83_FR_54107 83 FR 53900 - Hisham M. Shawish, M.D.; Decision and Order

83 FR 53900 - Hisham M. Shawish, M.D.; Decision and Order

DEPARTMENT OF JUSTICE
Drug Enforcement Administration

Federal Register Volume 83, Issue 207 (October 25, 2018)

Page Range53900-53902
FR Document2018-23273

Federal Register, Volume 83 Issue 207 (Thursday, October 25, 2018)
[Federal Register Volume 83, Number 207 (Thursday, October 25, 2018)]
[Notices]
[Pages 53900-53902]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-23273]


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DEPARTMENT OF JUSTICE

Drug Enforcement Administration

[Docket No. 18-37]


Hisham M. Shawish, M.D.; Decision and Order

    On July 12, 2018, the Assistant Administrator, Diversion Control 
Division, Drug Enforcement Administration (hereinafter, DEA or 
Government), issued an Order to Show Cause to Hisham M. Shawish, M.D. 
(hereinafter, Respondent), of Erie, Pennsylvania. Order to Show Cause 
(hereinafter, OSC), at 1. The Show Cause Order proposes the revocation 
of Respondent's Certificate of Registration on the ground that he has 
``no state authority to handle controlled substances'' in the 
Commonwealth of Pennsylvania, the State in which Respondent is 
registered with the DEA. Id. (citing 21 U.S.C. 824(a)(3)). It also 
proposes the denial of ``any applications for renewal or modification 
of such registration and any applications for any other DEA 
registrations.'' OSC, at 1 (citing 21 U.S.C. 824(a)(3)).
    Regarding jurisdiction, the Show Cause Order alleges that 
Respondent holds DEA Certificate of Registration No. FS1974357 at the 
registered address of 650 East Ave., Erie, Pennsylvania 16503, with a 
mailing address of 5572 Copper Dr., #102, Erie, Pennsylvania 16509. 
OSC, at 1. This registration, the OSC alleges, authorizes Respondent to 
dispense controlled substances in schedules II through V as a 
practitioner. Id. The Show Cause Order alleges that this registration 
expires on February 28, 2019. Id.
    The substantive ground for the proceeding, as alleged in the Show 
Cause Order, is that Respondent is ``currently without authority to 
practice medicine or handle controlled substances in the Commonwealth 
of Pennsylvania, the state in which . . . [he is] registered with 
DEA.'' Id. at 2. Specifically, the Show Cause Order alleges that the 
Commonwealth of Pennsylvania State Board of Medicine issued an Order of 
Temporary Suspension and Notice of Hearing (hereinafter, Temporary 
Suspension Order and Notice of Hearing) on April 25, 2018, and that 
this Order ``suspended . . . [Respondent's] license to practice as a 
physician and surgeon.'' Id.
    The Show Cause Order notifies Respondent of his right to request a 
hearing on the allegations or to submit a written statement while 
waiving his right to a hearing, the procedures for electing each 
option, and the consequences for failing to elect either option. Id. 
(citing 21 CFR 1301.43). The Show Cause Order also notifies Respondent 
of the opportunity to submit a corrective action plan. OSC, at 2-3 
(citing 21 U.S.C. 824(c)(2)(C)).
    By letter dated July 26, 2018, Respondent timely requested a 
hearing.\1\ Hearing Request, at 1. According to the Hearing Request, 
``a Criminal Complaint was filed against . . . [Respondent] in 
Pennsylvania Magisterial District Court,'' which Respondent 
``categorically denies and is vigorously fighting.'' Id. Respondent's 
Hearing Request admits that his ``license to practice medicine and 
surgery in Pennsylvania was temporarily placed in suspension, effective 
April 26, 2018.'' Id. It asserts that the ``term of suspension is 180 
days from April 26, 2018, at which time . . . [Respondent's] 
Pennsylvania license will revert to active unrestricted status by 
operation of law.'' Id.
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    \1\ The Hearing Request is dated and was received less than 30 
days after the OSC's issuance. It is, thus, apparent that the 
Government's service of the OSC was sufficient and Respondent's 
request for a hearing was timely.
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    The Office of Administrative Law Judges put the matter on the 
docket and assigned it to Administrative Law Judge Charles Wm. Dorman 
(hereinafter, ALJ). On July 27, 2018, the ALJ issued a Briefing 
Schedule for Lack of State Authority Allegations.
    The Government timely complied with the Briefing Schedule by filing 
a Motion for Summary Disposition on August 10, 2018 (hereinafter, 
Summary Disposition Motion). The Summary Disposition Motion is ``based 
on Respondent's lack of state authority to handle controlled 
substances.'' Summary Disposition Motion, at 1. The Government attached 
to its Summary Disposition Motion the Temporary Suspension Order and 
Notice of Hearing that the Commonwealth of Pennsylvania, Department of 
State, State Board of Medicine issued to Respondent. According to the 
Summary Disposition Motion, Respondent ``is not entitled to hold a DEA 
registration'' because he ``does not have state authority to prescribe, 
administer, or dispense controlled substances in the Commonwealth of 
Pennsylvania.'' Id. at 3. The Government argues, citing Agency 
precedent, that ``even if the period of suspension is temporary or if 
there is the potential that Respondent's state controlled substances 
privileges will be reinstated, summary disposition is warranted.'' Id. 
at 3-4.
    Respondent timely filed its Reply in Opposition to the Government's 
Motion for Summary Disposition dated August 24, 2018 (hereinafter, 
Reply in Opposition). Attached to the Reply in Opposition are Docket 
Sheets indicating that the charges Respondent is facing are indecent 
assault of a person less than 13 years of age and corruption of minors 
dating as far back as 2014. Reply in Opposition, at Exh. 1.
    Respondent argues that the Government's Summary Disposition Motion 
should be denied because ``[t]he Government does not take into 
consideration the fact that . . . [Respondent's] Pennsylvania medical 
license is set to return to unrestricted status on October 25, 2018.'' 
Id. at 1. Since, he states, ``his license will revert to active status 
as a matter of law in approximately two months, on October 25, 2018, . 
. . [i]t would be a waste of judicial resources, time, and expense to 
revoke . . . [his] DEA registration and then require . . . [him] to 
reapply for a DEA registration.'' Id. at 3. Respondent argues that the 
Agency precedent cited in the Summary Disposition Motion is 
``distinguishable, as it does not appear that in any of the cases a 
firm date was set on which each respective respondents' [sic] license 
was scheduled to be reinstated.'' Id. [emphasis in original]. Thus, 
Respondent urges the ALJ to ``stay resolution'' of the Summary 
Disposition Motion for 90 days and to

