83_FR_15700 83 FR 15630 - Witold Marek Zajewski, M.D.; Decision and Order

83 FR 15630 - Witold Marek Zajewski, M.D.; Decision and Order

DEPARTMENT OF JUSTICE
Drug Enforcement Administration

Federal Register Volume 83, Issue 70 (April 11, 2018)

Page Range15630-15633
FR Document2018-07454

Federal Register, Volume 83 Issue 70 (Wednesday, April 11, 2018)
[Federal Register Volume 83, Number 70 (Wednesday, April 11, 2018)]
[Notices]
[Pages 15630-15633]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-07454]


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 DEPARTMENT OF JUSTICE

Drug Enforcement Administration

[Docket No. 17-46]


Witold Marek Zajewski, M.D.; Decision and Order

    On July 27, 2017, the Acting Assistant Administrator, Diversion 
Control Division, Drug Enforcement Administration (DEA), issued an 
Order to Show Cause to Witold Marek Zajewski, M.D. (Respondent), of 
Mount Prospect, Illinois. The Show Cause Order proposed the revocation 
of Respondent's DEA Certificate of Registration No. BZ5641419 on the 
ground that he has ``no state authority to handle controlled 
substances.'' Order to Show Cause, at 1 (citing 21 U.S.C. 824(a)(3)). 
For the same reason, the Order also proposed the denial of any of 
Respondent's ``applications for renewal or modification of such 
registration and any applications for any other DEA registrations. Id.
    With respect to the Agency's jurisdiction, the Show Cause Order

[[Page 15631]]

alleged that Respondent is the holder of Certificate of Registration 
No. BZ5641419, pursuant to which he is authorized to dispense 
controlled substances as a practitioner in schedules II through V, at 
the registered address of 609 N. Main Street, Suite 102, Mount 
Prospect, Illinois. Id. The Order also alleged that this registration 
does not expire until May 31, 2018. Id.
    Regarding the substantive grounds for the proceeding, the Show 
Cause Order alleged that on June 29, 2017, the Illinois Department of 
Financial and Professional Regulation, Division of Professional 
Regulation (IDFPR), ``issued an Order suspending [his] Illinois 
Physician and Surgeon License No. 036.096849 and suspending [his] 
Illinois Controlled Substance License No. 336.063325,'' and he is 
therefore ``without authority to practice medicine or handle controlled 
substances in the State of Illinois, the [S]tate in which [he is] 
registered with the DEA.'' Id. at 1-2. Based on his ``lack of authority 
to [dispense] controlled substances in . . . Illinois,'' the Order 
asserted that ``DEA must revoke'' his registration. Id. at 2 (citing 21 
U.S.C. 824(a)(3)); 21 CFR 1301.37(b)).
    The Show Cause Order notified Respondent of (1) his right to 
request a hearing on the allegations or to submit a written statement 
in lieu of a hearing, (2) the procedure for electing either option, and 
(3) the consequence for failing to elect either option. Id. (citing 21 
CFR 1301.43). The Show Cause Order also notified Respondent of his 
right to submit a corrective action plan. Id. at 2-3 (citing 21 U.S.C. 
824(c)(2)(C)).
    On August 21, 2017, Respondent, through counsel, filed a letter 
requesting a hearing on the allegations. Letter from Respondent's 
Counsel to Hearing Clerk (dated Aug. 18, 2017) (hereinafter, Hearing 
Request). In this letter, Respondent ``objects to the statement that 
his licenses have been suspended'' because the IDFPR ``entered only a 
temporary order of suspension of his license'' until ``an informal 
hearing'' scheduled in December 2017.'' Id. at 1. Respondent also 
requested to ``continue this matter to in or after January 2018.'' Id. 
at 1 (emphasis omitted).
    The matter was placed on the docket of the Office of Administrative 
Law Judges and assigned to Administrative Law Judge Mark M. Dowd 
(hereinafter, ALJ). On August 25, 2017, the ALJ ordered the Government 
to ``file evidence to support the allegation that the Respondent lacks 
state authority to handle controlled substances,'' ``respond to the 
Respondent's request for continuance,'' and file ``any motion for 
summary disposition'' no later than September 6, 2017. Order Directing 
the Filing of Government Evidence of Lack of State Authority and 
Briefing Schedule, at 1. The ALJ also directed Respondent to file his 
response to any summary disposition motion no later than September 15, 
2017. Id. at 2.
    On September 1, 2017, the Government filed its Motion for Summary 
Disposition. In its Request, the Government argued that it is 
undisputed that Respondent lacks authority to handle controlled 
substances in Illinois because the IDFPR suspended Respondent's medical 
license and his controlled substance license. Government's Motion for 
Summary Disposition (hereinafter Government's Motion or Govt. Mot.) at 
2. The Government also noted that, in his Hearing Request, Respondent 
did not dispute that the IDFPR had suspended these licenses. Id. at 3 
n.1. The Government further argued that, ``[a]bsent authority by the 
State of Illinois to dispense controlled substances, Respondent is not 
authorized to possess a DEA registration in that state.'' Id. at 3. 
Lastly, the Government argued that under Agency precedent, revocation 
is warranted even where a State has temporarily suspended a 
