National Organization for State Medical & Osteopathic Board Executives

State Medical Board Investigator Certification Program

A Collaborative Effort by the Administrators in Medicine (AIM) and the Federation of State Medical Boards (FSMB)

Online Application Tracking System

2007 List Only

2008 List:  http://www.aimmembers.org/08cmbiapptracking/

List of Applicants - As of December 29, 2020

 

Number of Applicants to Date: 33

 

Number of Candidates Approved for Certification by the Committee: 31

 

For more information on the Program, visit http://www.aimmembers.org/investcertdescription/

 


SYMBOL KEY

= Application ready for approval

  = Discretionary point requirement not met - Further review/information needed

 

= Certified State Medical Board Investigator = Application Approved by the Committee and the date approved


Certified State Medical Board Investigator

The Certification Process:  In order to achieve certification in this program, an investigator is required to meet the following qualifications:

Discretionary Requirements A minimum of three (3) points are required from the following:

                A.            1 point Attendance at an AIM Annual Meeting

                B.            1 point Attendance at a FSMB Annual Meeting

                C.            1 point Experience points (1 point awarded for each three (3) years of regulatory investigator experience)

                D.            1 point Completion of a basic investigator training program (e.g., NCIT, CLEAR Basic, state/federal/military law enforcement training)

Mandatory Requirements:

                E.             Minimum of two (2) years of experience working as a medical board investigator

                F.             Completion of the three-day AIM-FSMB - CMBI Medical Board Investigator Training Course

State Board

 

Name of Applicant

Noted where applicant has achieved Certified State Medical Board Investigator Status by Approval of the Committee

 

Application Tracking Number

Note: This is NOT the Certification Number

Nevada Medical

Douglas C. Cooper, Chief of Investigations Division

dccnsbme@medboard.nv.gov

  Certified State Medical Board Investigator - Application Approved by the Committee on September 17, 2007

Discretionary Requirements: Minimum of 3 Points Needed

Discretionary points claimed: 14

1 point: Attendance at AIM Annual Meeting - San Francisco 2007

3 points: Attendance at FSMB Annual Meeting - 2005 -2006 - 2007

9 experience points

Basic Investigator Training: 1 point for Training

Mandatory Requirements:

Minimum 2 years medical board investigator experience: Yes - July 15, 2020

Completed the June 6-8, 2007 AIM & FSMB Inaugural State Medical Board Investigator Certification Training Course: Yes

June 6-8, 2007 Orlando Training Course Completion Certificate - AIM & FSMB Certificate Number: 07-002

Application Signed by Nevada Medical Board Executive Tony Clark

07-001
North Carolina Curtis L. Ellis, Director of Investigations

Curt.Ellis@NCMEDBOARD.ORG

Certified State Medical Board Investigator - Application Approved by the Committee on September 17, 2007

Discretionary Requirements: Minimum of 3 Points Needed

Discretionary points claimed: 4

1 point: Attendance at AIM Annual Meeting - San Francisco 2007

1 point: Attendance at FSMB Annual Meeting - San Francisco 2007

1 experience points

Basic Investigator Training:  1 point for Training - NC State Bureau of Investigation - Numerous courses over a 27 year career

Mandatory Requirements:

Minimum 2 years medical board investigator experience: Yes - 5/17/03

Completed the June 6-8, 2007 AIM & FSMB Inaugural State Medical Board Investigator Certification Training Course: Yes

June 6-8, 2007 Orlando Training Course Completion Certificate - AIM & FSMB Certificate Number: 07-001

Application Signed by North Carolina Board Executive R. David Henderson

07-002

 

Florida Thomas Keys Hannah, Jr., Chief of Investigative Services

Tom_Hannah@doh.state.fl.us

Certified State Medical Board Investigator - Application Approved by the Committee on September 17, 2007

Discretionary Requirements: Minimum of 3 Points Needed

Discretionary points claimed: 13

1 point: Attendance at AIM Annual Meeting - San Francisco 2007

11 experience points

Basic Investigator Training:  1 point CLEAR NCIT for Training 2001

Mandatory Requirements:

Minimum 2 years medical board investigator experience: Yes - 1/2/74

Completed the June 6-8, 2007 AIM & FSMB Inaugural State Medical Board Investigator Certification Training Course: Yes

June 6-8, 2007 Orlando Training Course Completion Certificate - AIM & FSMB Certificate Number: 07-003

