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LicenseeType of License
License Number
Summary
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Barbara Ann MorenoTechnician T040102Consent Agreement for Civil Penalty, Continuing Education and Audit. The consent agreement includes a $250.00 civil penalty, 10 hours of continuing education and an automatic CE audit.
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Lawrence C. Rush, Jr.PharmacistS020309Interim Consent Agreement for Interim Suspension of License and Substance Use Evaluation with Fitness for Duty Component. License suspended until further Order of the Board.
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Victor John FerrerTechnician T082992Consent Agreement for Voluntary Surrender of Registration. Registration Surrendered.
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Lee A. PendletonPharmacistS022312Consent Agreement and Order for Probation of License with Monitoring. License placed on probation for five (5) years.
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Pamela Susan PerezTechnician T025376Consent Agreement for Civil Penalty, Continuing Education and Audit. The consent agreement includes a $325.00 civil penalty, 13 hours of continuing education and an automatic CE audit.
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Thomas L FongPharmacistS023509Interim Consent Agreement for Interim Suspension of License. License suspended until further Order of the Board.
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Robert J. CarusoPharmacistS016685Consent Agreement and Order for Probation and Monitoring. License placed on probation for 12 months.
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Crystal Lynne GilloolyTechnician TraineeTR00533Consent Agreement for Voluntary Surrender of Registration. Registration Surrendered.
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Christoper R. JonesArizona Medical Board78321Interim Practice Restriction- Respondent is prohibited from engaging in the practice of medicine in the State of Arizona as set forth in A.R.S. § 32-1401(22) until Respondent applies to the Executive Director and receives permission to do so.
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Trevor Jay BerminghamPharmacistS025740Consent Agreement for Civil Penalty and Order for Probation of License. License placed on probation for one year. The consent agreement includes a $2,000.00 fine.
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Jason McEuen ClontsPharmacistS019285Consent Agreement and Order Lifting Suspension, and Imposition of Probation with Monitoring. License placed on probation for three (3) years.
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Josef SiposArizona Medical Board61852
Interim Practice Restriction- Respondent is prohibited from engaging in the practice of medicine in the State of Arizona as set forth in A.R.S. § 32-1401(22) until Respondent applies to the Executive Director and receives permission to do so.
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Daniel E. ParksArizona Medical Board72260Suspension of License effective - 11/12/25
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Laura L. LoeselArizona Medical Board65282Non-Disciplinary Surrender of License - 11/20/2025
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Mark J. RubinArizona Medical Board28310Decree of Censure and Probation with Practice Restriction - 11/20/2025
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John M. IversonArizona Board of Physician Assistants 6073Revocation of License - 11/20/2025
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Gabrielle Anne ConklinTechnicianT082058Consent Agreement and Order for Probation and Monitoring. License placed on probation for 12 months.
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Jannene Burdick Arizona Board of Nursing RN115453/CRNA0210Voluntary Surrender effective 10/06/2025
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Kelley FarleyArizona Board of Nursing RN170663/RNP219372Summarily Suspended effective 09/26/2025
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Natalee KingPharmacistS012798Consent Agreement and Order for Voluntary Surrender of License. License surrendered.
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