82_FR_55863 82 FR 55639 - Linda M. Shuck, D.O.; Decision and Order

82 FR 55639 - Linda M. Shuck, D.O.; Decision and Order

DEPARTMENT OF JUSTICE
Drug Enforcement Administration

Federal Register Volume 82, Issue 224 (November 22, 2017)

Page Range55639-55641
FR Document2017-25286

Federal Register, Volume 82 Issue 224 (Wednesday, November 22, 2017)
[Federal Register Volume 82, Number 224 (Wednesday, November 22, 2017)]
[Notices]
[Pages 55639-55641]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-25286]


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DEPARTMENT OF JUSTICE

Drug Enforcement Administration


Linda M. Shuck, D.O.; Decision and Order

    On July 25, 2017, the Assistant Administrator, Diversion Control 
Division, Drug Enforcement Administration, issued an Order to Show 
Cause to Linda M. Shuck (Registrant), of Dobson, North Carolina. The 
Show Cause Order proposed the revocation of Registrant's Certificate of 
Registration, on the ground that she

[[Page 55640]]

``do[es] not have authority to handle controlled substances in the 
State of North Carolina, the [S]tate in which [she is] registered with 
the'' Agency. GX 2, at 1 (citing 21 U.S.C. 823(f) and 824(a)(3)).
    As to the jurisdictional basis for the proceeding, the Show Cause 
Order alleged that Registrant is the holder of a practitioner's 
registration with authority in schedules II through V, under 
Certificate of Registration No. BP4154023, at the registered location 
of Carolina Heart Care, 651 S. Main Street, Dobson, North Carolina. Id. 
The Order further alleged that this registration ``expires . . . on 
February 28, 2018.'' Id.
    As to the substantive ground for the proceeding, the Show Cause 
Order alleged that on June 23, 2017, the North Carolina Medical Board 
suspended Registrant's medical license for six months. Id. The Order 
alleged that because of the Board's action, Registrant is ``without 
authority to handle controlled substances in . . . North Carolina, the 
[S]tate in which [she is] registered,'' and that as a consequence, her 
registration is subject to revocation. Id. at 1-2 (citing cases).
    The Show Cause Order notified Registrant of her right to request a 
hearing on the allegations or to submit a written statement while 
waiving her right to a hearing, the procedure for electing either 
option, and the consequence for failing to elect either option. Id. at 
2 (citing 21 CFR 1301.43). In addition, the Show Cause Order notified 
Registrant of her right to submit a corrective action plan under 21 
U.S.C. 824(c)(2)(C). Id. at 2-3.
    On August 1, 2017, a DEA Special Agent assigned to the Charlotte 
District Office personally served the Show Cause Order on Registrant. 
GX 3, at 1-2 (Declaration of Special Agent). In a letter dated August 
3, 2017, Registrant stated that she was ``aware of the current law 
regarding [her] DEA Certificate'' and that she did ``not wish to have a 
hearing on the issue.'' GX 4. Registrant further stated that her 
``medical license is suspend[ed] until 12-23-2017'' and that she ``will 
reapply for [her] DEA certification after [her] suspension is 
completed.'' Id.
    On September 8, 2017, the Government submitted a Request for Final 
Agency Action. Therein, the Government seeks the revocation of 
Registrant's registration. As support for the proposed action, the 
Government submitted various exhibits, including a Consent Order 
entered into by Registrant and the North Carolina Medical Board on May 
23, 2017. See GX3A, at 8.
    Based on Registrant's letter of August 3, 2017, I find that 
Registrant has waived her right to a hearing on the allegations of the 
Show Cause Order. 21 CFR 1301.43. I therefore issue this Decision and 
Order based on relevant evidence submitted by the Government. I make 
the following findings.

