80_FR_28789 80 FR 28693 - Sharad C. Patel, M.D.; Decision and Order

80 FR 28693 - Sharad C. Patel, M.D.; Decision and Order

DEPARTMENT OF JUSTICE
Drug Enforcement Administration

Federal Register Volume 80, Issue 96 (May 19, 2015)

Page Range28693-28695
FR Document2015-12025

Federal Register, Volume 80 Issue 96 (Tuesday, May 19, 2015)
[Federal Register Volume 80, Number 96 (Tuesday, May 19, 2015)]
[Notices]
[Pages 28693-28695]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-12025]


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DEPARTMENT OF JUSTICE

Drug Enforcement Administration

[Docket No. 15-13]


Sharad C. Patel, M.D.; Decision and Order

    On March 11, 2015, Administrative Law Judge (ALJ) Christopher B. 
McNeil issued the attached Recommended Decision (cited as R.D.). 
Thereafter, on April 1, Respondent filed a pleading entitled as 
``Objections to Findings of Fact, Conclusions of Law, and Recommended 
Decision of the Administrative Law Judge (hereinafter, Resp. 
Objections). Therein, Respondent objected to the entry of the ALJ's 
Recommended Decision, on the ground that ``he was never properly, or 
sufficiently, served with the [Government's] initial motion'' for 
summary disposition and therefore ``did not respond to the . . . 
[m]otion . . . because he was unaware of any such motion until the 
ALJ's Order granting such motion.'' Objections, at 1.
    Respondent argues that in his request for hearing, his attorneys 
provided both a mailing address and email address for receiving the 
``notices to be sent pursuant to the proceeding.'' 21 CFR 1316.47(a); 
Objections at 1. Respondent did not, however, provide a fax number. Id. 
at 2.
    Thereafter, Respondent received the ALJ's Order for Briefing on 
Allegations Concerning Respondent's Lack of State Authority'' by First 
Class Mail. Id. The ALJ's Order specified the date (Mar. 2, 2015) by 
which the Government was to provide its evidence and arguments (as well 
as its motion for summary disposition) in support of its contention 
that Respondent does not possess ``state authority to handle controlled 
substances,'' as well as the date by which Respondent was to file his 
response (Mar. 9) to any such motion. Id.
    On March 2, the Government filed its Motion for Summary Disposition 
with the Office of Administrative Law Judges. Motion for Summ. Disp., 
at 1. In the Certificate of Service, the Government represented that it 
had served the Motion by facsimile, but not by first class mail or 
email.\1\ Id. at 4. In its Objections, Respondent asserts that he ``did 
not respond to the DEA Motion for Summary Disposition because he was 
unaware of any such motion until the ALJ's Order granting such 
motion.'' Objections, at 1.
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    \1\ Respondent's contention regarding the inadequacy of service 
is not without merit. Of note, Respondent did not consent to the 
service of pleadings by facsimile and the ALJ's Order for Briefing 
on Allegation Concerning Respondent's Lack of State Authority did 
not authorize service of pleadings in this manner. Moreover, while 
the use of electronic means has the advantage of faster service--at 
least where the transmission is successful--a hard copy should still 
be sent by mail, courier, or third party commercial carrier unless 
the serving party contacts the other party and affirmatively 
determines that the entire document was received.
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    As stated above, on March 11, the ALJ issued his Recommended 
Decision. Therein, the ALJ noted that the Government had attached a 
copy of the Emergency Order of Suspension issued by the Kentucky Board 
of Medical Licensure; the Order, which was issued on November 24, 2014, 
suspended Respondent's Kentucky medical license ``effectively 
immediately upon its receipt.'' Mot. For Supp. Disp., Attachment 1, at 
18.
    In his Recommended Decision, the ALJ noted that Respondent had not 
filed a response to the Government's motion. R.D. at 2. However, the 
ALJ also noted that in his hearing request, Respondent had ``admit[ted] 
that his license is temporary [sic] suspended'' but that ``he expects 
to prevail before the medical board at an upcoming hearing on May 18, 
2015.'' Id. at 3. As explained in his decision, the ALJ found that 
there was no dispute that Respondent ``is not authorized to handle 
controlled substances in the State in which he maintains his 
registration'' and is therefore not a practitioner within the meaning 
of the Controlled Substances Act. Id. The ALJ thus recommended that 
Respondent's registration be revoked and that any pending application 
be denied.
    Thereafter, the ALJ forwarded the record to me, noting in his 
letter that Respondent's objections were not timely filed. Letter from 
ALJ to Administrator (Apr. 7, 2015), at 2. The ALJ also provided a copy 
of a Transmission Verification Report showing that the Recommended 
Decision was successfully faxed to Respondent's

[[Page 28694]]

