Jagjit Kaleka, D.V.M.; Decision and Order, 76856-76858 [2023-24524]
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Federal Register / Vol. 88, No. 214 / Tuesday, November 7, 2023 / Notices
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SUPPLEMENTARY INFORMATION: In
accordance with 21 CFR 1301.34(a), this
is notice that on September 19, 2023,
Groff NA Hemplex LLC, 100 Redco
Avenue, Suite A, Red Lion,
Pennsylvania 17356–1436, applied to be
registered as an importer of the
following basic class(es) of controlled
substance(s):
Controlled substance
Drug code
Marihuana Extract ....................................................................................................................................................
Marihuana ................................................................................................................................................................
Tetrahydrocannabinols ............................................................................................................................................
The company plans to import the
listed controlled substances in bulk
form to manufacture research grade
material for clinical trial studies.
Several types of Marihuana Extract
compounds are listed under drug code
7350. No other activities for these drug
codes are authorized for this
registration.
Approval of permit applications will
occur only when the registrant’s
business activity is consistent with what
is authorized under 21 U.S.C. 952(a)(2).
Authorization will not extend to the
import of Food and Drug
Administration-approved or nonapproved finished dosage forms for
commercial sale.
Claude Redd,
Acting Deputy Assistant Administrator.
[FR Doc. 2023–24575 Filed 11–6–23; 8:45 am]
BILLING CODE 4410–09–P
DEPARTMENT OF JUSTICE
Drug Enforcement Administration
khammond on DSKJM1Z7X2PROD with NOTICES
Jagjit Kaleka, D.V.M.; Decision and
Order
On February 25, 2022, the Drug
Enforcement Administration (DEA or
Government) issued an Order to Show
Cause (OSC) to Jagjit Kaleka, D.V.M.
(Respondent), of Mauston, Wisconsin.
Request for Final Agency Action
(RFAA), Government Exhibit (RFAAX)
13, at 1, 5. The OSC proposed the
revocation of Respondent’s DEA
Certificate of Registration (registration),
Control No. AK7830640, alleging that
Respondent has ‘‘committed such acts
as would render [his] registration
inconsistent with the public interest.’’
Id. at 1, 2 (citing 21 U.S.C. 824(a)(4),
823(g)(1) 1).
1 Effective December 2, 2022, the Medical
Marijuana and Cannabidiol Research Expansion
VerDate Sep<11>2014
16:30 Nov 06, 2023
Jkt 262001
The Agency makes the following
findings of fact based on the
uncontroverted evidence submitted by
the Government in its RFAA dated April
6, 2023.2
I. Findings of Fact
According to the Declaration of a DEA
Diversion Investigator (the DI),
Respondent was the owner of and a
veterinarian at Mauston Pet Hospital
(the Pet Hospital). RFAA, Declaration of
Diversion Investigator (Declaration), at
2. From June 21, 2019, through February
22, 2021, the Pet Hospital purchased
500 tablets of 10 mg oxycodone
(Schedule II), 1000 tablets of 2 mg
alprazolam (Schedule IV), and 100
tablets of 5 mg zolpidem (Schedule IV).
Id.; see also RFAAX 2; RFAAX 9. On
June 8, 2021, the DI served a Notice of
Inspection at the Pet Hospital, and
Respondent consented to an inspection
of the premises. Declaration, at 2; see
also RFAAX 7. Prior to the inspection,
the DI asked Respondent to take an
inventory of all controlled substances at
the Pet Hospital,3 and on the day of the
inspection, the DI asked Respondent to
produce a biennial inventory, which
Respondent was unable to produce.
Declaration, at 2, 4.
During the inspection, Respondent
denied personally ordering the
controlled substances in question,
Act, Pub. L. 117–215, 136 Stat. 2257 (2022)
(Marijuana Research Amendments or MRA),
amended the Controlled Substances Act (CSA) and
other statutes. Relevant to this matter, the MRA
redesignated 21 U.S.C. 823(f), cited in the OSC, as
21 U.S.C. 823(g)(1). Accordingly, this Decision cites
to the current designation, 21 U.S.C. 823(g)(1), and
to the MRA-amended CSA throughout.