practitioner's state authority and has yet to provide the practitioner 
with a hearing where he may prevail. Govt. Mot., at 3-4 (citations 
omitted). As support for its summary disposition request, the 
Government attached, inter alia, a copy of the IDFPR's June 29, 2017 
Order directing that (1) Respondent's medical and controlled substance 
licenses ``be SUSPENDED, pending proceedings before an Administrative 
Law Judge at'' IDFPR and (2) Respondent to ``immediately surrender all 
indicia of licensure(s) to'' IDFPR. Government Exhibit (GX) 2 to Govt. 
Mot., at 1.
    In his responsive pleading, Respondent did not dispute that the 
IDFPR ``temporarily suspended'' his medical and controlled substance 
licenses. Respondent's Sept. 15, 2017 Motion for Extension of Time to 
Respond to Government's Motion for Summary Disposition (hereinafter, 
Resp. Reply), at 1. Instead, he argued that the suspensions were 
``pending proceedings'' before a state administrative law judge and 
that he ``believe[s] this matter may be resolved'' at an ``informal 
hearing'' in December 2017. Id. Respondent also argued that the ALJ 
should grant him an extension of time to respond to the Government's 
Motion in ``the interest of administrative/judicial economy'' until 
then. Id. at 1-2 (quoting Robert Clark Maiocco, M.D., 82 FR 19383, 
19384 (2017)).
    The ALJ denied ``Respondent's request for an extension of time--in 
essence to stay these proceedings,'' noting that ``revocation of a 
practitioner's registration is warranted whenever his (or its) state 
authority to dispense controlled substances has been suspended or 
revoked.'' Order Denying the Respondent's Request for an Extension of 
Time, Granting the Government's Motion for Summary Disposition, and 
Recommended Rulings, Findings of Fact, Conclusions of Law, and Decision 
of the Administrative Law Judge (R.D.), at 2 (internal quotations and 
citations omitted), 3. While he was ``not unmindful of the Respondent's 
argument that granting an extension of time has been used in the past'' 
in Maiocco, the ALJ nevertheless ``disagree[d]'' that the same 
``interest of administrative/judicial economy'' that was present in 
Maiocco was present in this case. Id. at 2-3, 3 n.3. Specifically, the 
ALJ in Maiocco granted that respondent's three-week extension of time 
request because the Colorado Board of Medicine was scheduled to 
consider Respondent's proposed ``Stipulation and Final Agency Order'' 
``two weeks after the Respondent submitted his Motion for Extension of 
Time to the ALJ.'' Id. at 3 n.3 (citing Maiocco, 82 FR at 19384). Here, 
the ALJ reasoned, Respondent lacked the same ``interest of 
administrative/judicial economy'' because ``Respondent has submitted 
no[ ] proposed stipulation, Respondent only `anticipates' an informal 
hearing to take place.'' Id. (citing Resp. Reply at 1). Finally, the 
ALJ concluded that the DEA has previously held ``that a stay in 
administrative enforcement proceedings is `unlikely to ever be 
justified' due to ancillary proceedings involving the Respondent.'' Id. 
at 3 (quoting Grider Drug #1 & Grider Drug #2, 77 FR 44070, 44104 n.97 
(2012)).\1\
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    \1\ I agree with this statement of the Agency's precedents. 
However, the ALJ also cited Odette L. Campbell, 80 FR 41062 (2015), 
as contrary authority. See id. The ALJ characterized Campbell as 
``holding revocation proceedings in abeyance at the post-hearing 
adjudication level for a lengthy period pending the resolution of 
both criminal fraud charges and concurrent state administrative 
proceedings against the respondent,'' id. Notably, Campbell involved 
an application for registration, not a revocation of an existing 
registration, at the time the proceeding was held in abeyance. This 
is significant, as an applicant, like Campbell, does not have the 
current authority to handle controlled substances during any stay of 
the proceedings, while a registrant does.
    Moreover, one week before the evidentiary hearing, the 
respondent was indicted on 30 counts of Health Care Fraud, as well 
as five counts of altering records during a federal investigation. 
80 FR at 41063. Had the respondent been convicted of Health Care 
Fraud, she would have been subject to mandatory exclusion from 
federal healthcare programs under 42 U.S.C. 1320a-7(a) and her 
application would have been subject to denial on that basis as well. 
Id. at 41064 (citing 21 U.S.C. 824(a)(5)). Furthermore, even after 
the respondent successfully completed pre-trial diversion and the 
charges were dismissed, the state medical board brought a proceeding 
against her license, and had the board suspended or revoked her 
medical license, denial of her application would have been required 
under the CSA. Id. (citing 21 U.S.C. 802(21) & 823(f)). Given the 
pending proceedings, Campbell was the rare case where withholding 
the issuance of a final decision was warranted. For these reasons, 
and those set forth in other final orders, I hold that Campbell does 
not support the issuance of stay of proceedings involving the 
suspension or revocation of DEA registrations. See, e.g., Judson H. 
Somerville, 82 FR 21408, 21409 n.3 (2017).