counsel on March 11. Thus, Respondent's Objections (which I have 
treated as his Exceptions) were not received until day twenty-one, one 
day after they were due.\2\ See 21 CFR 1316.66(a). Having offered no 
explanation for why his Objections were late, I agree with the ALJ's 
finding that Respondent's Objections were out of time.
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    \2\ It is further noted that Respondent did not mail his 
Objections until March 31, 2015. Objections, at 4. DEA's regulation 
provides that ``[d]ocuments shall be dated and deemed filed upon 
receipt by the Hearing Clerk.'' 21 CFR 1316.45. This case does not 
raise any issue of delay being attributable to the physical address 
of the Office of Administrative Law Judges being different from the 
mailing address of that Office.
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    In any event, in his Objections, Respondent does not dispute that 
he remains without authority to handle controlled substances in State 
of Kentucky. Objections, at 3. Rather, he seeks a delay in responding 
to the Government's Motion until July 1, 2015 on the ground that the 
State's ``suspension is temporary [and] was not issued after a full and 
fair hearing on the issues,'' and that ``[t]he sole support for the 
Government's Motion . . . is the temporary action taken by the state 
medical board.'' Id. He further contends that he ``is vigorously 
defending himself from the unwarranted suspension of his Kentucky 
medical license and believes he will ultimately prevail'' and have his 
medical license and state controlled substance authority restored. Id.
    However, the Agency has long held that ``a practitioner can neither 
obtain nor maintain a DEA registration unless the practitioner 
currently has authority under state law to handle controlled 
substances.'' James L. Hooper, 76 FR 71371 (2011), pet. for rev. 
denied, Hooper v. Holder, 481 F. App'x 826 (4th Cir. 2012). This 
holding is derived from the plain meaning of two provisions of the 
Controlled Substances Act.
    The first is section 102(21), which defines the term 
``practitioner'' to ``mean[ ] a physician . . . licensed, registered, 
or otherwise permitted, by . . . the jurisdiction in which he practices 
. . . to distribute, dispense, [or] administer . . . a controlled 
substance in the course of professional practice.'' 21 U.S.C. 802(21). 
The second is section 303(f), which sets forth the criteria for 
obtaining a practitioner's registration and which explicitly provides 
that ``[t]he Attorney General shall register practitioners . . . to 
dispense . . . controlled substances . . . if the applicant is 
authorized to dispense . . . controlled substances under the laws of 
the State in which he practices.'' Id. Sec.  823(f) (emphasis added). 
Based on these provisions, the Agency has long held that revocation is 
warranted even where a state order has summarily suspended a 
practitioner's controlled substances authority and the state agency's 
order remains subject to challenge in either administrative or judicial 
proceedings. See Gary Alfred Shearer, 78 FR 19009 (2013); see also 
Newcare Home Health Services, 72 FR 42126, 42127 n.2 (2007) (collecting 
cases and holding that ``ALJ properly rejected . . . request for stay'' 
and that ``[i]t is not DEA's policy to stay proceedings under section 
304 while registrant litigate in other forums'').
    According to the allegations of the Show Cause Order, Respondent's 
registration was not due to expire until March 31, 2015. Thus, at the 
time the ALJ issued his decision, Respondent still held a DEA 
registration. However, at the time the case was forwarded to my Office, 
the record contained no evidence as to whether Respondent had filed a 
timely renewal (or even an untimely renewal) application and whether 
his registration remained in effect.\3\
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    \3\ Even in summary disposition proceedings which are based on a 
lack of state authority, the ALJ is obligated to make a finding 
establishing that the Agency has jurisdiction. Moreover, where it is 
unclear whether a respondent may have allowed his registration to 
expire during the course of the proceeding, the ALJ is obligated to 
determine whether the respondent has filed a renewal application 
before forwarding the record to the Administrator.
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    In his request for hearing, Respondent contended that ``he is 
prohibited from applying for his DEA certificate until the Kentucky 
medical board acts upon his suspension.'' R.D. at 3. The ALJ rejected 
Respondent's contention, stating that under 21 CFR 1301.36(i), ``the 
existing registration of an applicant for reregistration will be 
automatically extended until the Administrator issues her order if the 
applicant applies for reregistration.'' Id.
    According to the registration records of the Agency--of which I 
have taken official notice \4\--Respondent filed a renewal application 
on March 23, eight days before the expiration date of his registration. 
However, contrary to the ALJ's explanation of 21 CFR 1301.36(i), where 
a registrant-applicant has been issued an order to show cause, the 
regulation actually provides:
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    \4\ See 21 CFR 1316.59(e). Respondent may refute my finding by 
filing a properly supported motion for reconsideration no later than 
fifteen (15) calendar days from the date of issuance of this 
Decision and Order.

[i]n the event an applicant for reregistration (who is doing 
business under a registration previously granted and not revoked or 
suspended) has applied for reregistration at least 45 days before 
the date on which the existing registration is due to expire, and 
the Administrator has issued no order on the application on the date 
on which the existing registration is due to expire, the existing of 
the applicant shall automatically be extended and continue in effect 
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until the date on which the Administrator so issues his/her order.

21 CFR 1301.36(i) (emphasis added).
    To be sure, the regulation also provides that a registration may be 
extended ``under the circumstances contemplated in this section even 
through the registrant failed to apply for reregistration at least 45 
days before expiration of the existing registration, with or without 
request by the registrant, if the Administrator finds that such 
extension is not inconsistent with the public health and safety.'' 21 
CFR 1301.36(i). However, based on the Kentucky Board's Emergency 
Suspension order and the extensive findings (which include allegations 
related to his prescribing of controlled substances) made therein, I 
find that the extension of Respondent's registration would be 
``inconsistent with the public health and safety.'' See Paul H. 
Volkman, 73 FR 30630, 30641 (2008) (declining to extend registration of 
practitioner subject to order to show cause who did not file his 
renewal application until nineteen days before expiration of the 
registration but finding that the application remained pending before 
the Agency).
    Accordingly, I hold that Respondent's registration has expired but 
that his application remains pending before the Agency. However, 
because Respondent is not currently authorized to dispense controlled 
substances under the laws of the State of Kentucky, the State in which 
he seeks registration, he is not entitled to be registered. See 21 
U.S.C. 823(f) & 802(21).
    I therefore adopt the ALJ's finding that Respondent is not 
currently authorized to dispense controlled substances in Kentucky, the 
State in which he seeks registration, and is therefore not a 
practitioner within the meaning of the CSA. I further adopt the ALJ's 
order granting the Government's Motion for Summary Disposition. 
However, I adopt the ALJ's Recommendation only with respect to the 
denial of Respondent's pending application to renew his registration.

