82_FR_18853 82 FR 18777 - William H. Wyttenbach, M.D.; Decision and Order

82 FR 18777 - William H. Wyttenbach, M.D.; Decision and Order

DEPARTMENT OF JUSTICE
Drug Enforcement Administration

Federal Register Volume 82, Issue 76 (April 21, 2017)

Page Range18777-18779
FR Document2017-08013

Federal Register, Volume 82 Issue 76 (Friday, April 21, 2017)
[Federal Register Volume 82, Number 76 (Friday, April 21, 2017)]
[Notices]
[Pages 18777-18779]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-08013]


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DEPARTMENT OF JUSTICE

Drug Enforcement Administration

[Docket No. 17-8]


William H. Wyttenbach, M.D.; Decision and Order

    On October 4, 2016, the Assistant Administrator, Diversion Control 
Division, issued an Order to Show Cause to William H. Wyttenbach, M.D. 
(Respondent), of Fort Myers, Florida. The Show Cause Order proposed the 
revocation of Respondent's DEA Certificate of Registration No. 
BW1311997, on the ground that he ``do[es] not have authority to handle 
controlled substances in the State of Florida, the [S]tate in which [he 
is] registered with the'' Agency. Show Cause Order, at 1 (citing 21 
U.S.C. 823(f), 824(a)(3)).
    As to the jurisdictional basis for the proceeding, the Show Cause 
Order alleged that Respondent is registered ``as a practitioner in 
[s]chedules II-V,'' pursuant to the above registration number, at the 
registered address of 16329 South Tamiami Trail, Units 5&6, Fort Myers, 
Florida. Id. The Order further alleged that Respondent's registration 
``expires by its terms on May 31, 2018.'' Id.
    As to the substantive basis for the proceeding, the Show Cause 
Order alleged that effective June 15, 2016, the Florida Board of 
Medicine ``suspended [his] authority to practice medicine,'' and that 
he is ``without authority to handle controlled substances in Florida, 
the [S]tate in which [he is] registered with'' DEA. Id. The Order thus 
alleged that Respondent's registration is subject to revocation.\1\ Id. 
(citing 21 U.S.C. 802(21), 823(f), 824(a)(3)).
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    \1\ The Show Cause Order also notified Respondent of his right 
to submit a corrective action plan and the procedure for doing so. 
Show Cause Order, at 2-3 (citing 21 U.S.C. 824(c)(2)(C)).
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    On November 3, 2016, Respondent submitted a request for a hearing. 
The matter was placed on the docket of the Office of Administrative Law 
Judges and assigned to ALJ Charles Wm. Dorman. Thereafter, the ALJ 
issued an order which directed the Government to submit its evidence in 
support of the allegation and any motion for summary disposition on 
this ground by 2 p.m. on November 28, 2016. See Briefing Schedule for 
Lack of State Authority Allegations, at 1. The ALJ also ordered that if 
the Government filed such motion, Respondent's reply was due by 2 p.m. 
on December 12, 2016. Id.
    On November 8, 2016, the Government filed its Motion for Summary 
Disposition, which asserted that ``on June 15, 2016, the State of 
Florida Board of Medicine suspended Respondent's state medical 
license.'' Mot. at 2. As support for its Motion, the Government 
attached a June 15, 2015 Final Order issued by the Florida Board of 
Medicine which suspended Respondent's Florida medical license ``until 
such time as he personally appears before the Board and demonstrates 
that his license to practice medicine in all jurisdictions is free from 
all encumbrances.'' Appendix C, at 4. The Government also attached an 
affidavit by a DEA Diversion Investigator attesting to the authenticity 
of the Florida Board's Final Order, see Appendix B, as well as a copy 
of Respondent's DEA registration. See Appendix A.
    Based on this evidence, the Government argued that Respondent is 
without authority to handle controlled substances in Florida and 
therefore, he does not meet the statutory definition of a practitioner. 
Motion, at 3-4 (citing 21 U.S.C. 802(21)). Invoking cases holding that 
revocation is warranted even when a registrant's state authority has 
been summarily suspended, the Government maintained that because 
possessing authority to dispense controlled substances under the laws 
of the state in which a practitioner engages in professional practice 
is a fundamental condition for maintaining a DEA registration and 
Respondent does not possess such authority, revocation of his 
registration is warranted. Id. at 4 (citing Gary Alfred Shearer, 78 FR 
19,009, 19012 (2013) (other citation omitted)).
    On December 5, 2016, Respondent filed his Response to the 
Government's Motion. Therein, Respondent stated that he ``agrees[ ] he 
has no authority to practice medicine in Florida and has not done so 
since June 4, 2015 and ongoing.'' Response, at 1. Respondent asserted, 
however, that he does have an active and unrestricted medical license 
in Wyoming. Id. He further asserted that the suspension of his Florida 
license was illegal, that the Florida Board had violated his Due 
Process rights, and that he is suing the Florida Board as well as the 
medical boards of Tennessee, Colorado, Kentucky, and Washington, and a 
DEA Agent for civil rights violations in federal district court in Fort 
Myers, Florida. Id. at 2. He also asserted that this proceeding 
violates his ``constitutional right of due process to appeal a non 
final order'' and that ``no alleged final order exists until ALL final 
appeals are exhausted.'' Id. at 2-3.
    On review, the ALJ noted that under the CSA, ``a practitioner must 
be currently authorized to handle controlled substances in the 
jurisdiction in which [he] is registered'' in order to maintain his 
registration. R.D. at 3 (citing 21 U.S.C. 802(21), 823(f)). The ALJ 
also noted that under agency precedent, revocation is warranted ``where 
the practitioner lacks state authority, even if the practitioner has 
not had the opportunity to contest the charges'' brought by the state 
board, ``or if there is a possibility that the Respondent's state 
license will be reinstated in the future.'' Id. (citing Richard H. Ng., 
77 FR 29694, 29695 (2012); other citations omitted). Finding that there 
was no dispute over the material fact that ``Respondent lacks state 
authorization to handle controlled substances in Florida, where [he] is 
registered,'' the ALJ concluded that Respondent is not entitled to 
maintain his registration and granted the Government's motion, with the 
recommendation that I revoke his registration. Id. at 4.
    On January 12, 2017, after the expiration of the time period for 
filing exceptions, the ALJ forwarded the record to my Office for final 
agency action. More than two months later, Respondent submitted a 
pleading titled as: ``Motion To Reconsider And/Or Motion for Telephonic 
Hearing, And/Or Motion To Dismiss Administrative Revocation.''
    I decline to consider Respondents' motions. To the extent 
Respondent seeks reconsideration, his motion is not ripe,\2\ and even 
if it were ripe, it would fail. First, his motion presents no newly 
discovered evidence. See ICC v. Brotherhood of Locomotive Engineers, 
482 U.S. 270, 278 (1987). Second, he does not point to any ``changed 
circumstance'' that would render my adoption of the ALJ's factual 
findings, legal conclusions and recommended order inappropriate. Id. As 
for all three motions, they simply raise legal arguments which could 
have, and should have, been raised in a brief of exceptions to the 
ALJ's recommended decision. Respondent did not, however,