2 By letter dated March 14, 2022, Respondent
requested a hearing. RFAAX 15, at 1. On May 16,
2022, Respondent withdrew his hearing request and
Chief Administrative Law Judge John J. Mulrooney,
II, issued an Order Terminating Proceedings.
RFAAX 16; RFAAX 17.
3 On June 6, 2021, Respondent emailed the DI a
document titled ‘‘Controlled Drug Inventory 5–25–
2021.’’ Declaration, at 4; see also RFAAX 6.
PO 00000
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7350
7360
7370
Schedule
I
I
I
namely, oxycodone, alprazolam, and
zolpidem. Declaration, at 2.4 The DI
explained that despite the Pet Hospital’s
purchases, ‘‘[n]one of these drugs could
be located on the premises and there
were no records showing that the drugs
had been dispensed, lost, stolen, or
otherwise disposed of.’’ Id. at 2, 3.5
Further, ‘‘[t]hough Respondent denied
knowledge that [G.K., another
practitioner at the Pet Hospital,] had
been using the Pet Hospital’s account to
purchase and obtain controlled
substances for other than a legitimate
medical purpose in the usual course of
veterinary practice, Respondent
[admitted that he] was aware of at least
one incident during which [G.K.]
purchased and received alprazolam.’’
Id.6 Notably, Respondent admitted that
4 As noted by the DI, the most recent invoice
indicated that Respondent himself purchased 100
tablets of 2 mg alprazolam under his own DEA
registration; all of the other invoices for the
controlled substance purchases in question showed
that the controlled substances were shipped to
another practitioner at the Pet Hospital, G.K. Id. at
2–3; see also RFAAX 2, at 66; RFAAX 8, at 1;
RFAAX 9, at 3. Respondent also admitted that his
wife paid for all of the controlled substances
ordered for the Pet Hospital. Declaration, at 3.
5 Though unable to produce dispensing records
for the controlled substances in question,
Respondent was able to produce dispensing records
for other controlled substances. Id. at 3; see also
RFAAX 4. According to the DI, these other
dispensing records were commingled with records
of other practitioners, including G.K., and because
the records lacked detail, the DI was unable to
determine which controlled substances had been
dispensed by Respondent. Id. Because there were
no records showing the disposition of the
oxycodone, alprazolam, or zolpidem in question,
the DI was unable to confirm whether the drugs had
been purchased for a legitimate medical purpose;
moreover, there was no evidence that Respondent
had contacted any law enforcement agency to report
the diversion of any oxycodone, alprazolam, or
zolpidem. Declaration, at 3.
6 Respondent admitted to DI that he observed
G.K. receiving a shipment of alprazolam in 2019;
specifically, Respondent observed G.K. meet a
delivery driver outside the Pet Hospital who gave
G.K. several boxes that G.K. then placed in his
personal vehicle. Id. Respondent stated that he then
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Federal Register / Vol. 88, No. 214 / Tuesday, November 7, 2023 / Notices
neither alprazolam nor zolpidem have
ever been used at the Pet Hospital for
veterinary purposes. Declaration, at 3.
Although Respondent denied that he
had any expired controlled substances,
the DI found expired controlled
substances in an unsecured area in the
Pet Hospital’s basement. Id. at 4; see
also RFAAX 12. Respondent had no
records of any disposal of expired or
unwanted controlled substances, but
Respondent told the DI that he disposed
of expired or unwanted controlled
substances by giving them to the police
or placing them in the garbage, which
the DI noted was an unacceptable
method that does not render the
controlled substances ‘‘ ‘nonretrievable’ ’’ pursuant to Federal
regulations. Declaration, at 2, 4 (citing
21 CFR 1317.90(a)).7 8
II. Discussion
A. The Five Public Interest Factors
khammond on DSKJM1Z7X2PROD with NOTICES
Under the CSA, ‘‘[a] registration . . .
to . . . dispense a controlled substance
. . . may be suspended or revoked by
the Attorney General upon a finding
that the registrant . . . has committed
such acts as would render his
registration under section 823 of this
title inconsistent with the public
interest as determined under such
section.’’ 21 U.S.C. 824(a). In making the
public interest determination, the CSA
requires consideration of the following
factors:
instructed an employee, S.T., to retrieve the boxes
and bring them inside Pet Hospital where
Respondent confirmed that they contained
alprazolam. Id. In addition, S.T. admitted to filling
out a DEA form 222 for the purchase of oxycodone
at G.K.’s request. Id. at 4; see also RFAAX 2, at 3;
RFAAX 3.