Order

    Pursuant to the authority vested in me by 21 U.S.C. 823(f) and 28 
CFR 0.100(b), I order that the application of Sharad C. Patel, M.D., 
for a DEA Certificate of Registration as a practitioner, be, and it

[[Page 28695]]

hereby is, denied. This Order is effectively immediately.

    Dated: May 1, 2015.
Michele M. Leonhart,
Administrator.

Brian Bayly, Esq., for the Government.
Marc S. Murphy, Esq., and Michael Denbow, Esq., for the Respondent.

Order Granting the Government's Motion for Summary Disposition and 
Findings of Fact, Conclusions of Law, and Recommended Decision of the 
Administrative Law Judge

    Administrative Law Judge Christopher B. McNeil. On January 29, 
2015, the Deputy Assistant Administrator of the Drug Enforcement 
Administration issued an Order to Show Cause as to why the DEA 
should not revoke DEA Certificate of Registration Number FP2719245 
issued to Sharad C. Patel, M.D., the Respondent in this matter. The 
Order seeks to revoke Respondent's registration pursuant to 21 
U.S.C. 824(a)(3) and 823(f), and to deny any pending applications 
for renewal or modification of such registration, and deny any 
applications for any new DEA registrations pursuant to 21 U.S.C. 
823(f). As grounds for denial, the Government alleges that 
Respondent is ``without authority to handle controlled substances in 
Kentucky, the state in which [Respondent is] registered with the 
DEA.''
    On February 20, 2015, the DEA's Office of Administrative Law 
Judges received Respondent's written request for a hearing, which is 
dated February 19, 2015. Respondent states that his medical license 
is ``temporarily suspended'' by the state's medical board and that 
he plans to challenge the suspension in an upcoming state 
administrative hearing scheduled for May 18, 2015.
    On February 23, 2015 this Office issued an Order for Briefing on 
Allegations Concerning Respondent's Lack of State Authority. In the 
Order, I mandated that the Government provide evidence to support 
the allegation that Respondent lacks state authority to handle 
controlled substances and if appropriate file a motion for summary 
disposition no later than 2:00 p.m. Eastern Standard Time (EST) on 
March 2, 2015. On March 2, 2015, the Government timely submitted a 
brief in support of the allegation regarding state authority and 
filed a Motion for Summary Disposition. According to the 
Government's brief, the Board of Medical Licensure of the 
Commonwealth of Kentucky issued an Emergency Order of Suspension 
suspending Respondent's license to practice medicine, effective 
November 24, 2014. The Government attached the emergency order 
pertaining to Respondent to the Motion for Summary Disposition. 
Based on this suspension, the Government moved for a summary 
disposition of these proceedings.
    In my Order for Briefing on Allegations Concerning Respondent's 
Lack of State Authority, I also provided Respondent the opportunity 
to respond to the Government's allegations with a brief due not 
later than 2:00 p.m. EST on March 9, 2015. As of today, no brief was 
received and therefore the Government's Motion for Summary 
Disposition will stand unopposed. In Respondent's Request for 
Hearing, Respondent admits that his license is temporary suspended. 
Respondent further states that he expects to prevail before the 
medical board at an upcoming hearing on May 18, 2015. Finally he 
notes that his DEA Certificate of Registration will expire by its 
own terms on March 31, 2015, and alleges that he is prohibited from 
applying for his DEA certificate until the Kentucky medical board 
acts upon his suspension.
    The substantial issue raised by the Government rests on an 
undisputed fact. The Government asserts that Respondent's DEA 
Certificate of Registration must be revoked because Respondent does 
not have a medical license issued by the state in which he practices 
-- a fact which Respondent does not deny. Under DEA precedent, a 
practitioner's DEA Certificate of Registration for controlled 
substances must be summarily revoked if the applicant is not 
authorized to handle controlled substances in the state in which he 
maintains his DEA registration.\1\ Pursuant to 21 U.S.C. 823(f), 
only a ``practitioner'' may receive a DEA registration. Under 21 
U.S.C. 802(21), a ``practitioner'' must be ``licensed, registered, 
or otherwise permitted, by the United States or the jurisdiction in 
which he practices or does research, to distribute [or] dispense . . 
. controlled substance[s.]'' Given this statutory language, the DEA 
Administrator does not have the authority under the Controlled 
Substances Act to maintain a practitioner's registration if that 
practitioner is not authorized to dispense controlled substances.\2\ 
As noted by the Government in its Motion for Summary Disposition, 
Respondent's concern regarding the impending expiration of his DEA 
registration is unfounded. Under 21 CFR 1301.36(i), incorrectly 
cited by the Government as 21 CFR 1306.36(i), the existing 
registration of an applicant for reregistration will be 
automatically extended until the Administrator issues her order if 
the applicant applies for reregistration.\3\
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    \1\ See 21 U.S.C. 801(21), 823(f), 824(a)(3); see also House of 
Medicine, 79 FR 4959, 4961 (DEA Jan. 30, 2014); Deanwood Pharmacy, 
68 FR 41662-01 (DEA July 14, 2003); Wayne D. Longmore, M.D., 77 FR 
67669-02 (DEA Nov. 13, 2012); Alan H. Olefsky, M.D., 72 FR 42127-01 
(DEA Aug. 1, 2007); Layfe Robert Anthony, M.D., 67 FR 15811 (DEA May 
20, 2002); George Thomas, PA-C, 64 FR 15811-02 (DEA Apr. 1, 1999); 
Shahid Musud Siddiqui, M.D., 61 FR 14818-02 (DEA April 4, 1996); 
Michael D. Lawton, M.D., 59 FR 17792-01 (DEA Apr. 14, 1994); Abraham 
A. Chaplan, M.D., 57 FR 55280-03 (DEA Nov. 24, 1992). See also Bio 
Diagnosis Int'l, 78 FR 39327-03, 39331 (DEA July 1, 2013) 
(distinguishing distributor applicants from other ``practitioners'' 
in the context of summary disposition analysis).
    \2\ See Abraham A. Chaplan, M.D., 57 FR 55280-03, 55280 (DEA 
Nov. 24, 1992), and cases cited therein. In Chaplan, DEA 
Administrator Robert C. Bonner adopts the ALJ's opinion that ``the 
DEA lacks statutory power to register a practitioner unless the 
practitioner holds state authority to handle controlled 
substances.'' Id.
    \3\ See also Ronald J. Riegel, D.V.M., 63 FR 67132-01, 67132 
(DEA Dec. 4, 1998).
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    As detailed above, only a ``practitioner'' may receive a DEA 
registration. Therefore, I will recommend the revocation of 
Respondent's DEA registration.