Findings

    Registrant is the holder of DEA Certificate of Registration No. 
BP4154023, pursuant to which she is authorized to dispense controlled 
substances in schedules II through V, at the registered address of 
Carolina Heart Care, 651 S. Main St., Dobson, North Carolina. GX 1. 
Registrant is also the holder of DATA-Waiver Identification No. 
XP4154023, pursuant to which she is authorized to prescribe schedule 
III through V ``narcotic drug[s] approved by the Food and Drug 
Administration specifically for use in maintenance or detoxification 
treatment'' to up to 100 patients. GX 1; see also 21 CFR 1306.04(c).
    Registrant is also the holder of a license to practice medicine and 
surgery issued by the North Carolina Medical Board. However, on May 23, 
2017, Registrant entered into a Consent Order with the Board. GX 3, 
Appendix A, at 8. The Board's Order found that in September 2014, 
Registrant and the Board had entered a previous Consent Order ``based 
on findings that [she] had failed to conform to the standards of 
acceptable and prevailing medical practice in her care of five patients 
that she treated for chronic pain.'' Id. at 2. The Board further found 
that while Registrant ``underwent the required [comprehensive 
professional] assessment, [she] still has failed to complete any 
remediation recommended by the assessment center in a timely manner.'' 
Id.
    The Board's Order also found that, in April 2016, it had received 
information regarding Registrant's prescribing of opiates to four 
patients, including one who died due to ``opioid toxicity.'' Id. The 
Board further found that ``an independent medical expert'' had reviewed 
the medical records of the four patients and opined that Registrant's 
``diagnosis, treatment, and overall care in all four . . . cases failed 
to conform to the standards of acceptable and prevailing medical 
practice in North Carolina.'' Id.
    Finally, the Board found that, ``[o]n December 6, 2016, 
[Registrant] entered into an Interim Partial Non-Practice Agreement 
restricting her prescribing of all controlled substances.'' Id. at 3. 
The Board further found that Registrant issued controlled substance 
prescriptions to patients in violation of the Interim Partial Non-
Practice Agreement. Id.
    With respect to her ``care and treatment of'' the four patients, 
the Board concluded as a matter of law that Registrant ``fail[ed] to 
conform to the standards of acceptable and prevailing medical 
practice.'' Id. at 4 (citing N.C. Gen. Stat. SEC. 90-14(a)(6)). The 
Board also concluded as a matter of law that Registrant's ``issuance of 
controlled substance prescriptions in violation of a restriction 
contained in the December 2016 Interim Partial Non-Practice Agreement . 
. . constitutes unprofessional conduct.'' Id. (citing N.C. Gen. Stat. 
SEC. 90-14(a)(6)).
    The Board and Registrant agreed to resolve the matter by suspending 
her medical license for a period of six months ``from June 23, 2017[] 
until December 23, 2017.'' Id. at 5. While the Board and Registrant 
agreed that she ``may return to the active practice of medicine on 
December 24, 2017, subject to the provisions contained in this . . . 
Order,'' the provisions include that she ``shall not prescribe 
controlled substances except for a patient who has been admitted to a 
hospital where [she] has active clinical privileges.'' Id. The 
provisions also include that ``[o]nce the patient has been discharged, 
[she] shall not prescribe controlled substances for those patients who 
received such medications pursuant to'' the above provision. Id. at 6.
    Moreover, Registrant's ability to resume practicing medicine is 
also subject to the condition that she ``complete a five . . . day 
board certification review course in Internal Medicine.'' \1\ Id. Thus, 
while the suspension may expire in less than six weeks, it is far from 
certain that she will be able to resume practicing medicine (even 
subject to the limitations on her authority to prescribe), and absent 
evidence that she has completed the board certification review course, 
the restriction on her ability to resume practicing takes on the 
characteristic of a suspension of indefinite duration. Based on the 
above, I find that Registrant is currently without authority

[[Page 55641]]

