Susan Rogers, Esq.Executive Director

Board ofDentistry

Dr. James A. SpclrkSOklahoma City,

OklahomaPresident

Dr. Stanley CrawfordGrove, Oklahomalst Vice President.

Dr. Trent YadonWoodward, Oklahoma

2nd Vice President

Dr. Jeffrey Ray NelsonKingston, OklahomaSecretary/Treasurer

Angola Craig, RDHEdmond, Oklahoma

Chief Phil Gotten

(retired)Norman, Oklahoma

Loretta Roberts, Esq.Broken Arrow,

Oklahoma

Dr. Wavel WellsLawton, OklclhOma

Dr.Jim GorePryor, Oklahoma

Dr. Lisa NowlinElk City, Oklahoma

Dr. Michael HowlTulsa, Oklahoma

Stephen McCaleb, Esq,

Judicial Counsel

Jerry Sokolosky, Esq.Prosecutor

OKLAHOMA STATE BOARD OF DENTISTRY2920 N. Lincoln Blvd., Suite B

Oklahoma City, Oklahoma 73105Phone 405/522-4844 Fax 405/522-4614

AGENDARegular Board Meeting

November 7, 2014 (Friday) at 9:00 a.m.Oklahoma Board ofDentistry2920 N. Lincoln Blvd., Suite B

Oklahoma City) OIdahoma 73105

Mary FallinGovernor

1. Meeting called to Order

2. Approval ofminutes from August 22, 2014 meeting.

3. Executive Director,s Reporta. Computer, website, database and online renewal update.b. Statistical Report of Licenses and Permits.c. Info-ation fi-om DEA regarding federal rules and personnel with drug

convictions.d. Report from National AADB meeting Oct. 5th-8lh.e. Historical gift from Dr. Joseph Dean Robertson, 1St pedodontics license.f. Report ofmeeting with the Oklahoma Health Care Authority and Audits with Dr.

Wavel Wells, D.D.S.

4. Presidents Reporta. WREB report - Dr. Sparks.b. Legislation and Committees and review of proposed language

5. Discussion and Possible Action Regarding Recommendations from the AlliedDental Education Committee - Dr. James A. Sparks and Ms. Angela Craig, RDH.

a. See Report from Allied Dental Education Committee.b. Motion to adopt or deny recommendations from committee.

6. Discussion and Possible Action on Report from Hygiene Committee - Ms. AngelaCraig, RDH.

7. Discussion and Possible Action Regarding Request for reinstatement ofdrug privilegesof William Terrel1, DDS.

8. Request for reinstatement ofretired license ofDr. J. Michael Ariana, D.D.S.Official retirement date accepted by the Board on April 25, 2014.

E!5E

9. Discussion and Possible Action Regarding the Application for DentalLicensure by Martin Gochnour, D.D.S.

10. Discussion and Possible Action Regarding the Application for DentalLicensure by Anastasia Theodorou, DM.D.

1 1. Discussion and Possible Action Regarding the Application for DentalLicensure by Charles Perkins, D.D.S.

12. Discussion and Possible Action Regarding the Application for DentalLicensure by David McCollough, D.M.D.

1 3. Discussion and Possible Action Regarding the Applications for DentalLicenses and by Exam and Dental Licenses by Credentials as listed in

Appendix c6A", items (a-b) pending passage ofthe jurisprudence exam

14. Discussion and Possible Action Regarding the Applications for HygieneLicenses by Exam and by Credentials, Items (a and b) in Appendix 6A"pending passage ofthe jurisprudence exam.

1 5. Discussion and Possible Action Regarding the Applications for DentalSpecialty Licenses and by Exam and Dental Specialty Licenses by Credentialsas listed in Appendix cA", items (a-b) pending passage ofthe jurisprudenceexam.

1 6. Discussion and Possible Action Regarding Dentists requesting to be OfflCiallyRetired in Good Standing> in Appendix c¢A".

I 7. Discussion and Possible Action Regarding hygienists requesting to beOfflCially Retired in Good Standing, in Appendix cA".

