<p> INDIANA STATE BOARD OF DENTISTRY AGENDA Will meet on Friday, February 4, 2011 at 8:30 a.m.</p><p>Indiana Professional Licensing Agency Indiana Government Center South 402 West Washington Street, Room W064 Indianapolis, Indiana</p><p>I. CALL TO ORDER AND ESTABLISHMENT OF QUORUM 8:30 a.m.</p><p>II. ADOPTION OF AGENDA </p><p>III. ADOPTION OF THE MINUTES: </p><p>A. December 3, 2010 Executive Session B. December 3, 2010</p><p>IV. APPEARANCES </p><p>A. PROBATIONARY 8:30 a.m.</p><p>1. Michael Edward Bajza, D.D.S., License No. 12009652A Administrative Cause No. 2005 DB 0011</p><p>2. Raymond Burris, D.D.S., License No. 12006355A Administrative Cause No. 2009 ISDB 0010</p><p>3. Courtney Carpenter, L.D.H., License No. 13006865A Administrative Cause No. 2010 ISDB 0012</p><p>4. William Paul Cornils, D.D.S., License No. 12007331A Administrative Cause No. 2010 ISDB 0009</p><p>5. David S. Kilgore, D.D.S., License No. 12011506A Administrative Cause No. 2010 ISDB 0007</p><p>6. Christopher S. Leonard, D.D.S., License No. 12009363A Administrative Cause No. 2005 DB 0002</p><p>7. Edward Mamaril, D.D.S., License No. 12008594A Administrative Cause No. 2008 ISDB 0001</p><p>8. Carrie Anne Striplin, L.D.H., License No. 13004600A Administrative Cause No. 2010 ISDB 0008</p><p>9. Philip Ray Travis, D.M.D., License No. 12011406A Administrative Cause No. 2010 ISDB 0003</p><p>B. RENEWAL/REINSTATEMENT</p><p>1. Lynn Lavender McNamee 9:15 a.m. License No. 13002795A</p><p>1 C. APPLICATION</p><p>1. Patrick Murphy, President 9:15 a.m. Mid America Professional Group, P.C.</p><p>V. ADMINISTRATIVE HEARINGS </p><p>A. Charles J. Durham, D.M.D, License No. 12006254A 10:00 a.m. Administrative Cause No. 2010 ISDB 0018 Re: Emergency Suspension</p><p>B. Mathew Negrelli, D.D.S., License No. 12009878A 10:30 a.m. Administrative Cause No. 2009 ISDB 0005 Re: Petition for Reinstatement of Suspended License</p><p>C. Robin M. Thoman, D.D.S., License No. 12008941A 11:00 a.m. Administrative Cause No. 2010 ISDB 0016 Re: Complaint</p><p>D. Michelle Tissot-Ebeyer, D.D.S., License No. 12010621A 11:30 a.m. Administrative Cause No. 2011 ISDB 0001 Re: Complaint</p><p>E. Byron Moore, D.D.S., License No. 12010628A 11:45 a.m. Administrative Cause No. 2010 ISDB 0014 Re: Complaint and Emergency Suspension</p><p>VI. DISCUSSION </p><p>A. Indiana University School of Dentistry Re: Coronal Polishing and Anticaries Continuing Education Program</p><p>B. Indiana University South Bend Re: Local Anesthesia and Pain Control Continuing Education Program</p><p>C. Dr. Mike T. Smith, Director The Trinity Free Clinic Re: Approval for Prescriptive Supervision for Dental Hygiene</p><p>D. Doug Bush Indiana Dental Association Re: Ethics and Jurisprudence Course</p><p>VII. APPLICATION REVIEW </p><p>A. Examination 1. Nora Caitlin Bault Keller, L.D.H.</p><p>B. Endorsement</p><p>C. Anesthesia and Sedation Permits</p><p>D. Dental Intern Permit</p><p>E. Mobile Dental Facility</p><p>F. Instructors License</p><p>2 G. Professional Corporations</p><p>VIII. PROBATIONARY REPORT</p><p>A. Penelope Dunlap, D.D.S.</p><p>B. Marci Huth, L.D.H.</p><p>C. Trevor Treasure, D.D.S.</p><p>IX. CONTINUING EDUCATION</p><p>A. Harold C. Avila, DDS, MS</p><p>B. Advanced EndoCare</p><p>X. REPORTS</p><p>XI. OLD/NEW BUSINESS </p><p>XII. ASSOCIATION REPORTS </p><p>A. Indiana Dental Association</p><p>B. Indiana Dental Hygiene Association</p><p>C. Indiana Dental Assistants Association</p><p>XIII. ADJOURNMENT </p><p>Next Scheduled Meeting:</p><p>Friday, April 1, 2011 Indiana Government Center South 402 West Washington Street, Room W064 Indianapolis, Indiana</p><p>3</p>