[[Page 53901]]

hold ``a status conference and/or additional briefing to be scheduled 
following the trial of . . . [Respondent's] criminal case and the 
reinstatement of his Pennsylvania medical license on October 25, 
2018.'' Id. at 1, 4.
    The ALJ granted the Government's Summary Disposition Motion and 
recommended that Respondent's registration be revoked. Order Granting 
Summary Disposition and Recommended Rulings, Findings of Fact, 
Conclusions of Law, and Decision dated August 27, 2018 (hereinafter, 
R.D.). The ALJ notes Respondent's concession that his Pennsylvania 
license to practice medicine and surgery is temporarily suspended. 
R.D., at 3. The ALJ characterizes as ``speculative'' Respondent's 
assertion that his license will revert to an active status on October 
25, 2018. Id. at 4. The ALJ points out that, ``immediately following 
the language'' in the Temporary Suspension Order and Notice of Hearing 
setting the duration of the temporary suspension at ``in no event 
longer than 180 days,'' there is language ordering that ``the 
`prosecuting attorney will commence a separate action to suspend, 
revoke or otherwise restrict Respondent's license.''' Id. [emphasis in 
original]. The ALJ then reviews relevant Agency precedent and concludes 
that, ``[T]he disposition of the . . . [Summary Disposition Motion] 
depends only on whether the Respondent currently possesses state 
authority to dispense controlled substances in Pennsylvania.'' Id. at 
6. Since Respondent conceded that the Pennsylvania State Board of 
Medicine temporarily suspended his medical license, the ALJ granted the 
Summary Disposition Motion and recommends revocation of Respondent's 
registration. Id. at 6, 7.
    By letter dated September 27, 2018, the ALJ certified and 
transmitted the record to me for final Agency action. In that letter, 
the ALJ advises that neither party filed exceptions and that the time 
period to do so has expired.
    I issue this Decision and Order based on the entire record before 
me. 21 CFR 1301.43(e). I make the following findings of fact.

Findings of Fact

Respondent's DEA Registration

    Respondent is the holder of DEA Certificate of Registration No. 
FS1974357, pursuant to which he is authorized to dispense controlled 
substances in schedules II through V as a practitioner, at the 
registered address of 650 East Ave., Erie, Pennsylvania 16503. Summary 
Disposition Motion, at Certification of Registration History. 
Respondent's registration expires on February 28, 2019. Id.