to dispense controlled substances under the laws of the State of North 
Carolina.
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    \1\ According to the online records of the North Carolina 
Medical Board, of which I take official notice, the suspension of 
Registrant's medical license remains in effect as of the date of 
this Decision and Order. See 5 U.S.C. 556(e). Registrant may dispute 
this finding by filing a properly supported motion for 
reconsideration within 10 business days of the date of this Order 
with the Office of the Administrator. Registrant may also provide 
evidence that she has completed the five-day board certification 
review course. Registrant must serve a copy of any such motion on 
the Government.
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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, ``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.'' Also, DEA has held repeatedly 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 [s]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 [s]he 
practices.'' 21 U.S.C. 823(f). Because Congress has clearly mandated 
that a physician possess state authority in order to be deemed a 
practitioner under the Act, DEA has held that revocation of a 
practitioner's registration is the appropriate sanction whenever she is 
no longer authorized to dispense controlled substances under the laws 
of the State in which she practices medicine. See, e.g., Calvin Ramsey, 
76 FR 20034, 20036 (2011); 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); see also Hooper v. Holder, 481 Fed. 
Appx. at 828.
    As a consequence of the Consent Order which Registrant entered into 
with the Board, she is not currently authorized to dispense controlled 
substances in North Carolina, the State in which she is registered with 
the Agency. Because the CSA makes clear 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 both obtaining and maintaining a 
practitioner's registration, it is of no consequence that the 
suspension is of a finite duration. See Hooper v. Holder, 481 F. App'x 
at 828 (upholding revocation of a physician's registration as based on 
a reasonable interpretation of the CSA, notwithstanding that the 
physician's medical license was subject to a suspension of known 
duration); see also James L. Hooper, 76 FR 71371, 71371-72 (2011). 
Rather, what matters for the purposes of the CSA is that Registrant is 
not currently authorized to dispense controlled substances in North 
Carolina. See Hooper, 76 FR at 71371 (quoting Anne Lazar Thorn, 62 FR 
12847, 12848 (1997) (``the controlling question . . . is whether the 
Respondent is currently authorized to handle controlled substances in 
the state'')). Indeed, it is by no means clear that Registrant will 
even be able to resume the practice of medicine following the ending 
date of the suspension given the requirement that she complete the 
required five-day board certification review course.\2\ Therefore, she 
is not entitled to maintain her registration in that State. 
Accordingly, I will order that her registration and her DATA-Waiver 
Identification number be revoked.
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    \2\ Indeed, as found above, even if she completes the course and 
returns to practice, under the Consent Order, she is prohibited from 
prescribing controlled substances outside of a hospital where she 
``has active clinical privileges.'' GX 3, Appendix A, at 5. As this 
revocation does not impose any time bar on Registrant's ability to 
reapply, she can apply for a new registration upon being allowed to 
return to practice.
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Order

    Pursuant to the authority vested in me by 21 U.S.C. 824(a) and 28 
CFR 0.100(b), I order that DEA Certificate of Registration No. 
BP4154023, issued to Linda M. Shuck, be, and it hereby is, revoked. I 
further order that DATA-Waiver Identification No. XP4154023, issued to 
Linda M. Shuck, be, and it hereby is, revoked. This order is effective 
immediately.\3\
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    \3\ Based on the North Carolina Board's findings that Registrant 
prescribed controlled substances in violation of the Interim Partial 
Non-Practice Agreement, I find that the public interest necessitates 
that this Order be effective immediately. 21 CFR 1316.67.

    Dated: November 13, 2017.
Robert W. Patterson,
Acting Administrator.
[FR Doc. 2017-25286 Filed 11-21-17; 8:45 am]
 BILLING CODE 4410-09-P



                                                                                      Federal Register / Vol. 82, No. 224 / Wednesday, November 22, 2017 / Notices                                                                                   55639

                                                       While Congress also amended section                                     that Respondent is not currently                                            DEPARTMENT OF JUSTICE
                                                    ‘‘824(a) to add to the current bases for                                   authorized to dispense controlled
                                                    denial, revocation, or suspension of                                       substances in Mississippi, the State in                                     Drug Enforcement Administration
                                                    registration a finding that registration                                   which he holds the DEA registration at                                      [Docket No. DEA–392]
                                                    would be inconsistent with the public                                      issue in this proceeding, I will adopt the
                                                    interest on the grounds specified in                                       ALJ’s recommended order that I revoke                                       Importer of Controlled Substances
                                                    [section] 823, which will include                                          his registration.                                                           Registration
                                                    consideration of the new factors added
                                                    by’’ the amendment, id. at 266–67,                                         Order                                                                       ACTION:     Notice of registration.
                                                    Congress did not otherwise alter the text
                                                                                                                                  Pursuant to the authority vested in me                                   SUMMARY:   Registrants listed below have
                                                    of section 824(a), which makes clear
                                                    that the various paragraphs of this                                        by 21 U.S.C. 824(a), as well as 28 CFR                                      applied for and been granted
                                                    provision are findings, each of which                                      0.100(b), I order that DEA Certificate of                                   registration by the Drug Enforcement
                                                    provides an independent and adequate                                       Registration No. AF2451261 issued to                                        Administration as importers of various
                                                    ground to support agency action against                                    Arnold E. Feldman, M.D., be, and it                                         classes of schedule I or II controlled
                                                    a registration, and not discretionary                                      hereby is, revoked. This Order is                                           substances.
                                                    factors to be considered by the Agency.                                    effective immediately.9                                                     SUPPLEMENTARY INFORMATION:       The
                                                    Indeed, Respondent points to nothing in                                      Dated: November 13, 2017.                                                 companies listed below applied to be
                                                    the language of section 824 or the CSA’s                                   Robert W. Patterson,                                                        registered as importers of various basic
                                                    legislative history to support his                                                                                                                     classes of controlled substances.
                                                                                                                               Acting Administrator.
                                                    position, which would fundamentally                                                                                                                    Information on previously published
                                                                                                                               [FR Doc. 2017–25287 Filed 11–21–17; 8:45 am]
                                                    alter the scope of the Agency’s authority                                                                                                              notices is listed in the table below. No
                                                    under section 824.                                                         BILLING CODE 4410–09–P
                                                                                                                                                                                                           comments or objections were submitted
                                                       I therefore reject Respondent’s                                                                                                                     and no requests for hearing were
                                                    contentions. Based on the ALJ’s finding                                                                                                                submitted for these notices.

