NOT PRECEDENTIAL

                       UNITED STATES COURT OF APPEALS
                            FOR THE THIRD CIRCUIT
                                _______________

                                     No. 11-2783
                                   _______________

                           UNITED STATES OF AMERICA

                                           v.

                                STEPHEN L. MARKS,
                                                  Appellant
                                  _______________

                    On Appeal from the United States District Court
                        for the Middle District of Pennsylvania
                      (Criminal Action No. 1-10-cr-00275-001)
                     District Judge: Honorable Sylvia H. Rambo
                                  _______________

                      Submitted Under Third Circuit LAR 34.1(a)
                                  February 9, 2012
                                 _______________

                   Before: SLOVITER, VANASKIE, Circuit Judges,
                            and POLLAK, District Judge *

                             (Opinion filed: April 4, 2012)
                                  _______________

                                      OPINION
                                   _______________




*
 Honorable Louis H. Pollak, Senior Judge of the United States District Court for the
Eastern District of Pennsylvania, sitting by designation.
POLLAK, District Judge.

       After Stephen Marks pled guilty to three charges arising out of his participation in

a conspiracy to illegally distribute and dispense controlled substances, the District Court

sentenced him to a fifty-one-month term of imprisonment. On appeal, Marks challenges

only the substantive reasonableness of his sentence. We will affirm.

                                             I.

       Because we write primarily for the parties, who are familiar with the background

of this case, we will summarize the facts and procedural history only briefly. On

September 22, 2010, a federal grand jury returned a seven-count indictment against

Marks. The indictment alleged that Marks, a licensed pharmacist, conspired with others

to illegally distribute and dispense controlled substances via telemarketers and the

internet. Pursuant to a plea agreement, Marks pled guilty to the first three counts of the

indictment, which, respectively, charged Marks with: 1) conspiracy to distribute

controlled substances in violation of 21 U.S.C. § 846; 2) causing misbranded drugs to be

moved in interstate commerce in violation of 21 U.S.C. §§ 331(k), 333(a)(2), and

353(b)(1); and 3) money laundering in violation of 18 U.S.C. § 1957.

       The District Court held a sentencing hearing on June 23, 2011. The probation

office’s presentence investigation report recommended a sentence within the guideline

range of fifty-one to sixty-three months. Marks requested a variance, arguing that he

should be sentenced to less than two years’ imprisonment based on the nature of his

offense; his relatively minor role in the conspiracy; his age and health problems, which



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included sleep apnea, hypertension, and osteoarthritis; and the low likelihood that he

would recidivate, since he was no longer a practicing pharmacist.

       After considering the factors set forth in 18 U.S.C. § 3553(a), including Marks=s

age and physical condition, the District Court sentenced Marks to fifty-one months of

imprisonment (the bottom of the guideline range) and three years of supervised release.

                                            II.

       We have jurisdiction pursuant to 18 U.S.C. § 3742(a) and 28 U.S.C. § 1291. We

review the District Court=s sentence under an abuse of discretion standard. United States

v. Tomko, 

, 567 (3d Cir. 2009) (en banc). Where, as here, a defendant

makes no procedural challenge to the District Court’s sentence, our inquiry is limited to

the sentence=s substantive reasonableness. See 

       Marks argues that his sentence was substantively unreasonable because, in

imposing his sentence, the District Court gave “short shrift” to his variance request and,

as a result, imposed a sentence that was greater than necessary to comply with the

purposes of sentencing in light of Marks’s age, health conditions, and likelihood of

recidivism. “The touchstone of ‘reasonableness’ is whether the record as a whole reflects

rational and meaningful consideration of the factors enumerated in § 3553(a).” United

States v. Grier, 

, 571 (3d Cir. 2007). Here, the record reflects that the

District Court gave meaningful consideration to the § 3553(a) factors and reasonably

concluded that a fifty-one-month sentence was necessary. In explaining its decision not

to grant Marks’s request for a variance, the Court noted that Marks had ignored a warning

from the Drug Enforcement Administration (“DEA”), had recruited other people to
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participate in the illegal drug sales, and had been involved in the sale of a significant

quantity of drugs. The Court also explained that Marks’s physical health did not

necessitate a reduced sentence because “the proper institution to which he is assigned can

take care of that.” Marks=s sentence, which fell at the bottom of the guideline range, was

substantively reasonable.

                                             III.

       For the reasons stated above, we will affirm the sentence.




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