State Medical Board Directors Follow-up Questions to the November 1, 2018 Training

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All Board Execs and Contact Info.xlsx

State Medical Board Directors Follow-up Questions to the November 1, 2018 Training

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iMIS Id Member Type Category Relationship Prefix Full Name Company Title Email Cell Phone WorkPhone First Name Informal Last Name Address 1 Address 2 Address 3 City State Province Zip Country
1342 BS
LEAD MS Amy T. Dorminey Alabama Board of Medical Examiners Secretary adorminey@albme.org (334) 320-5480 (334) 833-0170 Amy Amy Dorminey PO Box 946

Montgomery AL 36101-0946
4011 BS
LEAD MS Debora J. Stovern, CMBE Alaska State Medical Board Executive Administrator debora.stovern@alaska.gov (907) 321-4529 (907) 269-8193 direct Debora Debora Stovern 550 W 7th Ave Ste 1500

Anchorage AK 99501-3567
9073 BS
LEAD MS Amber Brake, JD Arizona Board of Osteopathic Examiners In Medicine & Surgery Executive Director amber.brake@azdo.gov (602) 540-1429 (602) 771-2522 Amber Amber Brake 1740 W Adams, Suite 2410

Phoenix AZ 85007
155 BS
LEAD MS Patricia E. McSorley, JD Arizona Medical Board Executive Director pmcsorley@azmd.gov (602) 628-5067 (480) 551-2720 Patricia Pat McSorley 1740 W Adams, Suite 4000

Phoenix AZ 85007
9131 BS
LEAD MS Amy Embry Arkansas State Medical Board Interim Executive Director amy.embry@armedicalboard.org
(501) 603-3558 Amy Amy Embry Victory Bldg 1401 W Capitol Ave Ste 340
Little Rock AR 72201-2936
8458 BS
LEAD MS Paula E. Martinez, MBA Colorado Medical Board Program Director paula.martinez@state.co.us
(303) 894-7716 Paula Paula Martinez 1560 Broadway Ste 1350

Denver CO 80202
7918 BS
LEAD MS Esther S. Fleming Commonwealth of the Northern Mariana Islands Health Care Professions Lic Bd Executive Director esther.fleming@gov.mp
(670) 483-2164 Esther Esther Fleming PO Box 502078 Bldg 1242 Pohnpei Ct Capitol Hill
Saipan MP 96950
104 BS
LEAD MR Jeffrey A. Kardys Connecticut Medical Examining Board Admin Hearings Specialist Bd Liaison jeffrey.kardys@ct.gov (860) 212-5484 (860) 509-7566 Jeffrey Jeffrey Kardys 410 Capitol Ave MS#13PHO PO Box 340308
Hartford CT 06134-0308
8130 BS
LEAD MS Devashree M. Singh, MBA Delaware Board of Medical Licensure & Discipline Executive Director devashree.singh@state.de.us
(302) 677-7311 Devashree Devashree Singh 861 Silver Lake Blvd Ste 203 Cannon Bldg
Dover DE 19904
5344 BS
LEAD MR Frank B. Meyers, JD District of Columbia Board of Medicine Executive Director frank.meyers@dc.gov (202) 701-7781 (202) 724-8755 Frank Frank Meyers 899 N Capitol St NE 2nd Fl

Washington DC 20002
7755 BS
LEAD MS Claudia Kemp, JD Florida Board of Medicine Executive Director Claudia.Kemp2@flhealth.gov
(850) 245-4130 Claudia Claudia Kemp 4052 Bald Cypress Way BIN C03

Tallahassee FL 32399-3253
8119 BS
LEAD MS Kama Monroe, JD Florida Board of Osteopathic Medicine Executive Director kama.monroe@flhealth.gov
(850) 245-4162 Kama Kama Monroe 4052 Bald Cypress Way Bin C06

Tallahassee FL 32399-3256
433 BS
LEAD MS LaSharn Hughes, MBA, CMBE Georgia Composite Medical Board Executive Director lhughes@dch.ga.gov (404) 277-1831 (404) 463-1055 LaSharn LaSharn Hughes 2 Peachtree St NW 6th Fl