                                                                                                                            Company                                                                                    FR Docket             Published

                                                    Almac Clinical Services Incorp (ACSI) ........................................................................................................                    82   FR   37114   August 8, 2017.
                                                    Stepan Company .........................................................................................................................................          82   FR   41054   August 29, 2017.
                                                    Fresenius Kabi USA, LLC ...........................................................................................................................               82   FR   41053   August 29, 2017.
                                                    Cambrex Charles City .................................................................................................................................            82   FR   41055   August 29, 2017.
                                                    Spex Certiprep Group, LLC .........................................................................................................................               82   FR   42120   September 6, 2017.
                                                    Akorn, Inc ....................................................................................................................................................   82   FR   42117   September 6, 2017.
                                                    Fisher Clinical Services, Inc ........................................................................................................................            82   FR   42121   September 6, 2017.
                                                    Siegfried USA, LLC .....................................................................................................................................          82   FR   42117   September 6, 2017.
                                                    Mylan Pharmaceuticals, Inc ........................................................................................................................               82   FR   42120   September 6, 2017.
                                                    KVK-Tech, Inc .............................................................................................................................................       82   FR   42119   September 6, 2017.
                                                    Cerilliant Corporation ...................................................................................................................................        82   FR   43404   September 15, 2017.
                                                    Unither Manufacturing LLC .........................................................................................................................               82   FR   43571   September 18, 2017.
                                                    Mylan Pharmaceuticals, Inc ........................................................................................................................               82   FR   43572   September 18, 2017.
                                                    Catalent Centers, LLC .................................................................................................................................           82   FR   43569   September 18, 2017.
                                                    Specgx LLC .................................................................................................................................................      82   FR   43571   September 18, 2017.
                                                    Sharp Clinical Services, Inc ........................................................................................................................             82   FR   43572   September 18, 2017.
                                                    Cody Laboratories, Inc ................................................................................................................................           82   FR   45612   September 29, 2017.
                                                    Bellwyck Clinical Services ...........................................................................................................................            82   FR   45613   September 29, 2017.



                                                      The Drug Enforcement                                                     security systems, verifying each                                            DEPARTMENT OF JUSTICE
                                                    Administration (DEA) has considered                                        company’s compliance with state and
                                                    the factors in 21 U.S.C. 823, 952(a) and                                   local laws, and reviewing each                                              Drug Enforcement Administration
                                                    958(a) and determined that the                                             company’s background and history.
                                                    registration of the listed registrants to                                    Therefore, pursuant to 21 U.S.C.                                          Linda M. Shuck, D.O.; Decision and
                                                    import the applicable basic classes of                                     952(a) and 958(a), and in accordance                                        Order
                                                    schedule I or II controlled substances is                                  with 21 CFR 1301.34, the DEA has
                                                                                                                               granted a registration as an importer for                                     On July 25, 2017, the Assistant
                                                    consistent with the public interest and
                                                                                                                               schedule I or II controlled substances to                                   Administrator, Diversion Control
                                                    with United States obligations under
                                                                                                                               the above listed persons.                                                   Division, Drug Enforcement
                                                    international treaties, conventions, or                                                                                                                Administration, issued an Order to
                                                    protocols in effect on May 1, 1971. The                                      Dated: November 16, 2017.                                                 Show Cause to Linda M. Shuck
                                                    DEA investigated each company’s                                            Demetra Ashley,                                                             (Registrant), of Dobson, North Carolina.
                                                    maintenance of effective controls                                          Acting Assistant Administrator.
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                                                                                                                                                                                                           The Show Cause Order proposed the
                                                    against diversion by inspecting and                                        [FR Doc. 2017–25284 Filed 11–21–17; 8:45 am]                                revocation of Registrant’s Certificate of
                                                    testing each company’s physical                                            BILLING CODE 4410–09–P                                                      Registration, on the ground that she
                                                      9 While the Mississippi Board Order was based on                         that Respondent violated state law by                                       Mot. for Summ. Disp., Appendix B, at 22, 24
                                                    the Louisiana Board’s Order, as noted in the former                        ‘‘[p]rescribing, dispensing, or administering legally                       (Louisiana Board Order at 12, 14). For the same
                                                    Acting Administrator’s Decision and Order which                            controlled substances or any dependency-inducing                            reasons as those cited by the former Acting
                                                    revoked Respondent’s Louisiana registration, the                           medication without legitimate medical justification                         Administrator, I find that the public interest
                                                    Louisiana Board found proved the sixth charge of                           thereof or in other than a legal or legitimate                              necessitates that this Order be effective
                                                    the Administrative Complaint in that proceeding, in                        manner.’’ See 82 FR at 39618 n.8 (2017); see also                           immediately. See also 21 CFR 1316.67.