18. Notice of deceased dentists and hygienists.

19. Discussion and Possible Action Regarding Request ofDr. Daniel Miller towithdraw application after being approved by the Board pending passage ofthejurisprudence.

20. Discussion and Possible Action Regarding Dental Assistant Applicants with acriminal history, item 17 of Appendix "A".

2 1. Discussion and Possible Action Regarding Request of C)mthia Vogler-Heury,RDH regarding Oral Maxillofacial Surgery Assistant Permit.

22. New Business

23. Adjoumment

10(a) DDS by Exam

Colin Shawhan, DDS 6657 Oklahoma 2014 Issued Temp license lO/1/14Jacqueline Alford, DMD 6656 Nevada 2012 Already taken JurisprudenceJohn Hoover, DDS 6658 Texas 2014 Needs Jurisprudence ExamBruce Tharp ll, DMD 6660 Florida 2012 Needs Jurisprudence ExamTanner Cook, DDS 6661 Oklahoma 2012 Already taken JurisprudenceDavid Gray' DMD 6662 Utah 2011 Needs Jurisprudence ExamJared VanderMeyden, DDS 6667 Univ at Buffalo 2012 Needs Jurisprudence Exam

10(b) DDS by Credentials

Heather Turner, DDS 6659 Ohio 2OO2 Needs Jurisprudence ExamAnniece Cox, DDS 6663 Washington DC 2005 Needs Jurisprudence ExamAndrew Malan, DMD 6665 Pittsburgh 20O9 Needs Jurisprudence ExamDavid McCollough, DMD 6671 Alabama 1985 Needs Jurisprudence ExamMamata Mukkara, DMD 6670 Boston 2005 Needs Jurisprudence ExamPhilip Morton, DDS 6&H2 Oklahoma 2002 Needs Jurisprudence Exam

ll(a) RDH by Exam

Misty Summers, RDH 38O9 Missouri 2013 Needs Jurisprudence ExamChristy PerkowskI, RDH 3811 Texas 2013 Needs Jurisprudence Exam

ll(b) RDH by Credentials

Gina Anderson, RDH 3802 New Mexico, 2003Needs to take Juris Prudence ExamIssuedtemporarylicenseO9/26/14

Tricia May, RDH 3803 New York 1992 Needs Jurisprudence ExamKristen Naugle, RDH 38O4 North Carolina 2012 Needs Jurisprudence ExamSarah Lawrence, RDH 3805 Kansas 20O7 Needs Jurisprudence ExamAmy Garrett, RDH 3806 South Carolina 2OO6 Needs Jurisprudence ExamLisa Rapp, RDH 3808 Oklahoma 1999 Needs Jurisprudence ExamStaci Smedley, RDH 38O7 Arkansas 20O4 Needs Jurisprudence Exam

Miranda Woody, RDH Ohio 20O8 Needs Jurisprudence Exam

Specialty by Exam

Jacqueline Alford, DMD 95 Colorado

Needs to take Specialty Exam inJanuary2015

Pediatrics

Tanner Cook, DDS 202 Oklahoma 2014

Passed Specialty Exam August 2014, willgraduateResidencyinDecember2014

Orthodontics

Mamata Mukarra, DMD 203 Boston University 2014

Needs to take Specialty Exam inJanuary2O15

Orthodontics

12(b) Specialty by Credentials

Waleed Clark, DDS 96 New York 20O5 Currently licensed as DDS since 2012 PediatricsKimberly Nigg' DDS 97 Iowa 2002 Needs Jurisprudence Exam PediatricsDavid McCollough, DMD 204 Ft. Knox, Kentucky 1994 Needs Jurisprudence Exam 0rthodontics

13_ _ _ ___-___-__f

First Name Last Name Lic# # of Years License Held CityStephen Reagan 3860 37 NormanBruce Grummer 5017 23 OKC

Vaughn Ronald 3450 43 GuymonLarsen Peter 4583 30 Powell, OHDavid Boyd 3910/ 31 36 Bartlesville