7 The DI referenced 21 CFR 1317.90(a) once more
in noting that ‘‘because Respondent was not the
‘ultimate user[]’ or ‘[a] person[] lawfully entitled to
dispose of an ultimate user’s decedent’s property,’[]
he did not dispose of the controlled substances ‘in
compliance with applicable Federal, State, tribal[],
and local laws and regulations.’ ’’ Id. at 4.
8 The DI also described how Respondent had been
previously notified of violations in 2017, with
Respondent at that time cited by DEA for failing to
keep a biennial inventory, failing to maintain
separate and readily retrievable records of
controlled substances, failing to keep controlled
substances in a securely locked, substantially
constructed cabinet, and accepting controlled
substances from end users without being licensed
as a collector. Id. at 2, 4–5; see also RFAAX 10.
Respondent was also subject to disciplinary action
by the State of Wisconsin Veterinary Examining
Board in 2018 following findings that Respondent
had failed to store controlled substances in a
securely locked, substantially constructed cabinet,
had failed to keep a biennial inventory, and had
sold a Schedule III controlled substance to an
unregistered individual who had previously
surrendered his DEA registration and was not
authorized to possess or purchase controlled
substances. Declaration, at 2, 5; see also RFAAX 11.
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(A) The recommendation of the
appropriate State licensing board or
professional disciplinary authority.
(B) The [registrant]’s experience in
dispensing, or conducting research with
respect to controlled substances.
(C) The [registrant]’s conviction
record under Federal or State laws
relating to the manufacture,
distribution, or dispensing of controlled
substances.
(D) Compliance with applicable State,
Federal, or local laws relating to
controlled substances.
(E) Such other conduct which may
threaten the public health and safety.
21 U.S.C. 823(g)(1).
The DEA considers these public
interest factors in the disjunctive. Robert
A. Leslie, M.D., 68 FR 15,227, 15,230
(2003). Each factor is weighed on a caseby-case basis. Morall v. Drug Enf’t
Admin., 412 F.3d 165, 173–74 (D.C. Cir.
2005). Any one factor, or combination of
factors, may be decisive. David H. Gillis,
M.D., 58 FR 37507, 37508 (1993).
While the Agency has considered all
of the public interest factors in 21 U.S.C.
823(g)(1),9 the Government’s evidence
in support of its prima facie case for
revocation of Respondent’s registration
is confined to Factors B and D. See
RFAA, at 6–10.10 Moreover, the
Government has the burden of proof in
this proceeding. 21 CFR 1301.44.
Here, the Agency finds that the
Government’s evidence satisfies its
prima facie burden of showing that
Respondent’s continued registration
9 As to Factor A, the Agency considers the
recommendation of the appropriate state licensing
board. Here, the state licensing board has taken
disciplinary action against Respondent’s veterinary
license arising out of similar misconduct as that
which forms the basis for the OSC in the current
matter. See RFAAX 11; RFAAX 14, at 3.
Nonetheless, because the Government has not made
any representations as to Factor A in its RFAA, the
Agency finds that Factor A weighs neither for nor
against Respondent’s continued registration. As to
Factor C, there is no evidence in the record that
Respondent has been convicted of an offense under
either Federal or state law ‘‘relating to the
manufacture, distribution, or dispensing of
controlled substances.’’ 21 U.S.C. 823(g)(1)(C).
However, as Agency cases have noted, there are a
number of reasons why a person who has engaged
in criminal misconduct may never have been
convicted of an offense under this factor. Dewey C.
MacKay, M.D., 75 FR 49956, 49973 (2010). Agency
cases have therefore found that ‘‘the absence of
such a conviction is of considerably less
consequence in the public interest inquiry’’ and is
therefore not dispositive. Id. Finally, as to Factor E,
the Government’s evidence fits squarely within the
parameters of Factors B and D and does not raise
‘‘other conduct which may threaten the public
health and safety.’’ 21 U.S.C. 823(g)(1)(E).
