81_FR_25507 81 FR 25425 - Abolghasem Rezaei, M.D.; Decision and Order

81 FR 25425 - Abolghasem Rezaei, M.D.; Decision and Order

DEPARTMENT OF JUSTICE
Drug Enforcement Administration

Federal Register Volume 81, Issue 82 (April 28, 2016)

Page Range25425-25427
FR Document2016-09973

Federal Register, Volume 81 Issue 82 (Thursday, April 28, 2016)
[Federal Register Volume 81, Number 82 (Thursday, April 28, 2016)]
[Notices]
[Pages 25425-25427]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-09973]


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 DEPARTMENT OF JUSTICE

Drug Enforcement Administration


Abolghasem Rezaei, M.D.; Decision and Order

    On November 16, 2015, the Deputy Assistant Administrator, Office of 
Diversion Control, Drug Enforcement Administration, issued an Order to 
Show Cause to Abolghasem Rezaei, M.D. (hereinafter, Registrant) of 
Lawton, Oklahoma. GX 1. The Show Cause Order proposed the revocation of 
Registrant's DEA Certificate of Registration, pursuant to which he is 
authorized to dispense controlled substances in schedules IV and V as a 
practitioner, on the ground that he does ``not have authority to handle 
controlled substances in the State of Oklahoma, the State in which [he 
is] registered with the'' Agency. Id. at 1.
    More specifically, the Show Cause Order alleged that effective May 
28, 2013, the Oklahoma State Bureau of Narcotics and Dangerous Drugs 
Control (hereinafter, OBNDD) issued a Stipulation and Agreed Order to 
Registrant, pursuant to which his authority to dispense controlled 
substances in schedules II and III was suspended ``for two years''; the 
Order then alleged that his Oklahoma registration ``expired on October 
31, 2014,'' and had not been renewed. Id.

[[Page 25426]]

The Show Cause Order thus alleged that Registrant did ``not have 
authority in Oklahoma to order, dispense, prescribe or administer any 
controlled substances,'' and that as a consequence, DEA ``must revoke 
[his] . . . registrations.'' Id. (citing 21 U.S.C. 802(21), 823(f), and 
824(a)(3)).\1\
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    \1\ The Show Cause Order also notified registrant of his right 
to request a hearing on the allegations or to submit a written 
statement while waiving his right to a hearing, the procedure for 
electing either option, and the consequence for failing to elect 
either option. GX 1, at 2.
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    Thereafter, a DEA Diversion Investigator (DI) determined that 
Registrant was no longer practicing at his registered location and was 
advised by Agents of the OBNDD that the premises appeared vacant. GX 9, 
at 1. The DI did, however, obtain an address for Registrant in Lawton, 
Oklahoma, which appeared to be that of a residence, and mailed the Show 
Cause Order to Registrant by certified mail, return receipt requested 
to this address. Id. On November 30, 2015, the DI received back the 
signed return-receipt card. Id. According to the DI, ``[t]he signature 
appeared similar to the signature of [Registrant] . . . on other DEA 
records, which [Registrant] signed.'' Id. The DI also emailed the Show 
Cause Order to Registrant at an email address which Registrant had 
listed when he applied for registration. Id.; GX 2, at 1; GX 8. 
According to the DI, ``[t]he emailed copy was sent successfully on 
November 16, 2015, but I never received a response to'' it. Id.
    On January 5, 2016, the Government submitted its Request for Final 
Agency Action. Therein, the Government stated that neither Registrant, 
``nor anyone representing him[,] has requested a hearing or otherwise 
corresponded with DEA.'' Req. for Final Agency Action, at 5. In its 
Request, the Government sought a final order revoking Registrant's DEA 
registration based on the May 28, 2013 Stipulation and Agreed Order 
between the OBNDD and Registrant, as well as his act of allowing his 
state registration to expire on October 31, 2014. Id. at 3.
    However, on March 21, 2016, the Government filed a further 
pleading. See Request for Dismissal of Order to Show Cause. Therein, 
the Government noted that effective March 4, 2016, Registrant had 
entered a subsequent Stipulation and Agreed Order with the OBNDD, 
pursuant to which the OBNDD agreed to renew his state registration 
subject to four conditions; the Government provided a copy of the Order 
with its filing. Id. at 2. Those stipulations were that Registrant 
shall: (1) ``Remain on probation for 18 months beginning on the date of 
entry of'' the Order; (2) ``be prohibited from ordering, storing, 
dispensing or administering'' any controlled substances ``during his 
probation''; (3) ``be prohibited from'' prescribing controlled 
substances in schedule II or III ``until January 1, 2017''; and (4) run 
a PMP report of ``his own prescribing . . . at the end of each calendar 
month'' and submit an ``affidavit that he has reviewed the PMP'' report 
to the OBNDD and state that it ``accurately reflects the [controlled 
substance] prescriptions he has authorized.'' In re Rezaei, Stipulation 
and Agreed Order, at 2 (OBNDD, Mar. 4, 2016).
    Noting that the sole basis for this proceeding was Registrant's 
lack of state authority and that the OBNDD's Order has restored his 
authority to prescribe schedule IV and V controlled substances, the 
Government no longer seeks the revocation of Registrant's DEA 
registration.\2\ See Request for Dismissal of Order to Show Cause, at 
3. Notwithstanding that the Government seeks an Order dismissing the 
Show Cause Order, it also requests an Order restricting Registrant's 
DEA registration ``to the extent of his controlled substances 
authorization under Oklahoma state law.'' Id.
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    \2\ The State Order, upon which this proceeding was based, 
contained numerous stipulated findings that clearly would have 
supported a prima facie case for revocation under the public 
interest standard of 21 U.S.C. 824(a)(4). These include: (1) That 
during a November 5, 2012 inspection, an OBNDD Agent and Oklahoma 
Board of Medical Licensure Investigator had conducted an inspection 
of Respondent's clinic and found that Demerol and other drugs were 
kept in a locked desk located in a common area of the clinic and 
that the key was kept in an unlocked drawer at the receptionist's 
desk; (2) that ``Respondent was unable to produce any . . . order 
forms, invoices, or inventories'' for the drugs in the desk; (3) 
that Respondent stored other controlled substances in an unlocked 
cabinet in an area of the clinic which all employees, as well as 
construction workers who were renovating the clinic, had access to; 
(4) that Respondent also kept controlled substances in a large 
plastic storage box on a counter below the aforesaid cabinet; (5) 
that during the inspection, Respondent submitted to a urinalysis and 
tested positive for oxycodone and that he ``did not have a valid 
prescription'' for the drug; (6) that Respondent's administration 
logs showed that ``on at least 3 occasions,'' controlled drugs 
``were administered to either [himself] or [his] wife''; (6) that 
there was no patient file for two patients who were listed in the 
administration log; (7) that the drug administration log listed 11 
entries for Demerol injections for ``skin care'' but did not list a 
patient name; (8) that Respondent's wife owned a skin care clinic 
that ``had a separate address from the medical clinic'' and which 
was unregistered, and that the OBNDD Agent inspected the clinic and 
found that controlled drugs were stored in an unlocked drawer in a 
treatment room and Respondent stated that the drugs had been 
prescribed but returned by his patients; (9) and that controlled 
drugs that were stored at the skin care clinic were either 
administered or dispensed to that clinic's ``clients without 
maintaining an administration log.'' GX 6, at 1-4.
---------------------------------------------------------------------------