The Status of Respondent's State License

    The Pennsylvania State Board of Medicine ordered the temporary 
suspension of Respondent's license to practice as a physician and 
surgeon on April 25, 2018. Reply in Opposition, Exh. 3, at 1. According 
to the Temporary Suspension Order and Notice of Hearing, the 
Prosecuting Attorney ``alleged facts in the Petition, which, if taken 
as true, . . . make[ ] Respondent an immediate and clear danger to the 
public health and safety.'' Id. It orders that a preliminary hearing be 
scheduled and conducted within 30 days to determine ``whether there is 
a prima facie case to support the temporary suspension of the 
Respondent's license and other authorizations to practice the 
profession issued by the Board.'' Id. at 2. If a prima facie case is 
not established, Respondent's license and other authorizations ``will 
be immediately restored.'' Id. If a prima facie case is established, 
``the temporary suspension shall remain in effect until vacated by the 
Board, but in no event longer than 180 days, unless otherwise ordered 
or agreed to by the participants.'' Id. There is no evidence in the 
record concerning the preliminary hearing ordered in the Temporary 
Suspension Order and Notice of Hearing. The undisputed evidence in the 
record, independently submitted by both parties, is that Respondent's 
Pennsylvania license to practice as a physician and surgeon is 
currently suspended. Although Respondent asserts unequivocally that his 
license will be ``return[ed] to unrestricted status on October 25, 
2018,'' the evidence in the record, as the ALJ correctly explicates, is 
to the contrary. Reply in Opposition, at 1; R.D., at 4. Thus, I reject 
Respondent's unequivocal assertion and agree with the ALJ's analysis.
    Accordingly, I find that Respondent currently is without authority 
to practice as a physician or surgeon in the Commonwealth of 
Pennsylvania, the State in which he is registered.

Discussion

    Pursuant to 21 U.S.C. 824(a)(3), the Attorney General is authorized 
to suspend or revoke a registration issued under section 823 of the 
Controlled Substances Act (hereinafter, CSA), ``upon a finding that the 
registrant . . . has had his State license or registration suspended . 
. . [or] revoked . . . by competent State authority and is no longer 
authorized by State law to engage in the . . . dispensing of controlled 
substances.'' With respect to a practitioner, the DEA has also 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, 
M.D., 76 FR 71,371 (2011), pet. for rev. denied, 481 Fed. Appx. 826 
(4th Cir. 2012); Frederick Marsh Blanton, M.D., 43 FR 27,616, 27,617 
(1978).
    This rule derives from the text of two provisions of the CSA. 
First, Congress defined the term ``practitioner'' to mean ``a physician 
. . . or other person licensed, registered, or otherwise permitted, by 
. . . the jurisdiction in which he practices . . . , to distribute, 
dispense, . . . [or] administer . . . a controlled substance in the 
course of professional practice.'' 21 U.S.C. 802(21). Second, in 
setting the requirements for obtaining a practitioner's registration, 
Congress directed that ``[t]he Attorney General shall register 
practitioners . . . if the applicant is authorized to dispense . . . 
controlled substances under the laws of the State in which he 
practices.'' 21 U.S.C. 823(f). Because Congress has clearly mandated 
that a practitioner possess State authority in order to be deemed a 
practitioner under the CSA, the DEA has held repeatedly that revocation 
of a practitioner's registration is the appropriate sanction whenever 
he is no longer authorized to dispense controlled substances under the 
laws of the State in which he practices. See, e.g., Hooper, supra, 76 
FR at 71,371-72; Sheran Arden Yeates, M.D., 71 FR 39,130, 39,131 
(2006); Dominick A. Ricci, M.D., 58 FR 51,104, 51,105 (1993); Bobby 
Watts, M.D., 53 FR 11,919, 11,920 (1988), Blanton, supra, 43 FR at 
27,617.
    Under longstanding Agency precedent, DEA revokes the registration 
of a practitioner who lacks State authority to handle controlled 
substances even when the practitioner's State authority was suspended 
summarily or pending a final decision on the merits. See, e.g., Bourne 
Pharmacy, Inc., 72 FR 18,273, 18,274 (2007). Similarly, the facts that 
the Pennsylvania State Board of Medicine temporarily suspended a 
respondent's license and that the respondent may, some day, regain his 
license to practice as a physician and surgeon did not change the 
salient fact--the respondent was not currently authorized to handle 
controlled substances in the State in which he was registered. Mehdi

[[Page 53902]]

Nikparvarfard, M.D., 83 FR 14,503, 14,504 (2018).
    Here, the undisputed evidence in the record is that Respondent's 
Pennsylvania license to practice as a physician and surgeon is 
currently suspended. There is no evidence in the record that Respondent 
holds any Pennsylvania registration, let alone as a practitioner, to 
handle controlled substances. As such, according to Pennsylvania law, 
Respondent currently does not have authority to handle controlled 
substances in Pennsylvania.
    In sum, Respondent's Pennsylvania license to practice as a 
physician and surgeon is temporarily suspended. He currently lacks 
authority in Pennsylvania to practice medicine and to handle controlled 
substances. He is, therefore, not eligible for a DEA registration. 
Accordingly, I will order that Respondent's DEA registration be revoked 
and that any pending application for the renewal or modification of his 
registration be denied. 21 U.S.C. 824(a)(3).