Accordingly, Factor E does not weigh for or against
Respondent.
10 In its RFAA, the Government noted that if the
Agency were to find that Factors B and D did not
weigh against Respondent’s continued registration,
it would rely on Factor E in the alternative. Id. at
6.
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Fmt 4703
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76857
would be ‘‘inconsistent with the public
interest.’’ 21 U.S.C. 824(a)(4).
B. Factors B and D
Evidence is considered under Public
Interest Factors B and D when it reflects
compliance (or non-compliance) with
laws related to controlled substances
and experience dispensing controlled
substances. See Sualeh Ashraf, M.D., 88
FR 1095, 1097 (2023); Kareem Hubbard,
M.D., 87 FR 21156, 21162 (2022). In the
current matter, the Government has
alleged that Respondent violated
numerous Federal laws regulating
controlled substances. RFAAX 14, at 2–
3. Specifically, Federal law requires that
registrants (1) keep a biennial inventory
of any controlled substances on hand;
(2) keep controlled substances in a
‘‘securely locked, substantially
constructed cabinet’’; (3) dispose of
controlled substances properly so as to
comply with applicable regulations and
render the controlled substances nonretrievable; (4) keep records of the
disposal of controlled substances; and
(5) timely report any loss of controlled
substances. 21 U.S.C. 827(a)–(b); 21 CFR
1301.75(b), 1301.76(b), 1304.11(a),
1304.11(c), 1304.21(e), 1317.90, and
1317.95.11
Here, the record demonstrates that
Respondent, among other things, failed
to conduct a biennial inventory of
controlled substances, failed to properly
store controlled substances in a securely
locked, substantially constructed
cabinet, failed to dispose of controlled
substances properly so as to comply
with applicable regulations and render
the controlled substances nonretrievable, failed to keep records of the
disposal of controlled substances, and
failed to timely report the loss of
controlled substances. As Respondent’s
conduct displays clear violations of the
various Federal regulations described
above, the Agency hereby sustains the
Government’s allegations that
Respondent repeatedly violated Federal
law relating to controlled substances.
Accordingly, the Agency finds that
Factors B and D weigh in favor of
revocation of Respondent’s registration
and thus finds Respondent’s continued
registration to be inconsistent with the
public interest in balancing the factors
of 21 U.S.C. 823(g)(1). The Agency
further finds that Respondent failed to
provide sufficient evidence to rebut the
Government’s prima facie case.
11 Federal law also prohibits an individual from
accepting controlled substances from end users
without being authorized as a collector. 21 U.S.C.
822(g)(1)(A) (incorrectly cited in the OSC as 21
U.S.C. 821(g)(1)(A), see RFAAX 14, at 3); 21 CFR
1317.30 and 1317.40.
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Federal Register / Vol. 88, No. 214 / Tuesday, November 7, 2023 / Notices
III. Sanction
Where, as here, the Government has
established grounds to revoke
Respondent’s registration, the burden
shifts to the registrant to show why he
can be entrusted with the responsibility
carried by a registration. Garret Howard
Smith, M.D., 83 FR 18882, 18910 (2018).
When a registrant has committed acts
inconsistent with the public interest, he
must both accept responsibility and
demonstrate that he has undertaken
corrective measures. Holiday CVS,
L.L.C., dba CVS Pharmacy Nos 219 and
5195, 77 FR 62316, 62339 (2012)
(internal quotations omitted). Trust is
necessarily a fact-dependent
determination based on individual
circumstances; therefore, the Agency
looks at factors such as the acceptance
of responsibility, the credibility of that
acceptance as it relates to the
probability of repeat violations or
behavior, the nature of the misconduct
that forms the basis for sanction, and the
Agency’s interest in deterring similar
acts. See, e.g., Robert Wayne Locklear,
M.D., 86 FR 33738, 33746 (2021).