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[[Page 15632]]

    The ALJ then found that there was no dispute over the fact that 
``Respondent currently lacks state authority to handle controlled 
substances in Illinois due to [the IDFPR's] Order dated July 29, 2017, 
which suspended his state licenses to practice medicine and distribute 
controlled substances.'' Id. at 5. Reasoning that ``[b]ecause the 
Respondent lacks state authority at the present time . . . he is not 
entitled to maintain his DEA registration,'' the ALJ granted the 
Government's motion and recommended that his registration be revoked 
and that any pending renewal applications be denied. Id. at 5-6.
    Neither party filed exceptions to the ALJ's Recommended Decision. 
Thereafter, the record was forwarded to my Office for Final Agency 
Action. Having reviewed the record, I adopt the ALJ's finding that by 
virtue of the IDFPR's Order, Respondent is currently without authority 
to handle controlled substances in Illinois, the State in which he 
holds his registration with the Agency, and is thus not entitled to 
maintain his registration. I further adopt the ALJ's recommendation 
that I revoke his registration and deny any pending renewal 
application. I make the following factual findings.

Findings of Fact

    Respondent is the holder of DEA Certificate of Registration No. 
BZ5641419, pursuant to which he is authorized to dispense controlled 
substances in schedules II through V as a practitioner. GX 1. Although 
not alleged in the Show Cause Order, I also find that Respondent is the 
holder of DATA-Waiver Identification Number XZ5641419, see id., which 
authorizes Respondent to dispense or prescribe schedule III-V narcotic 
controlled substances which ``have been approved by the Food and Drug 
Administration . . . specifically for use in maintenance or 
detoxification treatment'' for up to 100 patients. 21 CFR 1301.28(a) & 
(b)(1)(iii). Respondent's registered address is 609 N. Main Street, 
Suite 102, Mount Prospect, Illinois. GX 1. Respondent's registration 
and DATA-Waiver authority do not expire until May 31, 2018. Id.
    On June 29, 2017, the IDFPR issued an Order suspending Respondent's 
Illinois Physician and Surgeon License No. 036.096849 and his Illinois 
Controlled Substance License No. 336.063325 ``pending proceedings 
before an Administrative Law Judge at the'' IDFPR. GX 2, at 2. The 
Order also directed Respondent to ``immediately surrender all indicia 
of licensure(s) to the'' IDFPR. Id.
    In January 2018, the IDFPR announced another enforcement action 
regarding Respondent's state licenses, stating that his ``physician and 
surgeon license [is] restored to indefinite probation for a minimum of 
three years and [his] controlled substance license, 336063325, [is] 
indefinitely suspended, 12 months minimum, effective retroactive to 
June 29, 2017 for inappropriately prescribing controlled substances to 
patients of his practice.'' \2\ I take official notice of the IDFPR's 
January 2018 enforcement action \3\ and find that Respondent currently 
does not possess a controlled substance license in the State of 
Illinois, and thus does not possess authority to dispense controlled 
substances in the State in which he is registered with the DEA. See 77 
Ill. Adm. Code Sec.  3100.370(a) (``A prescription for a controlled 
substance may be issued only by an individual practitioner who: (1) 
Holds an active professional license in Illinois as an individual 
practitioner; and (2) Holds an active controlled substances license 
under the Act or is exempted from licensure pursuant to Section 
3100.80'').
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    \2\ See www.idfpr.com/Forms/DISCPLN/2018_01enf.pdf.
    \3\ Under the Administrative Procedure Act (APA), an agency 
``may take official notice of facts at any stage in a proceeding--
even in the final decision.'' U.S. Dept. of Justice, Attorney 
General's Manual on the Administrative Procedure Act 80 (1947) (Wm. 
W. Gaunt & Sons, Inc., Reprint 1979). In accordance with the APA and 
DEA's regulations, Respondent is ``entitled on timely request to an 
opportunity to show to the contrary.'' 5 U.S.C. 556(e); see also 21 
CFR 1316.59(e). To allow Respondent the opportunity to refute the 
facts of which I take official notice, Respondent may file a motion 
for reconsideration within 15 calendar days of service of this order 
which shall commence on the date this order is mailed.
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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 
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.'' Also, 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); see 
also Frederick Marsh Blanton, 43 FR 27616 (1978) (``State authorization 
to dispense or otherwise handle controlled substances is a prerequisite 
to the issuance and maintenance of a Federal controlled substances 
registration.'').
    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).
    Thus, ``the controlling question'' in a proceeding brought under 21 
U.S.C. 824(a)(3) is whether the holder of a DEA registration ``is 
currently authorized to handle controlled substances in the [S]tate'' 
in which the practitioner is registered. Hooper, 76 FR at 71371 
(quoting Anne Lazar Thorn, 62 FR 12847, 12848 (1997)). Here, there is 
no dispute over the material fact that Respondent is no longer 
currently authorized to dispense controlled substances in Illinois, the 
State in which he is registered. See 77 Ill. Adm. Code Sec.  
3100.370(a). Accordingly, he is not entitled to maintain his 
registration.
    I will therefore adopt the ALJ's recommendation that I revoke 
Respondent's registration and deny any pending applications to renew 
his registration. R.D. at 6. I will also deny any pending application 
to modify his registration, or any pending application for any other 
registration in Illinois, as requested in the Show Cause Order. Order 
to Show Cause, at 1. Finally, because Respondent's DATA-Waiver

[[Page 15633]]

authority is contingent on Respondent being a practitioner with a valid 
DEA registration, see 21 U.S.C. 823(g)(2)(A); 21 CFR 1301.28(a), I will 
revoke his DATA-Waiver authority as well.

Order

    Pursuant to the authority vested in me by 21 U.S.C. 823(f) and 
824(a), as well as 28 CFR 0.100(b), I order that DEA Certificate of 
Registration No. BZ5641419 and DATA-Waiver Identification Number 
XZ5641419, issued to Witold Marek Zajewski, M.D., be, and they hereby 
are, revoked. I further order that any pending application of Witold 
Marek Zajewski to renew or modify the above registration, or any 
pending application of Witold Marek Zajewski for any other registration 
in the State of Illinois, be, and it hereby is, denied. This Order is 
effective immediately.\4\
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    \4\ For the same reasons which led the IDFPR to revoke 
Respondent's controlled substance license, I conclude that the 
public interest necessitates that this Order be effective 
immediately. 21 CFR 1316.67.

    Dated: April 4, 2018.
Robert W. Patterson,
Acting Administrator.
[FR Doc. 2018-07454 Filed 4-10-18; 8:45 am]
 BILLING CODE 4410-09-P



                                             15630                                   Federal Register / Vol. 83, No. 70 / Wednesday, April 11, 2018 / Notices

                                                                                                                  Controlled substance                                                                                       Drug code          Schedule