Atlanta GA 30303-3465
6151 BS
LEAD MS Marlene Carbullido, MSN, RN Guam Board of Medical Examiners Acting Administrator marlene.carbullido@dphss.guam.gov
(671) 735-7412 Marlene Marlene Carbullido Dept of Public Health & Social Services 123 Chalan Kareta St
Mangilao GU 96913
448 BS
LEAD MS Ahlani K. Quiogue Hawaii Medical Board Executive Officer ahlani.k.quiogue@dcca.hawaii.gov (808) 375-3617 (808) 586-2699 Ahlani Ahlani Quiogue PVLD - DCCA PO Box 3469
Honolulu HI 96801
7284 BS
LEAD MS Anne K. Lawler, JD, RN Idaho Board of Medicine Executive Director anne.lawler@bom.idaho.gov (208) 331-2341 (208) 327-7000 Anne Anne Lawler 1755 Westgate Dr Ste 140

Boise ID 83704-7190
8145 BS
LEAD MS Jessica A. Baer, JD Illinois Division of Professional Regulation - Medical Disciplinary Board Director Jessica.Baer@illinois.gov
(312) 814-4580 Jessica Jessica Baer 100 W Randolph St Ste 9-300 Thompson Ctr

Chicago IL 60601
8144 BS
LEAD MS Jessica A. Baer, JD Illinois Division of Professional Regulation - Medical Licensing Board Executive Director Jessica.Baer@illinois.gov
(217) 524-7534 Jessica Jessica Baer 320 W Washington St 3rd Fl

Springfield IL 62786
534 BS
LEAD MR Kent M. Nebel, JD Iowa Board of Medicine Interim Acting Executive Director kent.nebel@iowa.gov (515) 490-8051 (515) 281-7088 Kent Kent Nebel 400 SW 8th St Ste C

Des Moines IA 50309-4686
609 BS
LEAD MS Kathleen J. Selzler Lippert, JD, CMBE Kansas Board of Healing Arts Executive Director kathleen.lippert@ks.gov (785) 285-0400 (785) 296-3680 Kathleen Kathleen Selzler Lippert 800 SW Jackson Lower Level Ste A
Topeka KS 66612
620 BS
LEAD MR Michael S. Rodman Kentucky Board of Medical Licensure Executive Director mike.rodman@ky.gov (502) 386-2271 (502) 429-7934 Michael Mike Rodman Hurstborne Office Park 310 Whittington Pkwy Ste 1B
Louisville KY 40222-4927
8438 BS
LEAD DR Vincent A. Culotta, Jr., MD Louisiana State Board of Medical Examiners Executive Director vculotta@lsbme.la.gov
(504) 568-1079 Vincent Vincent Culotta 630 Camp St

New Orleans LA 70130
721 BS
LEAD MR Dennis E. Smith, JD Maine Board of Licensure In Medicine Executive Director dennis.smith@maine.gov (207) 592-4021 (207) 287-3605 Dennis Dennis Smith 137 State House Station

Augusta ME 04333-0137
664 BS
LEAD MS Susan E. Strout Maine Board of Osteopathic Licensure Executive Secretary susan.e.strout@maine.gov (207) 446-6461 (207) 287-2480 Susan Susan Strout 142 State House Station 161 Capitol St
Augusta ME 04333-0142
4811 BS
LEAD MS Christine A. Farrelly Maryland Board of Physicians Executive Director christine.farrelly@maryland.gov
(410) 764-5973 Christine Christine Farrelly PO Box 2571

Baltimore MD 21215
8009 BS
LEAD MR George Zachos, JD Massachusetts Board of Registration In Medicine Executive Director george.zachos@state.ma.us
(781) 876-8200 George George Zachos 200 Harvard Mill Sq Ste 330

Wakefield MA 01880-3238
715 BS
LEAD MS Kimberly Kirchmeyer Medical Board of California Executive Director kimberly.kirchmeyer@mbc.ca.gov (916) 826-1372 (916) 263-2389 Kimberly Kim Kirchmeyer 2005 Evergreen St Ste 1200

Sacramento CA 95815-5401
7330 BS
LEAD MR Darren R. Covington, JD Medical Licensing Board of Indiana Board Director dcovington@pla.in.gov (812) 560-8129 (317) 234-2011 Darren Darren Covington 402 W Washington St Rm W072