Order

    Pursuant to 28 CFR 0.100(b) and the authority thus vested in me by 
21 U.S.C. 824(a), I order that DEA Certificate of Registration No. 
FS1974357 issued to Hisham M. Shawish, M.D., be, and it hereby is, 
revoked. I further order that any pending application of Hisham M. 
Shawish, M.D., to renew or modify this registration, as well as any 
other pending application by him for registration in the Commonwealth 
of Pennsylvania, be, and it hereby is, denied. This Order is effective 
immediately.\2\
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    \2\ For the same reasons the Pennsylvania State Board of 
Medicine suspended Respondent's Pennsylvania license to practice as 
a physician and surgeon, I find that the public interest 
necessitates that this Order be effective immediately. 21 CFR 
1316.67.

    Dated: October 10, 2018.
 Uttam Dhillon,
Acting Administrator.
[FR Doc. 2018-23273 Filed 10-24-18; 8:45 am]
 BILLING CODE 4410-09-P



                                               53900                       Federal Register / Vol. 83, No. 207 / Thursday, October 25, 2018 / Notices

                                               information is accurate and complete to                 of 650 East Ave., Erie, Pennsylvania                  On July 27, 2018, the ALJ issued a
                                               the best of the submitter’s knowledge. In               16503, with a mailing address of 5572                 Briefing Schedule for Lack of State
                                               making the certification, the submitter                 Copper Dr., #102, Erie, Pennsylvania                  Authority Allegations.
                                               will acknowledge that any information                   16509. OSC, at 1. This registration, the                 The Government timely complied
                                               that it submits to the Commission                       OSC alleges, authorizes Respondent to                 with the Briefing Schedule by filing a
                                               during these investigations may be                      dispense controlled substances in                     Motion for Summary Disposition on
                                               disclosed to and used: (i) By the                       schedules II through V as a practitioner.             August 10, 2018 (hereinafter, Summary
                                               Commission, its employees and Offices,                  Id. The Show Cause Order alleges that                 Disposition Motion). The Summary
                                               and contract personnel (a) for                          this registration expires on February 28,             Disposition Motion is ‘‘based on
                                               developing or maintaining the records                   2019. Id.                                             Respondent’s lack of state authority to
                                               of these or related investigations or                      The substantive ground for the                     handle controlled substances.’’
                                               reviews, or (b) in internal investigations,             proceeding, as alleged in the Show                    Summary Disposition Motion, at 1. The
                                               audits, reviews, and evaluations relating               Cause Order, is that Respondent is                    Government attached to its Summary
                                               to the programs, personnel, and                         ‘‘currently without authority to practice             Disposition Motion the Temporary
                                               operations of the Commission including                  medicine or handle controlled                         Suspension Order and Notice of Hearing
                                               under 5 U.S.C. Appendix 3; or (ii) by                   substances in the Commonwealth of                     that the Commonwealth of
                                               U.S. government employees and                           Pennsylvania, the state in which . . .                Pennsylvania, Department of State, State
                                               contract personnel, solely for                          [he is] registered with DEA.’’ Id. at 2.              Board of Medicine issued to
                                               cybersecurity purposes. All contract                    Specifically, the Show Cause Order                    Respondent. According to the Summary
                                               personnel will sign appropriate                         alleges that the Commonwealth of                      Disposition Motion, Respondent ‘‘is not
                                               nondisclosure agreements.                               Pennsylvania State Board of Medicine                  entitled to hold a DEA registration’’
                                                  Authority: These investigations are                  issued an Order of Temporary                          because he ‘‘does not have state
                                               being conducted under authority of title                Suspension and Notice of Hearing                      authority to prescribe, administer, or
                                               VII of the Tariff Act of 1930; this notice              (hereinafter, Temporary Suspension                    dispense controlled substances in the
                                               is published pursuant to section 207.12                 Order and Notice of Hearing) on April                 Commonwealth of Pennsylvania.’’ Id. at
                                               of the Commission’s rules.                              25, 2018, and that this Order                         3. The Government argues, citing
                                                                                                       ‘‘suspended . . . [Respondent’s] license              Agency precedent, that ‘‘even if the
                                                 By order of the Commission.
                                                                                                       to practice as a physician and surgeon.’’             period of suspension is temporary or if
                                                 Issued: October 19, 2018.                             Id.                                                   there is the potential that Respondent’s
                                               Lisa Barton,                                               The Show Cause Order notifies                      state controlled substances privileges
                                               Secretary to the Commission.                            Respondent of his right to request a                  will be reinstated, summary disposition
                                               [FR Doc. 2018–23287 Filed 10–24–18; 8:45 am]            hearing on the allegations or to submit               is warranted.’’ Id. at 3–4.
                                               BILLING CODE 7020–02–P                                  a written statement while waiving his                    Respondent timely filed its Reply in
                                                                                                       right to a hearing, the procedures for                Opposition to the Government’s Motion
                                                                                                       electing each option, and the                         for Summary Disposition dated August
                                               DEPARTMENT OF JUSTICE                                   consequences for failing to elect either              24, 2018 (hereinafter, Reply in
                                                                                                       option. Id. (citing 21 CFR 1301.43). The              Opposition). Attached to the Reply in
                                               Drug Enforcement Administration                         Show Cause Order also notifies                        Opposition are Docket Sheets indicating
                                                                                                       Respondent of the opportunity to                      that the charges Respondent is facing
                                               [Docket No. 18–37]
                                                                                                       submit a corrective action plan. OSC, at              are indecent assault of a person less
                                               Hisham M. Shawish, M.D.; Decision                       2–3 (citing 21 U.S.C. 824(c)(2)(C)).                  than 13 years of age and corruption of
                                               and Order                                                  By letter dated July 26, 2018,                     minors dating as far back as 2014. Reply
                                                                                                       Respondent timely requested a hearing.1               in Opposition, at Exh. 1.
                                                  On July 12, 2018, the Assistant                      Hearing Request, at 1. According to the                  Respondent argues that the
                                               Administrator, Diversion Control                        Hearing Request, ‘‘a Criminal Complaint               Government’s Summary Disposition
                                               Division, Drug Enforcement                              was filed against . . . [Respondent] in               Motion should be denied because ‘‘[t]he
                                               Administration (hereinafter, DEA or                     Pennsylvania Magisterial District                     Government does not take into
                                               Government), issued an Order to Show                    Court,’’ which Respondent                             consideration the fact that . . .
                                               Cause to Hisham M. Shawish, M.D.                        ‘‘categorically denies and is vigorously              [Respondent’s] Pennsylvania medical
                                               (hereinafter, Respondent), of Erie,                     fighting.’’ Id. Respondent’s Hearing                  license is set to return to unrestricted
                                               Pennsylvania. Order to Show Cause                       Request admits that his ‘‘license to                  status on October 25, 2018.’’ Id. at 1.
                                               (hereinafter, OSC), at 1. The Show                      practice medicine and surgery in                      Since, he states, ‘‘his license will revert
                                               Cause Order proposes the revocation of                  Pennsylvania was temporarily placed in                to active status as a matter of law in
                                               Respondent’s Certificate of Registration                suspension, effective April 26, 2018.’’               approximately two months, on October
                                               on the ground that he has ‘‘no state                    Id. It asserts that the ‘‘term of                     25, 2018, . . . [i]t would be a waste of
                                               authority to handle controlled                          suspension is 180 days from April 26,                 judicial resources, time, and expense to
                                               substances’’ in the Commonwealth of                     2018, at which time . . . [Respondent’s]              revoke . . . [his] DEA registration and
                                               Pennsylvania, the State in which                        Pennsylvania license will revert to                   then require . . . [him] to reapply for a
                                               Respondent is registered with the DEA.                  active unrestricted status by operation               DEA registration.’’ Id. at 3. Respondent
                                               Id. (citing 21 U.S.C. 824(a)(3)). It also               of law.’’ Id.                                         argues that the Agency precedent cited
                                               proposes the denial of ‘‘any applications                  The Office of Administrative Law                   in the Summary Disposition Motion is
                                               for renewal or modification of such                     Judges put the matter on the docket and               ‘‘distinguishable, as it does not appear
daltland on DSKBBV9HB2PROD with NOTICES