    Based on the record submitted by the Government, I find that 
Respondent has been served in a constitutionally adequate manner and I 
find that service was effective no later than November 30, 2015. Based 
on the Government's further representation that since the date of 
service, neither Registrant, nor anyone representing him, has either 
requested a hearing or submitted a written statement in lieu of a 
hearing, I find that Registrant has waived his right to either request 
a hearing or to submit a written statement. I therefore issue this 
Decision and Final Order based solely on the Investigative Record 
submitted by the Government. I make the following findings.

Findings

    Registrant is the holder of DEA Registration #FR4496267, pursuant 
to which he is authorized to dispense controlled substances in 
schedules IV and V, at the registered address of Family Practice Clinic 
& Minor Emergency Medicine, 4645 W. Gore Blvd., Suite 1-2, Lawton, 
Oklahoma. GX 2. Registrant's registration does not expire until April 
30, 2017. Id.
    Registrant is also the holder of an active medical license issued 
by the Oklahoma State Board of Medical Licensure and Supervision. 
According to the Board's Web site, Respondent is now practicing at 2502 
West Gore Blvd., Lawton, Oklahoma. See http://www.okmedicalboard.org/licensee/MD/23655. He has also recently obtained a new state 
registration from the OBNDD. However, Registrant's OBNDD registration 
prohibits him ``from ordering, storing, dispensing, or administering 
[controlled substances] from any [s]chedule during his probation,'' 
which runs for 18 months beginning on March 4, 2016, and it further 
prohibits him ``from authorizing prescriptions for [s]chedule II or 
[s]chedule III [controlled substances] until January 1, 2017.'' 
Stipulation and Agreed Order, at 2.

Discussion

    Pursuant to 21 U.S.C. 824(a)(3), the Attorney General is authorized 
to suspend or revoke a registration issued under section 823, ``upon a 
finding that the registrant . . . has had his State license . . . 
suspended [or] revoked . . . by competent State authority and is no 
longer authorized by State law to engage in the . . . dispensing of 
controlled substances.'' Moreover, Congress has defined ``the term 
`practitioner' [to] mean[] a . . . physician . . . or other person 
licensed, registered or otherwise permitted, by . . . the jurisdiction 
in which he practices . . . to distribute, dispense, [or] administer . 
. . a controlled