                                               VerDate Sep<11>2014         18:57 Nov 21, 2017          Jkt 244001      PO 00000        Frm 00087       Fmt 4703       Sfmt 4703       E:\FR\FM\22NON1.SGM             22NON1


                                                    55640                   Federal Register / Vol. 82, No. 224 / Wednesday, November 22, 2017 / Notices

                                                    ‘‘do[es] not have authority to handle                      Based on Registrant’s letter of August             prescriptions to patients in violation of
                                                    controlled substances in the State of                   3, 2017, I find that Registrant has                   the Interim Partial Non-Practice
                                                    North Carolina, the [S]tate in which [she               waived her right to a hearing on the                  Agreement. Id.
                                                    is] registered with the’’ Agency. GX 2,                 allegations of the Show Cause Order. 21                  With respect to her ‘‘care and
                                                    at 1 (citing 21 U.S.C. 823(f) and                       CFR 1301.43. I therefore issue this                   treatment of’’ the four patients, the
                                                    824(a)(3)).                                             Decision and Order based on relevant                  Board concluded as a matter of law that
                                                       As to the jurisdictional basis for the               evidence submitted by the Government.                 Registrant ‘‘fail[ed] to conform to the
                                                    proceeding, the Show Cause Order                        I make the following findings.                        standards of acceptable and prevailing
                                                    alleged that Registrant is the holder of                Findings                                              medical practice.’’ Id. at 4 (citing N.C.
                                                    a practitioner’s registration with                                                                            Gen. Stat. SEC. 90–14(a)(6)). The Board
                                                    authority in schedules II through V,                       Registrant is the holder of DEA                    also concluded as a matter of law that
                                                    under Certificate of Registration No.                   Certificate of Registration No.                       Registrant’s ‘‘issuance of controlled
                                                    BP4154023, at the registered location of                BP4154023, pursuant to which she is
                                                                                                                                                                  substance prescriptions in violation of a
                                                    Carolina Heart Care, 651 S. Main Street,                authorized to dispense controlled
                                                                                                                                                                  restriction contained in the December
                                                    Dobson, North Carolina. Id. The Order                   substances in schedules II through V, at
                                                                                                                                                                  2016 Interim Partial Non-Practice
                                                    further alleged that this registration                  the registered address of Carolina Heart
                                                                                                                                                                  Agreement . . . constitutes
                                                    ‘‘expires . . . on February 28, 2018.’’ Id.             Care, 651 S. Main St., Dobson, North
                                                                                                                                                                  unprofessional conduct.’’ Id. (citing N.C.
                                                       As to the substantive ground for the                 Carolina. GX 1. Registrant is also the
                                                                                                                                                                  Gen. Stat. SEC. 90–14(a)(6)).
                                                    proceeding, the Show Cause Order                        holder of DATA-Waiver Identification
                                                                                                            No. XP4154023, pursuant to which she                     The Board and Registrant agreed to
                                                    alleged that on June 23, 2017, the North                                                                      resolve the matter by suspending her
                                                                                                            is authorized to prescribe schedule III
                                                    Carolina Medical Board suspended                                                                              medical license for a period of six
                                                                                                            through V ‘‘narcotic drug[s] approved by
                                                    Registrant’s medical license for six                                                                          months ‘‘from June 23, 2017[] until
                                                                                                            the Food and Drug Administration
                                                    months. Id. The Order alleged that                                                                            December 23, 2017.’’ Id. at 5. While the
                                                                                                            specifically for use in maintenance or
                                                    because of the Board’s action, Registrant                                                                     Board and Registrant agreed that she
                                                                                                            detoxification treatment’’ to up to 100
                                                    is ‘‘without authority to handle                                                                              ‘‘may return to the active practice of