                                             Phenmetrazine ........................................................................................................................................................                1631   II.
                                             Methylphenidate ......................................................................................................................................................                1724   II.
                                             Amobarbital .............................................................................................................................................................             2125   II.
                                             Pentobarbital ...........................................................................................................................................................             2270   II.
                                             Secobarbital .............................................................................................................................................................            2315   II.
                                             Glutethimide ............................................................................................................................................................             2550   II.
                                             Nabilone ..................................................................................................................................................................           7379   II.
                                             1-Phenylcyclohexylamine ........................................................................................................................................                      7460   II.
                                             Phencyclidine ..........................................................................................................................................................              7471   II.
                                             4-Anilino-N-phenethyl-4-piperidine (ANPP) .............................................................................................................                               8333   II.
                                             Phenylacetone .........................................................................................................................................................               8501   II.
                                             1-Piperidinocyclohexanecarbonitrile ........................................................................................................................                          8603   II.
                                             Alphaprodine ...........................................................................................................................................................              9010   II.
                                             Anileridine ................................................................................................................................................................          9020   II.
                                             Cocaine ...................................................................................................................................................................           9041   II.
                                             Codeine ...................................................................................................................................................................           9050   II.
                                             Etorphine HCl ..........................................................................................................................................................              9059   II.
                                             Dihydrocodeine ........................................................................................................................................................               9120   II.
                                             Oxycodone ..............................................................................................................................................................              9143   II.
                                             Hydromorphone .......................................................................................................................................................                 9150   II.
                                             Diphenoxylate ..........................................................................................................................................................              9170   II.
                                             Ecgonine ..................................................................................................................................................................           9180   II.
                                             Ethylmorphine ..........................................................................................................................................................              9190   II.
                                             Hydrocodone ...........................................................................................................................................................               9193   II.
                                             Levomethorphan ......................................................................................................................................................                 9210   II.
                                             Levorphanol .............................................................................................................................................................             9220   II.
                                             Isomethadone ..........................................................................................................................................................               9226   II.
                                             Meperidine ...............................................................................................................................................................            9230   II.
                                             Meperidine intermediate-B ......................................................................................................................................                      9233   II.
                                             Metazocine ..............................................................................................................................................................             9240   II.
                                             Methadone ...............................................................................................................................................................             9250   II.
                                             Methadone intermediate ..........................................................................................................................................                     9254   II.
                                             Metopon ...................................................................................................................................................................           9260   II.
                                             Dextropropoxyphene, bulk (non-dosage forms) ......................................................................................................                                    9273   II.
                                             Morphine ..................................................................................................................................................................           9300   II.
                                             Thebaine ..................................................................................................................................................................           9333   II.
                                             Dihydroetorphine .....................................................................................................................................................                9334   II.
                                             Levo-alphacetylmethadol .........................................................................................................................................                     9648   II.
                                             Oxymorphone ..........................................................................................................................................................                9652   II.
                                             Noroxymorphone .....................................................................................................................................................                  9668   II.
                                             Phenazocine ............................................................................................................................................................              9715   II.
                                             Piminodine ...............................................................................................................................................................            9730   II.
                                             Racemethorphan .....................................................................................................................................................                  9732   II.
                                             Racemorphan ..........................................................................................................................................................                9733   II.
                                             Alfentanil ..................................................................................................................................................................         9737   II.
                                             Remifentanil .............................................................................................................................................................            9739   II.
                                             Sufentanil .................................................................................................................................................................          9740   II.
                                             Carfentanil ...............................................................................................................................................................           9743   II.
                                             Tapentadol ...............................................................................................................................................................            9780   II.
                                             Bezitramide ..............................................................................................................................................................            9800   II.
                                             Fentanyl ...................................................................................................................................................................          9801   II.



                                               The company plans to import                                                  Dated: April 4, 2018.                                                      Administration (DEA), issued an Order
                                             analytical reference standards for                                           Susan A. Gibson,                                                             to Show Cause to Witold Marek
                                             distribution to its customers for research                                   Deputy Assistant Administrator.                                              Zajewski, M.D. (Respondent), of Mount
                                             and analytical purposes. Placement of                                        [FR Doc. 2018–07442 Filed 4–10–18; 8:45 am]                                  Prospect, Illinois. The Show Cause
                                             these drug codes onto the company’s                                          BILLING CODE 4410–09–P
                                                                                                                                                                                                       Order proposed the revocation of
                                             registration does not translate into                                                                                                                      Respondent’s DEA Certificate of
                                             automatic approval of subsequent                                                                                                                          Registration No. BZ5641419 on the
                                             permit applications to import controlled                                     DEPARTMENT OF JUSTICE                                                        ground that he has ‘‘no state authority
                                             substances. Approval of permit                                                                                                                            to handle controlled substances.’’ Order
                                             applications will occur only when the                                        Drug Enforcement Administration                                              to Show Cause, at 1 (citing 21 U.S.C.
                                             registrant’s business activity is                                                                                                                         824(a)(3)). For the same reason, the
                                                                                                                          [Docket No. 17–46]
amozie on DSK30RV082PROD with NOTICES




                                             consistent with what is authorized                                                                                                                        Order also proposed the denial of any of
                                                                                                                          Witold Marek Zajewski, M.D.; Decision                                        Respondent’s ‘‘applications for renewal
                                             under 21 U.S.C. 952(a)(2). Authorization
                                                                                                                          and Order                                                                    or modification of such registration and
                                             will not extend to the import of FDA
                                                                                                                                                                                                       any applications for any other DEA
                                             approved or non-approved finished                                              On July 27, 2017, the Acting Assistant                                     registrations. Id.
                                             dosage forms for commercial sale.                                            Administrator, Diversion Control                                               With respect to the Agency’s
                                                                                                                          Division, Drug Enforcement                                                   jurisdiction, the Show Cause Order


                                        VerDate Sep<11>2014         17:17 Apr 10, 2018          Jkt 244001       PO 00000       Frm 00081        Fmt 4703       Sfmt 4703       E:\FR\FM\11APN1.SGM               11APN1


                                                                          Federal Register / Vol. 83, No. 70 / Wednesday, April 11, 2018 / Notices                                                    15631

