Petitioner: DEPARTMENT OF HEALTH, BOARD OF MEDICINE
Respondent: LEONARD ABRAHAM RUBINSTEIN, M.D.
Judges: SUSAN BELYEU KIRKLAND
Agency: Department of Health
Locations: Sarasota, Florida
Filed: Sep. 25, 2009
Status: Closed
Recommended Order on Tuesday, February 1, 2011.
Latest Update: Nov. 09, 2011
Summary: The issues in these cases are whether Respondent violated sections 458.331(1)(t), 458.331(1)(m), and 458.331(1)(n), Florida Statutes (2004), and section 458.331(1)(t), Florida Statutes (2006), and, if so, what discipline should be imposed.Doctor's surgery hours were excessive for cosmetic procedures; doctor recommended and scheduled unnecessary surgery; and doctor used undue influence to get patient to undergo unneccessary allergy testing.
09005267 AFO
Final Order No. DOH-11-748- foP-MQA FILED DATE- \.\-\\ -2b\\
Department of Health
By:S:::0 \
0
STATE OF FLOR.IDA,.". BOARD OF M ED!CiNE
Deputy Agency Clerk
DEPARTMENT OF HEALTH,
Petitioner,
; l ,
·,::,;·1 1 .,·-\;,, '
vs.
DO H:'CA1tS; NOS.: 2005-53222
2006-01705
2006-27634
DOAH CASE NO.: 09-5267PL
09-5269PL
09-5270PL LICENSE NO.: ME0037720
LEONARD ABRAHAM RUBINSTEIN, M.D.,
Respondent.
I
FINAL ORDER
THIS CAUSE came before the BOARD OF MEDICINE (Board) pursuant to Sections 120.569 and 120.57(1), Florida Statutes, on April 1, 2011, in Tampa, Florida, for the purpose of considering the Administrative Law Judge's Recommended Order, Exceptions to the Recommended Order, and Response to Exceptions to the Recommended Order (copies of which are attached hereto as Exhibits A, B, and C, respectively) in the above-styled cause.
Petitioner was represented by Sharmin Hibbert, Assistant General Counsel. Respondent was present and represented by Steven Lubell, Esquire.
Upon review of the Recommended Order, the argument of the parties, and after a review of the complete record in this case, the Board makes the following findings and conclusions.
RULING ON EXCEPTIONS
The Board reviewed and considered the Respondent's Exceptions to the Recommended Order and ruled as follows:
Respondent's first exception to paragraph 22 (encompassing par?graphs 5 - 12 of exhibit B) of the Recommended Order is denied for the reasons set forth in writing and stated by the Petitioner.
Respondent's second exception to paragraphs 38 and 39 (encompassing paragraphs 13 - 18 of exhibit B) of the Recommended Order is denied for the reasons set forth in writing and stated by the Petitioner.
The Respondent's third exception to paragraph 67 (encompassing paragraphs 19 - 22 of exhibit B) of the Recommended Order is denied for the reasons set forth in writing and stated by the Petitioner.
The Respondent's fourth exception to paragraph 88 (encompassing paragraph 23 of exhibit B) of the Recommended Order is denied for the reasons set forth in writing and stated by the Petitioner.
2
The Respondent's fifth exception to paragraph 89 (encompassing paragraph 24 of exhibit B) of the Recommended Order is denied for the reasons set forth in writing and stated by the Petitioner.
The Respondent's sixth exception to paragraph 90 (encompassing paragraphs 27 - 29 of exhibit B) of the Recommended Order is denied for the reasons set forth in writing and stated by the Petitioner.
The Respondent's seventh exception to paragraph 91 (encompassing paragraphs 30 - 32 of exhibit B) of the Recommended Order is denied for the reasons set forth in writing and stated by the Petitioner.
The Respondent's eighth exception to paragraph 102 (encompassing paragraphs 33 - 34 of exhibit B) of the Recommended Order is denied for the reasons set forth in writing and stated by the Petitioner.
The Respondent's ninth exception also to paragraph 102 (encompassing paragraph 35 of exhibit B) of the Recommended Order is denied for the reasons set forth in writing and stated by the Petitioner.