[[Page 18778]]

file a brief of exceptions. Accordingly, I adopt the ALJ's factual 
findings, legal conclusions and recommended order. I make the following 
factual findings.
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    \2\ The ALJ's recommended decision is not a final order of the 
Agency, and thus a motion for reconsideration is not ripe until the 
Agency issues its Decision and Order.
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Findings

    Respondent is the holder of DEA Certificate of Registration No. 
BW1311997, pursuant to which he is authorized to dispense controlled 
substances in schedules II through V, as a practitioner, at the 
registered location of Southwest Florida Medical, 16329 S. Tamiami 
Trail, Units 5 & 6, Fort Myers, Florida. Mot. for Summ. Disp., at 
Appendix A. This registration does not expire until May 31, 2018. Id.
    Respondent is also the holder of physician's license number ME 
46329, issued by the Florida Board of Medicine. Id. at Appendix C, at 3 
(Final Order adopting factual allegations of Administrative Complaint); 
id. at 8 (Complaint allegation that ``[a]t all times material to this 
Complaint, Respondent was a licensed physician within the State of 
Florida, having been issued license number ME 46329.''). However, on 
June 15, 2015, the Florida Board of Medicine issued a Final Order 
suspending ``Respondent's license to practice medicine in the State of 
Florida . . . until such time as he personally appears before the Board 
and demonstrates that his license to practice medicine in all 
jurisdictions is free from all encumbrances.'' Id. at 4. According to 
the Florida Department of Health's Web site, of which I take official 
notice, Respondent's medical license remains suspended as of the date 
of this Decision and Order.\3\
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    \3\ Respondent may dispute this finding by filing a properly 
supported motion for reconsideration within 10 business days of the 
date this Order is mailed. See 5 U.S.C. 556(e).
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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 of the 
Controlled Substances Act (CSA), ``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, 
DEA has long 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); Frederick Marsh Blanton, 43 FR 
27616 (1978).
    This rule derives from the text of two provisions of the CSA. 
First, Congress 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 substance in 
the course of professional practice.'' 21 U.S.C. 802(21). Second, in 
setting the requirements for obtaining a practitioner's registration, 
Congress directed that ``[t]he Attorney General shall register 
practitioners . . . if the applicant is authorized to dispense . . . 
controlled substances under the laws of the State in which he 
practices.'' 21 U.S.C. 823(f). Because Congress has clearly mandated 
that a practitioner possess state authority in order to be deemed a 
practitioner under the Act, DEA has held repeatedly that revocation of 
a practitioner's registration is the appropriate sanction whenever he 
is no longer authorized to dispense controlled substances under the 
laws of the State in which he practices medicine. See, e.g., Hooper, 76 
FR at 71371-72; Sheran Arden Yeates, M.D., 71 FR 39130, 39131 (2006); 
Dominick A. Ricci, 58 FR 51104, 51105 (1993); Bobby Watts, 53 FR 11919, 
11920 (1988); Blanton, 43 FR at 27616.
    In his Opposition, Respondent raised three main arguments. First, 
while he acknowledged that his Florida license has been suspended, he 
maintained that he has an active and unrestricted medical license in 
Wyoming. This, however, is beside the point because he is registered in 
Florida and not Wyoming, and his ability to hold a registration in 
Florida is conditioned on his possessing authority under Florida law to 
dispense controlled substances. See 21 U.S.C. 802(21), 823(f); see also 
United States v. Moore, 423 U.S. 122, 140-41 (1975) (``Registration of 
physicians and other practitioners is mandatory if the applicant is 
authorized to dispense drugs . . . under the law of the State in which 
he practices. [21 U.S.C.] Sec.  823(f). In the case of a physician, 
this scheme contemplates that he is authorized by the State to practice 
medicine and to dispense drugs in connection with his professional 
practice.''); Blanton, 43 FR at 27617 (``State authorization to 