                                             alleged that Respondent is the holder of                September 6, 2017. Order Directing the                Maiocco, M.D., 82 FR 19383, 19384
                                             Certificate of Registration No.                         Filing of Government Evidence of Lack                 (2017)).
                                             BZ5641419, pursuant to which he is                      of State Authority and Briefing                          The ALJ denied ‘‘Respondent’s
                                             authorized to dispense controlled                       Schedule, at 1. The ALJ also directed                 request for an extension of time—in
                                             substances as a practitioner in schedules               Respondent to file his response to any                essence to stay these proceedings,’’
                                             II through V, at the registered address of              summary disposition motion no later                   noting that ‘‘revocation of a
                                             609 N. Main Street, Suite 102, Mount                    than September 15, 2017. Id. at 2.                    practitioner’s registration is warranted
                                             Prospect, Illinois. Id. The Order also                     On September 1, 2017, the                          whenever his (or its) state authority to
                                             alleged that this registration does not                 Government filed its Motion for                       dispense controlled substances has been
                                             expire until May 31, 2018. Id.                          Summary Disposition. In its Request,                  suspended or revoked.’’ Order Denying
                                                Regarding the substantive grounds for                the Government argued that it is                      the Respondent’s Request for an
                                             the proceeding, the Show Cause Order                    undisputed that Respondent lacks                      Extension of Time, Granting the
                                             alleged that on June 29, 2017, the                      authority to handle controlled                        Government’s Motion for Summary
                                             Illinois Department of Financial and                    substances in Illinois because the IDFPR              Disposition, and Recommended
                                             Professional Regulation, Division of                    suspended Respondent’s medical                        Rulings, Findings of Fact, Conclusions
                                             Professional Regulation (IDFPR),                        license and his controlled substance                  of Law, and Decision of the
                                             ‘‘issued an Order suspending [his]                      license. Government’s Motion for                      Administrative Law Judge (R.D.), at 2
                                             Illinois Physician and Surgeon License                  Summary Disposition (hereinafter                      (internal quotations and citations
                                             No. 036.096849 and suspending [his]                     Government’s Motion or Govt. Mot.) at                 omitted), 3. While he was ‘‘not
                                             Illinois Controlled Substance License                   2. The Government also noted that, in                 unmindful of the Respondent’s
                                             No. 336.063325,’’ and he is therefore                   his Hearing Request, Respondent did                   argument that granting an extension of
                                             ‘‘without authority to practice medicine                not dispute that the IDFPR had                        time has been used in the past’’ in
                                             or handle controlled substances in the                  suspended these licenses. Id. at 3 n.1.               Maiocco, the ALJ nevertheless
                                             State of Illinois, the [S]tate in which [he             The Government further argued that,                   ‘‘disagree[d]’’ that the same ‘‘interest of
                                             is] registered with the DEA.’’ Id. at 1–                ‘‘[a]bsent authority by the State of                  administrative/judicial economy’’ that
                                             2. Based on his ‘‘lack of authority to                  Illinois to dispense controlled                       was present in Maiocco was present in
                                             [dispense] controlled substances in . . .               substances, Respondent is not                         this case. Id. at 2–3, 3 n.3. Specifically,
                                             Illinois,’’ the Order asserted that ‘‘DEA               authorized to possess a DEA registration              the ALJ in Maiocco granted that
                                             must revoke’’ his registration. Id. at 2                in that state.’’ Id. at 3. Lastly, the                respondent’s three-week extension of
                                             (citing 21 U.S.C. 824(a)(3)); 21 CFR                                                                          time request because the Colorado
                                                                                                     Government argued that under Agency
                                             1301.37(b)).                                                                                                  Board of Medicine was scheduled to
                                                                                                     precedent, revocation is warranted even
                                                The Show Cause Order notified                                                                              consider Respondent’s proposed
                                             Respondent of (1) his right to request a                where a State has temporarily
                                                                                                     suspended a practitioner’s state                      ‘‘Stipulation and Final Agency Order’’
                                             hearing on the allegations or to submit                                                                       ‘‘two weeks after the Respondent
                                             a written statement in lieu of a hearing,               authority and has yet to provide the
                                                                                                     practitioner with a hearing where he                  submitted his Motion for Extension of
                                             (2) the procedure for electing either                                                                         Time to the ALJ.’’ Id. at 3 n.3 (citing
                                             option, and (3) the consequence for                     may prevail. Govt. Mot., at 3–4
                                                                                                     (citations omitted). As support for its               Maiocco, 82 FR at 19384). Here, the ALJ
                                             failing to elect either option. Id. (citing                                                                   reasoned, Respondent lacked the same
                                             21 CFR 1301.43). The Show Cause                         summary disposition request, the
                                                                                                     Government attached, inter alia, a copy               ‘‘interest of administrative/judicial
                                             Order also notified Respondent of his                                                                         economy’’ because ‘‘Respondent has
                                             right to submit a corrective action plan.               of the IDFPR’s June 29, 2017 Order
                                                                                                     directing that (1) Respondent’s medical               submitted no[ ] proposed stipulation,
                                             Id. at 2–3 (citing 21 U.S.C. 824(c)(2)(C)).                                                                   Respondent only ‘anticipates’ an
                                                On August 21, 2017, Respondent,                      and controlled substance licenses ‘‘be
                                                                                                     SUSPENDED, pending proceedings before                 informal hearing to take place.’’ Id.
                                             through counsel, filed a letter requesting                                                                    (citing Resp. Reply at 1). Finally, the
                                             a hearing on the allegations. Letter from               an Administrative Law Judge at’’ IDFPR
                                                                                                     and (2) Respondent to ‘‘immediately                   ALJ concluded that the DEA has
                                             Respondent’s Counsel to Hearing Clerk
                                                                                                     surrender all indicia of licensure(s) to’’            previously held ‘‘that a stay in
                                             (dated Aug. 18, 2017) (hereinafter,
                                                                                                     IDFPR. Government Exhibit (GX) 2 to                   administrative enforcement proceedings
                                             Hearing Request). In this letter,
                                                                                                     Govt. Mot., at 1.                                     is ‘unlikely to ever be justified’ due to
                                             Respondent ‘‘objects to the statement
                                                                                                        In his responsive pleading,                        ancillary proceedings involving the
                                             that his licenses have been suspended’’
                                                                                                     Respondent did not dispute that the                   Respondent.’’ Id. at 3 (quoting Grider
                                             because the IDFPR ‘‘entered only a
                                                                                                     IDFPR ‘‘temporarily suspended’’ his                   Drug #1 & Grider Drug #2, 77 FR 44070,
                                             temporary order of suspension of his
                                                                                                     medical and controlled substance                      44104 n.97 (2012)).1
                                             license’’ until ‘‘an informal hearing’’
                                             scheduled in December 2017.’’ Id. at 1.                 licenses. Respondent’s Sept. 15, 2017                    1 I agree with this statement of the Agency’s
                                             Respondent also requested to ‘‘continue                 Motion for Extension of Time to                       precedents. However, the ALJ also cited Odette L.
                                             this matter to in or after January 2018.’’              Respond to Government’s Motion for                    Campbell, 80 FR 41062 (2015), as contrary
                                             Id. at 1 (emphasis omitted).                            Summary Disposition (hereinafter, Resp.               authority. See id. The ALJ characterized Campbell
                                                The matter was placed on the docket                  Reply), at 1. Instead, he argued that the             as ‘‘holding revocation proceedings in abeyance at
                                                                                                                                                           the post-hearing adjudication level for a lengthy
                                             of the Office of Administrative Law                     suspensions were ‘‘pending                            period pending the resolution of both criminal
                                             Judges and assigned to Administrative                   proceedings’’ before a state                          fraud charges and concurrent state administrative
                                             Law Judge Mark M. Dowd (hereinafter,                    administrative law judge and that he                  proceedings against the respondent,’’ id. Notably,
                                             ALJ). On August 25, 2017, the ALJ                       ‘‘believe[s] this matter may be resolved’’            Campbell involved an application for registration,
                                                                                                                                                           not a revocation of an existing registration, at the
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                                             ordered the Government to ‘‘file                        at an ‘‘informal hearing’’ in December                time the proceeding was held in abeyance. This is
                                             evidence to support the allegation that                 2017. Id. Respondent also argued that                 significant, as an applicant, like Campbell, does not
                                             the Respondent lacks state authority to                 the ALJ should grant him an extension                 have the current authority to handle controlled
                                             handle controlled substances,’’                         of time to respond to the Government’s                substances during any stay of the proceedings,
                                                                                                                                                           while a registrant does.
                                             ‘‘respond to the Respondent’s request                   Motion in ‘‘the interest of                              Moreover, one week before the evidentiary
                                             for continuance,’’ and file ‘‘any motion                administrative/judicial economy’’ until               hearing, the respondent was indicted on 30 counts
                                             for summary disposition’’ no later than                 then. Id. at 1–2 (quoting Robert Clark                                                            Continued