[[Page 25427]]

substance in the course of professional practice.'' 21 U.S.C. 802(21). 
Likewise, the CSA conditions the granting of a practitioner's 
application for registration on his/her possession of authority to 
dispense controlled substances under state law. See 21 U.S.C. 823(f) 
(``The 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.''). And of further note, the CSA defines the term 
``dispense'' as meaning ``to deliver a controlled substance to an 
ultimate user . . . by, or pursuant to the lawful order of, a 
practitioner.'' Id. Sec.  802(10) (emphasis added).
    Thus, the Agency has repeatedly held that the possession of 
authority to dispense controlled substances under the laws of the State 
in which a practitioner engages in professional practice is a 
fundamental condition for obtaining and maintaining a practitioner's 
registration. See, e.g., James L. Hooper, 76 FR 71371 (2011), pet. for 
rev. denied, 481 Fed. Appx. 826 (4th Cir. 2012). And because a 
practitioner's authority under the CSA is based on his/her authority to 
dispense controlled substances under the laws of the State in which he 
practices, the Agency has further held that ``to the extent a 
practitioner is not authorized under state law to dispense certain 
categories or schedules of controlled substances, he can no longer 
lawfully dispense them under federal law.'' Kenneth Harold Bull, 78 FR 
62666, 62672 (2013).
    For the same reason, where a state board limits a practitioner's 
controlled substance authority by prohibiting him from possessing 
controlled substances or by limiting his authority to prescribing, the 
practitioner's authority under his DEA registration must also be so 
limited. See, e.g., Steven M. Abbadessa, 74 FR 10077, 10082 (2009) 
(noting ambiguity in state agency's order as to whether it authorized 
physician to administer controlled substances at his clinic and 
requiring him to provide evidence that such activity was authorized by 
the State prior to doing so); cf. United States v. Moore, 423 U.S. 122, 
140-41 (1975) (``In the case of a physician, [the CSA] contemplates 
that he is authorized by the State to practice medicine and to dispense 
drugs in connection with his professional practice. The federal 
registration . . . extends no further.'').
    Accordingly, although the OBNDD's Stipulation and Agreed Order 
effectively authorizes Registrant to prescribe schedule IV and V 
controlled substances, it affirmatively prohibits him from ordering, 
storing (possessing), administering and directly dispensing all 
controlled substances. While Registrant's DEA registration does not 
authorize him to handle schedule II and III controlled substances in 
any manner, his registration currently provides authority for him to 
order, store, administer and directly dispense schedule IV and V 
controlled substances. Because Registrant's DEA registration can only 
grant him authority to the extent that the State has granted him 
authority, I will order that his registration be restricted to 
authorize only the prescribing of controlled substances in schedules IV 
and V.
    Also, in the event Registrant intends to seek authority to 
prescribe schedule II or III controlled substances upon the expiration 
of the OBNDD's condition, he must apply for a modification of his DEA 
registration before doing so. See 21 CFR 1301.51. So too, in the event 
Registrant seeks to engage in the ordering, storing, dispensing or 
administering of any controlled substance upon the expiration of his 
probation, he must apply for a modification of his DEA registration 
before doing so. Finally, because the Oklahoma Medical Board's records 
list Registrant's practice address as being different from his DEA 
registered address, and it appears that Registrant is no longer 
practicing at the latter address, he is directed to inquire of the 
local DEA office as to whether he must obtain a modification of his 
registration to reflect his new practice address. See 21 CFR 1301.12(a) 
& (b).

Order

    Pursuant to the authority vested in me by 21 U.S.C. 824(a), as well 
as 28 CFR 0.100(b), I order that DEA Certificate of Registration# 
FR4496267 issued to Abolghasem Rezaei, M.D., be, and it hereby is, 
restricted to authorize only the prescribing of controlled substances 
in schedules IV and V. This Order is effective immediately.

    Dated: April 21, 2016.
Chuck Rosenberg,
Acting Administrator.
[FR Doc. 2016-09973 Filed 4-27-16; 8:45 am]
 BILLING CODE 4410-09-P



                                                                                Federal Register / Vol. 81, No. 82 / Thursday, April 28, 2016 / Notices                                                 25425