Application Signed by Florida Medical Board Executive Larry McPherson

07-003
 

North Carolina

 

Donald R. Pittman, Investigator

don.pittman@NCMEDBOARD.ORG

Certified State Medical Board Investigator - Application Approved by the Committee on September 17, 2007

Discretionary Requirements: Minimum of 3 Points Needed

Discretionary points claimed: 9

8 experience points

Basic Investigator Training:  1 point for Training NCIT Advanced Training Program November 12-15, 1990 in Atlanta, GA and NCIT September 2-5, 1986 in Denver, CO

Mandatory Requirements:

Minimum 2 years medical board investigator experience: Yes - 5/4/81

Completed the June 6-8, 2007 AIM & FSMB Inaugural State Medical Board Investigator Certification Training Course: Yes

June 6-8, 2007 Orlando Training Course Completion Certificate - AIM & FSMB Certificate Number: 07-042

Application Signed by North Carolina Board Executive R. David Henderson 

07-004
Louisiana
Grace Hammons, Manager, Investigations & Enforcement

Ghammons@lsbme.la.gov

Certified State Medical Board Investigator - Application Approved by the Committee on September 17, 2007

Discretionary Requirements: Minimum of 3 Points Needed

Discretionary points claimed: 5

1 point: Attendance at AIM Annual Meeting - San Francisco 2007

1 point: Attendance at FSMB Annual Meeting - San Francisco 2007

2 experience points

Basic Investigator Training: 1 point for Training - FSMB Board Investigator Workshop - Quality of Care/Boundary Violation Investigations - October 19-20, 2000 - Denver, Colorado

Mandatory Requirements:

Minimum 2 years medical board investigator experience: Yes - 1999

Completed the June 6-8, 2007 AIM & FSMB Inaugural State Medical Board Investigator Certification Training Course: Yes

June 6-8, 2007 Orlando Training Course Completion Certificate - AIM & FSMB Certificate Number: 07-020

Application Signed by Cecelia Mouton, M.D., Director of Investigations

07-005
Maine Medical Timothy Terranova, Consumer Assistant
Tim.E.Terranova@maine.gov

Certified State Medical Board Investigator - Application Approved by the Committee on September 17, 2007

Discretionary Requirements: Minimum of 3 Points Needed

Discretionary points claimed: 4

1 point: Attendance at FSMB Annual Meeting - Dallas 2005

2 experience points

Basic Investigator Training: 1 point for Training - CLEAR NCIT - Basic 2000 and Specialized 2001

Mandatory Requirements:

Minimum 2 years medical board investigator experience: Yes - 2/4/00

Completed the June 6-8, 2007 AIM & FSMB Inaugural State Medical Board Investigator Certification Training Course: Yes

June 6-8, 2007 Orlando Training Course Completion Certificate - AIM & FSMB Certificate Number: 07-023

Application Signed by Maine Medical Board Executive Randal C. Manning

07-006
North Carolina Therese M. Dembroski, Investigator

therese.dembroski@NCMEDBOARD.ORG

Certified State Medical Board Investigator - Application Approved by the Committee on September 17, 2007

Discretionary Requirements: Minimum of 3 Points Needed

Discretionary points claimed: 5

4 experience points

Basic Investigator Training:  1 point for Training - NCIT CLEAR Basic September 1996 in Raleigh, NC and NCIT CLEAR Specialized March 1999 in Raleigh, NC

Mandatory Requirements:

Minimum 2 years medical board investigator experience: Yes - 4/3/95

Completed the June 6-8, 2007 AIM & FSMB Inaugural State Medical Board Investigator Certification Training Course: Yes

June 6-8, 2007 Orlando Training Course Completion Certificate - AIM & FSMB Certificate Number: 07-045

Application Signed by North Carolina Board Executive R. David Henderson

07-007
Florida

Thomas E. French, Medical Malpractice Investigator

Tom_French@doh.state.fl.us

Certified State Medical Board Investigator - Application Approved by the Committee on September 17, 2007

Discretionary Requirements: Minimum of 3 Points Needed

Discretionary points claimed: 3

2 experience points

Basic Investigator Training: 1 point for Training - Ohio Basic Police School 1969

Mandatory Requirements:

Minimum 2 years medical board investigator experience: Yes - 2/21/00

Completed the June 6-8, 2007 AIM & FSMB Inaugural State Medical Board Investigator Certification Training Course:: Yes