Order Granting the Government's Motion for Summary Disposition and 
Recommendation

    I find there is no genuine dispute regarding whether Respondent 
is a ``practitioner'' as that term is defined by 21 U.S.C. 802(21), 
and that based on the record the Government has established that 
Respondent is not a practitioner and is not authorized to dispense 
controlled substances in the state in which he seeks to practice 
with a DEA Certificate of Registration. I find no other material 
facts at issue. Accordingly, I GRANT the Government's Motion for 
Summary Disposition.
    Upon this finding, I ORDER that this case be forwarded to the 
Administrator for final disposition and I recommended that 
Respondent's DEA Certificate of Registration should be REVOKED and 
any pending application for the renewal or modification of the same 
should be DENIED.

    Dated: March 11, 2015.
Christopher B. McNeil,
Administrative Law Judge.
[FR Doc. 2015-12025 Filed 5-18-15; 8:45 am]
 BILLING CODE 4410-09-P



                                                                             Federal Register / Vol. 80, No. 96 / Tuesday, May 19, 2015 / Notices                                                      28693

                                              establishing grounds to deny an                         Accordingly, I GRANT the                                 On March 2, the Government filed its
                                              application for registration upon                       Government’s Motion for Summary                       Motion for Summary Disposition with
                                              sufficient proof establishing the                       Disposition.                                          the Office of Administrative Law Judges.
                                              applicant does not possess a state                        Upon this finding, I ORDER that this                Motion for Summ. Disp., at 1. In the
                                              controlled substance registration. That                 case be forwarded to the Administrator                Certificate of Service, the Government
                                              proof is in the record before me, and it                for final disposition and I                           represented that it had served the
                                              warrants the summary revocation of                      RECOMMEND the Administrator DENY                      Motion by facsimile, but not by first
                                              Respondent’s DEA Certificate of                         Respondent’s application for a DEA                    class mail or email.1 Id. at 4. In its
                                              Registration.                                           Certificate of Registration.                          Objections, Respondent asserts that he
                                                I am mindful of the arguments raised                                                                        ‘‘did not respond to the DEA Motion for
                                                                                                        Dated: October 23, 2014.
                                              by Respondent in her Reply to the                                                                             Summary Disposition because he was
                                              Government’s Motion for Summary                         Christopher B. McNeil,
                                                                                                                                                            unaware of any such motion until the
                                              Judgment, including the fact that                       Administrative Law Judge.
                                                                                                                                                            ALJ’s Order granting such motion.’’
                                              Respondent is currently appealing the                   [FR Doc. 2015–12023 Filed 5–18–15; 8:45 am]           Objections, at 1.
                                              revocation of her state controlled                      BILLING CODE 4410–09–P                                   As stated above, on March 11, the ALJ
                                              substance registration.49 These                                                                               issued his Recommended Decision.
                                              difficulties do not, however, change the                                                                      Therein, the ALJ noted that the
                                              fact that without a state controlled                    DEPARTMENT OF JUSTICE                                 Government had attached a copy of the
                                              substance registration, Respondent is                                                                         Emergency Order of Suspension issued
                                              not a ‘‘practitioner’’ and cannot be                    Drug Enforcement Administration
                                                                                                                                                            by the Kentucky Board of Medical
                                              granted a Certificate of Registration.                                                                        Licensure; the Order, which was issued
                                                Some care should be taken to assure                   [Docket No. 15–13]                                    on November 24, 2014, suspended
                                              the parties that the actions taken in this                                                                    Respondent’s Kentucky medical license
                                              administrative proceeding conform to                    Sharad C. Patel, M.D.; Decision and                   ‘‘effectively immediately upon its
                                              constitutional requirements. I have                     Order                                                 receipt.’’ Mot. For Supp. Disp.,
                                              examined the parties’ contentions with                                                                        Attachment 1, at 18.
                                                                                                         On March 11, 2015, Administrative
                                              an eye towards ensuring all tenets of                                                                            In his Recommended Decision, the
                                                                                                      Law Judge (ALJ) Christopher B. McNeil
                                              due process have been adhered to.                                                                             ALJ noted that Respondent had not filed
                                                                                                      issued the attached Recommended
                                              There is, however, no authority for me                                                                        a response to the Government’s motion.
                                                                                                      Decision (cited as R.D.). Thereafter, on
                                              to evaluate the facts that underlie                                                                           R.D. at 2. However, the ALJ also noted
                                                                                                      April 1, Respondent filed a pleading
                                              Respondent’s contentions. In the                                                                              that in his hearing request, Respondent
                                                                                                      entitled as ‘‘Objections to Findings of
                                              proceedings now before me, the only                                                                           had ‘‘admit[ted] that his license is
                                                                                                      Fact, Conclusions of Law, and
                                              material question was answered by                                                                             temporary [sic] suspended’’ but that ‘‘he
                                                                                                      Recommended Decision of the
                                              Respondent in her Request for Hearing.                                                                        expects to prevail before the medical
                                                                                                      Administrative Law Judge (hereinafter,
                                              Further, while the Order to Show Cause                                                                        board at an upcoming hearing on May
                                                                                                      Resp. Objections). Therein, Respondent
                                              sets forth a non-exhaustive summary of                                                                        18, 2015.’’ Id. at 3. As explained in his
                                                                                                      objected to the entry of the ALJ’s
                                              facts and law relevant to a                                                                                   decision, the ALJ found that there was
                                                                                                      Recommended Decision, on the ground
                                              determination that granting this                                                                              no dispute that Respondent ‘‘is not
                                                                                                      that ‘‘he was never properly, or
                                              application would be inconsistent with                                                                        authorized to handle controlled
                                                                                                      sufficiently, served with the
                                              the public interest under 21 U.S.C.                                                                           substances in the State in which he
                                                                                                      [Government’s] initial motion’’ for
                                              823(f), the conclusion, order and                                                                             maintains his registration’’ and is
                                                                                                      summary disposition and therefore ‘‘did
                                              recommendation that follow are based                                                                          therefore not a practitioner within the
                                                                                                      not respond to the . . . [m]otion . . .
                                              solely on a finding that Respondent is                                                                        meaning of the Controlled Substances
                                                                                                      because he was unaware of any such
                                              not a ‘‘practitioner’’ as that term is                                                                        Act. Id. The ALJ thus recommended that
                                                                                                      motion until the ALJ’s Order granting
                                              defined by 21 U.S.C. 802(21), and I                                                                           Respondent’s registration be revoked
                                                                                                      such motion.’’ Objections, at 1.
                                              make no finding regarding whether                                                                             and that any pending application be
                                                                                                         Respondent argues that in his request
                                              granting this application would or                                                                            denied.
                                                                                                      for hearing, his attorneys provided both
                                              would not be inconsistent with the                                                                               Thereafter, the ALJ forwarded the
                                                                                                      a mailing address and email address for
                                              public interest.                                                                                              record to me, noting in his letter that
                                                                                                      receiving the ‘‘notices to be sent
                                              Order Granting the Government’s                         pursuant to the proceeding.’’ 21 CFR                  Respondent’s objections were not timely
                                              Motion for Summary Disposition and                      1316.47(a); Objections at 1. Respondent               filed. Letter from ALJ to Administrator
                                              Recommendation                                          did not, however, provide a fax number.               (Apr. 7, 2015), at 2. The ALJ also
                                                                                                      Id. at 2.                                             provided a copy of a Transmission
                                                 I find there is no genuine dispute                                                                         Verification Report showing that the
                                              regarding whether Respondent is a                          Thereafter, Respondent received the
                                                                                                      ALJ’s Order for Briefing on Allegations               Recommended Decision was
                                              ‘‘practitioner’’ as that term is defined by                                                                   successfully faxed to Respondent’s
                                              21 U.S.C. 802(21), and that based on the                Concerning Respondent’s Lack of State
                                              record the Government has established                   Authority’’ by First Class Mail. Id. The                1 Respondent’s contention regarding the
                                              that Respondent is not a practitioner                   ALJ’s Order specified the date (Mar. 2,               inadequacy of service is not without merit. Of note,
                                              and is not authorized to dispense                       2015) by which the Government was to                  Respondent did not consent to the service of
                                              controlled substances in the state in                   provide its evidence and arguments (as                pleadings by facsimile and the ALJ’s Order for
                                                                                                      well as its motion for summary                        Briefing on Allegation Concerning Respondent’s
                                              which she seeks to operate under a DEA                                                                        Lack of State Authority did not authorize service of
tkelley on DSK3SPTVN1PROD with NOTICES