Here, although Respondent initially
requested a hearing, he withdrew his
hearing request and did not otherwise
avail himself of the opportunity to
refute the Government’s case. As such,
Respondent has made no
representations as to his future
compliance with the CSA nor made any
demonstration that he can be entrusted
with registration. In fact, despite having
already been subject to state action and
a Federal citation in 2017 and thus put
on notice of the impropriety of his
actions, Respondent failed to change his
ways and continued to commit much of
the same misconduct. Moreover, the
evidence presented by the Government
clearly shows that Respondent violated
the CSA, further indicating that
Respondent cannot be entrusted.
Accordingly, the Agency will order the
revocation of Respondent’s registration.
khammond on DSKJM1Z7X2PROD with NOTICES
Order
Pursuant to 28 CFR 0.100(b) and the
authority vested in me by 21 U.S.C.
824(a), I hereby revoke DEA Certificate
of Registration No. AK7830640 issued to
Jagjit Kaleka, D.V.M. Further, pursuant
to 28 CFR 0.100(b) and the authority
vested in me by 21 U.S.C. 823(g)(1), I
hereby deny any pending applications
of Jagjit Kaleka, D.V.M., to renew or
modify this registration, as well as any
other pending application of Jagjit
Kaleka, D.V.M., for additional
registration in Wisconsin. This Order is
effective December 7, 2023.
VerDate Sep<11>2014
16:30 Nov 06, 2023
Jkt 262001
Signing Authority
This document of the Drug
Enforcement Administration was signed
on October 31, 2023, by Administrator
Anne Milgram. That document with the
original signature and date is
maintained by DEA. For administrative
purposes only, and in compliance with
requirements of the Office of the Federal
Register, the undersigned DEA Federal
Register Liaison Officer has been
authorized to sign and submit the
document in electronic format for
publication, as an official document of
DEA. This administrative process in no
way alters the legal effect of this
document upon publication in the
Federal Register.
Heather Achbach,
Federal Register Liaison Officer, Drug
Enforcement Administration.
[FR Doc. 2023–24524 Filed 11–6–23; 8:45 am]
BILLING CODE 4410–09–P
DEPARTMENT OF JUSTICE
you have received a Comment Tracking
Number, your comment has been
successfully submitted and there is no
need to resubmit the same comment. All
requests for a hearing must be sent to:
(1) Drug Enforcement Administration,
Attn: Hearing Clerk/OALJ, 8701
Morrissette Drive, Springfield, Virginia
22152; and (2) Drug Enforcement
Administration, Attn: DEA Federal
Register Representative/DPW, 8701
Morrissette Drive, Springfield, Virginia
22152. All requests for a hearing should
also be sent to: Drug Enforcement
Administration, Attn: Administrator,
8701 Morrissette Drive, Springfield,
Virginia 22152.
SUPPLEMENTARY INFORMATION: In
accordance with 21 CFR 1301.34(a), this
is notice that on October 5, 2023, Mylan
Technologies Inc. 110 Lake Street, Saint
Albans, Vermont 05478–2266 applied to
be registered as an importer of the
following basic class(es) of controlled
substance(s)
Drug
code
Controlled substance
Drug Enforcement Administration
Fentanyl ........................
Methylphenidate ...........
[Docket No. DEA–1285]
Importer of Controlled Substances
Application: Mylan Technologies Inc.
Drug Enforcement
Administration, Justice.
ACTION: Notice of application.
AGENCY:
Mylan Technologies Inc. as
applied to be registered as an importer
of basic class(es) of controlled
substance(s). Refer to SUPPLEMENTARY
INFORMATION listed below for further
drug information.
DATES: Registered bulk manufacturers of
the affected basic class(es), and
applicants therefore, may submit
electronic comments on or objections to
the issuance of the proposed registration
on or before December 7, 2023. Such
persons may also file a written request
for a hearing on the application on or
before December 7, 2023.