dispense or otherwise handle controlled substances is a prerequisite to 
the issuance and maintenance of a Federal controlled substances 
registration.'').
    Second, Respondent argues that the suspension of his Florida 
license was illegal and that he is suing the Florida Board for 
violating his right to Due Process. DEA, however, has no authority to 
adjudicate the validity of the decisions of state boards, which are 
deemed to be presumptively lawful for the purposes of the Controlled 
Substances Act. See Kamal Tiwari, et al., 76 FR 71604, 71607 (2011) 
(quoting George S. Heath, 51 FR 26610 (1986) (``DEA accepts as valid 
and lawful the action of a state regulatory board unless that action is 
overturned by a state court or otherwise pursuant to state law.'')). 
Rather, Respondent is required to litigate his claims challenging the 
validity of the suspension in the administrative and judicial fora 
provided by the State of Florida. See Tiwari, 76 FR at 71607 (quoting 
Heath, 51 FR at 26610); Zhiwei Lin, 77 FR 18862, 18864 (2012); Sunil 
Bhasin, 72 FR 5082, 5083 (2007).
    Finally, Respondent maintains that this proceeding violates his due 
process right to appeal a non-final order and that no alleged final 
order exists until he exhausts his appeals. Putting aside that the 
Board characterized its Order suspending his state license as a ``Final 
Order,'' Respondent offers no support for his theory that the Agency's 
action violates whatever right he has at this point under Florida law 
to challenge the Board's Final Order. See Appendix C, at 5 (Board 
Order's notice to Respondent that under Florida law, he had 30 days to 
file a notice of appeal of the Board's Order). Indeed, nothing the 
Agency does in this proceeding, which involves the revocation of his 
DEA registration, effects his ability to seek judicial review of the 
Board's Final Order. While Respondent further argues that the Board's 
Order is not a Final Order (notwithstanding the Board's 
characterization that it is) until he exhaust his appeals, he cites 
neither a provision of the Florida statutes nor any decision of the 
Florida courts to support his contention.\4\
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    \4\ Even if the Board Order's was not final, Respondent's 
registration would still be subject to revocation based on his lack 
of state authority. Indeed, DEA has long exercised authority to 
revoke a registration even where a State Board resorts to summary 
process to suspend a practitioner's prescribing authority, because 
notwithstanding that the practitioner may eventually prevail at 
hearing before the Board, the practitioner ``is no longer authorized 
by State law to engage in the . . . dispensing of controlled 
substances.'' 21 U.S.C. 824(a)(3); Heath, 51 FR at 26610. This 
interpretation of the Agency's authority has been sustained on 
judicial review. See Maynard v. DEA, 117 Fed. Appx. 941, 944 (5th 
Cir. 2004) (rejecting argument that DEA exceeded its authority 
revoking a practitioner's registration because his state license was 
``merely temporarily suspended'' and recognizing that ``DEA need not 
inquire into the validity of a state licensing agency's decisions 
under section 824(a)(3)''). Of note, the Board's Order makes clear 
that Respondent was given a hearing before the Board suspended his 
license. Appendix C, at 3.

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[[Page 18779]]

    Because it is undisputed that based on the Florida Board's Final 
Order, Respondent's state license has been suspended and he ``is no 
longer authorized by State law to engage in the . . . dispensing of 
controlled substances'' in Florida, the State in which he is registered 
with the Agency, he is not entitled to maintain his registration. 21 
U.S.C. 824(a)(3); see also id. section 802(21), Blanton, 43 FR at 
27616. I will therefore order that his registration be revoked and that 
any pending application to renew or modify his registration be denied.

Order

    Pursuant to the authority vested in me by 21 U.S.C. 824(a)(3) and 
28 CFR 0.100(b), I order that DEA Certificate of Registration No. 
BW1311997 issued to William H. Wyttenbach, M.D., be, and it hereby is, 
revoked. Pursuant to the authority vested in me by 21 U.S.C. 823(f) and 
28 CFR 0.100(b), I further order that any application of William H. 
Wyttenbach, M.D., to renew or modify the above registration, be, and it 
hereby is, denied. This Order is effective May 22, 2017.