                                              Certificate of Registration. I find no                  disposition) in support of its contention             pleadings in this manner. Moreover, while the use
                                              other material facts at issue, for the                  that Respondent does not possess ‘‘state              of electronic means has the advantage of faster
                                              reasons set forth in the Government’s                   authority to handle controlled                        service—at least where the transmission is
                                                                                                      substances,’’ as well as the date by                  successful—a hard copy should still be sent by
                                              Motion for Summary Disposition.                                                                               mail, courier, or third party commercial carrier
                                                                                                      which Respondent was to file his                      unless the serving party contacts the other party
                                                49 Reply to the Government’s Motion for               response (Mar. 9) to any such motion.                 and affirmatively determines that the entire
                                              Summary Judgment at 2–3.                                Id.                                                   document was received.



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                                              28694                           Federal Register / Vol. 80, No. 96 / Tuesday, May 19, 2015 / Notices

                                              counsel on March 11. Thus,                              added). Based on these provisions, the                  least 45 days before the date on which the
                                              Respondent’s Objections (which I have                   Agency has long held that revocation is                 existing registration is due to expire, and the
                                              treated as his Exceptions) were not                     warranted even where a state order has                  Administrator has issued no order on the
                                              received until day twenty-one, one day                  summarily suspended a practitioner’s                    application on the date on which the existing
                                                                                                                                                              registration is due to expire, the existing of
                                              after they were due.2 See 21 CFR                        controlled substances authority and the                 the applicant shall automatically be extended
                                              1316.66(a). Having offered no                           state agency’s order remains subject to                 and continue in effect until the date on
                                              explanation for why his Objections were                 challenge in either administrative or                   which the Administrator so issues his/her
                                              late, I agree with the ALJ’s finding that               judicial proceedings. See Gary Alfred                   order.
                                              Respondent’s Objections were out of                     Shearer, 78 FR 19009 (2013); see also
                                              time.                                                   Newcare Home Health Services, 72 FR                     21 CFR 1301.36(i) (emphasis added).
                                                 In any event, in his Objections,                     42126, 42127 n.2 (2007) (collecting                        To be sure, the regulation also
                                              Respondent does not dispute that he                     cases and holding that ‘‘ALJ properly                   provides that a registration may be
                                              remains without authority to handle                     rejected . . . request for stay’’ and that              extended ‘‘under the circumstances
                                              controlled substances in State of                       ‘‘[i]t is not DEA’s policy to stay                      contemplated in this section even
                                              Kentucky. Objections, at 3. Rather, he                  proceedings under section 304 while                     through the registrant failed to apply for
                                              seeks a delay in responding to the                      registrant litigate in other forums’’).                 reregistration at least 45 days before
                                              Government’s Motion until July 1, 2015                     According to the allegations of the                  expiration of the existing registration,
                                              on the ground that the State’s                          Show Cause Order, Respondent’s                          with or without request by the
                                              ‘‘suspension is temporary [and] was not                 registration was not due to expire until                registrant, if the Administrator finds
                                              issued after a full and fair hearing on the             March 31, 2015. Thus, at the time the                   that such extension is not inconsistent
                                              issues,’’ and that ‘‘[t]he sole support for             ALJ issued his decision, Respondent                     with the public health and safety.’’ 21
                                              the Government’s Motion . . . is the                    still held a DEA registration. However,                 CFR 1301.36(i). However, based on the
                                              temporary action taken by the state                     at the time the case was forwarded to                   Kentucky Board’s Emergency
                                              medical board.’’ Id. He further contends                my Office, the record contained no                      Suspension order and the extensive
                                              that he ‘‘is vigorously defending himself               evidence as to whether Respondent had                   findings (which include allegations
                                              from the unwarranted suspension of his                  filed a timely renewal (or even an                      related to his prescribing of controlled
                                              Kentucky medical license and believes                   untimely renewal) application and                       substances) made therein, I find that the
                                              he will ultimately prevail’’ and have his               whether his registration remained in                    extension of Respondent’s registration
                                              medical license and state controlled                    effect.3                                                would be ‘‘inconsistent with the public
                                              substance authority restored. Id.                          In his request for hearing, Respondent               health and safety.’’ See Paul H.
                                                 However, the Agency has long held                    contended that ‘‘he is prohibited from                  Volkman, 73 FR 30630, 30641 (2008)
                                              that ‘‘a practitioner can neither obtain                applying for his DEA certificate until                  (declining to extend registration of