June 6-8, 2007 Orlando Training Course Completion Certificate - AIM & FSMB Certificate Number: 07-010

Application Signed by Richard Bonnell, Investigations Manager

07-008
West Virginia Medical Leslie A. Higginbotham, Investigator II

lesliehigginbotham@wvdhhr.org

Certified State Medical Board Investigator - Application Approved by the Committee on September 17, 2007

Discretionary Requirements: Minimum of 3 Points Needed

Discretionary points claimed: 7

1 point: Attendance at AIM Annual Meeting - San Francisco 2007

1 point: Attendance at FSMB Annual Meeting - San Francisco 2007

4 experience points

Basic Investigator Training: 1 point for Training - CLEAR Basic 1993/2006

Mandatory Requirements:

Minimum 2 years medical board investigator experience: Yes - April 1993

Completed the June 6-8, 2007 AIM & FSMB Inaugural State Medical Board Investigator Certification Training Course: Yes

June 6-8, 2007 Orlando Training Course Completion Certificate - AIM & FSMB Certificate Number: 07-065

Application Signed by West Virginia Medical Board Executive Robert C. Knittle

07-009
Mississippi Thomas E. Washington, Bureau Director, Investigations

Thomas@msbml.state.ms.us

Certified State Medical Board Investigator - Application Approved by the Committee on September 17, 2007

Discretionary Requirements: Minimum of 3 Points Needed

Discretionary points claimed: 11

2 points: Attendance at AIM Annual Meeting - Boston 2006 and San Francisco 2007

2 points: Attendance at FSMB Annual Meeting - Boston 2006 and San Francisco 2007

5 experience points

Basic Investigator Training: 2 points for Training - CLEAR NCIT Basic in Albuquerque, NM, from April 27-30, 1992 and Mississippi Law Enforcement Training Academy 1980

Mandatory Requirements:

Minimum 2 years medical board investigator experience: Yes - 9/90

Completed the June 6-8, 2007 AIM & FSMB Inaugural State Medical Board Investigator Certification Training Course: Yes

June 6-8, 2007 Orlando Training Course Completion Certificate - AIM & FSMB Certificate Number: 07-032

Application Signed by Mississippi Board Executive H. Vann Craig, MD

07-010
Mississippi Leslie B. Ross, Licensing Investigator Supervisor

lbross@msbml.state.ms.us  

Certified State Medical Board Investigator - Application Approved by the Committee on September 17, 2007

Discretionary Requirements: Minimum of 3 Points Needed

Discretionary points claimed: 3

2 experience points

Basic Investigator Training: 1 point for Training - NCIT CLEAR Basic - January 4, 2021

Mandatory Requirements:

Minimum 2 years medical board investigator experience: Yes - November 2003

Completed the June 6-8, 2007 AIM & FSMB Inaugural State Medical Board Investigator Certification Training Course: Yes

June 6-8, 2007 Orlando Training Course Completion Certificate - AIM & FSMB Certificate Number: 07-033

Application Signed by Thomas E. Washington, Bureau Director, Investigations   

07-011
Oklahoma Osteo Hugh D. Tidler, Special Investigator

H.D.Tidler@att.net

Certified State Medical Board Investigator - Application Approved by the Committee on September 17, 2007

Discretionary Requirements: Minimum of 3 Points Needed

Discretionary points claimed: 5

4 experience points

Basic Investigator Training: 1 point for Training - CLEAR NCIT Basic September 7, 2020

Mandatory Requirements:

Minimum 2 years medical board investigator experience: Yes - 2/22/94

Completed the June 6-8, 2007 AIM & FSMB Inaugural State Medical Board Investigator Certification Training Course: Yes

June 6-8, 2007 Orlando Training Course Completion Certificate - AIM & FSMB Certificate Number: 07-057

Application Signed by Oklahoma Osteopathic Board Executive Gary R. Clark

07-012
Ohio Jan E. Sussex, Enforcement Investigator

jan.sussex@med.state.oh.us

Certified State Medical Board Investigator - Application Approved by the Committee on September 17, 2007

Discretionary Requirements: Minimum of 3 Points Needed

Discretionary points claimed: 3

2 experience points

Basic Investigator Training: 1  point for Training - CLEAR 2000

Mandatory Requirements:

Minimum 2 years medical board investigator experience: Yes - 2000

Completed the June 6-8, 2007 AIM & FSMB Inaugural State Medical Board Investigator Certification Training Course: Yes

June 6-8, 2007 Orlando Training Course Completion Certificate - AIM & FSMB Certificate Number: 07-050

Application Signed by Douglas Edwards, Chief of Investigations

07-013
Ohio Jeff Bradford, Enforcement Investigator

jeff.bradford@med.state.oh.us

Certified State Medical Board Investigator - Application Approved by the Committee on September 17, 2007

Discretionary Requirements: Minimum of 3 Points Needed

Discretionary points claimed: 5

4 experience points

Basic Investigator Training: 1 point for Training - CLEAR 1995

Mandatory Requirements:

Minimum 2 years medical board investigator experience: Yes - 12/12/94

Completed the June 6-8, 2007 AIM & FSMB Inaugural State Medical Board Investigator Certification Training Course: Yes

June 6-8, 2007 Orlando Training Course Completion Certificate - AIM & FSMB Certificate Number: 07-049

Application Signed by Douglas Edwards, Chief of Investigations

07-014
Oklahoma Medical Steve Washbourne, Chief Investigator

swashbourne@okmedicalboard.org

Certified State Medical Board Investigator - Application Approved by the Committee on September 17, 2007

Discretionary Requirements: Minimum of 3 Points Needed

Discretionary points:  8  (one ineligible AIM Annual Meeting discretionary point deleted)

6 experience points

Basic Investigator Training:  2 points for Training - CLEAR Basic June 1994 - CLEET 1988/Oklahoma is the Oklahoma law enforcement training for all state peace officers - NCIT CLEAR Certified Specialized Training - February 15, 2021 - FSMB 1993 Board Investigators Workshop - April 23-24, 1993 - 10 Hours

Mandatory Requirements:

Minimum 2 years medical board investigator experience: Yes - 8/91

Completed the June 6-8, 2007 AIM & FSMB Inaugural State Medical Board Investigator Certification Training Course: Yes

June 6-8, 2007 Orlando Training Course Completion Certificate - AIM & FSMB Certificate Number: 07-051

Application Signed by Bobby Tidwell, Administrator, Department of Medical Supervision

07-015
Oklahoma Medical Gayla McClenney, RN, Case Manager

gmcclenney@okmedicalboard.org

Certified State Medical Board Investigator - Application Approved by the Committee on September 17, 2007

Discretionary Requirements: Minimum of 3 Points Needed

Discretionary points claimed:  6

5 experience points

Basic Investigator Training:  1 point for Training - NCIT CLEAR 11/16/05

Legal Nurse Consultant Certified - The American Legal Nurse Consultant Certification Board - Certification valid through March 31, 2010

Advanced NCIT, CLEAR Investigator Training = Advanced Investigative Analysis; Advanced Investigative Report Development; and Advanced Interviewing as part of the NCIT Specialized Program 10/19/06

Kinesic Interview I and II - Public Agency Training Council - National Criminal Justice - 38.5 hours - Edmund, OK - 2/23/04-2/27/04

Mandatory Requirements:

Minimum 2 years medical board investigator experience: Yes - 2/17/04

Completed the June 6-8, 2007 AIM & FSMB Inaugural State Medical Board Investigator Certification Training Course: Yes

June 6-8, 2007 Orlando Training Course Completion Certificate - AIM & FSMB Certificate Number: 07-053

Application Signed by Bobby Tidwell, Administrator, Department of Medical Supervision

07-016
Oklahoma Medical Gary E. Ricks, Assistant Compliance Coordinator/Investigator

gricks@okmedicalboard.org

= Application ready for approval

Updated information filed with 2008 reapplication: Gary Ricks attended the FSMB Annual Meeting in San Antonio May 1-3, 2008 and presented the FSMB Certificate of Participation with his reapplication. He also attended the AIM Annual Meeting on April 30, 2021 in San Antonio so that adds two discretionary points to his original application.  On his reapplication, he is claiming 4 discretionary points: 1 for AIM Annual, 1 for FSMB Annual, 1 experience point and 1 for basic training - CLEAR National Certified Investigator/Inspector Basic Training Program May 9-11, 2005 Jackson, Mississippi.