                                                  make a mockery of judicial power.’’ SBC                 IN THE UNITED STATES DISTRICT                         instructions before making the transfer.
                                                  Commc’ns, 489 F. Supp. 2d at 15.                        COURT FOR THE DISTRICT OF                             If the payment is made by cashier’s
                                                     In its 2004 amendments, Congress                     COLUMBIA                                              check, the check shall be made payable
                                                  made clear its intent to preserve the                     UNITED STATES OF AMERICA, c/o
                                                                                                                                                                to the United States Department of
                                                  practical benefits of utilizing consent                 Department of Justice, Washington, D.C.               Justice and delivered to: Janie Ingalls,
                                                  decrees in antitrust enforcement, adding                20530, Plaintiff, v. LEUCADIA NATIONAL                United States Department of Justice,
                                                  the unambiguous instruction that                        CORPORATION, 520 Madison Avenue, New                  Antitrust Division, Antitrust Documents
                                                  ‘‘[n]othing in this section shall be                    York, NY 10022, Defendant.                            Group, 450 5th Street NW., Suite 1024,
                                                  construed to require the court to                       CASE NO.: 1:15–cv–01547                               Washington, DC 20530.
                                                  conduct an evidentiary hearing or to                    JUDGE: Randolph D. Moss                                  Defendant shall pay the full amount
                                                  require the court to permit anyone to                   FILED: 09/22/2015                                     of the civil penalty within thirty (30)
                                                  intervene.’’ 15 U.S.C. § 16(e)(2); see also             FINAL JUDGMENT                                        days of entry of this Final Judgment. In
                                                  U.S. Airways, 38 F. Supp. 3d at 76                                                                            the event of a default or delay in
                                                  (indicating that a court is not required                   Plaintiff, the United States of                    payment, interest at the rate of eighteen
                                                  to hold an evidentiary hearing or to                    America, having commenced this action                 (18) percent per annum shall accrue
                                                  permit intervenors as part of its review                by filing its Complaint herein for                    thereon from the date of the default or
                                                  under the Tunney Act). The language                     violation of Section 7A of the Clayton                delay to the date of payment.
                                                  wrote into the statute what Congress                    Act, 15 U.S.C. 18a, commonly known as
                                                                                                          the Hart-Scott-Rodino Antitrust                       III.
                                                  intended when it enacted the Tunney
                                                  Act in 1974, as Senator Tunney                          Improvements Act of 1976, and Plaintiff                  Each party shall bear its own costs of
                                                  explained: ‘‘[t]he court is nowhere                     and Defendant Leucadia National                       this action.
                                                  compelled to go to trial or to engage in                Corporation, by their respective
                                                                                                          attorneys, having consented to the entry              IV.
                                                  extended proceedings which might have
                                                  the effect of vitiating the benefits of                 of this Final Judgment without trial or                 Entry of this Final Judgment is in the
                                                  prompt and less costly settlement                       adjudication of any issue of fact or law              public interest.
                                                  through the consent decree process.’’                   herein, and without this Final Judgment               Dated: lllll
                                                                                                          constituting any evidence against or an
                                                  119 Cong. Rec. 24,598 (1973) (statement                                                                       lllllllllllllllllllll
                                                  of Sen. Tunney). Rather, the procedure                  admission by the Defendant with                       United States District Judge
                                                  for the public interest determination is                respect to any such issue:
                                                                                                             Now, therefore, before the taking of               [FR Doc. 2016–09915 Filed 4–27–16; 8:45 am]
                                                  left to the discretion of the court, with                                                                     BILLING CODE 4410–11–P
                                                                                                          any testimony and without trial or
                                                  the recognition that the court’s ‘‘scope
                                                                                                          adjudication of any issue of fact or law
                                                  of review remains sharply proscribed by
                                                                                                          herein, and upon the consent of the
                                                  precedent and the nature of Tunney Act                                                                        DEPARTMENT OF JUSTICE
                                                                                                          parties hereto, it is hereby Ordered,
                                                  proceedings.’’ SBC Commc’ns, 489 F.
                                                                                                          Adjudged, and Decreed as follows:                     Drug Enforcement Administration
                                                  Supp. 2d at 11.5 A court can make its
                                                  public interest determination based on                  I.
                                                  the competitive impact statement and                                                                          Abolghasem Rezaei, M.D.; Decision
                                                                                                            The Court has jurisdiction of the                   and Order
                                                  response to public comments alone.                      subject matter of this action and of the
                                                  U.S. Airways, 38 F. Supp. 3d at 76.                     Plaintiff and the Defendant. The                         On November 16, 2015, the Deputy
                                                  VIII. DETERMINATIVE DOCUMENTS                           Complaint states a claim upon which                   Assistant Administrator, Office of
                                                                                                          relief can be granted against the                     Diversion Control, Drug Enforcement
                                                    There are no determinative materials                  Defendant under Section 7A of the                     Administration, issued an Order to
                                                  or documents within the meaning of the                  Clayton Act, 15 U.S.C. 18a.                           Show Cause to Abolghasem Rezaei,
                                                  APPA that were considered by the                                                                              M.D. (hereinafter, Registrant) of Lawton,
                                                  United States in formulating the                        II.                                                   Oklahoma. GX 1. The Show Cause
                                                  proposed Final Judgment.                                   Judgment is hereby entered in this                 Order proposed the revocation of
                                                  Date: April 20, 2016                                    matter in favor of Plaintiff United States            Registrant’s DEA Certificate of
                                                  Respectfully Submitted,                                 of America and against Defendant, and,                Registration, pursuant to which he is
                                                  ll/s/ Kenneth A. Libby                                  pursuant to Section 7A(g)(1) of the                   authorized to dispense controlled
                                                  Kenneth A. Libby                                        Clayton Act, 15 U.S.C. 18a(g)(1), the                 substances in schedules IV and V as a
                                                  Special Attorney                                        Debt Collection Improvement Act of                    practitioner, on the ground that he does
                                                                                                          1996, Pub. L. 104–134 31001(s)                        ‘‘not have authority to handle controlled
                                                     5 See United States v. Enova Corp., 107 F. Supp.
                                                                                                          (amending the Federal Civil Penalties                 substances in the State of Oklahoma, the
                                                  2d 10, 17 (D.D.C. 2000) (noting that the ‘‘Tunney
                                                  Act expressly allows the court to make its public
                                                                                                          Inflation Adjustment Act of 1990, 28                  State in which [he is] registered with
                                                  interest determination on the basis of the              U.S.C. 2461), and Federal Trade                       the’’ Agency. Id. at 1.
                                                  competitive impact statement and response to            Commission Rule 1.98, 16 CFR 1.98, 61                    More specifically, the Show Cause
                                                  comments alone’’); United States v. Mid-Am.             FR 54549 (Oct. 21, 1996), and 74 FR 857               Order alleged that effective May 28,
                                                  Dairymen, Inc., No. 73–CV–681–W–1, 1977–1 Trade
                                                  Cas. (CCH) ¶ 61,508, at 71,980, *22 (W.D. Mo. 1977)
                                                                                                          (Jan. 9, 2009), Defendant Leucadia                    2013, the Oklahoma State Bureau of
                                                  (‘‘Absent a showing of corrupt failure of the           National Corporation is hereby ordered                Narcotics and Dangerous Drugs Control
                                                  government to discharge its duty, the Court, in         to pay a civil penalty in the amount of               (hereinafter, OBNDD) issued a
                                                  making its public interest finding, should . . .        two hundred forty thousand dollars                    Stipulation and Agreed Order to
mstockstill on DSK3G9T082PROD with NOTICES