The Respondent's tenth exception again to paragraph 102 (encompassing paragraph 36 of exhibit B) of the Recommended
3
Order is denied for the reasons set forth in writing and stated by the Petitioner.
The Respondent's eleventh exception to paragraph 105 (encompassing paragraph 43 of exhibit B) of the Recommended Order is denied for the reasons set forth in writing and stated by the Petitioner.
The Respondent's twelfth exception to paragraph 107 (encompassing paragraph 44 of exhibit B) of the Recommended Order is denied for the reasons set forth in writing and stated by the Petitioner.
FINDINGS OF FACT
The findings of fact set forth in the Recommended Order are approved and adopted and incorporated herein by reference.
There is competent substantial evidence to support the findings of fact.
CONCLUSIONS OF LAW
The Board has jurisdiction of this matter pursuant to Section 120.57(1), Florida Statutes, and Chapter 458, Florida Statutes.
The conclusions of law set forth in the Recommended Order are approved and adopted and incorporated herein by reference.
4
PENALTY
Upon a complete review of the record in this case, the Board determines that the penalty recommended by the Administrative Law Judge be ACCEPTED. WHEREFORE, IT IS HEREBY ORDERED AND ADJUDGED:
DOAH Case No. 09-5267PL
Finding that Dr. Rubinstein violated section 458.331(1)(t), Florida Statutes (2004);
Finding that Dr. Rubinstein did not violate sections 458.331(1)(m) and 458.331(1)(n);
Revoking Dr. Rubinstein's license; and
Imposing a $10,000 administrative fine.
Said fine shall be paid by money order or cashier's check.
DOAH Case No. 09-5269PL
Finding that Dr. Rubinstein violated sections 458.331(1)(m), 458.331(1)(n), and 458.331(1) (t);
Requiring Dr. Rubinstein to pay C.L. $2,921 for the allergy testing and the Rotation Diet;
Revoking Dr. Rubinstein's license; and
Imposing an administrative fine of $10,000. Said fine shall be paid by money order or cashier's check.
DOAH Case No. 09-5270PL
Finding that Dr. Rubinstein violated section
5
458.331(1)(t), Florida Statutes (2006);
Revoking Dr. Rubinstein's license; and
Imposing a $10,000 administrative fine. Said fine shall be paid by money order or cashier's check.
RULING ON MOTION TO ASSESS COSTS
The Board reviewed the Petitioner's Motion to Assess Costs and imposes the costs associated with this case in the amount of
$98,856.70. Said costs are to be paid within 30 days from the date this Final Order is filed. The costs shall be paid by money order or cashier's check.
(NOTE: SEE RULE 64B8-8.0011, OTHERWISE SPECIFIED BY FINAL REQUIREMENTS FOR PERFORMANCE FINAL ORDER.)
FLORIDA ADMINISTRATIVE CODE. UNLESS ORDER, THE RULE SETS FORTH THE
OF ALL PENALTIES CONTAINED IN THIS
2011.
DONE AND ORDERED this e-~•----
day of
For Chizner, NOTICE OF RIGHT TO JUDICIAL REVIEW
A PARTY WHO IS ADVERSELY AFFECTED BY THIS FINAL ORDER IS ENTITLED TO JUDICIAL REVIEW PURSUANT TO SECTION 120.68, FLORIDA STATUTES. REVIEW PROCEEDINGS ARE GOVERNED BY THE FLORIDA RULES OF APPELLATE PROCEDURE. SUCH PROCEEDINGS ARE COMMENCED BY FILING ONE COPY OF A NOTICE OF APPEAL WITH THE AGENCY CLERK OF THE DEPARTMENT OF HEALTH AND A SECOND COPY, ACCOMPANIED BY FILING FEES PRESCRIBED BY LAW, WITH THE DISTRICT COURT OF APPEAL, FIRST DISTRICT, OR WITH THE DISTRICT COURT OF APPEAL IN
6
THE APPELLATE DISTRICT WHERE THE PARTY RESIDES. THE NOTICE OF APPEAL MUST BE FILED WITHIN THIRTY (30) DAYS OF RENDITION OF THE ORDER TO BE REVIEWED.
