(oe ou g « a L. ° - oe STATE OF FLORIDA > DEPARTMENT OF HEALTH (Bo BS. RES. ye Sy : tte “~ DEPARTMENT OF HEALTH, . Ban S PETITIONER, S078 / / %, 2 vs. CASE NUMBER: 98-18984 DAVID S. BLAZY, R.Ph. ° RESPONDENT. .. fy - ADMINISTRATIVE COMPLAINT COMES NOW, the Petitioner, Department of Health, hereinafter referred to as “Petitioner,” and files this Administrative Complaint before the Board of Pharmacy against DAVID S. BLAZY, RPH,, hereinafter referred to as “Respondent,” and alleges: 1. Petitioner is the state agency charged with regulating the practice of pharmacy , pursuant to Section 20.43, Florida Statutes; Chapter 455, Florida Statutes; and Chapter 465, “Florida Statutes. 4 2, Pursuant to the authority of Section 20.43(3)(g), Florida Statutes, the Petitioner has contracted with the Agency for Health Care Administration, hereinafter referred to as the “Agency,” to’ provide consumer complaint, investigative, and prosecutorial services required by ~~ the Division of Medical Quality Assurance, councils ot board, as appropriate, including the _ issuance of emergency orders of suspension or restriction. PS ne 2 Sateder ebiblaeiinatcnn tion mages pete 3, Respondent is, and has been at all times pertinent hereto, a duly licensed Pharmacis pursv 46: ‘ Florida Statutes, having been issued license number PS 0025421. ere eel Chee Poa ~ ; YU | 4; " Respondent’s list known address is 14516 Williams Street, Maple Heights, Ohio, 44137. | | 5. During an investigation predicated on the receipt of a memorandum from the Board of Pharmacy, which included a notice from the National Association of Board of Pharmacy, it was discovered that the Respondent was disciplined by the Ohio Board of Pharmacy (Docket No. D-961203-020) by revocation of his pharmacy license (# 03-1-17436) in that Jurisdiction due to illegal sale of drugs on or about January 28, 1989; theft of drugs from the ‘pharmacy of his employment, impairment by and/or addiction of drugs, permitting the use of his name to and/or having a professional connection with a an ‘illegal practitioner of pharmacy, and otherwise unprofessional and dishonest conduct in the practice of pharmacy during the period of June 28, 1995, through November 26, 1996. 6. The conduct of the Respondent as aforesaid is contrary to the provisions contained in Section 465.016(1)(h), Florida Statutes, by being disciplined by another jurisdiction _ by the revocation of his license to practice pharmacy. WHEREFORE, Petitioner respectfully requests the Board of. £Pharmacy to enter an Order imposing one or more eof the penalties proscribed by law, together with, any other and further aa relief deemed just under the circumstances. “ SIGNED this| UA A day of an fa _ ® ee Dr. Robert G. Brooks, MD., Secretary - Department of Health DEPARTMENT OF HEALTH DEPUTY CLERK ancy M. Snurkowski | cuenk iehi R-DMion Chief Attorney On Behalf of the Agency for pare_Af |’ [0° Health Care Administration 7 COUNSEL FOR PETITIONER: Meredith Trammell Senior Attorney Florida Bar Number - 086703 Agency for Health Care Administration General Counsel’s Office -MQA Practitioner Regulation P.O. Box 14229 Tallahassee, FL 32317-4229 (850) 487-3908 MT/cg PCP: Lie Ms DATE: 21712000 * eee ee Oe

Docket for Case No: 00-001211