                                                  carefully consider the explanations of the
                                                  government in the competitive impact statement
                                                                                                          ($240,000). Payment of the civil penalty              Registrant, pursuant to which his
                                                  and its responses to comments in order to               ordered hereby shall be made by wire                  authority to dispense controlled
                                                  determine whether those explanations are                transfer of funds or cashier’s check. If              substances in schedules II and III was
                                                  reasonable under the circumstances.’’); S. Rep. No.     the payment is made by wire transfer,                 suspended ‘‘for two years’’; the Order
                                                  93–298, at 6 (1973) (‘‘Where the public interest can
                                                  be meaningfully evaluated simply on the basis of
                                                                                                          Defendant shall contact Janie Ingalls of              then alleged that his Oklahoma
                                                  briefs and oral arguments, that is the approach that    the Antitrust Division’s Antitrust                    registration ‘‘expired on October 31,
                                                  should be utilized.’’).                                 Documents Group at (202) 514–2481 for                 2014,’’ and had not been renewed. Id.


                                             VerDate Sep<11>2014   22:09 Apr 27, 2016   Jkt 238001   PO 00000   Frm 00057   Fmt 4703   Sfmt 4703   E:\FR\FM\28APN1.SGM   28APN1


                                                  25426                           Federal Register / Vol. 81, No. 82 / Thursday, April 28, 2016 / Notices

                                                  The Show Cause Order thus alleged that                   Order; (2) ‘‘be prohibited from ordering,                been served in a constitutionally
                                                  Registrant did ‘‘not have authority in                   storing, dispensing or administering’’                   adequate manner and I find that service
                                                  Oklahoma to order, dispense, prescribe                   any controlled substances ‘‘during his                   was effective no later than November
                                                  or administer any controlled                             probation’’; (3) ‘‘be prohibited from’’                  30, 2015. Based on the Government’s
                                                  substances,’’ and that as a consequence,                 prescribing controlled substances in                     further representation that since the
                                                  DEA ‘‘must revoke [his] . . .                            schedule II or III ‘‘until January 1,                    date of service, neither Registrant, nor
                                                  registrations.’’ Id. (citing 21 U.S.C.                   2017’’; and (4) run a PMP report of ‘‘his                anyone representing him, has either
                                                  802(21), 823(f), and 824(a)(3)).1                        own prescribing . . . at the end of each                 requested a hearing or submitted a
                                                     Thereafter, a DEA Diversion                           calendar month’’ and submit an                           written statement in lieu of a hearing, I
                                                  Investigator (DI) determined that                        ‘‘affidavit that he has reviewed the                     find that Registrant has waived his right
                                                  Registrant was no longer practicing at                   PMP’’ report to the OBNDD and state                      to either request a hearing or to submit
                                                  his registered location and was advised                  that it ‘‘accurately reflects the                        a written statement. I therefore issue
                                                  by Agents of the OBNDD that the                          [controlled substance] prescriptions he                  this Decision and Final Order based
                                                  premises appeared vacant. GX 9, at 1.                    has authorized.’’ In re Rezaei,                          solely on the Investigative Record
                                                  The DI did, however, obtain an address                   Stipulation and Agreed Order, at 2                       submitted by the Government. I make
                                                  for Registrant in Lawton, Oklahoma,                      (OBNDD, Mar. 4, 2016).                                   the following findings.
                                                  which appeared to be that of a                              Noting that the sole basis for this
                                                  residence, and mailed the Show Cause                     proceeding was Registrant’s lack of state                Findings
                                                  Order to Registrant by certified mail,                   authority and that the OBNDD’s Order                        Registrant is the holder of DEA
                                                  return receipt requested to this address.                has restored his authority to prescribe                  Registration #FR4496267, pursuant to
                                                  Id. On November 30, 2015, the DI                         schedule IV and V controlled                             which he is authorized to dispense
                                                  received back the signed return-receipt                  substances, the Government no longer                     controlled substances in schedules IV
                                                  card. Id. According to the DI, ‘‘[t]he                   seeks the revocation of Registrant’s DEA                 and V, at the registered address of
                                                  signature appeared similar to the                        registration.2 See Request for Dismissal                 Family Practice Clinic & Minor
                                                  signature of [Registrant] . . . on other                 of Order to Show Cause, at 3.                            Emergency Medicine, 4645 W. Gore
                                                  DEA records, which [Registrant]                          Notwithstanding that the Government                      Blvd., Suite 1–2, Lawton, Oklahoma. GX
                                                  signed.’’ Id. The DI also emailed the                    seeks an Order dismissing the Show                       2. Registrant’s registration does not
                                                  Show Cause Order to Registrant at an                     Cause Order, it also requests an Order                   expire until April 30, 2017. Id.
                                                  email address which Registrant had                       restricting Registrant’s DEA registration                   Registrant is also the holder of an
                                                  listed when he applied for registration.                 ‘‘to the extent of his controlled                        active medical license issued by the
                                                  Id.; GX 2, at 1; GX 8. According to the                  substances authorization under                           Oklahoma State Board of Medical
                                                  DI, ‘‘[t]he emailed copy was sent                        Oklahoma state law.’’ Id.                                Licensure and Supervision. According
                                                  successfully on November 16, 2015, but                      Based on the record submitted by the                  to the Board’s Web site, Respondent is
                                                  I never received a response to’’ it. Id.                 Government, I find that Respondent has                   now practicing at 2502 West Gore Blvd.,
                                                     On January 5, 2016, the Government                                                                             Lawton, Oklahoma. See http://
                                                  submitted its Request for Final Agency                      2 The State Order, upon which this proceeding         www.okmedicalboard.org/licensee/MD/