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                                             15632                        Federal Register / Vol. 83, No. 70 / Wednesday, April 11, 2018 / Notices

                                                The ALJ then found that there was no                 . . . specifically for use in maintenance              under section 823 of the CSA, ‘‘upon a
                                             dispute over the fact that ‘‘Respondent                 or detoxification treatment’’ for up to                finding that the registrant . . . has had
                                             currently lacks state authority to handle               100 patients. 21 CFR 1301.28(a) &                      his State license . . . suspended [or]
                                             controlled substances in Illinois due to                (b)(1)(iii). Respondent’s registered                   revoked . . . by competent State
                                             [the IDFPR’s] Order dated July 29, 2017,                address is 609 N. Main Street, Suite 102,              authority and is no longer authorized by
                                             which suspended his state licenses to                   Mount Prospect, Illinois. GX 1.                        State law to engage in the . . .
                                             practice medicine and distribute                        Respondent’s registration and DATA-                    dispensing of controlled substances.’’
                                             controlled substances.’’ Id. at 5.                      Waiver authority do not expire until                   Also, DEA has long held that the
                                             Reasoning that ‘‘[b]ecause the                          May 31, 2018. Id.                                      possession of authority to dispense
                                             Respondent lacks state authority at the                    On June 29, 2017, the IDFPR issued                  controlled substances under the laws of
                                             present time . . . he is not entitled to                an Order suspending Respondent’s                       the State in which a practitioner engages
                                             maintain his DEA registration,’’ the ALJ                Illinois Physician and Surgeon License                 in professional practice is a
                                             granted the Government’s motion and                     No. 036.096849 and his Illinois                        fundamental condition for obtaining
                                             recommended that his registration be                    Controlled Substance License No.                       and maintaining a practitioner’s
                                             revoked and that any pending renewal                    336.063325 ‘‘pending proceedings                       registration. See, e.g., James L. Hooper,
                                             applications be denied. Id. at 5–6.                     before an Administrative Law Judge at                  76 FR 71371 (2011), pet. for rev. denied,
                                                Neither party filed exceptions to the                the’’ IDFPR. GX 2, at 2. The Order also                481 Fed. Appx. 826 (4th Cir. 2012); see
                                             ALJ’s Recommended Decision.                             directed Respondent to ‘‘immediately                   also Frederick Marsh Blanton, 43 FR
                                             Thereafter, the record was forwarded to                 surrender all indicia of licensure(s) to               27616 (1978) (‘‘State authorization to
                                             my Office for Final Agency Action.                      the’’ IDFPR. Id.                                       dispense or otherwise handle controlled
                                             Having reviewed the record, I adopt the                    In January 2018, the IDFPR                          substances is a prerequisite to the
                                             ALJ’s finding that by virtue of the                     announced another enforcement action                   issuance and maintenance of a Federal
                                             IDFPR’s Order, Respondent is currently                  regarding Respondent’s state licenses,                 controlled substances registration.’’).
                                             without authority to handle controlled                  stating that his ‘‘physician and surgeon                  This rule derives from the text of two
                                             substances in Illinois, the State in which              license [is] restored to indefinite                    provisions of the CSA. First, Congress
                                             he holds his registration with the                      probation for a minimum of three years                 defined ‘‘the term ‘practitioner’ [to]
                                             Agency, and is thus not entitled to                     and [his] controlled substance license,                mean[ ] a . . . physician . . . or other
                                             maintain his registration. I further adopt              336063325, [is] indefinitely suspended,                person licensed, registered or otherwise
                                             the ALJ’s recommendation that I revoke                  12 months minimum, effective                           permitted, by . . . the jurisdiction in
                                             his registration and deny any pending                   retroactive to June 29, 2017 for                       which he practices . . . to distribute,
                                             renewal application. I make the                         inappropriately prescribing controlled                 dispense, [or] administer . . . a
                                                                                                     substances to patients of his practice.’’ 2            controlled substance in the course of
                                             following factual findings.
                                                                                                     I take official notice of the IDFPR’s                  professional practice.’’ 21 U.S.C.
                                             Findings of Fact                                        January 2018 enforcement action 3 and                  802(21). Second, in setting the
                                                Respondent is the holder of DEA                      find that Respondent currently does not                requirements for obtaining a
                                             Certificate of Registration No.                         possess a controlled substance license                 practitioner’s registration, Congress
                                             BZ5641419, pursuant to which he is                      in the State of Illinois, and thus does not            directed that ‘‘[t]he Attorney General
                                             authorized to dispense controlled                       possess authority to dispense controlled               shall register practitioners . . . if the
                                             substances in schedules II through V as                 substances in the State in which he is                 applicant is authorized to dispense . . .
                                             a practitioner. GX 1. Although not                      registered with the DEA. See 77 Ill.                   controlled substances under the laws of
