman Scott Gilpatrick Candace Smith Ryan Goelz John Warner Ahmad Grant Alvin Griffin Amanda Graefin von der Schulenburg Obiamaka Mora Brittany Gray Joe Bateman Catherine Green Ruthann Rees Lynn Guan Lisa Perry-Gilkes Israel Hagains Reginald Davis, Jr. Christopher Hallock Anas Alkhatib Anne Hamner Joshua Armentrout Hannah Henigman Langston Cleveland Courtney Hester Elizabeth Littlefield Courtney Hester David Einstein Marissa Benist Highnote Alexander Moore Nicolas Holl Daniel Gwan-Nulla Philip Hotchkiss Spencer Lee Catherine Howington Minh Thai Jonathan Huh Andrea CorujoRodriguez Cynthia Hunt Jeffrey Lee Keri Hunter Daniel Barrow Caroline Hutcherson Monica Hum Troy Hutcheson Adam Hoover Troy Hutcheson Nura Yasin Paul HwangBo Eduardo Egea Chandler Hurt Craig Coopersmith Katherine Ingle Edward Kang Kathryn Iwasaki Christopher Comey Kathleen Joslin Cymanthia Connell Robert Killough Clyde Watkins, Jr. Justin Kwon Eugene Kim Buzzy Oguike Gary Simon Priscila Neil Lucienne Valcourt Gregg Snider Bryon Taylor Michael Randall Steve Garst Spencer Rice Adebowale Akintayo 21

Georgia Composite Medical Board Minutes of the April 1, 2021 Meeting PA Supervising Physician Christie White Janet Bivens Christie White James Duckett Joseph Vallor Thomas Roepke Shelby Peel Erin Bowman Alvina Shannon Michael Wisiorek Rachel Mellick Alexander Winters Jordan Mortensen Tarun Subrahmanian John Neill Deval Patel Jared Shelton Daniel Ralsten Erikka Mann Joshua Armentrout Parmeet Multani Edward Lee Rita Nagawa Tama Syrop David Oshiro Jonathan Sevranksky Lindsey Parks Ian Powell Michelle Robinson Rosemary Daly Katherine Rylant Satishkumar Ganjam Colby Russey-Larrabee Candace Smith Omar Rashid Sara Stephano Nicole Richards Jessica Cioffi Sara Messier Shonali Saha Sydney Moore Jitesh Patel Nicole Lytle Theresa Courtney Abigail Lee John Moultrie Claire Tucker Wael Azer , Wallace Siddique, Najeeb Reagan Marienga Alison Ward Amy Vardeman Ryan Schnetzer Tamara Sachs Elias Dagnew Alexander Sprague William Keeling Michelle Robinson Richard Lorenz Jaclyn Rogers Richard Lorenz Krystle Millikan Jesse Cannon James Tuggle Matthew Grabowski Katie Shields Erin Bowmon Matthew Ragsdale David Burns Helen Zhang Evelyn Pryor Deana Porter Catherine Bomberger David Osedo George Rafeedie Omar Ortega Avanthika Wynn Jessica Menard Richard Rowe Wioletta Mulcahy Michele Jones Sheena Powell Eric Berg Helen Zhang Kim Youl Eva Willauer Leticia Lindsey Min Yang Jonathan Goss Vincent Waldron Jin En Hsu 22

Georgia Composite Medical Board Minutes of the April 1, 2021 Meeting PA Supervising Physician Dennis Short Megan Hershey Leah Nagorsky Patricia Ayoung-Chee Deep Patel Stephanie Hsu Lisa Piper Pramod Kakarala Morgan Russell Bryon Norris Mariah Thaxton Mark Firth Nicole Sloan Venu Velagapudi Thomas Stauter Heidi Nicholson Lucinda Sutton Steven Garst Kristyn Ramsey David McCracken Omar Queensbourrow Daniel R

COSMETIC LASER ADVISORY COMMITTEE Dr. Gross presented the Cosmetic Laser Committee report as a motion and it carried unanimously.

