Indiana state board of dentistry amended agenda



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INDIANA STATE BOARD OF DENTISTRY

AMENDED AGENDA
Will meet on

Friday, December 3, 2010

at 9:15 a.m.
Indiana Professional Licensing Agency

Indiana Government Center South

402 West Washington Street, Room W064

Indianapolis, Indiana


I.CALL TO ORDER AND ESTABLISHMENT OF QUORUM 9:15 a.m.




II.ADOPTION OF AGENDA




III.ADOPTION OF THE MINUTES: OCTOBER 1, 2010




IV.APPEARANCES 9:15 a.m.



A. PROBATIONARY



    1. Michael Edward Bajza, D.D.S., License No. 12009652A

Administrative Cause No. 2005 DB 0011


    1. Raymond Burris, D.D.S., License No. 12006355A

Administrative Cause No. 2009 ISDB 0010


    1. Christopher S. Leonard, D.D.S., License No. 12009363A

Administrative Cause No. 2005 DB 0002


    1. Edward Mamaril, D.D.S., License No. 12008594A

Administrative Cause No. 2008 ISDB 0001


    1. Clifford Salk, D.D.S., License No. 12006043A

Administrative Cause No. 2010 ISDB 0002


    1. Carrie Anne Striplin, L.D.H., License No. 13004600A

Administrative Cause No. 2010 ISDB 0008
7. Trevor Treasure, D.D.S., License No. 12010719A

Administrative Cause No. 2007 ISDB 0002


8. Teresa M. Watkins, D.D.S., License No. 12010271A

Administrative Cause No. 2006 DB 0003




  1. RENEWAL/REINSTATEMENT


C. APPLICATION


    1. Marc K. Schneider, D.M.D.




    1. Patrick Murphy, President 9:30 am.

Mid America Professional Group, P.C.

V. ADMINISTRATIVE HEARINGS
A. Philip Ray Travis, D.M.D., License No. 12011406A 10:00 a.m.

Administrative Cause No. 2010 ISDB 0003

Re: Order to Show Cause
B. Robert Stefanski, D.D.S. 10:15 a.m.

Administrative Cause No. 2010 ISDB 0015

Re: Petition for Review of the Board’s Denial
C. Samson T. Liu, D.D.S. 11:00 a.m.

Administrative Cause No. 2010 ISDB 0017

Re: Petition for Review of the Board’s Denial
D. Charles J. Durham, D.D.S., License No. 12006254A 1:00 p.m.

Administrative Cause No. 2010 ISDB 0018

Re: Petition for Summary Suspension
VI. DISCUSSION
A. St. Mary’s Mobile Dental Care for Kids

Re: Portable Dental Units


B. North East Regional Board of Dental Examiners

Re: Examiners


C. North East Regional Board of Dental Examiners

Executive Committee

Re: Dr. Joseph Rossa and Related Matters
D. North East Regional Board of Dental Examiners

Re: Mis-Identification of Certain Test Scores


E. Continuing Education Audit

Re: Dentists and Dental Hygienists - 2010


VII. APPLICATION REVIEW
A. Examination

1. Jill Reitmeyer, D.D.S.


B. Endorsement

1. Anne- Marie Elrod, L.D.H.

2. Carla Sue McClain, L.D.H.

3. Gene Allen Reisinger, D.D.S.

4. James William Henning, D.D.S.
C. Anesthesia and Sedation Permits
D. Dental Intern Permit
E. Mobile Dental Facility
F. Instructors License
G. Professional Corporations
VIII. PROBATIONARY REPORT
A. Penelope Dunlap, D.D.S.
B. Marci Huth, L.D.H.
C. William Paul Cornils, D.D.S.
IX. CONTINUING EDUCATION
A. Elizabeth Akins
B. Indianapolis Endodontics, P.C.
C. Tri-State Dental Medical
D. Southern Indiana Dental Association
E. Michael E. Keller, DDS, MSD
X. REPORTS

XI. OLD/NEW BUSINESS
XII. ASSOCIATION REPORTS

A. Indiana Dental Association
B. Indiana Dental Hygiene Association
C. Indiana Dental Assistants Association
XIII. ADJOURNMENT

Next Scheduled Meeting:
Friday, February 4, 2011

Indiana Government Center South

402 West Washington Street,

Room W064



Indianapolis, Indiana





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