CERTIFICATE OF SERVICE
I HEREBY CERTIFY that a true and correct copy of the foregoing Final Order has been provided by Certified Mail to LEONARD ABRAHAM RUBINSTEIN, M.D., 1805 Siesta Drive, Sarasota,
Florida 34239; by email to Steven Lubell, Esquire, Lubell & Rosen, at sll@lubellrosen.com; to Susan B. Harrell, Administrative Law Judge, Division of Administrative Hearings, The DeSoto Building, 1230 Apalachee Parkway, Tallahassee, Florida 32399-3060; and by interoffice delivery to Veronica
Donnelly, Department of Health, 4052 Bald Cypress Way, Bin #C
65, Tallahassee, Florida 32399-3253 this l \f-l- day of
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Docket for Case No: 09-005270PL
Issue Date |
Proceedings |
Nov. 09, 2011 |
Respondent's Exhibits (exhibits not available for viewing) |
Apr. 12, 2011 |
Agency Final Order filed.
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Feb. 03, 2011 |
Transmittal letter from Claudia Llado forwarding Subpoena Duces Tecum with attachments to the agency.
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Feb. 01, 2011 |
Recommended Order cover letter identifying the hearing record referred to the Agency.
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Feb. 01, 2011 |
Recommended Order (hearing held August 24-26, 2010). CASE CLOSED.
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Oct. 14, 2010 |
(Petitioner's) Proposed Recommended Order filed.
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Oct. 14, 2010 |
Respondent, Leonard A. Rubenstein, M.D.'s, Proposed Recommended Order filed.
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Sep. 28, 2010 |
Order Granting Extension of Time and Extending the Page Limit of the Proposed Recommended Orders.
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Sep. 28, 2010 |
Petitioner's Motion to Extend the Page Limit for the Proposed Reommended Order and Response to Respondent's Motion for Extension of Time filed.
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Sep. 27, 2010 |
Motion for Extension of Time filed.
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Sep. 23, 2010 |
Transcript of Proceedings (volume I and II) filed. |
Sep. 22, 2010 |
Transcript of Proceedings (volume III and IV) filed. |
Sep. 21, 2010 |
Transcript of Proceedings (volume V and VI) filed. |
Aug. 24, 2010 |
CASE STATUS: Hearing Held. |
Aug. 23, 2010 |
Order Granting Motion for Official Recognition.
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Aug. 20, 2010 |
CASE STATUS: Motion Hearing Held. |
Aug. 16, 2010 |
Joint Pre-hearing Stipulation filed.
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Aug. 13, 2010 |
Order on Motions in Limine.
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Aug. 13, 2010 |
Notice of Filing Respondent's Supplemental Response to Petitioner's Request for Production.
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Aug. 12, 2010 |
CASE STATUS: Motion Hearing Held. |
Aug. 12, 2010 |
Petitioner's Motion for Official Recognition filed.
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Aug. 12, 2010 |
Petitioner's Response to Respondent's Motion in Limine filed.
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Aug. 10, 2010 |
Respondent, Leonard Rubinsetin, M.D.'s Motions in Limine filed.
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Aug. 10, 2010 |
Request for Telephonic Motion Hearing filed.
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Aug. 10, 2010 |
Order Denying Motion to Bifurcate.
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Aug. 10, 2010 |
CASE STATUS: Motion Hearing Held. |
Aug. 09, 2010 |
Notice of Appearance (filed by S. Lubell).
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Aug. 09, 2010 |
Petitioner's Response in Opposition to Respondent's Motion to Bifurcate filed.
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Aug. 05, 2010 |
Notice of Filing Respondent's Supplemental Response to Petitioner's Interrogatories and Request for Production.
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Aug. 05, 2010 |
Motion to Bifurcate filed.
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Aug. 05, 2010 |
Request for Telephonic Motion Hearing filed.
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Aug. 05, 2010 |
Notice of Appearance (filed by M. Rosen).
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Aug. 02, 2010 |
Notice of Filing Respondent's Supplemental Response to Petitioner's Interogatories and Request for Production filed.