                                               registration and any applications for any               assigned it to Administrative Law Judge               that in any of the cases a firm date was
                                               other DEA registrations.’’ OSC, at 1                    Charles Wm. Dorman (hereinafter, ALJ).                set on which each respective
                                               (citing 21 U.S.C. 824(a)(3)).                                                                                 respondents’ [sic] license was scheduled
                                                                                                         1 The Hearing Request is dated and was received
                                                  Regarding jurisdiction, the Show                                                                           to be reinstated.’’ Id. [emphasis in
                                                                                                       less than 30 days after the OSC’s issuance. It is,
                                               Cause Order alleges that Respondent                     thus, apparent that the Government’s service of the
                                                                                                                                                             original]. Thus, Respondent urges the
                                               holds DEA Certificate of Registration                   OSC was sufficient and Respondent’s request for a     ALJ to ‘‘stay resolution’’ of the Summary
                                               No. FS1974357 at the registered address                 hearing was timely.                                   Disposition Motion for 90 days and to


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                                                                           Federal Register / Vol. 83, No. 207 / Thursday, October 25, 2018 / Notices                                           53901

                                               hold ‘‘a status conference and/or                       Certification of Registration History.                longer authorized by State law to engage
                                               additional briefing to be scheduled                     Respondent’s registration expires on                  in the . . . dispensing of controlled
                                               following the trial of . . .                            February 28, 2019. Id.                                substances.’’ With respect to a
                                               [Respondent’s] criminal case and the                                                                          practitioner, the DEA has also long held
                                                                                                       The Status of Respondent’s State
                                               reinstatement of his Pennsylvania                                                                             that the possession of authority to
                                                                                                       License
                                               medical license on October 25, 2018.’’                                                                        dispense controlled substances under
                                               Id. at 1, 4.                                               The Pennsylvania State Board of                    the laws of the State in which a
                                                  The ALJ granted the Government’s                     Medicine ordered the temporary                        practitioner engages in professional
                                               Summary Disposition Motion and                          suspension of Respondent’s license to                 practice is a fundamental condition for
                                               recommended that Respondent’s                           practice as a physician and surgeon on                obtaining and maintaining a
                                               registration be revoked. Order Granting                 April 25, 2018. Reply in Opposition,                  practitioner’s registration. See, e.g.,
                                               Summary Disposition and                                 Exh. 3, at 1. According to the Temporary              James L. Hooper, M.D., 76 FR 71,371
                                               Recommended Rulings, Findings of                        Suspension Order and Notice of                        (2011), pet. for rev. denied, 481 Fed.
                                               Fact, Conclusions of Law, and Decision                  Hearing, the Prosecuting Attorney                     Appx. 826 (4th Cir. 2012); Frederick
                                               dated August 27, 2018 (hereinafter,                     ‘‘alleged facts in the Petition, which, if            Marsh Blanton, M.D., 43 FR 27,616,
                                               R.D.). The ALJ notes Respondent’s                       taken as true, . . . make[ ] Respondent               27,617 (1978).
                                               concession that his Pennsylvania                        an immediate and clear danger to the                     This rule derives from the text of two
                                               license to practice medicine and surgery                public health and safety.’’ Id. It orders             provisions of the CSA. First, Congress
                                               is temporarily suspended. R.D., at 3.                   that a preliminary hearing be scheduled               defined the term ‘‘practitioner’’ to mean
                                               The ALJ characterizes as ‘‘speculative’’                and conducted within 30 days to                       ‘‘a physician . . . or other person
                                               Respondent’s assertion that his license                 determine ‘‘whether there is a prima                  licensed, registered, or otherwise
                                               will revert to an active status on October              facie case to support the temporary                   permitted, by . . . the jurisdiction in
                                               25, 2018. Id. at 4. The ALJ points out                  suspension of the Respondent’s license                which he practices . . . , to distribute,
                                               that, ‘‘immediately following the                       and other authorizations to practice the              dispense, . . . [or] administer . . . a
                                               language’’ in the Temporary Suspension                  profession issued by the Board.’’ Id. at              controlled substance in the course of
                                               Order and Notice of Hearing setting the                 2. If a prima facie case is not                       professional practice.’’ 21 U.S.C.
                                               duration of the temporary suspension at                 established, Respondent’s license and                 802(21). Second, in setting the
                                               ‘‘in no event longer than 180 days,’’                   other authorizations ‘‘will be                        requirements for obtaining a
                                               there is language ordering that ‘‘the                   immediately restored.’’ Id. If a prima                practitioner’s registration, Congress
                                               ‘prosecuting attorney will commence a                   facie case is established, ‘‘the temporary            directed that ‘‘[t]he Attorney General
                                               separate action to suspend, revoke or                   suspension shall remain in effect until               shall register practitioners . . . if the
                                               otherwise restrict Respondent’s                         vacated by the Board, but in no event                 applicant is authorized to dispense . . .
                                               license.’’’ Id. [emphasis in original]. The             longer than 180 days, unless otherwise                controlled substances under the laws of
                                                                                                       ordered or agreed to by the                           the State in which he practices.’’ 21