Indianapolis IN 46204-2298
7593 BS
LEAD MS Cheryl W. Pezon, JD Michigan Board of Medicine Executive Director pezonc@michigan.gov
(517) 373-1872 Cheryl Cheryl Pezon Bureau of Health Professions Ottawa Bldg 611 W Ottawa St 1st Flr
Lansing MI 48933
7595 BS
LEAD MS Cheryl W. Pezon, JD Michigan Board of Osteopathic Medicine & Surgery Executive Director pezonc@michigan.gov
(517) 373-1872 Cheryl Cheryl Pezon PO Box 30670

Lansing MI 48909-8170
902 BS
LEAD MS Ruth M. Martinez, MA Minnesota Board of Medical Practice Executive Director ruth.martinez@state.mn.us (651) 262-4132 (612) 548-2150 Ruth Ruth Martinez 2829 University Ave SE Ste 500

Minneapolis MN 55414-3246
8743 BS
LEAD DR Kenneth E. Cleveland, MD Mississippi State Board of Medical Licensure Executive Director kcleveland@msbml.ms.gov
(601) 987-0231 Kenneth Ken Cleveland 1867 Crane Ridge Dr Ste 200-B

Jackson MS 39216
5346 BS
LEAD MS Connie Clarkston Missouri Board of Registration For the Healing Arts Executive Director connie.clarkston@pr.mo.gov (573) 230-1911 (573) 751-0104 Connie Connie Clarkston 3605 Missouri Blvd PO Box 4
Jefferson City MO 65102
4782 BS
LEAD MR Ian M. Marquand Montana Board of Medical Examiners FSMB Board of Directors imarquand@fsmb.org (406) 529-6494 (406) 841-2360 Ian Ian Marquand PO Box 200513

Helena MT 59620-0513
9165 BS
LEAD MR Jesse Cushman Nebraska Board of Medicine & Surgery Program Manager jesse.cushman@nebraska.gov
(402) 471-4915 Jesse Jesse Cushman PO Box 94986

Lincoln NE 68509-4986
146 BS
LEAD MR Edward O. Cousineau, JD Nevada State Board of Medical Examiners Executive Director eocnsbme@medboard.nv.gov (775) 240-6059 (775) 324-9353 Edward Ed Cousineau 1105 Terminal Way Ste 301

Reno NV 89502-2144
8211 BS
LEAD MS Sandra L. Reed, MPA Nevada State Board of Osteopathic Medicine Executive Director sreed@bom.nv.gov (702) 499-2341 (702) 732-2147 ext 223 Sandra Sandy Reed 2275 Corporate Circle Ste 210

Henderson NV 89074
78 BS
LEAD MS Penny Taylor New Hampshire Board of Medicine Board Administrator penny.taylor@oplc.nh.gov
(603) 271-1205 Penny Penny Taylor Philbrook Bldg 121 S Fruit St Ste 301
Concord NH 03301-2412
118 BS
LEAD MR William V. Roeder, JD New Jersey State Board of Medical Examiners Executive Director roederb@dca.lps.state.nj.us (609) 315-5955 (609) 826-7112 William Bill Roeder PO Box 183

Trenton NJ 08625-0183
8656 BS
LEAD MS Roberta Perea New Mexico Board of Osteopathic Medical Examiners Board Administrator Roberta.Perea@state.nm.us
(505) 476-4629 Roberta Roberta Perea 2550 Cerrillos Road

Santa Fe NM 87505
6951 BS
LEAD MS Sondra Frank, JD New Mexico Medical Board Executive Director sondra.frank@state.nm.us (505) 930-9045 (505) 476-7221 Sondra Sondra Frank 2055 S Pacheco St Bldg 400

Santa Fe NM 87505-0503
7133 BS
LEAD MR Stephen J. Boese New York State Board For Medicine Executive Secretary stephen.boese@NYSED.GOV (518) 368-7314 (518) 474-3817 ext 560 Stephen Stephen Boese 2nd Fl West Wing 89 Washington Ave
Albany NY 12234
541 BS
LEAD MR Keith W. Servis New York State Office of Professional Medical Conduct Director keith.servis@health.ny.gov (518) 422-4368 (518) 402-0855 Keith Keith Servis Riverview Center 150 Broadway Ste 355
Albany NY 12204
684 BS
LEAD MR R. David Henderson, JD, CMBE North Carolina Medical Board Chief Executive Officer david.henderson@ncmedboard.org (919) 630-6775 (919) 326-1109 ext 218 R. David David Henderson PO Box 20007