    Dated: April 14, 2017.
Chuck Rosenberg,
Acting Administrator.
[FR Doc. 2017-08013 Filed 4-20-17; 8:45 am]
 BILLING CODE 4410-09-P



                                                                                 Federal Register / Vol. 82, No. 76 / Friday, April 21, 2017 / Notices                                                   18777

                                                India: Investigation Nos. 701–TA–318                    submit its evidence in support of the                 and a DEA Agent for civil rights
                                                and 731–TA–538 and 561 (Fourth                          allegation and any motion for summary                 violations in federal district court in
                                                Review).                                                disposition on this ground by 2 p.m. on               Fort Myers, Florida. Id. at 2. He also
                                                  By order of the Commission.                           November 28, 2016. See Briefing                       asserted that this proceeding violates his
                                                  Issued: April 17. 2017.                               Schedule for Lack of State Authority                  ‘‘constitutional right of due process to
                                                                                                        Allegations, at 1. The ALJ also ordered               appeal a non final order’’ and that ‘‘no
                                                Lisa R. Barton,
                                                                                                        that if the Government filed such                     alleged final order exists until ALL final
                                                Secretary to the Commission.
                                                                                                        motion, Respondent’s reply was due by                 appeals are exhausted.’’ Id. at 2–3.
                                                [FR Doc. 2017–08064 Filed 4–20–17; 8:45 am]             2 p.m. on December 12, 2016. Id.                         On review, the ALJ noted that under
                                                BILLING CODE 7020–02–P                                     On November 8, 2016, the                           the CSA, ‘‘a practitioner must be
                                                                                                        Government filed its Motion for                       currently authorized to handle
                                                                                                        Summary Disposition, which asserted                   controlled substances in the jurisdiction
                                                DEPARTMENT OF JUSTICE                                   that ‘‘on June 15, 2016, the State of                 in which [he] is registered’’ in order to
                                                                                                        Florida Board of Medicine suspended                   maintain his registration. R.D. at 3
                                                Drug Enforcement Administration                         Respondent’s state medical license.’’                 (citing 21 U.S.C. 802(21), 823(f)). The
                                                [Docket No. 17–8]                                       Mot. at 2. As support for its Motion, the             ALJ also noted that under agency
                                                                                                        Government attached a June 15, 2015                   precedent, revocation is warranted
                                                William H. Wyttenbach, M.D.; Decision                   Final Order issued by the Florida Board               ‘‘where the practitioner lacks state
                                                and Order                                               of Medicine which suspended                           authority, even if the practitioner has
                                                                                                        Respondent’s Florida medical license                  not had the opportunity to contest the
                                                   On October 4, 2016, the Assistant
                                                                                                        ‘‘until such time as he personally                    charges’’ brought by the state board, ‘‘or
                                                Administrator, Diversion Control
                                                                                                        appears before the Board and                          if there is a possibility that the
                                                Division, issued an Order to Show
                                                                                                        demonstrates that his license to practice             Respondent’s state license will be
                                                Cause to William H. Wyttenbach, M.D.
                                                                                                        medicine in all jurisdictions is free from            reinstated in the future.’’ Id. (citing
                                                (Respondent), of Fort Myers, Florida.
                                                                                                        all encumbrances.’’ Appendix C, at 4.                 Richard H. Ng., 77 FR 29694, 29695
                                                The Show Cause Order proposed the
                                                                                                        The Government also attached an                       (2012); other citations omitted). Finding
                                                revocation of Respondent’s DEA
                                                                                                        affidavit by a DEA Diversion                          that there was no dispute over the
                                                Certificate of Registration No.
                                                                                                        Investigator attesting to the authenticity            material fact that ‘‘Respondent lacks
                                                BW1311997, on the ground that he
                                                                                                        of the Florida Board’s Final Order, see               state authorization to handle controlled
                                                ‘‘do[es] not have authority to handle
                                                                                                        Appendix B, as well as a copy of                      substances in Florida, where [he] is
                                                controlled substances in the State of
                                                                                                        Respondent’s DEA registration. See                    registered,’’ the ALJ concluded that
                                                Florida, the [S]tate in which [he is]
                                                                                                        Appendix A.                                           Respondent is not entitled to maintain