                                                                                                            patients. GX 1; see also 21 CFR
                                                    controlled substances in . . . North                                                                          medicine on December 24, 2017, subject
                                                                                                            1306.04(c).
                                                    Carolina, the [S]tate in which [she is]                    Registrant is also the holder of a                 to the provisions contained in this . . .
                                                    registered,’’ and that as a consequence,                license to practice medicine and surgery              Order,’’ the provisions include that she
                                                    her registration is subject to revocation.              issued by the North Carolina Medical                  ‘‘shall not prescribe controlled
                                                    Id. at 1–2 (citing cases).                              Board. However, on May 23, 2017,                      substances except for a patient who has
                                                       The Show Cause Order notified                        Registrant entered into a Consent Order               been admitted to a hospital where [she]
                                                    Registrant of her right to request a                    with the Board. GX 3, Appendix A, at                  has active clinical privileges.’’ Id. The
                                                    hearing on the allegations or to submit                 8. The Board’s Order found that in                    provisions also include that ‘‘[o]nce the
                                                    a written statement while waiving her                   September 2014, Registrant and the                    patient has been discharged, [she] shall
                                                    right to a hearing, the procedure for                   Board had entered a previous Consent                  not prescribe controlled substances for
                                                    electing either option, and the                         Order ‘‘based on findings that [she] had              those patients who received such
                                                    consequence for failing to elect either                 failed to conform to the standards of                 medications pursuant to’’ the above
                                                    option. Id. at 2 (citing 21 CFR 1301.43).               acceptable and prevailing medical                     provision. Id. at 6.
                                                    In addition, the Show Cause Order                       practice in her care of five patients that               Moreover, Registrant’s ability to
                                                    notified Registrant of her right to submit              she treated for chronic pain.’’ Id. at 2.             resume practicing medicine is also
                                                    a corrective action plan under 21 U.S.C.                The Board further found that while                    subject to the condition that she
                                                    824(c)(2)(C). Id. at 2–3.                               Registrant ‘‘underwent the required                   ‘‘complete a five . . . day board
                                                       On August 1, 2017, a DEA Special                     [comprehensive professional]                          certification review course in Internal
                                                    Agent assigned to the Charlotte District                assessment, [she] still has failed to                 Medicine.’’ 1 Id. Thus, while the
                                                    Office personally served the Show                       complete any remediation                              suspension may expire in less than six
                                                    Cause Order on Registrant. GX 3, at 1–                  recommended by the assessment center                  weeks, it is far from certain that she will
                                                    2 (Declaration of Special Agent). In a                  in a timely manner.’’ Id.                             be able to resume practicing medicine
                                                    letter dated August 3, 2017, Registrant                    The Board’s Order also found that, in              (even subject to the limitations on her
                                                    stated that she was ‘‘aware of the                      April 2016, it had received information               authority to prescribe), and absent
                                                    current law regarding [her] DEA                         regarding Registrant’s prescribing of                 evidence that she has completed the
                                                    Certificate’’ and that she did ‘‘not wish               opiates to four patients, including one               board certification review course, the
                                                    to have a hearing on the issue.’’ GX 4.                 who died due to ‘‘opioid toxicity.’’ Id.              restriction on her ability to resume
                                                    Registrant further stated that her                      The Board further found that ‘‘an                     practicing takes on the characteristic of
                                                    ‘‘medical license is suspend[ed] until                  independent medical expert’’ had                      a suspension of indefinite duration.
                                                    12–23–2017’’ and that she ‘‘will reapply                reviewed the medical records of the four              Based on the above, I find that
                                                    for [her] DEA certification after [her]                 patients and opined that Registrant’s                 Registrant is currently without authority
                                                    suspension is completed.’’ Id.                          ‘‘diagnosis, treatment, and overall care
                                                       On September 8, 2017, the                            in all four . . . cases failed to conform                1 According to the online records of the North
                                                    Government submitted a Request for                      to the standards of acceptable and                    Carolina Medical Board, of which I take official
asabaliauskas on DSKBBXCHB2PROD with NOTICES