                                               ALJ then reviews relevant Agency
                                                                                                       participants.’’ Id. There is no evidence              U.S.C. 823(f). Because Congress has
                                               precedent and concludes that, ‘‘[T]he
                                                                                                       in the record concerning the                          clearly mandated that a practitioner
                                               disposition of the . . . [Summary
                                                                                                       preliminary hearing ordered in the                    possess State authority in order to be
                                               Disposition Motion] depends only on
                                                                                                       Temporary Suspension Order and                        deemed a practitioner under the CSA,
                                               whether the Respondent currently
                                                                                                       Notice of Hearing. The undisputed                     the DEA has held repeatedly that
                                               possesses state authority to dispense
                                                                                                       evidence in the record, independently                 revocation of a practitioner’s registration
                                               controlled substances in Pennsylvania.’’
                                                                                                       submitted by both parties, is that                    is the appropriate sanction whenever he
                                               Id. at 6. Since Respondent conceded
                                                                                                       Respondent’s Pennsylvania license to                  is no longer authorized to dispense
                                               that the Pennsylvania State Board of
                                                                                                       practice as a physician and surgeon is                controlled substances under the laws of
                                               Medicine temporarily suspended his
                                                                                                       currently suspended. Although                         the State in which he practices. See,
                                               medical license, the ALJ granted the
                                                                                                       Respondent asserts unequivocally that                 e.g., Hooper, supra, 76 FR at 71,371–72;
                                               Summary Disposition Motion and
                                                                                                       his license will be ‘‘return[ed] to                   Sheran Arden Yeates, M.D., 71 FR
                                               recommends revocation of Respondent’s
                                                                                                       unrestricted status on October 25,                    39,130, 39,131 (2006); Dominick A.
                                               registration. Id. at 6, 7.
                                                  By letter dated September 27, 2018,                  2018,’’ the evidence in the record, as the            Ricci, M.D., 58 FR 51,104, 51,105 (1993);
                                                                                                       ALJ correctly explicates, is to the                   Bobby Watts, M.D., 53 FR 11,919, 11,920
                                               the ALJ certified and transmitted the
                                                                                                       contrary. Reply in Opposition, at 1;                  (1988), Blanton, supra, 43 FR at 27,617.
                                               record to me for final Agency action. In
                                                                                                       R.D., at 4. Thus, I reject Respondent’s                  Under longstanding Agency
                                               that letter, the ALJ advises that neither                                                                     precedent, DEA revokes the registration
                                               party filed exceptions and that the time                unequivocal assertion and agree with
                                                                                                       the ALJ’s analysis.                                   of a practitioner who lacks State
                                               period to do so has expired.                                                                                  authority to handle controlled
                                                                                                          Accordingly, I find that Respondent
                                                  I issue this Decision and Order based
                                                                                                       currently is without authority to                     substances even when the practitioner’s
                                               on the entire record before me. 21 CFR
                                                                                                       practice as a physician or surgeon in the             State authority was suspended
                                               1301.43(e). I make the following                                                                              summarily or pending a final decision
                                                                                                       Commonwealth of Pennsylvania, the
                                               findings of fact.                                                                                             on the merits. See, e.g., Bourne
                                                                                                       State in which he is registered.
                                               Findings of Fact                                                                                              Pharmacy, Inc., 72 FR 18,273, 18,274
                                                                                                       Discussion                                            (2007). Similarly, the facts that the
                                               Respondent’s DEA Registration                              Pursuant to 21 U.S.C. 824(a)(3), the               Pennsylvania State Board of Medicine
                                                 Respondent is the holder of DEA                       Attorney General is authorized to                     temporarily suspended a respondent’s
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                                               Certificate of Registration No.                         suspend or revoke a registration issued               license and that the respondent may,
                                               FS1974357, pursuant to which he is                      under section 823 of the Controlled                   some day, regain his license to practice
                                               authorized to dispense controlled                       Substances Act (hereinafter, CSA),                    as a physician and surgeon did not
                                               substances in schedules II through V as                 ‘‘upon a finding that the registrant . . .            change the salient fact—the respondent
                                               a practitioner, at the registered address               has had his State license or registration             was not currently authorized to handle
                                               of 650 East Ave., Erie, Pennsylvania                    suspended . . . [or] revoked . . . by                 controlled substances in the State in
                                               16503. Summary Disposition Motion, at                   competent State authority and is no                   which he was registered. Mehdi