                                                registered with the’’ Agency. Show                         Based on this evidence, the
                                                Cause Order, at 1 (citing 21 U.S.C.                                                                           his registration and granted the
                                                                                                        Government argued that Respondent is                  Government’s motion, with the
                                                823(f), 824(a)(3)).                                     without authority to handle controlled
                                                   As to the jurisdictional basis for the                                                                     recommendation that I revoke his
                                                                                                        substances in Florida and therefore, he               registration. Id. at 4.
                                                proceeding, the Show Cause Order
                                                                                                        does not meet the statutory definition of                On January 12, 2017, after the
                                                alleged that Respondent is registered ‘‘as
                                                                                                        a practitioner. Motion, at 3–4 (citing 21             expiration of the time period for filing
                                                a practitioner in [s]chedules II–V,’’
                                                                                                        U.S.C. 802(21)). Invoking cases holding               exceptions, the ALJ forwarded the
                                                pursuant to the above registration
                                                                                                        that revocation is warranted even when                record to my Office for final agency
                                                number, at the registered address of                    a registrant’s state authority has been
                                                16329 South Tamiami Trail, Units 5&6,                                                                         action. More than two months later,
                                                                                                        summarily suspended, the Government                   Respondent submitted a pleading titled
                                                Fort Myers, Florida. Id. The Order                      maintained that because possessing
                                                further alleged that Respondent’s                                                                             as: ‘‘Motion To Reconsider And/Or
                                                                                                        authority to dispense controlled
                                                registration ‘‘expires by its terms on                                                                        Motion for Telephonic Hearing, And/Or
                                                                                                        substances under the laws of the state in
                                                May 31, 2018.’’ Id.                                                                                           Motion To Dismiss Administrative
                                                                                                        which a practitioner engages in
                                                   As to the substantive basis for the                                                                        Revocation.’’
                                                                                                        professional practice is a fundamental                   I decline to consider Respondents’
                                                proceeding, the Show Cause Order
                                                                                                        condition for maintaining a DEA
                                                alleged that effective June 15, 2016, the                                                                     motions. To the extent Respondent
                                                                                                        registration and Respondent does not
                                                Florida Board of Medicine ‘‘suspended                                                                         seeks reconsideration, his motion is not
                                                                                                        possess such authority, revocation of his
                                                [his] authority to practice medicine,’’                                                                       ripe,2 and even if it were ripe, it would
                                                                                                        registration is warranted. Id. at 4 (citing
                                                and that he is ‘‘without authority to                                                                         fail. First, his motion presents no newly
                                                                                                        Gary Alfred Shearer, 78 FR 19,009,
                                                handle controlled substances in Florida,                                                                      discovered evidence. See ICC v.
                                                                                                        19012 (2013) (other citation omitted)).
                                                the [S]tate in which [he is] registered                    On December 5, 2016, Respondent                    Brotherhood of Locomotive Engineers,
                                                with’’ DEA. Id. The Order thus alleged                  filed his Response to the Government’s                482 U.S. 270, 278 (1987). Second, he
                                                that Respondent’s registration is subject               Motion. Therein, Respondent stated that               does not point to any ‘‘changed
                                                to revocation.1 Id. (citing 21 U.S.C.                   he ‘‘agrees[ ] he has no authority to                 circumstance’’ that would render my
                                                802(21), 823(f), 824(a)(3)).                            practice medicine in Florida and has not              adoption of the ALJ’s factual findings,
                                                   On November 3, 2016, Respondent                      done so since June 4, 2015 and                        legal conclusions and recommended
                                                submitted a request for a hearing. The                  ongoing.’’ Response, at 1. Respondent                 order inappropriate. Id. As for all three
                                                matter was placed on the docket of the                  asserted, however, that he does have an               motions, they simply raise legal
                                                Office of Administrative Law Judges and                 active and unrestricted medical license               arguments which could have, and
sradovich on DSK3GMQ082PROD with NOTICES




