INDIANA STATE BOARD OF DENTISTRY
AGENDA
Will meet on
Friday, October 2, 2009
at 9:00 a.m.
Indiana Professional Licensing Agency
Indiana Government Center South
402 West Washington Street, Room W064
Indianapolis, Indiana
I. CALL TO ORDER AND ESTABLISHMENT OF QUORUM 9:00 a.m.
II. ADOPTION OF AGENDA
III. ADOPTION OF MINUTES FROM THE AUGUST 7, 2009 MEETING
IV. APPEARANCES 9:15 a.m.
A. PROBATIONARY
1. Christopher Leonard, D.D.S., License No. 12009363A
Administrative Cause No. 2005 DB 0002
2. Edward T. Mamaril, D.D.S., License No. 12008594A
Administrative Cause No 2008 ISDB 0001
3. Trevor Treasure, D.D.S., License No. 12010719A
Administrative Cause No. 2007 ISDB 0002
4. Teresa Michelle Watkins, D.D.S., License No. 12010271A
Administrative Cause No. 2006 DB 0003
B. APPLICATION
C. RENEWAL
V. ADMINISTRTIVE HEARING
A. Daniel Fink D.D.S., License No. 12007602A 10:00 a.m.
Administrative Cause No. 2006 ISDB 0006
Re: Request for Reinstatement of a Suspended License
B. Mathew Negrelli, D.D.S., License No. 12009878A 10:30 a.m.
Administrative Cause No. 2009 ISDB 0005
Re: Complaint
VI. NOTICE OF PROPOSED DEFAULT
VII. OLD/NEW BUSINESS
VIII. DISCUSSION
A. Dr. Louis Malcmacher, President
American Academy of Facial Esthetics
B. C. Scott Litch, Esq., CAE
Chief Operating Officer and General Counsel
American Academy of Pediatric Dentistry
Re: Advertising
IX. APPLICATION REVIEW
A. Examination
1. Joyce Ann Barbour, D.D.S.
2. Tajudeen O. Ogbara, D.D.S.
3. Wilson Daniel Stemm, III, D.D.S.
4. Kamila Lynn Quimet, L.D.H.
B. Endorsement
C. Anesthesia and Sedation Permits
D. Dental Intern Permit
E. Mobile Dental Facility
F. Instructors License
G. Professional Corporations
XI. RENEWALS
XII. PROBATIONARY/CONDITIONAL LICENSE REPORT
A. Tammy Bacon, L.D.H.
B. James Cahillane, D.D.S.
C. Penelope Lynn Dunlap, D.D.S.
D. Marci Huth, L.D.H.
E. Bland Walker, D.D.S.
XIII. CONTINUING EDUCATION
A. Dr. Owen M. Forbes
B. Indiana Dental Education & Resource Association
C. Indianapolis Endodontics, P.C.
D. Shane T. Cope, D.D.S., P.C.
XIV. REPORTS
XV. ASSOCIATION REPORTS
A. Indiana Dental Association
B. Indiana Dental Hygiene Association
C. Indiana Dental Assistants Association
XVI. ADJOURNMENT
Next Scheduled Meeting:
Friday, January 8, 2010
Indiana Government Center South
402 West Washington Street
Room W064
Indianapolis, Indiana
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