Raleigh NC 27619-0007
8265 BS
LEAD MS Bonnie Storbakken, JD North Dakota Board of Medicine Executive Secretary bstorbakken@ndbom.org (701) 955-4391 (701) 328-6500 Bonnie Bonnie Storbakken City Center Plaza 418 E Broadway Ave Ste 12
Bismarck ND 58501-4086
1086 BS
LEAD MR Lyle R. Kelsey, MBA, CAE, CMBE Oklahoma Board of Medical Licensure & Supervision Executive Director lkelsey@okmedicalboard.org (405) 250-5341 (405) 962-1414 Lyle Lyle Kelsey PO Box 18256

Oklahoma City OK 73154-0256
982 BS
LEAD MS Deborah J. Bruce, JD, CMBE Oklahoma State Board of Osteopathic Examiners Executive Director dbruce@osboe.ok.gov (405) 641-8862 (405) 528-8625 Deborah Deborah Bruce 4848 N Lincoln Blvd Ste 100

Oklahoma City OK 73105-3321
4093 BS
LEAD MS Nicole A. Krishnaswami, JD Oregon Medical Board Interim Executive Director nicole.krishnaswami@state.or.us
(971) 673-2667 Nicole Nicole Krishnaswami 1500 SW 1st Ave Ste 620

Portland OR 97201-5815
3227 BS
LEAD MS Angelina M. Burton Osteopathic Medical Board of California Executive Director angie.burton@dca.ca.gov (916) 889-3578 (916) 928-8390 ext 8 Angelina Angie Burton 1300 National Dr Ste 150

Sacramento CA 95834-1991
7480 BS
LEAD MS Suzanne M. Zerbe Pennsylvania State Board of Medicine Administrator suzerbe@pa.gov
(717) 787-7768 Suzanne Suzanne Zerbe PO Box 2649

Harrisburg PA 17105-2649
7615 BS
LEAD MR Aaron Hollinger Pennsylvania State Board of Osteopathic Medicine Administrator ahollinger@pa.gov
(717) 783-4858 Aaron Aaron Hollinger PO Box 2649

Harrisburg PA 17105-2649
8372 BS
LEAD MS Norma I. Torres Delgado, MHSA Puerto Rico Board of Medical Licensure & Discipline Executive Director norma.torres.delgado@salud.pr.gov
(787) 765-2929X6579/6581 Norma Norma Torres Delgado Junta De Licenciamiento Y Disciplina Med PO Box 13969
San Juan PR 00908-3969
4949 BS
LEAD DR James V. McDonald, MD, MPH Rhode Island Board of Medical Licensure & Discipline Chief Administrative Officer james.mcdonald@health.ri.gov (401) 965-0612 (401) 222-1016 James James McDonald Dept of Health 3 Capitol Hill Rm 401
Providence RI 02908
543 BS
LEAD MR Sheridon H. Spoon, Esq South Carolina Board of Medical Examiners Administrator sheridon.spoon@llr.sc.gov (803) 553-2785 (803) 896-8969 Sheridon Sheridon Spoon 110 Centerview Dr Ste 202

Columbia SC 29210-8432
497 BS OLIC LEAD MS Margaret B. Hansen, PA-C, MPAS, CMBE South Dakota Board of Medical & Osteopathic Examiners Executive Director margaret.hansen@state.sd.us (605) 321-4237 (605) 367-7781 Margaret Meg Hansen 101 N Main Ave Ste 301

Sioux Falls SD 57104
7276 BS
LEAD MR Anthony J. Groeber, MBA State Medical Board of Ohio Executive Director aj.groeber@med.ohio.gov (614) 857-5137 (614) 644-4449 Anthony A.J. Groeber 30 E Broad St 3rd Flr

Columbus OH 43215-6127
7533 BS
LEAD MS Stacy A. Tarr Tennessee Board of Medical Examiners Interim Executive Director Stacy.Tarr@tn.gov
(615) 532-5145 Stacy Stacy Tarr 665 Mainstream Dr