                                                assigned to ALJ Charles Wm. Dorman.                     in Wyoming. Id. He further asserted that              should have, been raised in a brief of
                                                Thereafter, the ALJ issued an order                     the suspension of his Florida license                 exceptions to the ALJ’s recommended
                                                which directed the Government to                        was illegal, that the Florida Board had               decision. Respondent did not, however,
                                                  1 The Show Cause Order also notified Respondent
                                                                                                        violated his Due Process rights, and that                2 The ALJ’s recommended decision is not a final

                                                of his right to submit a corrective action plan and
                                                                                                        he is suing the Florida Board as well as              order of the Agency, and thus a motion for
                                                the procedure for doing so. Show Cause Order, at        the medical boards of Tennessee,                      reconsideration is not ripe until the Agency issues
                                                2–3 (citing 21 U.S.C. 824(c)(2)(C)).                    Colorado, Kentucky, and Washington,                   its Decision and Order.



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                                                18778                            Federal Register / Vol. 82, No. 76 / Friday, April 21, 2017 / Notices

                                                file a brief of exceptions. Accordingly, I              (4th Cir. 2012); Frederick Marsh                      Board for violating his right to Due
                                                adopt the ALJ’s factual findings, legal                 Blanton, 43 FR 27616 (1978).                          Process. DEA, however, has no authority
                                                conclusions and recommended order. I                       This rule derives from the text of two             to adjudicate the validity of the
                                                make the following factual findings.                    provisions of the CSA. First, Congress                decisions of state boards, which are
                                                                                                        defined ‘‘the term ‘practitioner’ [to]                deemed to be presumptively lawful for
                                                Findings                                                mean[ ] a . . . physician . . . or other              the purposes of the Controlled
                                                   Respondent is the holder of DEA                      person licensed, registered or otherwise              Substances Act. See Kamal Tiwari, et
                                                Certificate of Registration No.                         permitted, by . . . the jurisdiction in               al., 76 FR 71604, 71607 (2011) (quoting
                                                BW1311997, pursuant to which he is                      which he practices . . . to distribute,               George S. Heath, 51 FR 26610 (1986)
                                                authorized to dispense controlled                       dispense, [or] administer . . . a                     (‘‘DEA accepts as valid and lawful the
                                                substances in schedules II through V, as                controlled substance in the course of                 action of a state regulatory board unless
                                                a practitioner, at the registered location              professional practice.’’ 21 U.S.C.                    that action is overturned by a state court
                                                of Southwest Florida Medical, 16329 S.                  802(21). Second, in setting the                       or otherwise pursuant to state law.’’)).
                                                Tamiami Trail, Units 5 & 6, Fort Myers,                 requirements for obtaining a                          Rather, Respondent is required to
                                                Florida. Mot. for Summ. Disp., at                       practitioner’s registration, Congress                 litigate his claims challenging the
                                                Appendix A. This registration does not                  directed that ‘‘[t]he Attorney General                validity of the suspension in the
                                                expire until May 31, 2018. Id.                          shall register practitioners . . . if the             administrative and judicial fora
                                                   Respondent is also the holder of                     applicant is authorized to dispense . . .             provided by the State of Florida. See
                                                physician’s license number ME 46329,                    controlled substances under the laws of               Tiwari, 76 FR at 71607 (quoting Heath,
                                                issued by the Florida Board of                          the State in which he practices.’’ 21                 51 FR at 26610); Zhiwei Lin, 77 FR
                                                Medicine. Id. at Appendix C, at 3 (Final                U.S.C. 823(f). Because Congress has                   18862, 18864 (2012); Sunil Bhasin, 72
                                                Order adopting factual allegations of                   clearly mandated that a practitioner                  FR 5082, 5083 (2007).
                                                Administrative Complaint); id. at 8                     possess state authority in order to be                   Finally, Respondent maintains that
                                                (Complaint allegation that ‘‘[a]t all times             deemed a practitioner under the Act,                  this proceeding violates his due process
                                                material to this Complaint, Respondent                  DEA has held repeatedly that revocation               right to appeal a non-final order and
                                                was a licensed physician within the                     of a practitioner’s registration is the               that no alleged final order exists until he
                                                State of Florida, having been issued                    appropriate sanction whenever he is no                exhausts his appeals. Putting aside that
                                                license number ME 46329.’’). However,                   longer authorized to dispense controlled              the Board characterized its Order
                                                on June 15, 2015, the Florida Board of                  substances under the laws of the State                suspending his state license as a ‘‘Final
                                                Medicine issued a Final Order                           in which he practices medicine. See,                  Order,’’ Respondent offers no support
                                                suspending ‘‘Respondent’s license to                    e.g., Hooper, 76 FR at 71371–72; Sheran               for his theory that the Agency’s action
                                                practice medicine in the State of Florida               Arden Yeates, M.D., 71 FR 39130, 39131                violates whatever right he has at this
                                                . . . until such time as he personally                  (2006); Dominick A. Ricci, 58 FR 51104,               point under Florida law to challenge the
                                                appears before the Board and                            51105 (1993); Bobby Watts, 53 FR                      Board’s Final Order. See Appendix C, at
                                                demonstrates that his license to practice               11919, 11920 (1988); Blanton, 43 FR at                5 (Board Order’s notice to Respondent