                                             alleged in the Show Cause Order, I also                 Adm. Code § 3100.370(a) (‘‘A                           the State in which he practices.’’ 21
                                             find that Respondent is the holder of                   prescription for a controlled substance                U.S.C. 823(f).
                                                                                                     may be issued only by an individual                       Thus, ‘‘the controlling question’’ in a
                                             DATA-Waiver Identification Number
                                                                                                     practitioner who: (1) Holds an active                  proceeding brought under 21 U.S.C.
                                             XZ5641419, see id., which authorizes
                                                                                                     professional license in Illinois as an                 824(a)(3) is whether the holder of a DEA
                                             Respondent to dispense or prescribe
                                                                                                     individual practitioner; and (2) Holds an              registration ‘‘is currently authorized to
                                             schedule III–V narcotic controlled
                                                                                                     active controlled substances license                   handle controlled substances in the
                                             substances which ‘‘have been approved
                                                                                                     under the Act or is exempted from                      [S]tate’’ in which the practitioner is
                                             by the Food and Drug Administration
                                                                                                     licensure pursuant to Section 3100.80’’).              registered. Hooper, 76 FR at 71371
                                             of Health Care Fraud, as well as five counts of
                                                                                                                                                            (quoting Anne Lazar Thorn, 62 FR
                                                                                                     Discussion                                             12847, 12848 (1997)). Here, there is no
                                             altering records during a federal investigation. 80
                                             FR at 41063. Had the respondent been convicted of         Pursuant to 21 U.S.C. 824(a)(3), the                 dispute over the material fact that
                                             Health Care Fraud, she would have been subject to       Attorney General is authorized to                      Respondent is no longer currently
                                             mandatory exclusion from federal healthcare                                                                    authorized to dispense controlled
                                             programs under 42 U.S.C. 1320a–7(a) and her
                                                                                                     suspend or revoke a registration issued
                                             application would have been subject to denial on                                                               substances in Illinois, the State in which
                                             that basis as well. Id. at 41064 (citing 21 U.S.C.         2 See www.idfpr.com/Forms/DISCPLN/2018_             he is registered. See 77 Ill. Adm. Code
                                             824(a)(5)). Furthermore, even after the respondent      01enf.pdf.                                             § 3100.370(a). Accordingly, he is not
                                             successfully completed pre-trial diversion and the         3 Under the Administrative Procedure Act (APA),
                                                                                                                                                            entitled to maintain his registration.
                                             charges were dismissed, the state medical board         an agency ‘‘may take official notice of facts at any
                                             brought a proceeding against her license, and had       stage in a proceeding—even in the final decision.’’
                                                                                                                                                               I will therefore adopt the ALJ’s
                                             the board suspended or revoked her medical              U.S. Dept. of Justice, Attorney General’s Manual on    recommendation that I revoke
                                             license, denial of her application would have been      the Administrative Procedure Act 80 (1947) (Wm.        Respondent’s registration and deny any
                                             required under the CSA. Id. (citing 21 U.S.C.           W. Gaunt & Sons, Inc., Reprint 1979). In accordance    pending applications to renew his
                                             802(21) & 823(f)). Given the pending proceedings,       with the APA and DEA’s regulations, Respondent
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                                             Campbell was the rare case where withholding the        is ‘‘entitled on timely request to an opportunity to
                                                                                                                                                            registration. R.D. at 6. I will also deny
                                             issuance of a final decision was warranted. For         show to the contrary.’’ 5 U.S.C. 556(e); see also 21   any pending application to modify his
                                             these reasons, and those set forth in other final       CFR 1316.59(e). To allow Respondent the                registration, or any pending application
                                             orders, I hold that Campbell does not support the       opportunity to refute the facts of which I take        for any other registration in Illinois, as
                                             issuance of stay of proceedings involving the           official notice, Respondent may file a motion for
                                             suspension or revocation of DEA registrations. See,     reconsideration within 15 calendar days of service
                                                                                                                                                            requested in the Show Cause Order.
                                             e.g., Judson H. Somerville, 82 FR 21408, 21409 n.3      of this order which shall commence on the date this    Order to Show Cause, at 1. Finally,
                                             (2017).                                                 order is mailed.                                       because Respondent’s DATA-Waiver


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                                                                                   Federal Register / Vol. 83, No. 70 / Wednesday, April 11, 2018 / Notices                                                                                     15633