ADDRESSES: The Drug Enforcement
Administration requires that all
comments be submitted electronically
through the Federal eRulemaking Portal,
which provides the ability to type short
comments directly into the comment
field on the web page or attach a file for
lengthier comments. Please go to
https://www.regulations.gov and follow
the online instructions at that site for
submitting comments. Upon submission
of your comment, you will receive a
Comment Tracking Number. Please be
aware that submitted comments are not
instantaneously available for public
view on https://www.regulations.gov. If
SUMMARY:
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I
9801
1724
Schedule
II
I II
The company plans to import the
listed controlled substances in finished
dosage form (FDF) from foreign sources
for analytical testing and clinical trials
in which the foreign FDF will be
compared to the company’s own
domestically manufactured FDF to
foreign markets. No other activities for
these drug codes are authorized for this
registration.
Approval of permit applications will
occur only when the registrant’s
business activity is consistent with what
is authorized under 21 U.S.C. 952(a)(2).
Authorization will not extend to the
import of Food and Drug
Administration-approved or nonapproved finished dosage forms for
commercial sale.
Claude Redd,
Acting Deputy Assistant Administrator.
[FR Doc. 2023–24573 Filed 11–6–23; 8:45 am]
BILLING CODE P
DEPARTMENT OF JUSTICE
Notice of Lodging of Proposed
Modification to Consent Decree Under
the Clean Water Act
On October 25, 2023, the Department
of Justice lodged a proposed a Material
Modification to the Consent Decrees’
Wet Weather Improvement Program
(‘‘Modification’’) with the United States
District Court for the Southern District
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Agencies
[Federal Register Volume 88, Number 214 (Tuesday, November 7, 2023)]
[Notices]
[Pages 76856-76858]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-24524]
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DEPARTMENT OF JUSTICE
Drug Enforcement Administration
Jagjit Kaleka, D.V.M.; Decision and Order
On February 25, 2022, the Drug Enforcement Administration (DEA or
Government) issued an Order to Show Cause (OSC) to Jagjit Kaleka,
D.V.M. (Respondent), of Mauston, Wisconsin. Request for Final Agency
Action (RFAA), Government Exhibit (RFAAX) 13, at 1, 5. The OSC proposed
the revocation of Respondent's DEA Certificate of Registration
(registration), Control No. AK7830640, alleging that Respondent has
``committed such acts as would render [his] registration inconsistent
with the public interest.'' Id. at 1, 2 (citing 21 U.S.C. 824(a)(4),
823(g)(1) \1\).
---------------------------------------------------------------------------
\1\ Effective December 2, 2022, the Medical Marijuana and
Cannabidiol Research Expansion Act, Pub. L. 117-215, 136 Stat. 2257
(2022) (Marijuana Research Amendments or MRA), amended the
Controlled Substances Act (CSA) and other statutes. Relevant to this
matter, the MRA redesignated 21 U.S.C. 823(f), cited in the OSC, as
21 U.S.C. 823(g)(1). Accordingly, this Decision cites to the current
designation, 21 U.S.C. 823(g)(1), and to the MRA-amended CSA
throughout.
---------------------------------------------------------------------------
The Agency makes the following findings of fact based on the
uncontroverted evidence submitted by the Government in its RFAA dated
April 6, 2023.\2\
---------------------------------------------------------------------------
\2\ By letter dated March 14, 2022, Respondent requested a
hearing. RFAAX 15, at 1. On May 16, 2022, Respondent withdrew his
hearing request and Chief Administrative Law Judge John J.
Mulrooney, II, issued an Order Terminating Proceedings. RFAAX 16;
RFAAX 17.
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I. Findings of Fact
According to the Declaration of a DEA Diversion Investigator (the
DI), Respondent was the owner of and a veterinarian at Mauston Pet
Hospital (the Pet Hospital). RFAA, Declaration of Diversion
Investigator (Declaration), at 2. From June 21, 2019, through February
22, 2021, the Pet Hospital purchased 500 tablets of 10 mg oxycodone
(Schedule II), 1000 tablets of 2 mg alprazolam (Schedule IV), and 100
tablets of 5 mg zolpidem (Schedule IV). Id.; see also RFAAX 2; RFAAX 9.
On June 8, 2021, the DI served a Notice of Inspection at the Pet
Hospital, and Respondent consented to an inspection of the premises.