The Board took the following actions:

Approved the following for Assistant Laser Practitioner – Ekedra Agee Jayna Alford Victoria Barbieri Violeta Borcan Shamari Cherry Hannah Clayton Joie Camille Crowley Jamie East Tammy Fox Keidra Gordon Rachel Hackett Kelsey Hart Letisya Isler Courtney Johnson Debora Koeche Kenya Lackey Mackenzie Mapp Alyssa Marrs Sarah Montgomery Alyssa Nelson Jeanie-Truc Nguyen Jordan Novak Ashley Quinn Kristen Rissell Nikita Robinson 23

Georgia Composite Medical Board Minutes of the April 1, 2021 Meeting Catherine Ruiz Corin Shephard Kourtney Slay Buffy Thompson Libbie West

Approved the following for Reissue of Assistant Laser Practitioner – Michelle Bedwell Cassie Warshaw

Approved the following for Senior Laser Practitioner – Jessica Johnson

Approved the following for Assistant Laser Practitioner with conditions – T.D.

Approved the following for Senior Laser Practitioner with conditions – N.J. Tabled the following for Assistant Laser Practitioner for proof of Georgia licensure or proof of authority to practice in Georgia through the Nursing Compact: C.C. C.G. T.K. K.M. M.N.

Other Business: Notify David Whiteman, MD that to remove the required physician examination prior to laser tattoo removal would require a change in Georgia law and he should contact his legislator.

Notify Mr. Brian Cathey that current Board rules require on-site supervision for laser tattoo removal. However, a proposed rule change has been made to allow on-site supervision OR to have immediate consultation available through telecommunications.

Invite Mr. Luis Lajous to join the Laser Committee for the May meeting on May 4, 2021 at 2:30 pm via a TEAMS call and perform a demonstration with the Futura Face device. The Attorney General’s office is requested to be present for the demonstration.

RESPIRATORY CARE ADVISORY COMMITTEE Dr. Dalton presented the Respiratory Care Committee report as a motion, seconded by Dr. Retterbush. The Board accepted the report by unanimous vote.

The Board took the following actions:

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Georgia Composite Medical Board Minutes of the April 1, 2021 Meeting Additional Business

• The Committee agreed to re-submit an additional draft of the Respiratory Care Professionals Rules for further clarification and justification to the Governor’s office. Practicing without a license; fine and consent order O.G. Reinstatements: Doss, Stephanie Brehm, Cynthia Phillips, Taneisha Freeman, Edricka- pending additional documentation Temporary Licensure; Dalton State University; Belcher, James- pending additional information Mathew, Jenna- - pending additional information Stanley, Alapatt Baig, Rukhsar Rendon, Leslie Gaspar, Hector- pending additional information Curtis, Brad Brittain, Turner- pending additional information Kotowski, Daniel Moore, Christin Sheikh, Rameen Martinez, Valerie Alvarez-Perez, Nallely- pending additional information Zamora, Veronica- - pending additional information Temporary Licensure; Georgia Southern University; Garvin, Breanna - pending additional information Frazier, Kyra - pending additional information Trujillo, Alexandria - pending additional information Patterson, Kristi- pending additional information Bilthuis, Elizabeth- pending additional information Jeffers, Lauren- pending additional information Smith, Essence- pending additional information Eddy, Tasia- pending additional information Rozier, Alexis- pending additional information Robinson, Destinee- pending additional information Temporary Licensure; Georgia Northwestern Technical College; Cordero, Maria - - pending additional information Snow, Shelby- pending additional information Threet, Joann- pending additional information Brock, Elizabeth- pending additional information Green, Savannah- pending additional information

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Georgia Composite Medical Board Minutes of the April 1, 2021 Meeting Chum Cruz, Thalia- pending additional information Bing, Cooper- pending additional information Chambers, Quincy- pending additional information Castle, Luke- pending additional information Ozment, Madison- pending additional information Hodgkins, Teresa- pending additional information Stephenson, Kayla- pending additional information Rhodes, Christopher- pending additional information North, Courtney- pending additional information Temporary Licensure; Augusta University; Fichthorn, Emily- pending additional information Ridgeway, Chelsea- pending additional information Tesney, Laura- pending additional information McKenny, Akilah pending additional information Hunter, Ashlyn pending additional information Flowers, Hayden pending additional information Williams, Taylor pending additional information , Journee pending additional information