                                              nor maintain a DEA registration unless                  the Kentucky medical board acts upon                    practitioner subject to order to show
                                              the practitioner currently has authority                his suspension.’’ R.D. at 3. The ALJ                    cause who did not file his renewal
                                              under state law to handle controlled                    rejected Respondent’s contention,                       application until nineteen days before
                                              substances.’’ James L. Hooper, 76 FR                    stating that under 21 CFR 1301.36(i),                   expiration of the registration but finding
                                              71371 (2011), pet. for rev. denied,                     ‘‘the existing registration of an applicant             that the application remained pending
                                              Hooper v. Holder, 481 F. App’x 826 (4th                 for reregistration will be automatically                before the Agency).
                                              Cir. 2012). This holding is derived from                extended until the Administrator issues                    Accordingly, I hold that Respondent’s
                                              the plain meaning of two provisions of                  her order if the applicant applies for                  registration has expired but that his
                                              the Controlled Substances Act.                          reregistration.’’ Id.                                   application remains pending before the
                                                 The first is section 102(21), which                     According to the registration records                Agency. However, because Respondent
                                              defines the term ‘‘practitioner’’ to                    of the Agency—of which I have taken                     is not currently authorized to dispense
                                              ‘‘mean[ ] a physician . . . licensed,                   official notice 4—Respondent filed a                    controlled substances under the laws of
                                              registered, or otherwise permitted, by                  renewal application on March 23, eight                  the State of Kentucky, the State in
                                              . . . the jurisdiction in which he                      days before the expiration date of his                  which he seeks registration, he is not
                                              practices . . . to distribute, dispense,                registration. However, contrary to the                  entitled to be registered. See 21 U.S.C.
                                              [or] administer . . . a controlled                      ALJ’s explanation of 21 CFR 1301.36(i),                 823(f) & 802(21).
                                              substance in the course of professional                 where a registrant-applicant has been                      I therefore adopt the ALJ’s finding
                                              practice.’’ 21 U.S.C. 802(21). The second               issued an order to show cause, the                      that Respondent is not currently
                                              is section 303(f), which sets forth the                 regulation actually provides:                           authorized to dispense controlled
                                              criteria for obtaining a practitioner’s                                                                         substances in Kentucky, the State in
                                                                                                      [i]n the event an applicant for reregistration
                                              registration and which explicitly                       (who is doing business under a registration             which he seeks registration, and is
                                              provides that ‘‘[t]he Attorney General                  previously granted and not revoked or                   therefore not a practitioner within the
                                              shall register practitioners . . . to                   suspended) has applied for reregistration at            meaning of the CSA. I further adopt the
                                              dispense . . . controlled substances                                                                            ALJ’s order granting the Government’s
                                              . . . if the applicant is authorized to                    3 Even in summary disposition proceedings
                                                                                                                                                              Motion for Summary Disposition.
                                              dispense . . . controlled substances                    which are based on a lack of state authority, the ALJ
                                                                                                      is obligated to make a finding establishing that the
                                                                                                                                                              However, I adopt the ALJ’s
                                              under the laws of the State in which he                 Agency has jurisdiction. Moreover, where it is          Recommendation only with respect to
                                              practices.’’ Id. § 823(f) (emphasis                     unclear whether a respondent may have allowed his       the denial of Respondent’s pending
                                                                                                      registration to expire during the course of the         application to renew his registration.
                                                 2 It is further noted that Respondent did not mail   proceeding, the ALJ is obligated to determine
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                                              his Objections until March 31, 2015. Objections, at     whether the respondent has filed a renewal              Order
                                              4. DEA’s regulation provides that ‘‘[d]ocuments         application before forwarding the record to the
                                              shall be dated and deemed filed upon receipt by the     Administrator.                                             Pursuant to the authority vested in me
                                              Hearing Clerk.’’ 21 CFR 1316.45. This case does not        4 See 21 CFR 1316.59(e). Respondent may refute
                                                                                                                                                              by 21 U.S.C. 823(f) and 28 CFR 0.100(b),
                                              raise any issue of delay being attributable to the      my finding by filing a properly supported motion
                                              physical address of the Office of Administrative        for reconsideration no later than fifteen (15)
                                                                                                                                                              I order that the application of Sharad C.
                                              Law Judges being different from the mailing address     calendar days from the date of issuance of this         Patel, M.D., for a DEA Certificate of
                                              of that Office.                                         Decision and Order.                                     Registration as a practitioner, be, and it