                                                  Action. Therein, the Government stated                   was based, contained numerous stipulated findings        23655. He has also recently obtained a
                                                                                                           that clearly would have supported a prima facie
                                                  that neither Registrant, ‘‘nor anyone                    case for revocation under the public interest
                                                                                                                                                                    new state registration from the OBNDD.
                                                  representing him[,] has requested a                      standard of 21 U.S.C. 824(a)(4). These include: (1)      However, Registrant’s OBNDD
                                                  hearing or otherwise corresponded with                   That during a November 5, 2012 inspection, an            registration prohibits him ‘‘from
                                                                                                           OBNDD Agent and Oklahoma Board of Medical                ordering, storing, dispensing, or
                                                  DEA.’’ Req. for Final Agency Action, at                  Licensure Investigator had conducted an inspection
                                                  5. In its Request, the Government sought                 of Respondent’s clinic and found that Demerol and        administering [controlled substances]
                                                  a final order revoking Registrant’s DEA                  other drugs were kept in a locked desk located in        from any [s]chedule during his
                                                  registration based on the May 28, 2013                   a common area of the clinic and that the key was         probation,’’ which runs for 18 months
                                                                                                           kept in an unlocked drawer at the receptionist’s
                                                  Stipulation and Agreed Order between                     desk; (2) that ‘‘Respondent was unable to produce
                                                                                                                                                                    beginning on March 4, 2016, and it
                                                  the OBNDD and Registrant, as well as                     any . . . order forms, invoices, or inventories’’ for    further prohibits him ‘‘from authorizing
                                                  his act of allowing his state registration               the drugs in the desk; (3) that Respondent stored        prescriptions for [s]chedule II or
                                                  to expire on October 31, 2014. Id. at 3.                 other controlled substances in an unlocked cabinet       [s]chedule III [controlled substances]
                                                                                                           in an area of the clinic which all employees, as well
                                                     However, on March 21, 2016, the                       as construction workers who were renovating the          until January 1, 2017.’’ Stipulation and
                                                  Government filed a further pleading.                     clinic, had access to; (4) that Respondent also kept     Agreed Order, at 2.
                                                  See Request for Dismissal of Order to                    controlled substances in a large plastic storage box
                                                  Show Cause. Therein, the Government                      on a counter below the aforesaid cabinet; (5) that       Discussion
                                                                                                           during the inspection, Respondent submitted to a
                                                  noted that effective March 4, 2016,                      urinalysis and tested positive for oxycodone and
                                                                                                                                                                       Pursuant to 21 U.S.C. 824(a)(3), the
                                                  Registrant had entered a subsequent                      that he ‘‘did not have a valid prescription’’ for the    Attorney General is authorized to
                                                  Stipulation and Agreed Order with the                    drug; (6) that Respondent’s administration logs          suspend or revoke a registration issued
                                                  OBNDD, pursuant to which the OBNDD                       showed that ‘‘on at least 3 occasions,’’ controlled      under section 823, ‘‘upon a finding that
                                                                                                           drugs ‘‘were administered to either [himself] or [his]
                                                  agreed to renew his state registration                   wife’’; (6) that there was no patient file for two       the registrant . . . has had his State
                                                  subject to four conditions; the                          patients who were listed in the administration log;      license . . . suspended [or] revoked
                                                  Government provided a copy of the                        (7) that the drug administration log listed 11 entries   . . . by competent State authority and is
                                                                                                           for Demerol injections for ‘‘skin care’’ but did not
                                                  Order with its filing. Id. at 2. Those                   list a patient name; (8) that Respondent’s wife
                                                                                                                                                                    no longer authorized by State law to
                                                  stipulations were that Registrant shall:                 owned a skin care clinic that ‘‘had a separate           engage in the . . . dispensing of
                                                  (1) ‘‘Remain on probation for 18 months                                                                           controlled substances.’’ Moreover,
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                                                                                                           address from the medical clinic’’ and which was
                                                  beginning on the date of entry of’’ the                  unregistered, and that the OBNDD Agent inspected         Congress has defined ‘‘the term
                                                                                                           the clinic and found that controlled drugs were
                                                                                                           stored in an unlocked drawer in a treatment room         ‘practitioner’ [to] mean[] a . . .
                                                     1 The Show Cause Order also notified registrant
                                                                                                           and Respondent stated that the drugs had been            physician . . . or other person licensed,
                                                  of his right to request a hearing on the allegations     prescribed but returned by his patients; (9) and that    registered or otherwise permitted, by
                                                  or to submit a written statement while waiving his       controlled drugs that were stored at the skin care
                                                  right to a hearing, the procedure for electing either    clinic were either administered or dispensed to that
                                                                                                                                                                    . . . the jurisdiction in which he
                                                  option, and the consequence for failing to elect         clinic’s ‘‘clients without maintaining an                practices . . . to distribute, dispense,
                                                  either option. GX 1, at 2.                               administration log.’’ GX 6, at 1–4.                      [or] administer . . . a controlled