Full Licensure: Sturchio, Nicki North, Judith Polk, Amanda Pacurar, Lucian Bough, Kellie Taylor, Evaleen Lambrose, Lindsay Brown, Jacqueline Alkhatam, Sarah King, James Abdullahi, Ali Gardner, Laura Gonyon, Mary Laxson, Leslie Moore, Lauren Newell, Michael Walker, Racheal Alford, Samuel Wright-Jones, Sherika DuBois, Amy Pabon, Edward Golden, Ernest James, LaKetha Milashus, Agnes Gomez, Frances Digby, Amanda

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Georgia Composite Medical Board Minutes of the April 1, 2021 Meeting Smalls, Candance Austin, Tania Daniels, Sherlonne Gee, Fanta Lewis, Linda Morris, Divone Nolan, Eric Wiethorn, Melissa Connelly, Leigh Barr, Savannah Figueroa, Pablo Gilbert, Patricia Krecskay, Billie McLaughlin, Diana Mullins, Kenneth, Sr Anderson, Jarah Bhakta, Bhavika Fisher, Elizabeth-pending additional information Berry, Joslyn- pending additional information Williams, Stephanie- pending additional information Hostetler, Brandy- pending additional information

Administrative Upgrades Gina Carment Jessica Brown Brianna Purnell Miranda James Debra Roberson Raven Balentine Brett Michael Osis Jessica Hodges Daniel Cotty Adriana Goldner Octavea Bryant Ashley Owens Alexandra Blevins Christopher Sparla Kathy Nguyen

PERFUSION ADVISORY COMMITTEE The Board took the following actions:

Approved the following for Initial Perfusion Licensure: Joseph Sistino Joseph Yogerst

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Georgia Composite Medical Board Minutes of the April 1, 2021 Meeting

ACUPUNCTURE ADVISORY COMMITTEE Dr. Bostock presented the Acupuncture Committee report as a motion and it carried unanimously.

The Board took the following actions:

Accepted the following quarterly report: Janna Torontali

Approved the following for limited acupuncture licensure: Grace Cho – approved submitting the physician letter of reference with first quarterly report.

Approved the following for initial acupuncture licensure: Kiwon Han Joseph Sanchez Heng Yang

Approved the following for reinstatement of acupuncture licensure: Toni Idiaquez – pending receipt of one letter of reference from a licensed acupuncturist

Approved the following for reinstatement of acupuncture licensure with conditions: D.T.

Other Business: The Board accepted as information the list of limited licensees and supervisors.

The Board referred the email from Mr. Leonard Hicks requesting information regarding cosmetic acupuncture and Functional Medicine to the Attorney General’s Office.

PAIN MANAGEMENT COMMITTEE Dr. Weil presented the Pain Management Committee report as a motion. The Board accepted the report by unanimous vote.

The Board took the following actions:

Approve the following applications that were administratively approved.

License # Pain Clinic 279 The Nexus Pain Center of Columbus, LLC ADD Practicing Physician, Hares Akbary

458 Alliance Spine and Pain Center ADD Practicing Physician, Beata Growchowska

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Georgia Composite Medical Board Minutes of the April 1, 2021 Meeting 224 Harbin Clinic, LLC ADD APRN, Dylan Crowe

ORTHOTIST & PROSTHETIST ADVISORY COMMITTEE Dr. Bostock presented the Orthotist & Prosthetist report as a motion. The Board accepted the report by unanimous vote.

The Board took the following actions:

Approved the following application for licensure: James Kling, II – Upgrade to Dual O&P

GENETIC COUNSELORS ADVISORY COMMITTEE Dr. Deloach presented the Genetic Counselors Advisory Committee report.

The Board took the following actions:

1. The Committee reviewed and discussed HB 567. Ms. Hughes will keep the Committee up-to-date on what is going on with the Bill.

2. The Committee reviewed and discussed the email from Amanda Eppolito regarding temporary license/supervision question and advised that once John Lewis leaves that facility the temporary license is expired.

3. The Committee reviewed and discussed the email from John Lewis, who currently has a temporary license and has failed his Boards. The Committee made the following recommendations: 1) He will need to cease practicing genetic counseling in the state until he gets a new current supervisor to sign for him.

2) If he doesn’t pass the boards in August, 2021, he would not qualify for a full license in the state.

4. The Committee discussed moving the May 31, 2021 meeting date since that day is a holiday. The Committee agreed on May 24, 2021 as the new date.