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                                                                             Federal Register / Vol. 80, No. 96 / Tuesday, May 19, 2015 / Notices                                                      28695

                                              hereby is, denied. This Order is                        Respondent’s Request for Hearing,                        Order Granting the Government’s Motion for
                                              effectively immediately.                                Respondent admits that his license is                    Summary Disposition and Recommendation
                                                                                                      temporary suspended. Respondent further                     I find there is no genuine dispute regarding
                                               Dated: May 1, 2015.                                    states that he expects to prevail before the             whether Respondent is a ‘‘practitioner’’ as
                                              Michele M. Leonhart,                                    medical board at an upcoming hearing on                  that term is defined by 21 U.S.C. 802(21), and
                                              Administrator.                                          May 18, 2015. Finally he notes that his DEA              that based on the record the Government has
                                                                                                      Certificate of Registration will expire by its           established that Respondent is not a
                                              Brian Bayly, Esq., for the Government.                  own terms on March 31, 2015, and alleges
                                              Marc S. Murphy, Esq., and Michael Denbow,                                                                        practitioner and is not authorized to dispense
                                                                                                      that he is prohibited from applying for his              controlled substances in the state in which
                                              Esq., for the Respondent.                               DEA certificate until the Kentucky medical               he seeks to practice with a DEA Certificate
                                              Order Granting the Government’s Motion for              board acts upon his suspension.                          of Registration. I find no other material facts
                                              Summary Disposition and Findings of Fact,                  The substantial issue raised by the                   at issue. Accordingly, I GRANT the
                                              Conclusions of Law, and Recommended                     Government rests on an undisputed fact. The              Government’s Motion for Summary
                                              Decision of the Administrative Law Judge                Government asserts that Respondent’s DEA                 Disposition.
                                                                                                      Certificate of Registration must be revoked                 Upon this finding, I ORDER that this case
                                                 Administrative Law Judge Christopher B.
                                                                                                      because Respondent does not have a medical               be forwarded to the Administrator for final
                                              McNeil. On January 29, 2015, the Deputy
                                                                                                      license issued by the state in which he                  disposition and I recommended that
                                              Assistant Administrator of the Drug
                                                                                                      practices — a fact which Respondent does                 Respondent’s DEA Certificate of Registration
                                              Enforcement Administration issued an Order
                                              to Show Cause as to why the DEA should not              not deny. Under DEA precedent, a                         should be REVOKED and any pending
                                              revoke DEA Certificate of Registration                  practitioner’s DEA Certificate of Registration           application for the renewal or modification of
                                              Number FP2719245 issued to Sharad C.                    for controlled substances must be summarily              the same should be DENIED.
                                              Patel, M.D., the Respondent in this matter.             revoked if the applicant is not authorized to
                                                                                                      handle controlled substances in the state in               Dated: March 11, 2015.
                                              The Order seeks to revoke Respondent’s
                                              registration pursuant to 21 U.S.C. 824(a)(3)            which he maintains his DEA registration.1                Christopher B. McNeil,
                                              and 823(f), and to deny any pending                     Pursuant to 21 U.S.C. 823(f), only a                     Administrative Law Judge.
                                              applications for renewal or modification of             ‘‘practitioner’’ may receive a DEA                       [FR Doc. 2015–12025 Filed 5–18–15; 8:45 am]
                                              such registration, and deny any applications            registration. Under 21 U.S.C. 802(21), a
                                                                                                                                                               BILLING CODE 4410–09–P
                                              for any new DEA registrations pursuant to 21            ‘‘practitioner’’ must be ‘‘licensed, registered,
                                              U.S.C. 823(f). As grounds for denial, the               or otherwise permitted, by the United States
                                              Government alleges that Respondent is                   or the jurisdiction in which he practices or
                                              ‘‘without authority to handle controlled                does research, to distribute [or] dispense . . .         DEPARTMENT OF JUSTICE
                                              substances in Kentucky, the state in which              controlled substance[s.]’’ Given this statutory
                                              [Respondent is] registered with the DEA.’’              language, the DEA Administrator does not                 Drug Enforcement Administration
                                                 On February 20, 2015, the DEA’s Office of            have the authority under the Controlled                  [Docket No. 13–34]
                                              Administrative Law Judges received                      Substances Act to maintain a practitioner’s
                                              Respondent’s written request for a hearing,             registration if that practitioner is not                 Annicol Marrocco, M.D.; Decision and
                                              which is dated February 19, 2015.                       authorized to dispense controlled
                                                                                                      substances.2 As noted by the Government in
                                                                                                                                                               Order
                                              Respondent states that his medical license is
                                              ‘‘temporarily suspended’’ by the state’s                its Motion for Summary Disposition,                         On May 17, 2013, the Deputy
                                              medical board and that he plans to challenge            Respondent’s concern regarding the                       Assistant Administrator, Office of
                                              the suspension in an upcoming state                     impending expiration of his DEA registration             Diversion Control, Drug Enforcement