                                                medicine in all jurisdictions is free from              27616.                                                that under Florida law, he had 30 days
                                                all encumbrances.’’ Id. at 4. According                    In his Opposition, Respondent raised               to file a notice of appeal of the Board’s
                                                to the Florida Department of Health’s                   three main arguments. First, while he                 Order). Indeed, nothing the Agency does
                                                Web site, of which I take official notice,              acknowledged that his Florida license                 in this proceeding, which involves the
                                                Respondent’s medical license remains                    has been suspended, he maintained that                revocation of his DEA registration,
                                                suspended as of the date of this                        he has an active and unrestricted                     effects his ability to seek judicial review
                                                Decision and Order.3                                    medical license in Wyoming. This,                     of the Board’s Final Order. While
                                                                                                        however, is beside the point because he               Respondent further argues that the
                                                Discussion                                              is registered in Florida and not                      Board’s Order is not a Final Order
                                                   Pursuant to 21 U.S.C. 824(a)(3), the                 Wyoming, and his ability to hold a                    (notwithstanding the Board’s
                                                Attorney General is authorized to                       registration in Florida is conditioned on             characterization that it is) until he
                                                suspend or revoke a registration issued                 his possessing authority under Florida                exhaust his appeals, he cites neither a
                                                under section 823 of the Controlled                     law to dispense controlled substances.                provision of the Florida statutes nor any
                                                Substances Act (CSA), ‘‘upon a finding                  See 21 U.S.C. 802(21), 823(f); see also               decision of the Florida courts to support
                                                that the registrant . . . has had his State             United States v. Moore, 423 U.S. 122,                 his contention.4
                                                license . . . suspended [or] revoked                    140–41 (1975) (‘‘Registration of
                                                                                                        physicians and other practitioners is                    4 Even if the Board Order’s was not final,
                                                . . . by competent State authority and is
                                                                                                        mandatory if the applicant is authorized              Respondent’s registration would still be subject to
                                                no longer authorized by State law to                                                                          revocation based on his lack of state authority.
                                                                                                        to dispense drugs . . . under the law of
                                                engage in the . . . dispensing of                                                                             Indeed, DEA has long exercised authority to revoke
                                                                                                        the State in which he practices. [21                  a registration even where a State Board resorts to
                                                controlled substances.’’ Moreover, DEA
                                                                                                        U.S.C.] § 823(f). In the case of a                    summary process to suspend a practitioner’s
                                                has long held that the possession of
                                                                                                        physician, this scheme contemplates                   prescribing authority, because notwithstanding that
                                                authority to dispense controlled                                                                              the practitioner may eventually prevail at hearing
                                                                                                        that he is authorized by the State to
                                                substances under the laws of the State                                                                        before the Board, the practitioner ‘‘is no longer
                                                                                                        practice medicine and to dispense drugs               authorized by State law to engage in the . . .
                                                in which a practitioner engages in
                                                                                                        in connection with his professional                   dispensing of controlled substances.’’ 21 U.S.C.
                                                professional practice is a fundamental
                                                                                                        practice.’’); Blanton, 43 FR at 27617                 824(a)(3); Heath, 51 FR at 26610. This interpretation
                                                condition for obtaining and maintaining                                                                       of the Agency’s authority has been sustained on
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                                                                                                        (‘‘State authorization to dispense or
                                                a practitioner’s registration. See, e.g.,                                                                     judicial review. See Maynard v. DEA, 117 Fed.
                                                                                                        otherwise handle controlled substances                Appx. 941, 944 (5th Cir. 2004) (rejecting argument
                                                James L. Hooper, 76 FR 71371 (2011),
                                                                                                        is a prerequisite to the issuance and                 that DEA exceeded its authority revoking a
                                                pet. for rev. denied, 481 Fed. Appx. 826
                                                                                                        maintenance of a Federal controlled                   practitioner’s registration because his state license
                                                                                                        substances registration.’’).                          was ‘‘merely temporarily suspended’’ and
                                                  3 Respondent may dispute this finding by filing                                                             recognizing that ‘‘DEA need not inquire into the
                                                a properly supported motion for reconsideration
                                                                                                           Second, Respondent argues that the                 validity of a state licensing agency’s decisions
                                                within 10 business days of the date this Order is       suspension of his Florida license was                 under section 824(a)(3)’’). Of note, the Board’s
                                                mailed. See 5 U.S.C. 556(e).                            illegal and that he is suing the Florida              Order makes clear that Respondent was given a