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                                               53902                          Federal Register / Vol. 83, No. 207 / Thursday, October 25, 2018 / Notices

                                               Nikparvarfard, M.D., 83 FR 14,503,                         Order                                                       ACTION:  Notice of Department of
                                               14,504 (2018).                                               Pursuant to 28 CFR 0.100(b) and the                       Justice’s standing members of the Senior
                                                  Here, the undisputed evidence in the                    authority thus vested in me by 21 U.S.C.                    Executive Service and Senior Level
                                               record is that Respondent’s                                824(a), I order that DEA Certificate of                     Performance Review Boards.
                                               Pennsylvania license to practice as a                      Registration No. FS1974357 issued to                        SUMMARY:   Pursuant to the requirements
                                               physician and surgeon is currently                         Hisham M. Shawish, M.D., be, and it                         of 5 U.S.C. 4314(c)(4), the Department of
                                               suspended. There is no evidence in the                     hereby is, revoked. I further order that                    Justice announces the membership of its
                                               record that Respondent holds any                           any pending application of Hisham M.                        2018 Senior Executive Service (SES)
                                               Pennsylvania registration, let alone as a                  Shawish, M.D., to renew or modify this                      and Senior Level (SL) Standing
                                               practitioner, to handle controlled                         registration, as well as any other                          Performance Review Boards (PRBs). The
                                               substances. As such, according to                          pending application by him for                              purpose of a PRB is to provide fair and
                                               Pennsylvania law, Respondent currently                     registration in the Commonwealth of                         impartial review of SES/SL performance
                                               does not have authority to handle                          Pennsylvania, be, and it hereby is,                         appraisals, executive development
                                               controlled substances in Pennsylvania.                     denied. This Order is effective                             plans, bonus recommendations and pay
                                                                                                          immediately.2                                               adjustments.
                                                  In sum, Respondent’s Pennsylvania
                                               license to practice as a physician and                       Dated: October 10, 2018.                                    The PRBs will make
                                                                                                          Uttam Dhillon,                                              recommendations regarding the final
                                               surgeon is temporarily suspended. He
                                                                                                          Acting Administrator.                                       performance ratings to be assigned, SES/
                                               currently lacks authority in
                                                                                                          [FR Doc. 2018–23273 Filed 10–24–18; 8:45 am]                SL bonuses and/or pay adjustments to
                                               Pennsylvania to practice medicine and
                                                                                                                                                                      be awarded.
                                               to handle controlled substances. He is,                    BILLING CODE 4410–09–P
                                                                                                                                                                      FOR FURTHER INFORMATION CONTACT:
                                               therefore, not eligible for a DEA
                                                                                                                                                                      Mary A. Lamary, Director, Human
                                               registration. Accordingly, I will order
                                                                                                          DEPARTMENT OF JUSTICE                                       Resources, Justice Management
                                               that Respondent’s DEA registration be
                                                                                                                                                                      Division, Department of Justice,
                                               revoked and that any pending                               Membership of the Senior Executive                          Washington, DC 20530; (202) 514–4350.
                                               application for the renewal or                             Service and Senior Level Standing
                                               modification of his registration be                        Performance Review Boards                                   Lee J. Lofthus,
                                               denied. 21 U.S.C. 824(a)(3).                                                                                           Assistant Attorney General for
                                                                                                          AGENCY:    Department of Justice.                           Administration.