                                                    Final Agency Action. Therein, the                       prevailing medical practice in North                  notice, the suspension of Registrant’s medical
                                                    Government seeks the revocation of                      Carolina.’’ Id.                                       license remains in effect as of the date of this
                                                                                                                                                                  Decision and Order. See 5 U.S.C. 556(e). Registrant
                                                    Registrant’s registration. As support for                  Finally, the Board found that, ‘‘[o]n              may dispute this finding by filing a properly
                                                    the proposed action, the Government                     December 6, 2016, [Registrant] entered                supported motion for reconsideration within 10
                                                    submitted various exhibits, including a                 into an Interim Partial Non-Practice                  business days of the date of this Order with the
                                                    Consent Order entered into by                           Agreement restricting her prescribing of              Office of the Administrator. Registrant may also
                                                                                                                                                                  provide evidence that she has completed the five-
                                                    Registrant and the North Carolina                       all controlled substances.’’ Id. at 3. The            day board certification review course. Registrant
                                                    Medical Board on May 23, 2017. See                      Board further found that Registrant                   must serve a copy of any such motion on the
                                                    GX3A, at 8.                                             issued controlled substance                           Government.



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                                                                                     Federal Register / Vol. 82, No. 224 / Wednesday, November 22, 2017 / Notices                                                                                   55641

                                                    to dispense controlled substances under                                   longer authorized to dispense controlled                                   Therefore, she is not entitled to
                                                    the laws of the State of North Carolina.                                  substances under the laws of the State                                     maintain her registration in that State.
                                                                                                                              in which she practices medicine. See,                                      Accordingly, I will order that her
                                                    Discussion
                                                                                                                              e.g., Calvin Ramsey, 76 FR 20034, 20036                                    registration and her DATA-Waiver
                                                       Pursuant to 21 U.S.C. 824(a)(3), the                                   (2011); Sheran Arden Yeates, M.D., 71                                      Identification number be revoked.
                                                    Attorney General is authorized to                                         FR 39130, 39131 (2006); Dominick A.
                                                    suspend or revoke a registration issued                                   Ricci, 58 FR 51104, 51105 (1993); Bobby                                    Order
                                                    under section 823, ‘‘upon a finding that                                  Watts, 53 FR 11919, 11920 (1988); see                                         Pursuant to the authority vested in me
                                                    the Registrant . . . has had his State                                    also Hooper v. Holder, 481 Fed. Appx.                                      by 21 U.S.C. 824(a) and 28 CFR 0.100(b),
                                                    license . . . suspended [or] revoked                                      at 828.                                                                    I order that DEA Certificate of
                                                    . . . by competent State authority and is                                    As a consequence of the Consent                                         Registration No. BP4154023, issued to
                                                    no longer authorized by State law to                                      Order which Registrant entered into                                        Linda M. Shuck, be, and it hereby is,
                                                    engage in the . . . dispensing of                                         with the Board, she is not currently                                       revoked. I further order that DATA-
                                                    controlled substances.’’ Also, DEA has                                    authorized to dispense controlled                                          Waiver Identification No. XP4154023,
                                                    held repeatedly that the possession of                                    substances in North Carolina, the State                                    issued to Linda M. Shuck, be, and it
                                                    authority to dispense controlled                                          in which she is registered with the                                        hereby is, revoked. This order is
                                                    substances under the laws of the State                                    Agency. Because the CSA makes clear                                        effective immediately.3
                                                    in which a practitioner engages in                                        that the possession of authority to
                                                    professional practice is a fundamental                                                                                                                 Dated: November 13, 2017.
                                                                                                                              dispense controlled substances under
                                                    condition for obtaining and maintaining                                   the laws of the State in which a                                           Robert W. Patterson,
                                                    a practitioner’s registration. See, e.g.,                                 practitioner engages in professional                                       Acting Administrator.
                                                    James L. Hooper, 76 FR 71371 (2011),                                      practice is a fundamental condition for                                    [FR Doc. 2017–25286 Filed 11–21–17; 8:45 am]
                                                    pet. for rev. denied, 481 Fed Appx. 826                                   both obtaining and maintaining a                                           BILLING CODE 4410–09–P
                                                    (4th Cir. 2012); Frederick Marsh                                          practitioner’s registration, it is of no
                                                    Blanton, 43 FR 27616 (1978).                                              consequence that the suspension is of a
                                                       This rule derives from the text of two                                 finite duration. See Hooper v. Holder,                                     DEPARTMENT OF JUSTICE
                                                    provisions of the CSA. First, Congress                                    481 F. App’x at 828 (upholding
                                                    defined ‘‘the term ‘practitioner’ [to]                                    revocation of a physician’s registration                                   Drug Enforcement Administration
                                                    mean[] a . . . physician . . . or other                                   as based on a reasonable interpretation
                                                    person licensed, registered or otherwise                                  of the CSA, notwithstanding that the                                       [Docket No. DEA–392]
                                                    permitted, by . . . the jurisdiction in                                   physician’s medical license was subject
                                                    which [s]he practices . . . to distribute,                                to a suspension of known duration); see                                    Bulk Manufacturer of Controlled
                                                    dispense, [or] administer . . . a                                         also James L. Hooper, 76 FR 71371,                                         Substances Registration
                                                    controlled substance in the course of                                     71371–72 (2011). Rather, what matters
                                                    professional practice.’’ 21 U.S.C.                                        for the purposes of the CSA is that                                        ACTION:    Notice of registration.
                                                    802(21). Second, in setting the                                           Registrant is not currently authorized to
                                                    requirements for obtaining a                                              dispense controlled substances in North                                    SUMMARY:   Registrants listed below have
                                                    practitioner’s registration, Congress                                     Carolina. See Hooper, 76 FR at 71371                                       applied for and been granted
                                                    directed that ‘‘[t]he Attorney General                                    (quoting Anne Lazar Thorn, 62 FR                                           registration by the Drug Enforcement
                                                    shall register practitioners . . . if the                                 12847, 12848 (1997) (‘‘the controlling                                     Administration as bulk manufacturers of
                                                    applicant is authorized to dispense . . .                                 question . . . is whether the                                              various classes of schedule I and II
                                                    controlled substances under the laws of                                   Respondent is currently authorized to                                      controlled substances.
                                                    the State in which [s]he practices.’’ 21                                  handle controlled substances in the                                        SUPPLEMENTARY INFORMATION: The
                                                    U.S.C. 823(f). Because Congress has                                       state’’)). Indeed, it is by no means clear                                 companies listed below applied to be
                                                    clearly mandated that a physician                                         that Registrant will even be able to                                       registered as manufacturers of various
                                                    possess state authority in order to be                                    resume the practice of medicine                                            basic classes of controlled substances.
                                                    deemed a practitioner under the Act,                                      following the ending date of the                                           Information on previously published
                                                    DEA has held that revocation of a                                         suspension given the requirement that                                      notices is listed in the table below. No
                                                    practitioner’s registration is the                                        she complete the required five-day                                         comments or objections were submitted
                                                    appropriate sanction whenever she is no                                   board certification review course.2                                        for these notices.