Discretionary Requirements: Minimum of 3 Points Needed

Discretionary points claimed: 3 but 2007 Orlando, Florida does not qualify for AIM Annual Meeting so that leaves 2 points

  • INELIGIBLE - 1 point: AIM Annual Meeting: 2007 Orlando, Florida does not qualify as AIM Annual Meeting. The 2007 AIM Annual Meeting was in San Francisco.

1 experience point

Basic Investigator Training: 1 point for Training - CLEAR Basic 2005

Mandatory Requirements:

Minimum 2 years medical board investigator experience: Yes - 2/7/05

Completed the June 6-8, 2007 AIM & FSMB Inaugural State Medical Board Investigator Certification Training Course: Yes

June 6-8, 2007 Orlando Training Course Completion Certificate - AIM & FSMB Certificate Number: 07-054

First Application Signed by Bobby Tidwell, Administrator, Department of Medical Supervision and Reapplication signed by Board Executive Lyle Kelsey

07-017
Utah Jared Memmott, Investigator

jmemmott@utah.gov

  Discretionary point requirement not met - Further review/information needed

Discretionary Requirements: Minimum of 3 Points Needed

Discretionary points claimed: 3 but Orlando 2007 does not qualify for AIM Annual Meeting so that leaves 2 points

  • INELIGIBLE - 1 point: AIM Annual Meeting: Orlando 2007 does not qualify as AIM Annual Meeting.  The 2007 AIM Annual Meeting was in San Francisco.

1 experience point

Basic Investigator Training: 1 point for Training - Utah Peace Officer and Standards Training 2005

Mandatory Requirements:

Minimum 2 years medical board investigator experience: Yes - 1/16/04

Completed the June 6-8, 2007 AIM & FSMB Inaugural State Medical Board Investigator Certification Training Course: Yes

June 6-8, 2007 Orlando Training Course Completion Certificate - AIM & FSMB Certificate Number: 07-061

Application Signed by Larry Gooch, Investigator's Supervisor

07-018
Iowa David G. Smith, Health Professions Investigator

david.smith@iowa,gov

Certified State Medical Board Investigator - Application Approved by the Committee on September 17, 2007

Discretionary Requirements: Minimum of 3 Points Needed

Discretionary points claimed: 8

7 experience points

Basic Investigator Training: 1 point for Training

NCIT/CLEAR: November 30, 2020

DEA: April 9, 2021

University of Missouri-Columbia - National Certified Investigator Training - Law Enforcement Training Institute - School of Law and the University Extension Division: September 5, 2020

Mandatory Requirements:

Minimum 2 years medical board investigator experience: Yes - 1/1/89 to present

9/1/85-4/30/89 Previous Medical Board Employment Tennessee

Completed the June 6-8, 2007 AIM & FSMB Inaugural State Medical Board Investigator Certification Training Course: Yes

June 6-8, 2007 Orlando Training Course Completion Certificate - AIM & FSMB Certificate Number: 07-019

Application Signed by Iowa Board Executive Ann Mowery

07-019
Oklahoma Medical Bobby Tidwell, Administrator, Department of Medical Supervision

btidwell@okmedicalboard.org

Certified State Medical Board Investigator - Application Approved by the Committee on September 17, 2007

Discretionary Requirements: Minimum of 3 Points Needed

Discretionary points claimed:  9

9 experience points

Basic Investigator Training: 0 point for Training

27 years Oklahoma City P.D. - Over 50 schools in Invest. Training

Mandatory Requirements:

Minimum 2 years medical board investigator experience: Yes - 3/05

Completed the June 6-8, 2007 AIM & FSMB Inaugural State Medical Board Investigator Certification Training Course: Yes

June 6-8, 2007 Orlando Training Course Completion Certificate - AIM & FSMB Certificate Number: 07-052

Application Signed by Oklahoma Medical Board Executive Lyle R. Kelsey

07-020

 

Florida Lija G. Scherer, Medical Malpractice Investigator, Florida Department of Health/MQA

Lija_Scherer@doh.state.fl.us

Certified State Medical Board Investigator - Application Approved by the Committee on September 17, 2007

Discretionary Requirements: Minimum of 3 Points Needed

Discretionary points claimed:  10

3 experience points

Basic Investigator Training: 7 points for Training

Annual Florida Investigative/Enforcement Training: 1998, 2000, 2003, 2004, 2005, 2006, 2007

Mandatory Requirements:

Minimum 2 years medical board investigator experience: Yes - 10/89

Completed the June 6-8, 2007 AIM & FSMB Inaugural State Medical Board Investigator Certification Training Course: Yes

June 6-8, 2007 Orlando Training Course Completion Certificate - AIM & FSMB Certificate Number: 07-012

Application Signed by Richard L. Bonnell, Investigations Manager

07-021
Florida Sidronio Casas, Medical Malpractice Investigator, Florida Department of Health/MQA

sidronio_casas@doh.state.fl.us

Certified State Medical Board Investigator - Application Approved by the Committee on September 17, 2007

Discretionary Requirements: Minimum of 3 Points Needed

Discretionary points claimed:  3

2 experience points

Basic Investigator Training: 1 point for Training

Annual Florida MQA Enforcement Training: 2000, 2003, 2004, 2005, 2006, 2007

Mandatory Requirements:

Minimum 2 years medical board investigator experience: Yes - 9/7/99

Completed the June 6-8, 2007 AIM & FSMB Inaugural State Medical Board Investigator Certification Training Course: Yes

June 6-8, 2007 Orlando Training Course Completion Certificate - AIM & FSMB Certificate Number: 07-009

Application Signed by Richard L. Bonnell, Investigations Manager

07-022
Florida Richard L. Bonnell, Investigations Manager, Florida Department of Health/MQA

richard_bonnell@doh.state.fl.us

Certified State Medical Board Investigator - Application Approved by the Committee on September 17, 2007

Discretionary Requirements: Minimum of 3 Points Needed

Discretionary points claimed:  6 (one ineligible AIM Annual Meeting "2007 Orlando" discretionary point was not claimed)

5 experience points

Basic Investigator Training: 1 point for Training

Annual Florida MQA Enforcement/Investigative Training: 2006. 2007

Mandatory Requirements:

Minimum 2 years medical board investigator experience: Yes - 2/11/94

Completed the June 6-8, 2007 AIM & FSMB Inaugural State Medical Board Investigator Certification Training Course: Yes

June 6-8, 2007 Orlando Training Course Completion Certificate - AIM & FSMB Certificate Number: 07-008

Application Signed by Lija G. Scherer, Medical Malpractice Investigator (Lead Worker)

07-023
Florida Roxanne McCarthy, Medical Malpractice Investigator, Florida Department of Health/MQA

Roxanne_McCarthy@doh.state.fl.us

Certified State Medical Board Investigator - Application Approved by the Committee on September 17, 2007

Discretionary Requirements: Minimum of 3 Points Needed

6 Discretionary points claimed: 

5 experience points

Basic Investigator Training: 1 point for Training

Florida Department of Health, Basic Investigator Training 2003

Mandatory Requirements:

Minimum 2 years medical board investigator experience: Yes - March 2003 Medical Board - June 1996 Radiation Control

Completed the June 6-8, 2007 AIM & FSMB Inaugural State Medical Board Investigator Certification Training Course: Yes

June 6-8, 2007 Orlando Training Course Completion Certificate - AIM & FSMB Certificate Number: 07-011

Application Signed by Richard L. Bonnell, Investigations Manager

07-024
Iowa Cathy McCullough, Health Professions Investigator

CATHY.MCCULLOUGH@iowa.gov

= Certified State Medical Board Investigator = Application Approved by the Committee on October 23, 2007

Discretionary Requirements: Minimum of 3 Points Needed

6 Discretionary points claimed:  Note for File: Application indicated 2 points claimed. Follow-up contact made with applicant due to the 4 + 2 points listed below. 10/19/07: Applicant clarified via an e-mail response that the total discretionary points claimed should be 6.

4 experience points

Basic Investigator Training: 2 points for Training

1995, 1996 CLEAR and 2005 Advanced CLEAR

Mandatory Requirements:

Minimum 2 years medical board investigator experience: Yes - 1995

Completed the June 6-8, 2007 AIM & FSMB Inaugural State Medical Board Investigator Certification Training Course: Yes

June 6-8, 2007 Orlando Training Course Completion Certificate - AIM & FSMB Certificate Number: 07-016

Application Signed by Ann Mowery, Executive Director

07-025
Iowa Bernard Jennisch, Health Professions Investigator

bernard.jennisch@iowa.gov

= Certified State Medical Board Investigator = Application Approved by the Committee on October 23, 2007