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                                                                                Federal Register / Vol. 81, No. 82 / Thursday, April 28, 2016 / Notices                                         25427

                                                  substance in the course of professional                 substances, it affirmatively prohibits                DEPARTMENT OF JUSTICE
                                                  practice.’’ 21 U.S.C. 802(21). Likewise,                him from ordering, storing (possessing),
                                                                                                                                                                [OMB Number 1140–0011]
                                                  the CSA conditions the granting of a                    administering and directly dispensing
                                                  practitioner’s application for registration             all controlled substances. While                      Agency Information Collection
                                                  on his/her possession of authority to                   Registrant’s DEA registration does not                Activities; Proposed eCollection
                                                  dispense controlled substances under                    authorize him to handle schedule II and               eComments Requested; Application To
                                                  state law. See 21 U.S.C. 823(f) (‘‘The                  III controlled substances in any manner,              Make and Register a Firearm (ATF
                                                  Attorney General shall register                         his registration currently provides                   Form 1 (5320.1)
                                                  practitioners . . . to dispense . . .                   authority for him to order, store,
                                                  controlled substances . . . if the                                                                            AGENCY:  Bureau of Alcohol, Tobacco,
                                                                                                          administer and directly dispense
                                                  applicant is authorized to dispense . . .                                                                     Firearms and Explosives, Department of
                                                                                                          schedule IV and V controlled
                                                  controlled substances under the laws of                                                                       Justice
                                                  the State in which he practices.’’). And                substances. Because Registrant’s DEA
                                                                                                                                                                ACTION: 30-Day notice.
                                                  of further note, the CSA defines the term               registration can only grant him authority
                                                  ‘‘dispense’’ as meaning ‘‘to deliver a                  to the extent that the State has granted              SUMMARY:   The Department of Justice
                                                  controlled substance to an ultimate user                him authority, I will order that his                  (DOJ), Bureau of Alcohol, Tobacco,
                                                  . . . by, or pursuant to the lawful order               registration be restricted to authorize               Firearms and Explosives (ATF), will
                                                  of, a practitioner.’’ Id. § 802(10)                     only the prescribing of controlled                    submit the following information
                                                  (emphasis added).                                       substances in schedules IV and V.                     collection request to the Office of
                                                     Thus, the Agency has repeatedly held                    Also, in the event Registrant intends              Management and Budget (OMB) for
                                                  that the possession of authority to                     to seek authority to prescribe schedule               review and approval in accordance with
                                                  dispense controlled substances under                    II or III controlled substances upon the              the Paperwork Reduction Act of 1995.
                                                  the laws of the State in which a                        expiration of the OBNDD’s condition, he               The proposed information collection
                                                  practitioner engages in professional                                                                          was previously published in the Federal
                                                                                                          must apply for a modification of his
                                                  practice is a fundamental condition for                                                                       Register 81 FR 8099, on February 17,
                                                                                                          DEA registration before doing so. See 21
                                                  obtaining and maintaining a                                                                                   2016, allowing for a 60-day comment
                                                  practitioner’s registration. See, e.g.,                 CFR 1301.51. So too, in the event                     period.
                                                  James L. Hooper, 76 FR 71371 (2011),                    Registrant seeks to engage in the
                                                                                                          ordering, storing, dispensing or                      DATES: Comments are encouraged and
                                                  pet. for rev. denied, 481 Fed. Appx. 826                                                                      will be accepted for an additional 30
                                                  (4th Cir. 2012). And because a                          administering of any controlled
                                                                                                          substance upon the expiration of his                  days until May 31, 2016.
                                                  practitioner’s authority under the CSA
                                                                                                          probation, he must apply for a                        FOR FURTHER INFORMATION CONTACT: If
                                                  is based on his/her authority to dispense
                                                  controlled substances under the laws of                 modification of his DEA registration                  you have additional comments
                                                  the State in which he practices, the                    before doing so. Finally, because the                 especially on the estimated public
                                                  Agency has further held that ‘‘to the                   Oklahoma Medical Board’s records list                 burden or associated response time,