Approved the following applications: She Hang Chen Elena Cothalis Jamie Fisher Veena Ganesh Jeannie Klavanian Morgan Luevano (upgrading to a full license) Dagny Noeth Anne Nyberg 29

Georgia Composite Medical Board Minutes of the April 1, 2021 Meeting Maria Sapriza-Ryan Amy Sufka Tiffany Yip

PUBLIC OUTREACH COMMITTEE Ms. Faucher, Chair of the Committee presented the following report for the Board.

The Committee reviewed and approved the following updates to the Board’s website:

About the Georgia Medical Board Frequently Asked Questions about the Georgia Medical Board Frequently Asked Questions for Consumers How to File a Complaint Frequently Asked Questions about Complaints Understanding the Complaint Process Understanding the Investigative Process

The Committee’s goal with these changes will hopefully promote confidence and transparency in the complaint process.

LAW ENFORCEMENT ADVISORY REPORT

The LEAR report was presented as a motion by Dr. Weil and was seconded by Dr. Harbin. The Board accepted the report by unanimous vote. The Board took the following actions.

1. 20162317 – Table 2. 20111779 – Release the documents. 3. 20141427, 20141427 and 20161640 – Accept Voluntary Surrender and close all open cases.

WELLNESS COMMITTEE The Board took the following actions:

PHP Report Dr. Early and Ms. McCown provided the Board an update on cases with the PHP. The Committee accepted as information.

Non-Interview Matters:

20200435 – The Committee reviewed the evaluation from University of Florida. Refer to AG for Order with terms and conditions.

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Georgia Composite Medical Board Minutes of the April 1, 2021 Meeting

INVESTIGATIVE INTERVIEW REPORT Dr. Retterbush, presented the Investigative Interview report as a motion, and was seconded by Dr. Marshall. The Board accepted the report with three members, Dr. Reisman, Dr. Dalton and Mr. Hanley, opposed to the decision for 20201537. The Board took the following actions.

20192589 FINV 20200353 FINV 20200364 LOC 20200545 OMPE 20200546 CLOSE 20201135 PEER 20201537 PEER 20210189 PEER

INVESTIGATIVE COMMITTEE The Investigative Committee report was presented as a motion by Dr. Marshall, and was seconded by Dr. DeLoach. The Board accepted the report by unanimous vote. The Board took the following actions.

Close: 20181519 20181667 20181817 20190872 20200369 20200420 20200423 20200446 20200721 20200827 20200978 20201122 20201187 20201336 20201465 20201495 20201516 20201531 20201553 20201579 20201652 20201659 20210016 20210231 20210406 20210464 20210524 20210526 20210528 20210530 20210539 20210546 20210548 20210601 20210602 20210605 20210608 20210615 20210634 20210637 20210645 20210647 20210648 20210750 20210762 20210785 20210820 20210822 20210825 20210834 20210838 20210846 20210848 20210850 20210856 20210867 20210874 20210914 20210916 20210933 20210961 20210969 20210971 20210975 20211038 20211071 20211085

Close with Letter of Concern: 20200230 20210590 20210849 20211044

Further Investigation: 20210459 20210778

Invite for Investigative Interview: 20192509 20200247 20200401 20201081 20201634 20201653 20210523 20210710 20210739

Table 20200036 20200242 20210083

Attorney General’s Office 20181804 20190557 20190879 20192242 20192417 20200606 20200691 20200692 20201131 20201173 20210093 20210275

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Georgia Composite Medical Board Minutes of the April 1, 2021 Meeting 20210439 20210694 20211066 20211105 20211107 20211109 20211110

Peer Review 20200247 20201100 20210855

OMPE 20201100

INITIAL COMPLAINT EVALUATIONS The Board approved the following recommendations.

20210964 20210978 20210983 20210984 20210988 20210990 20210994 20210995 20211008 20211011 20211016 20211021 20211023 20211024 20211030 20211033 20211035 20211046 20211056 20211059 20211060 20211070 20211073 20211082 20211091 20211102 20211103 20211136 20211140 20211142 20211147

RECUSALS Norman 20201135 Weil 20200364

There being no further business, motion Dr. DeLoach, seconded Dr. Marshall to adjourn the meeting at 3:54p.m.

______Barby J. Simmons, DO LaSharn Hughes, MBA Chairperson Executive Director

Recorded by: ______Phyllis White, Executive Assistant

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