14- - ^_ -

First Name Last Name Lic# # of Years License Held CityMatthies Cheryl 496 40 BixbyJanice Adair 331 43 StilwellLois Akin 695 36 GlenpoolLinda Jones 659 37 StilweII

15

FIRST NAME LAST NAME DOS/RDH LIC# YEAR DECEASED CITYKoni Spears DDS 5420 2014 OKC

Raymond Krob DDS

351272Ortho

2013 OKCVirgil Little DDS 3114 2O13 OKC

Tatianna Halt *Was on 8/22/14 Agenda and Board advised her to reappear:

2nd Degree Burglary (F) Tulsa County 2013 5 Year Deferred on ll/18/13,

probation scheduled to end November 2018

CHARGES DID NOT DISCLOSE:

Protective OrderViolation x2 (M) Muskc)gee County 2013 - STILL PENDING

Protective Order Violation (M) Muskogee County 2013 - STILL PENDING

ProtectiveOrderViolation (M) MuskogeeCounty2013 -STILLPENDING

Petit Larceny(M) Muskogee County2013 - STILLPENDING*:f!!±1!II±9||sEslf_Of Recommendation from Community Care CoIIege*

Debbie Tribble *Was on 6/20/14 AND 8/22/14 Agenda and Board advised her to reappear:Crlmlnal LelC)ny Llllng 5/lU/ll, Belng ln ACtual r,nySICal LOntrOI OT a motor VenlCle \Atter prlor convlctlons). Convlctea,

negotiated plea of guilty and sentenced to 7 years suspended,concurrent. VIP, Drug/Alcohol Evaluation and follow up/ guardian interlock, fines.

Brittany Canclioto Embezzlement (M) Creek County 2014, Deferred in August 2014

DUl (M) Payne County 2013, Deferred Until January 2015

Rachel Keith-Hampton

Obtaining Merchandise by bogus check (M) Tulsa County 2006, Deterred until July 2012.*Court accelerated sentence March 2014, received 1 year suspended jail time. Had administrative review September

26, 2014 but no update avaHable online.

Adrianna Backers I)Ill /M\ Mnntf,Oman/ rnllnt\/ AR?r\12 r:Hilt\/ nlaa hut nr\ nanarW/r\rL, +n c`h^u/ fir|ol W:c.r\^c.iti^r|

Amber MarshalL *DID NOT DISCLOSE*

Possession ofCDS (F) Osage Nation, 2013

Unlawful possession of drug paraphernalia (F) Osage Nation, 2013*Both deferred until June 6, 2016

Sabrina Harper *DID NOT DISCLOSE*

Unlawful possession ofCDS without a prescription (DU4lV) (M) Rogers County 2005. Pled Guilty

Possession of alcohol by person under 21 (M) Rogers County 2005. Pled Guilty

Reckless Driving (M) Rogers County 2005. Pled guilty

Mallory Sanders *DID NOT DISCLOSE*

Opiates, Opium, or Narcotic Drugs; Possession; 1st Offense (F) Montgomery County, KS 2008

Taxation; Drugs; Evidence of Tax Payment, (F) Montgomery County, KS 2008*:I!9J±±I±±f!9P_regarding Plea, but does show conviction dates of october 2OO8.

Forgery- Making, Altering, or Endorsing any written instrument (I) Wilson County, KS 2007

Kerri Andersen Bogus Check (M) Canadian County 2007. Dismissed 2007

Credit Card Theft/Unauthorized Use (M)Canadian County 2007- 3 year deferred sentence

Possession of Marijuana (M) Oklahoma County 2009. 6 month probation and fines.

Larceny of merchandise (M) Oklahoma County 2012, fine only

Minor under the influence of alcohol (M) Canadian County 2007. Paid flnes.