                                                                                                                          Company                                                                                   FR Docket               Published

                                                    Cayman Chemical Company .......................................................................................................................                82   FR   34691   July 26, 2017.
                                                    AMRI Rensselaer, Inc .................................................................................................................................         82   FR   34695   July 26, 2017.
                                                    Organic Consultants, Inc .............................................................................................................................         82   FR   34696   July 26, 2017.
                                                    Isosciences, LLC .........................................................................................................................................     82   FR   35546   July 31, 2017.
                                                    Cody Laboratories, Inc ................................................................................................................................        82   FR   41054   August 29, 2017.
                                                    Noramco, Inc ...............................................................................................................................................   82   FR   41055   August 29, 2017.
                                                    Stepan Company .........................................................................................................................................       82   FR   42119   September 6, 2017.
asabaliauskas on DSKBBXCHB2PROD with NOTICES




                                                      2 Indeed, as found above, even if she completes                         bar on Registrant’s ability to reapply, she can apply                      violation of the Interim Partial Non-Practice
                                                    the course and returns to practice, under the                             for a new registration upon being allowed to return                        Agreement, I find that the public interest
                                                    Consent Order, she is prohibited from prescribing                         to practice.                                                               necessitates that this Order be effective
                                                    controlled substances outside of a hospital where                           3 Based on the North Carolina Board’s findings                           immediately. 21 CFR 1316.67.
                                                    she ‘‘has active clinical privileges.’’ GX 3, Appendix
                                                    A, at 5. As this revocation does not impose any time                      that Registrant prescribed controlled substances in




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Document Created: 2017-11-22 00:48:46
Document Modified: 2017-11-22 00:48:46
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 55639 

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