                                              administrative hearing scheduled for May 18,            is unfounded. Under 21 CFR 1301.36(i),
                                                                                                      incorrectly cited by the Government as 21
                                                                                                                                                               Administration, issued an Order to
                                              2015.
                                                 On February 23, 2015 this Office issued an           CFR 1306.36(i), the existing registration of an          Show Cause to Annicol Marrocco, M.D.,
                                              Order for Briefing on Allegations Concerning            applicant for reregistration will be                     (hereinafter, Respondent), of Mahwah,
                                              Respondent’s Lack of State Authority. In the            automatically extended until the                         New Jersey. ALJ Ex. 1. The Show Cause
                                              Order, I mandated that the Government                   Administrator issues her order if the                    Order proposed the revocation of
                                              provide evidence to support the allegation              applicant applies for reregistration.3                   Respondent’s DEA Certificate of
                                              that Respondent lacks state authority to                   As detailed above, only a ‘‘practitioner’’            Registration BM8059102, which
                                              handle controlled substances and if                     may receive a DEA registration. Therefore, I             authorized her to dispense controlled
                                              appropriate file a motion for summary                   will recommend the revocation of                         substances in schedules II through V, at
                                              disposition no later than 2:00 p.m. Eastern             Respondent’s DEA registration.
                                              Standard Time (EST) on March 2, 2015. On
                                                                                                                                                               the registered address of Olean General
                                              March 2, 2015, the Government timely                      1 See 21 U.S.C. 801(21), 823(f), 824(a)(3); see also
                                                                                                                                                               Hospital, 515 Main Street, Olean, New
                                              submitted a brief in support of the allegation          House of Medicine, 79 FR 4959, 4961 (DEA Jan. 30,        York 14760, on the ground that her
                                              regarding state authority and filed a Motion            2014); Deanwood Pharmacy, 68 FR 41662–01 (DEA            ‘‘continued registration is inconsistent
                                              for Summary Disposition. According to the               July 14, 2003); Wayne D. Longmore, M.D., 77 FR           with the public interest.’’ Id. (citing 21
                                              Government’s brief, the Board of Medical                67669–02 (DEA Nov. 13, 2012); Alan H. Olefsky,           U.S.C. 823(f) and 824(a)(4)).
                                              Licensure of the Commonwealth of Kentucky               M.D., 72 FR 42127–01 (DEA Aug. 1, 2007); Layfe
                                                                                                      Robert Anthony, M.D., 67 FR 15811 (DEA May 20,
                                                                                                                                                                  The Show Cause Order specifically
                                              issued an Emergency Order of Suspension                                                                          alleged that between January 2008 and
                                                                                                      2002); George Thomas, PA–C, 64 FR 15811–02
                                              suspending Respondent’s license to practice             (DEA Apr. 1, 1999); Shahid Musud Siddiqui, M.D.,         August 2009, Respondent issued
                                              medicine, effective November 24, 2014. The              61 FR 14818–02 (DEA April 4, 1996); Michael D.
                                              Government attached the emergency order
                                                                                                                                                               approximately twenty-one prescriptions
                                                                                                      Lawton, M.D., 59 FR 17792–01 (DEA Apr. 14, 1994);
                                              pertaining to Respondent to the Motion for              Abraham A. Chaplan, M.D., 57 FR 55280–03 (DEA
                                                                                                                                                               to S.C. for oxycodone, a schedule II
                                              Summary Disposition. Based on this                      Nov. 24, 1992). See also Bio Diagnosis Int’l, 78 FR      controlled substance, ‘‘outside the usual
                                              suspension, the Government moved for a                  39327–03, 39331 (DEA July 1, 2013) (distinguishing       course of professional practice and for
                                              summary disposition of these proceedings.               distributor applicants from other ‘‘practitioners’’ in   other than a legitimate medical
                                                 In my Order for Briefing on Allegations              the context of summary disposition analysis).
                                                                                                        2 See Abraham A. Chaplan, M.D., 57 FR 55280–
                                                                                                                                                               purpose.’’ Id. (citing 21 U.S.C. 841(a)
                                              Concerning Respondent’s Lack of State
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                                                                                                      03, 55280 (DEA Nov. 24, 1992), and cases cited           and 21 CFR 1306.04(a)). The Show
                                              Authority, I also provided Respondent the                                                                        Cause Order further alleged that
                                                                                                      therein. In Chaplan, DEA Administrator Robert C.
                                              opportunity to respond to the Government’s
                                              allegations with a brief due not later than
                                                                                                      Bonner adopts the ALJ’s opinion that ‘‘the DEA           Respondent failed to maintain medical
                                                                                                      lacks statutory power to register a practitioner         records supporting the prescriptions, in
                                              2:00 p.m. EST on March 9, 2015. As of today,            unless the practitioner holds state authority to
                                              no brief was received and therefore the                 handle controlled substances.’’ Id.                      violation of Florida law; that she was in
                                              Government’s Motion for Summary                           3 See also Ronald J. Riegel, D.V.M., 63 FR 67132–      a personal relationship with S.C.; and
                                              Disposition will stand unopposed. In                    01, 67132 (DEA Dec. 4, 1998).                            that she ‘‘did not examine S.C. except to


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Document Created: 2015-12-15 15:29:51
Document Modified: 2015-12-15 15:29:51
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
FR Citation80 FR 28693 

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