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Jul. 30, 2010 |
Amended Notice of Taking Deposition Duces Tecum (of D. Dedo) filed.
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Jul. 30, 2010 |
Notice of Taking Deposition Duces Tecum (Douglas Dedo) filed.
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Jun. 07, 2010 |
Notice of Taking Deposition (Dr. Frank Steig) filed.
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Jun. 02, 2010 |
Order on Motion to Set a Reasonable Expert Witness Fee for Deposition.
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May 28, 2010 |
Amended Notice of Taking Deposition Duces Tecum (Amy Budoff) filed.
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May 24, 2010 |
Notice of Taking Deposition (Dr. Michael Pacin) filed.
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May 06, 2010 |
Notice of Telephonic Motion Hearing.
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May 03, 2010 |
Subpoena Duces Tecum (Hugh Windone M.D.) (attachments not available for viewing) filed.
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Apr. 28, 2010 |
Motion to Set a Reasonable Expert Witness Fee for Deposition filed.
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Apr. 28, 2010 |
Notice of Cancellation of Deposition filed.
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Apr. 27, 2010 |
Order Re-scheduling Hearing (hearing set for August 24 through 26, 2010; 9:00 a.m.; Sarasota, FL).
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Apr. 27, 2010 |
Subpoena ad Testificandum (Howard Fuchs, M.D.; not available for viewing) filed.
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Apr. 27, 2010 |
Subpoena ad Testificandum (R. A.; not available for viewing) filed.
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Apr. 27, 2010 |
Subpoena ad Testificandum (Jack Wazenm, M.D.; not available for viewing) filed.
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Apr. 27, 2010 |
Subpoena ad Testificandum (J. M. D.; not available for viewing) filed.
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Apr. 27, 2010 |
Subpoena ad Testificandum (Hugh Windom; not available for viewing) filed.
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Apr. 27, 2010 |
Subpoena ad Testificandum (B. L.; not available for viewing) filed.
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Apr. 27, 2010 |
Subpoena ad Testificandum (C. L.; not available for viewing) filed.
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Apr. 23, 2010 |
Motion to Withdraw Motion to set a Reasonable Expert Witness Fee for Deposition filed.
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Apr. 23, 2010 |
Motion to Reset dates for Final Hearing due to Witness Unavailability filed.
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Apr. 23, 2010 |
Notice of Taking Deposition Duces Tecum (Amy Budoff) filed.
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Apr. 23, 2010 |
Notice of Taking Deposition Duces Tecum (Thomas Zaydon) filed.
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Apr. 19, 2010 |
Notice of Unavailability filed.
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Apr. 15, 2010 |
Subpoena for Deposition (B. L.; not available for viewing) filed.
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Apr. 15, 2010 |
Subpoena for Deposition (Hugh Windom; not available for viewing) filed.
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Apr. 15, 2010 |
Subpoena for Deposition (R. A.; not available for viewing) filed.
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Apr. 15, 2010 |
Subpoena for Deposition (R. G. A.; not available for viewing) filed.
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Apr. 15, 2010 |
Subpoena for Deposition (Howard Fuchs, M.D.; not available for viewing) filed.
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Apr. 15, 2010 |
Subpoena for Deposition (J. M. D.; not available for viewing) filed.
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Apr. 15, 2010 |
Subpoena for Deposition (C. L.; not available for viewing) filed.
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Apr. 15, 2010 |
Amended Notice of Taking Deposition in Lieu Live Testimony at Final Hearing (Mr.James Durheim) filed.
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Apr. 14, 2010 |
Order Granting Continuance and Re-scheduling Hearing (hearing set for July 20 through 22, 2010; 9:00 a.m.; Sarasota, FL).
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Apr. 14, 2010 |
Motion to set a Reasonable Expert Witiness Fee for Deposition filed.
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Apr. 13, 2010 |
Notice of Taking Deposition in Liew of Live Testimony at Final Hearing (James Durheim) filed.
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Apr. 13, 2010 |
Motion to Set a Reasonable Expert Witness Fee for Deposition filed.
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Apr. 13, 2010 |
Notice of Taking Deposition in Lieu of Live Testimony at Final Hearing (James Durheim) filed.