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                                                                                 Federal Register / Vol. 82, No. 76 / Friday, April 21, 2017 / Notices                                                  18779

                                                   Because it is undisputed that based on                 The publication of this notice opens                 accordance with the Paperwork
                                                the Florida Board’s Final Order,                        a period for public comment on the                     Reduction Act of 1995 (PRA). Public
                                                Respondent’s state license has been                     Consent Decree. Comments should be                     comments on the ICR are invited.
                                                suspended and he ‘‘is no longer                         addressed to the Assistant Attorney                    DATES: The OMB will consider all
                                                authorized by State law to engage in the                General, Environment and Natural                       written comments that agency receives
                                                . . . dispensing of controlled                          Resources Division, and should refer to                on or before May 22, 2017.
                                                substances’’ in Florida, the State in                   United States v. Municipality of Santa                 ADDRESSES: A copy of this ICR with
                                                which he is registered with the Agency,                 Isabel, D.J. Ref. No. 90–7–1–10627. All                applicable supporting documentation;
                                                he is not entitled to maintain his                      comments must be submitted no later                    including a description of the likely
                                                registration. 21 U.S.C. 824(a)(3); see also             than 30 days after the publication date                respondents, proposed frequency of
                                                id. section 802(21), Blanton, 43 FR at                  of this notice. Comments may be                        response, and estimated total burden
                                                27616. I will therefore order that his                  submitted either by email or by mail:                  may be obtained free of charge from the
                                                registration be revoked and that any                                                                           RegInfo.gov Web site at http://
                                                pending application to renew or modify                   To submit com-                                        www.reginfo.gov/public/do/
                                                                                                                                       Send them to:
                                                his registration be denied.                                  ments:
                                                                                                                                                               PRAViewICR?ref_nbr=201612-1219-004
                                                Order                                                   By email ............    pubcomment-ees.enrd@          (this link will only become active on the
                                                                                                                                   usdoj.gov.                  day following publication of this notice)
                                                   Pursuant to the authority vested in me               By mail ..............   Assistant Attorney General    or by contacting Michel Smyth by
                                                by 21 U.S.C. 824(a)(3) and 28 CFR                                                U.S. DOJ—ENRD                 telephone at 202–693–4129, TTY 202–
                                                0.100(b), I order that DEA Certificate of                                        P.O. Box 7611                 693–8064, (these are not toll-free
                                                Registration No. BW1311997 issued to                                             Washington, D.C. 20044–       numbers) or by email at DOL_PRA_
                                                William H. Wyttenbach, M.D., be, and it                                            7611.                       PUBLIC@dol.gov.
                                                hereby is, revoked. Pursuant to the                                                                               Submit comments about this request
                                                authority vested in me by 21 U.S.C.                       During the public comment period,                    by mail to the Office of Information and
                                                823(f) and 28 CFR 0.100(b), I further                   the Consent Decree may be examined                     Regulatory Affairs, Attn: OMB Desk
                                                order that any application of William H.                and downloaded at this Justice                         Officer for DOL–MSHA, Office of
                                                Wyttenbach, M.D., to renew or modify                    Department Web site: https://                          Management and Budget, Room 10235,
                                                the above registration, be, and it hereby               www.justice.gov/enrd/consent-decrees.                  725 17th Street NW., Washington, DC
                                                is, denied. This Order is effective May                 We will provide a paper copy of the                    20503; by Fax: 202–395–5806 (this is
                                                22, 2017.                                               Consent Decree upon written request                    not a toll-free number); or by email:
                                                                                                        and payment of reproduction costs.                     OIRA_submission@omb.eop.gov.
                                                  Dated: April 14, 2017.                                Please mail your request and payment                   Commenters are encouraged, but not
                                                Chuck Rosenberg,                                        to: Consent Decree Library, U.S. DOJ—                  required, to send a courtesy copy of any
                                                Acting Administrator.                                   ENRD, P.O. Box 7611, Washington, DC                    comments by mail or courier to the U.S.
                                                [FR Doc. 2017–08013 Filed 4–20–17; 8:45 am]             20044–7611.                                            Department of Labor—OASAM, Office
                                                BILLING CODE 4410–09–P                                    Please enclose a check or money order                of the Chief Information Officer, Attn:
                                                                                                        for $19.25 (25 cents per page                          Departmental Information Compliance
                                                                                                        reproduction cost) payable to the United               Management Program, Room N1301,
                                                DEPARTMENT OF JUSTICE                                   States Treasury. For a paper copy                      200 Constitution Avenue NW.,
                                                                                                        without the exhibits and signature                     Washington, DC 20210; or by email:
                                                Notice of Lodging of Proposed                           pages, the cost is $5.25.                              DOL_PRA_PUBLIC@dol.gov.
                                                Consent Decree Under the Solid Waste
                                                                                                        Robert E. Maher, Jr.,                                  FOR FURTHER INFORMATION CONTACT:
                                                Disposal Act
                                                                                                        Assistant Section Chief, Environmental                 Michel Smyth by telephone at 202–693–
                                                   On April 12, 2017, the Department of                 Enforcement Section, Environment and                   4129, TTY 202–693–8064, (these are not
                                                Justice lodged a proposed Consent                       Natural Resources Division.                            toll-free numbers) or by email at DOL_
                                                Decree with the United States District                  [FR Doc. 2017–08029 Filed 4–20–17; 8:45 am]            PRA_PUBLIC@dol.gov.
                                                Court for the District of Puerto Rico in                BILLING CODE 4410–15–P                                    Authority: 44 U.S.C. 3507(a)(1)(D).
                                                the lawsuit entitled United States v.                                                                          SUPPLEMENTARY INFORMATION:     This ICR
                                                Municipality of Santa Isabel, Civil                                                                            seeks to extend PRA authority for the
                                                Action No. 3:17–CV–01494.                               DEPARTMENT OF LABOR                                    Radiation Sampling and Exposure
                                                   The United States filed this action                                                                         Records information collection. More
                                                under the Solid Waste Disposal Act                      Office of the Secretary                                specifically, regulations 30 CFR 57.5040
                                                (SWDA). The United States’ complaint                                                                           requires a mine operator to calculate
                                                                                                        Agency Information Collection                          and record individual exposures to
                                                seeks injunctive relief and civil
                                                                                                        Activities; Submission for OMB                         radon daughters on Form MSHA–4000–
                                                penalties for the failure by the
                                                                                                        Review; Comment Request; Radiation                     9, Record of Individual Exposure to
                                                Municipality of Santa Isabel to comply
                                                                                                        Sampling and Exposure Records                          Radon Daughters, The calculations are
                                                with a U.S. Environmental Protection
                                                Agency administrative order on consent                  ACTION:    Notice.                                     based on the results of weekly sampling
                                                issued under the SWDA which                                                                                    required by 30 CFR 57.5037. The
                                                addresses the closure of the                            SUMMARY:   The Department of Labor                     operator must maintain records and
                                                                                                        (DOL) is submitting the Mine Safety and                submit them annually to the MSHA.
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                                                Municipality’s landfill. The consent
                                                decree requires the Municipality to,                    Health Administration (MSHA)                           The sampling and recordkeeping
                                                among other things, close its landfill,                 sponsored information collection                       requirement alerts the mine operator
                                                implement a recycling program, and pay                  request (ICR) titled, ‘‘Radiation                      and the MSHA to possible failure in the
                                                a $20,000 civil penalty.                                Sampling and Exposure Records,’’ to the                radon daughter control system and
                                                                                                        Office of Management and Budget                        permits timely appropriate corrective
                                                hearing before the Board suspended his license.         (OMB) for review and approval for                      action. Data submitted to the MSHA is
                                                Appendix C, at 3.                                       continued use, without change, in                      intended to establish a means by which


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Document Created: 2017-04-21 01:19:24
Document Modified: 2017-04-21 01:19:24
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 Citation82 FR 18777 

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