Nashville TN 37243-0001
7534 BS
LEAD MS Stacy A. Tarr Tennessee Board of Osteopathic Examination Interim Executive Director Stacy.Tarr@tn.gov
(615) 532-5145 Stacy Stacy Tarr 665 Mainstream Dr

Nashville TN 37243-0001
9055 BS
LEAD MR Stephen Brint Carlton, JD Texas Medical Board Executive Director brint.carlton@tmb.state.tx.us
(512) 305-7010 Stephen Brint Carlton PO Box 2018

Austin TX 78768-2018
7814 BS
LEAD MR Larry Marx Utah Osteopathic Physicians & Surgeons Licensing Board Bureau Manager lmarx@utah.gov (801) 580-3368 (801) 530-6254 Larry Larry Marx Heber W Wells Bldg 160 E 300 S
Salt Lake City UT 84114
7815 BS
LEAD MR Larry Marx Utah Physicians & Surgeons Licensing Board Bureau Manager lmarx@utah.gov
(801) 530-6254 Larry Larry Marx Heber W Wells Bldg 160 E 300 S
Salt Lake City UT 84114
4140 BS
LEAD MR David K. Herlihy, Esq Vermont Board of Medical Practice Executive Director david.herlihy@vermont.gov (802) 585-6389 (802) 657-4220 David David Herlihy 108 Cherry St PO Box 70
Burlington VT 05402-0070
5212 BS
LEAD MS Aprille Morrison Vermont Board of Osteopathic Physicians & Surgeons Licensing Board Specialist aprille.morrison@sec.state.vt.us
(802) 828-2373 Aprille Aprille Morrison Office of Professional Regulation City Center - 89 Main St 3rd Fl
Montpelier VT 05620-3402
4910 BS
LEAD MS Deborah K. Richardson-Peter, MPA Virgin Islands Board of Medical Examiners Director Office of Professional Licensure & Health Planning deborah.richardson-peter@doh.vi.gov (340) 277-7421 (340) 713-6803 Deborah Deborah Richardson-Peter Professional Licensure & Health Planning 3500 Estate Richmond
Christiansted VI 00820-4370
1163 BS
LEAD DR William L. Harp, MD Virginia Board of Medicine Executive Director william.harp@dhp.virginia.gov (804) 869-1583 (804) 367-4558 William William Harp Perimeter Ctr 9960 Mayland Dr Ste 300
Henrico VA 23233-1463
7202 BS
LEAD MS Melanie De Leon, JD, MPA Washington Medical Quality Assurance Commission Executive Director melanie.deleon@doh.wa.gov (253) 209-4025 (360) 236-2755 Melanie Melanie De Leon PO Box 47866

Olympia WA 98504-7866
1065 BS
LEAD MR Blake T. Maresh, MPA, CMBE Washington State Board of Osteopathic Medicine & Surgery Executive Director blake.maresh@doh.wa.gov (360) 888-5080 (360) 236-4760 Blake Blake Maresh PO Box 47852

Olympia WA 98504-7852
8223 BS
LEAD MR Mark A. Spangler, MA West Virginia Board of Medicine Executive Director mark.a.spangler@wv.gov (304) 667-8835 (304) 558-2921 X70005 Mark Mark Spangler 101 Dee Dr Ste 103

Charleston WV 25311
3347 BS
LEAD MS Diana K. Shepard, CMBE West Virginia Board of Osteopathic Medicine Executive Director Diana.K.Shepard@wv.gov (304) 280-9062 (304) 558-6095 Diana Diana Shepard 405 Capitol St Ste 402

Charleston WV 25301
980 BS
LEAD MR Thomas H. Ryan, MPA, JD Wisconsin Medical Examining Board FSMB Board of Directors tryan@fsmb.org (608) 807-8245 (608) 261-2378 Thomas Tom Ryan Dept of Safety & Professional Services 1400 E Washington Ave PO Box 8366
Madison WI 53708-8366
968 BS
LEAD MR Kevin D. Bohnenblust, JD, CMBE Wyoming Board of Medicine Executive Director kevin.bohnenblust@wyo.gov (307) 286-3920 (307) 778-7053 Kevin Kevin Bohnenblust 130 Hobbs Ave Ste A

Cheyenne WY 82002
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