Discretionary Requirements: Minimum of 3 Points Needed

8 Discretionary points claimed: 

6 experience points

Basic Investigator Training: 2 points for Training

CLEAR Basic 1988 and State (Iowa) Law Enforcement Training 1975

Mandatory Requirements:

Minimum 2 years medical board investigator experience: Yes - 11/23/87

Completed the June 6-8, 2007 AIM & FSMB Inaugural State Medical Board Investigator Certification Training Course: Yes

June 6-8, 2007 Orlando Training Course Completion Certificate - AIM & FSMB Certificate Number: 07-018

Application Signed by Ann Mowery, Executive Director

07-026
Nevada Medical Pamela Castagnola, Deputy Chief of Investigations

pjcnsbme@medboard.nv.gov

= Certified State Medical Board Investigator = Application Approved by the Committee on October 23, 2007

Discretionary Requirements: Minimum of 3 Points Needed

7 Discretionary points claimed: 

1 Point for Attending the 2007 AIM Annual Meeting in San Francisco

5 experience points

Basic Investigator Training: 1 point for Training

CLEAR Basic 2004 - Certificate provided is dated October 24, 2005

Mandatory Requirements:

Minimum 2 years medical board investigator experience: Yes - 12/12/01

Completed the June 6-8, 2007 AIM & FSMB Inaugural State Medical Board Investigator Certification Training Course: Yes

June 6-8, 2007 Orlando Training Course Completion Certificate - AIM & FSMB Certificate Number: 07-039

Application Signed by Douglas Cooper, Chief of Investigations Division

07-027
Nevada Medical Trent S. Hiett, Investigator

tshnsbme@medboard.nv.gov

= Certified State Medical Board Investigator = Application Approved by the Committee on October 23, 2007

Discretionary Requirements: Minimum of 3 Points Needed

3 Discretionary points claimed: 

1 Point for Attending the 2007 AIM Annual Meeting in San Francisco

1 experience point

Basic Investigator Training: 1 point for Training

CLEAR Basic 2004 - Certificate provided is dated October 24, 2005

Mandatory Requirements:

Minimum 2 years medical board investigator experience: Yes - 7/1/2021

Completed the June 6-8, 2007 AIM & FSMB Inaugural State Medical Board Investigator Certification Training Course: Yes

June 6-8, 2007 Orlando Training Course Completion Certificate - AIM & FSMB Certificate Number: 07-040

Application Signed by Douglas Cooper, Chief of Investigations Division

07-028
Iowa Teena Roush, Health Professions Investigator

teena.roush@iowa.gov

= Certified State Medical Board Investigator = Application Approved by the Committee on October 23, 2007

Discretionary Requirements: Minimum of 3 Points Needed

7 Discretionary points claimed: 

6 experience points

Basic Investigator Training: 1 point for Training

NCIT/CLEAR 1989

Mandatory Requirements:

Minimum 2 years medical board investigator experience: Yes - 11/22/88

Completed the June 6-8, 2007 AIM & FSMB Inaugural State Medical Board Investigator Certification Training Course: Yes

June 6-8, 2007 Orlando Training Course Completion Certificate - AIM & FSMB Certificate Number: 07-017

Application Signed by Edwin B. Knapp, Chief Investigator

07-029
Ohio Brenda L. Harrison, Enforcement Investigator

brenda.harrison@med.state.oh.us

 

= Certified State Medical Board Investigator = Application Approved by the Committee on December 14, 2007

 

Discretionary Requirements: Minimum of 3 Points Needed

13 Discretionary points claimed (Note: Actually the count is 7 + 5 = 12): 

7 experience points

Basic Investigator Training: 5 points for Training

CLEAR Basic 1986; Secret Service Training 1984; Ohio State Highway Patrol Training Academy 1980; Ohio Basic Police Academy 1987; Bureau of Criminal Identification Course 1990.

Mandatory Requirements:

Minimum 2 years medical board investigator experience: Yes - 3/86

Completed the June 6-8, 2007 AIM & FSMB Inaugural State Medical Board Investigator Certification Training Course: Yes

June 6-8, 2007 Orlando Training Course Completion Certificate - AIM & FSMB Certificate Number: 07-048

Application Signed by Douglas Edwards, Chief of Investigations

07-030

END OF LIST OF 2007 APPLICANTS AND CANDIDATES