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Apr. 13, 2010 |
Notice of Taking Deposition (Dr. Frank Steig) filed.
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Apr. 12, 2010 |
CASE STATUS: Motion Hearing Held. |
Apr. 09, 2010 |
Notice of Appearance (filed by A.Sofro).
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Apr. 09, 2010 |
Notice of Production from Non-Party filed.
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Apr. 09, 2010 |
Notice of Production from Non-Party filed.
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Apr. 07, 2010 |
Petitioners Response to Respondent's Motion for Continuance filed.
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Apr. 07, 2010 |
Motion for Continuance filed.
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Mar. 16, 2010 |
Notice of Filing Respondent's Supplemental Response to Petitioner's Interrogatories and Request for Production filed.
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Mar. 16, 2010 |
Notice of Filing Respondent's Supplemental Response to Petitioner's Interrogatories and Request for Production filed.
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Mar. 16, 2010 |
Notice of Filing Respondent's Supplemental Response to Petitioner's Interrogatories and Request for Production filed.
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Feb. 16, 2010 |
Order Severing Case and Closing File (09-5265PL).
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Feb. 15, 2010 |
Petitioner's Motion to Relinquish Jurisdiction filed.
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Feb. 10, 2010 |
Order Severing Case and Closing File (in Case No. 09-5268PL).
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Feb. 08, 2010 |
Petitioner's Motion to Relinquish Jurisdiction filed.
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Feb. 05, 2010 |
Order Granting Continuance and Re-scheduling Hearing (hearing set for May 5 through 7, 2010; 9:00 a.m.; Sarasota, FL).
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Feb. 03, 2010 |
Uncontested Motion for Continuance filed.
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Jan. 15, 2010 |
Notice of Serving Petitioner's First Request for Production, First Request for Interrogatories, and First Request for Admissions to Respondent (filed in Case No. 09-005269PL).
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Jan. 15, 2010 |
Notice of Serving Petitioner's First Request for Production, First Request for Interrogatories, and First Request for Admissions to Respondent (filed in Case No. 09-005268PL).
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Jan. 15, 2010 |
Notice of Serving Petitioner's First Request for Production, First Request for Interrogatories, and First Request for Admissions to Respondent (filed in Case No. 09-005270PL).
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Nov. 10, 2009 |
Order Granting Continuance and Re-scheduling Hearing (hearing set for March 2 through 4, 2010; 9:00 a.m.; Sarasota, FL).
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Nov. 02, 2009 |
Joint Motion for Continuance filed.
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Oct. 16, 2009 |
Order of Pre-hearing Instructions.
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Oct. 16, 2009 |
Notice of Hearing (hearing set for December 8 through 10, 2009; 9:00 a.m.; Sarasota, FL).
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Oct. 14, 2009 |
Joint Response to Initial Order filed.
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Oct. 06, 2009 |
Order Granting Extension of Time (response to the Initial Order to be filed by October 15, 2009).
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Oct. 06, 2009 |
Order of Consolidation (DOAH Case Nos. 09-5265PL, 09-5267PL, 09-5268PL, 09-5269PL and 09-5270PL).
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Oct. 05, 2009 |
Motion for Extension to File Response to Intial(sic) Order filed.
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Oct. 05, 2009 |
Notice of Appearance (of S. Hibbert) filed.
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Sep. 29, 2009 |
Notice of Appearance of Co-counsel (of D. Kiesling) filed.
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Sep. 28, 2009 |
Election of Rights filed.
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Sep. 28, 2009 |
Initial Order.
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Sep. 25, 2009 |
Letter to J. Foster from S. Hibbert regarding revised Settlement Agreement filed.
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Sep. 25, 2009 |
Administrative Complaint filed.
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Sep. 25, 2009 |
Agency referral filed.
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Orders for Case No: 09-005270PL
Issue Date |
Document |
Summary |
Apr. 08, 2011 |
Agency Final Order
|
|
Feb. 01, 2011 |
Recommended Order
|
Doctor's surgery hours were excessive for cosmetic procedures; doctor recommended and scheduled unnecessary surgery; and doctor used undue influence to get patient to undergo unneccessary allergy testing.
|