                                             authority is contingent on Respondent                                   registration in the State of Illinois, be,                                 SUMMARY:   Registrants listed below have
                                             being a practitioner with a valid DEA                                   and it hereby is, denied. This Order is                                    applied for and been granted
                                             registration, see 21 U.S.C. 823(g)(2)(A);                               effective immediately.4                                                    registration by the Drug Enforcement
                                             21 CFR 1301.28(a), I will revoke his                                      Dated: April 4, 2018.                                                    Administration (DEA) as importers of
                                             DATA-Waiver authority as well.                                          Robert W. Patterson,                                                       various classes of schedule I or II
                                             Order                                                                   Acting Administrator.                                                      controlled substances.
                                                Pursuant to the authority vested in me                               [FR Doc. 2018–07454 Filed 4–10–18; 8:45 am]                                SUPPLEMENTARY INFORMATION:
                                             by 21 U.S.C. 823(f) and 824(a), as well                                 BILLING CODE 4410–09–P
                                                                                                                                                                                                  The companies listed below applied
                                             as 28 CFR 0.100(b), I order that DEA                                                                                                               to be registered as importers of various
                                             Certificate of Registration No.                                                                                                                    basic classes of controlled substances.
                                             BZ5641419 and DATA-Waiver                                               DEPARTMENT OF JUSTICE
                                                                                                                                                                                                Information on previously published
                                             Identification Number XZ5641419,
                                                                                                                     Drug Enforcement Administration                                            notices is listed in the table below. No
                                             issued to Witold Marek Zajewski, M.D.,
                                                                                                                                                                                                comments or objections were submitted
                                             be, and they hereby are, revoked. I                                     [Docket No. DEA–392]
                                             further order that any pending                                                                                                                     and no requests for hearing were
                                             application of Witold Marek Zajewski to                                 Importer of Controlled Substances                                          submitted for these notices.
                                             renew or modify the above registration,                                 Registration
                                             or any pending application of Witold
                                                                                                                     ACTION:         Notice of registration.
                                             Marek Zajewski for any other

                                                                                Company                                                                                  FR docket                                                      Published

                                             Sharp (Bethlehem), LLC .....................................................             83   FR   539 ..........................................................................   January 4, 2018.
                                             Catalent Pharma Solutions, LLC ........................................                  83   FR   2215 ........................................................................    January 16, 2018.
                                             Janssen Pharmaceuticals, Inc ............................................                83   FR   2214 ........................................................................    January 16, 2018.
                                             Mylan Pharmaceuticals, Inc ...............................................               83   FR   5809 ........................................................................    February 9, 2018.
                                             Meridian Medical Technologies, Inc ...................................                   83   FR   5810 ........................................................................    February 9, 2018.
                                             Noramco, Inc ......................................................................      83   FR   5810 ........................................................................    February 9, 2018.
                                             Johnson Matthey, Inc .........................................................           83   FR   5811 ........................................................................    February 9, 2018.
                                             Mylan Technologies, Inc .....................................................            83   FR   5811 ........................................................................    February 9, 2018.
                                             Mylan Pharmaceuticals, Inc ...............................................               83   FR   8107 ........................................................................    February 23, 2018.



                                               The Drug Enforcement                                                  with 21 CFR 1301.34, the DEA has                                           SUMMARY:   Registrants listed below have
                                             Administration (DEA) has considered                                     granted a registration as an importer for                                  applied for and been granted
                                             the factors in 21 U.S.C. 823, 952(a) and                                schedule I or II controlled substances to                                  registration by the Drug Enforcement
                                             958(a) and determined that the                                          the above listed companies.                                                Administration (DEA) as bulk
                                             registration of the listed registrants to                                 Dated: April 4, 2018.                                                    manufacturers of various classes of
                                             import the applicable basic classes of                                  Susan A. Gibson,                                                           schedule I and II controlled substances.
                                             schedule I or II controlled substances is
                                                                                                                     Deputy Assistant Administrator.                                            SUPPLEMENTARY INFORMATION:
                                             consistent with the public interest and
                                             with United States obligations under                                    [FR Doc. 2018–07444 Filed 4–10–18; 8:45 am]
                                                                                                                                                                                                  The companies listed below applied
                                             international treaties, conventions, or                                 BILLING CODE 4410–09–P
                                                                                                                                                                                                to be registered as bulk manufacturers of
                                             protocols in effect on May 1, 1971. The                                                                                                            various basic classes of controlled
                                             DEA investigated each company’s                                                                                                                    substances. Information on previously
                                             maintenance of effective controls                                       DEPARTMENT OF JUSTICE
                                                                                                                                                                                                published notices is listed in the table
                                             against diversion by inspecting and                                     Drug Enforcement Administration                                            below. No comments or objections were
                                             testing each company’s physical                                                                                                                    submitted for these notices.
                                             security systems, verifying each                                        [Docket No. DEA–392]
                                             company’s compliance with state and
                                             local laws, and reviewing each                                          Bulk Manufacturer of Controlled
                                             company’s background and history.                                       Substances Registration
                                               Therefore, pursuant to 21 U.S.C.
                                                                                                                     ACTION:         Notice of registration.
                                             952(a) and 958(a), and in accordance

                                                                                Company                                                                                  FR docket                                                      Published

                                             Nanosyn, Inc .......................................................................     82   FR   56993 ......................................................................     December 1, 2017.
                                             Janssen Pharmaceutical, Inc .............................................                82   FR   58027 ......................................................................     December 8, 2017.
                                             Cambrex High Point, Inc ....................................................             82   FR   61795 ......................................................................     December 29, 2017.
                                             AMPAC Fine Chemicals LLC .............................................                   82   FR   61795 ......................................................................     December 29, 2017.
                                             Organix, Inc ........................................................................    83   FR   150 ..........................................................................   January 2, 2018.
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                                             Johnson Matthey Inc ..........................................................           83   FR   2215 ........................................................................    January 16, 2018.
                                             Chemtos, LLC .....................................................................       83   FR   2671 ........................................................................    January 18, 2018.
                                             Alcami Wisconsin Corporation ...........................................                 83   FR   2675 ........................................................................    January 18, 2018.


                                               4 For the same reasons which led the IDFPR to                         conclude that the public interest necessitates that                        this Order be effective immediately. 21 CFR
                                             revoke Respondent’s controlled substance license, I                                                                                                1316.67.



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Document Created: 2018-04-10 23:59:38
Document Modified: 2018-04-10 23:59:38
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 Citation83 FR 15630 

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