                                                  extent a practitioner is not authorized                 Registrant’s practice address as being                suggestions, or need a copy of the
                                                  under state law to dispense certain                                                                           proposed information collection
                                                                                                          different from his DEA registered
                                                  categories or schedules of controlled                                                                         instrument with instructions or
                                                                                                          address, and it appears that Registrant is
                                                  substances, he can no longer lawfully                                                                         additional information, please contact
                                                                                                          no longer practicing at the latter                    Gary Schaible, Industry Liaison Analyst,
                                                  dispense them under federal law.’’                      address, he is directed to inquire of the
                                                  Kenneth Harold Bull, 78 FR 62666,                                                                             Bureau of Alcohol, Tobacco, Firearms
                                                                                                          local DEA office as to whether he must                and Explosives (ATF), 99 New York
                                                  62672 (2013).                                           obtain a modification of his registration
                                                     For the same reason, where a state                                                                         Ave. NE., Washington, DC 20226 at
                                                                                                          to reflect his new practice address. See              email: nfaombcomments@atf.gov.
                                                  board limits a practitioner’s controlled
                                                                                                          21 CFR 1301.12(a) & (b).                              Written comments and/or suggestions
                                                  substance authority by prohibiting him
                                                  from possessing controlled substances                   Order                                                 can also be directed to the Office of
                                                  or by limiting his authority to                                                                               Management and Budget, Office of
                                                  prescribing, the practitioner’s authority                  Pursuant to the authority vested in me             Information and Regulatory Affairs,
                                                  under his DEA registration must also be                 by 21 U.S.C. 824(a), as well as 28 CFR                Attention Department of Justice Desk
                                                  so limited. See, e.g., Steven M.                        0.100(b), I order that DEA Certificate of             Officer, Washington, DC 20503 or sent
                                                  Abbadessa, 74 FR 10077, 10082 (2009)                    Registration# FR4496267 issued to                     to OIRA_submissions@omb.eop.gov.
                                                  (noting ambiguity in state agency’s order               Abolghasem Rezaei, M.D., be, and it                   SUPPLEMENTARY INFORMATION: Written
                                                  as to whether it authorized physician to                hereby is, restricted to authorize only               comments and suggestions from the
                                                  administer controlled substances at his                 the prescribing of controlled substances              public and affected agencies concerning
                                                  clinic and requiring him to provide                     in schedules IV and V. This Order is                  the proposed collection of information
                                                  evidence that such activity was                         effective immediately.                                are encouraged. Your comments should
                                                  authorized by the State prior to doing                                                                        address one or more of the following
                                                  so); cf. United States v. Moore, 423 U.S.                 Dated: April 21, 2016.                              four points:
                                                  122, 140–41 (1975) (‘‘In the case of a                  Chuck Rosenberg,                                        • Evaluate whether the proposed
                                                  physician, [the CSA] contemplates that                  Acting Administrator.                                 collection of information is necessary
                                                  he is authorized by the State to practice               [FR Doc. 2016–09973 Filed 4–27–16; 8:45 am]           for the proper performance of the
                                                  medicine and to dispense drugs in                                                                             functions of the agency, including
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                                                                                                          BILLING CODE 4410–09–P
                                                  connection with his professional                                                                              whether the information will have
                                                  practice. The federal registration . . .                                                                      practical utility;
                                                  extends no further.’’).                                                                                         • Evaluate the accuracy of the
                                                     Accordingly, although the OBNDD’s                                                                          agency’s estimate of the burden of the
                                                  Stipulation and Agreed Order                                                                                  proposed collection of information,
                                                  effectively authorizes Registrant to                                                                          including the validity of the
                                                  prescribe schedule IV and V controlled                                                                        methodology and assumptions used;


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Document Created: 2016-04-28 01:05:33
Document Modified: 2016-04-28 01:05:33
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 Citation81 FR 25425 

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