Briana Martinez *DID NOT DISCLOSE*

Domestic Violence (?) Parma, Ohio 20O9, Pled no contest

Contempt of Court (?) Parma, Ohio 2009, Pled no contest

Possession of Marijuana (?) Parma, Ohio 2009, Guilty Verdict

Disorderly Conduct (?) Parma, Ohio 2009, Pled No contest

Disorderly Conduct (?) Parma, Ohio 2010, Pled No Contest

Sarah Oberly *DID NOT DISC|OSE*

Unlawful possession of Marijuana (?) Osage County, 2014. No disposition yet, charge

occurred August 23rd, 2014.

Payton Gray *DID NOT DISCLOSE*

Domestic Assault & Battery (?) Osage County, 2014

Possibly no disposition yet since charge occurred June 2014.

*DID NOT DISCLOSE*

DUl (M) 2010, Oklahoma County. Guilty Plea w/ Deferred Sentence

Tara Knight *DID NOT DISCLOSE*

Uttering a Forged Instrument (F) 2003, Canadian County- Guilty Plea, Deferred Sentence until

10/ll/12, Failure to Comply Warrant Issued 5/9/08, sentenced 8 days incarceration. 2nd Failure

to Comply Warrant Issued 1/8/09, Courts ordered Claim for Intercept of Tax Refund for years

2OO9, 2010, 2011, 2012, 2013. April 2014 sentenced 20 days in CountyJall.

Bogus Check (F) 1999, Cleveland County- Dismissed with Costs in 2008

Michelle CaldwelI *DID NOT DISCl_OSE*

Domestic Assault & Battery (M) 2OO4, Atoka County- Unknown disposition. Requesting

applicant to bring copies offinal paperwork to Board Meeting.

Jamie Schlupp (OMSDA) *DID NOT DISCLOSE*

Unlawful Possession of Paraphernalia, 2009, Payne County - Unknown disposition, requested

applicant to bring copies offinal paperwork to Board Meeting.Possession of Controlled Substance, 20O9, Payne County- unknown disposition, requested

applicant to bring copies offinal paperwork to Board Meeting.

Laurie MitcheI[

*Was originally on June agenda, ale not appear. was placed on August agenda, called

the moming of meeting and advisetl she would not appear, no reason given. Applicationwas denied and she would be required to reapplv lf she sought permit.

Unauthorized Use ofa Motor Vehicle (F) Oklahoma County 2013

Concealing Stolen Property x2 (F) Oklahoma County 2013

Possession of Marijuana (F) Denton County 1998

Jessica Ferguson *DII) NOT DISCLOSE*

unlawful possession of paraphernalia, 2003, Rogers County- Pled Guilty

possession of Marijuana with Intent to Distribute, 2003, Rogers County- Pled Guilty

Fail to Affix Oklahoma Tax Stamp to Controlled Drug, 2003, Rogers County- Dismissed

Domestic Assault & Battery, 2003, Rogers County- Dismissed

Listed she works at Pediatric Dental Group with a Start Date of 7/ll/14, CcIIled office and wcls

advised that she started there 6/30/14 and was fired on 7/1O/14. Attempted to ccIIl secondclryemployer listed, clnd Was advised She did not work there. Called Ms. Ferguson directly clnd

asked if she was employed, she stated she worked at MyDentist, Bixby location. Called office

and was advised by Lisa (Office Manager) that she has never been hired there, she had sent inapplicatic)n only.

Nycia Barker *ONLY DISCLOSED Z OF TliE ZOOS DRUG CHARGES*

Possession of Controlled Dangerous Substance (F) , 2007, Garfield County- Dismissed

Unlawful Possession of Drug Parapharnelia (F), 2007, Garfield County, Dismissed

Possession ofCDS (F), 2005, Garfield County, Guilty Plea- Deferred/Accelerated GuiltyPossession or Selling of Paraphernalia (F), 2005, Garfield County/

Guilty Plea- Deferred/Accelerated Guilty.

Driving Under Suspension (F), 2005, Garfield County' Guilty Plea- Deferred/Accelerated Guilty.

Possession of Controlled Dangerous Substance (F), 2005, Garfield County/

Deferred Sentence January 2006/ Conviction November 2006, Deferred/Accelerated Guilty.