                                                                                                                   2018 FEDERAL REGISTER
                                                                  Name                                                                               Position title

                                                                                                                Office of the Attorney General—OAG

                                               HAMILTON, GENE ...........................        COUNSELOR TO THE ATTORNEY GENERAL.
                                               WHITAKER, MATTHEW ...................             CHIEF OF STAFF AND COUNSELOR.
                                               TUCKER, RACHEL ..........................         COUNSELOR TO THE ATTORNEY GENERAL.
                                               BARNETT, GARY .............................       COUNSELOR TO THE ATTORNEY GENERAL.
                                               MORRISSEY, BRIAN .......................          COUNSELOR TO THE ATTORNEY GENERAL.
                                               CUTRONA, DANIELLE .....................           SENIOR COUNSELOR.

                                                                                                         Office of the Deputy Attorney General—ODAG

                                               O’CALLAGHAN, EDWARD ..............                PRINCIPAL ASSOCIATE DEPUTY ATTORNEY GENERAL.
                                               GUAHAR, TASHINA .........................         ASSOCIATE DEPUTY ATTORNEY GENERAL.
                                               BAUGHMAN, MATTHEW .................               ASSOCIATE DEPUTY ATTORNEY GENERAL.
                                               COOK, STEVE .................................     ASSOCIATE DEPUTY ATTORNEY GENERAL/LAW ENFORCEMENT.
                                               CONNOLLY, ROBERT .....................            DIRECTOR, OFFICE OF SMALL AND DISADVANTAGED BUSINESS UTILIZATION.
                                               GOLDSMITH, ANDREW ..................              NATIONAL CRIMINAL DISCOVERY COORDINATOR.
                                               MICHALIC, MARK ............................       EMERGENCY PREPAREDNESS AND CRISIS RESPONSE COORDINATOR.

                                                                                                       Office of the Associate Attorney General—OASG

                                               PANUCCIO, JESSE .........................         PRINCIPAL DEPUTY ASSOCIATE ATTORNEY GENERAL.
                                               MCARTHUR, ERIC ...........................        DEPUTY ASSOCIATE ATTORNEY GENERAL.
                                               COX, STEVE ....................................   DEPUTY ASSOCIATE ATTORNEY GENERAL.
                                               BISSEX, RACHEL ............................       CHIEF OF STAFF AND COUNSEL TO THE ASSOCIATE ATTORNEY GENERAL.

                                                                                                                Office of the Solicitor General—OSG

                                               WALL, JEFFREY ..............................      PRINCIPAL DEPUTY SOLICITOR GENERAL.
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                                               DREEBEN, MICHAEL R ...................            DEPUTY SOLICITOR GENERAL.
                                               KNEEDLER, EDWIN S .....................           DEPUTY SOLICITOR GENERAL.
                                               STEWART, MALCOLM L .................              DEPUTY SOLICITOR GENERAL.


                                                 2 For the same reasons the Pennsylvania State            Pennsylvania license to practice as a physician and         that this Order be effective immediately. 21 CFR
                                               Board of Medicine suspended Respondent’s                   surgeon, I find that the public interest necessitates       1316.67.



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Document Created: 2018-10-25 01:46:07
Document Modified: 2018-10-25 01:46:07
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 53900 

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