Declaration, at 2; see also RFAAX 7. Prior to the inspection, the DI
asked Respondent to take an inventory of all controlled substances at
the Pet Hospital,\3\ and on the day of the inspection, the DI asked
Respondent to produce a biennial inventory, which Respondent was unable
to produce. Declaration, at 2, 4.
---------------------------------------------------------------------------
\3\ On June 6, 2021, Respondent emailed the DI a document titled
``Controlled Drug Inventory 5-25-2021.'' Declaration, at 4; see also
RFAAX 6.
---------------------------------------------------------------------------
During the inspection, Respondent denied personally ordering the
controlled substances in question, namely, oxycodone, alprazolam, and
zolpidem. Declaration, at 2.\4\ The DI explained that despite the Pet
Hospital's purchases, ``[n]one of these drugs could be located on the
premises and there were no records showing that the drugs had been
dispensed, lost, stolen, or otherwise disposed of.'' Id. at 2, 3.\5\
Further, ``[t]hough Respondent denied knowledge that [G.K., another
practitioner at the Pet Hospital,] had been using the Pet Hospital's
account to purchase and obtain controlled substances for other than a
legitimate medical purpose in the usual course of veterinary practice,
Respondent [admitted that he] was aware of at least one incident during
which [G.K.] purchased and received alprazolam.'' Id.\6\ Notably,
Respondent admitted that
[[Page 76857]]
neither alprazolam nor zolpidem have ever been used at the Pet Hospital
for veterinary purposes. Declaration, at 3.
---------------------------------------------------------------------------
\4\ As noted by the DI, the most recent invoice indicated that
Respondent himself purchased 100 tablets of 2 mg alprazolam under
his own DEA registration; all of the other invoices for the
controlled substance purchases in question showed that the
controlled substances were shipped to another practitioner at the
Pet Hospital, G.K. Id. at 2-3; see also RFAAX 2, at 66; RFAAX 8, at
1; RFAAX 9, at 3. Respondent also admitted that his wife paid for
all of the controlled substances ordered for the Pet Hospital.
Declaration, at 3.
\5\ Though unable to produce dispensing records for the
controlled substances in question, Respondent was able to produce
dispensing records for other controlled substances. Id. at 3; see
also RFAAX 4. According to the DI, these other dispensing records
were commingled with records of other practitioners, including G.K.,
and because the records lacked detail, the DI was unable to
determine which controlled substances had been dispensed by
Respondent. Id. Because there were no records showing the
disposition of the oxycodone, alprazolam, or zolpidem in question,
the DI was unable to confirm whether the drugs had been purchased
for a legitimate medical purpose; moreover, there was no evidence
that Respondent had contacted any law enforcement agency to report
the diversion of any oxycodone, alprazolam, or zolpidem.
Declaration, at 3.
\6\ Respondent admitted to DI that he observed G.K. receiving a
shipment of alprazolam in 2019; specifically, Respondent observed
G.K. meet a delivery driver outside the Pet Hospital who gave G.K.
several boxes that G.K. then placed in his personal vehicle. Id.
Respondent stated that he then instructed an employee, S.T., to
retrieve the boxes and bring them inside Pet Hospital where
Respondent confirmed that they contained alprazolam. Id. In
addition, S.T. admitted to filling out a DEA form 222 for the
purchase of oxycodone at G.K.'s request. Id. at 4; see also RFAAX 2,
at 3; RFAAX 3.
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Although Respondent denied that he had any expired controlled
substances, the DI found expired controlled substances in an unsecured
area in the Pet Hospital's basement. Id. at 4; see also RFAAX 12.
Respondent had no records of any disposal of expired or unwanted
controlled substances, but Respondent told the DI that he disposed of
expired or unwanted controlled substances by giving them to the police
or placing them in the garbage, which the DI noted was an unacceptable
method that does not render the controlled substances `` `non-
retrievable' '' pursuant to Federal regulations. Declaration, at 2, 4
(citing 21 CFR 1317.90(a)).7 8
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\7\ The DI referenced 21 CFR 1317.90(a) once more in noting that
``because Respondent was not the `ultimate user[]' or `[a] person[]
lawfully entitled to dispose of an ultimate user's decedent's
property,'[] he did not dispose of the controlled substances `in
compliance with applicable Federal, State, tribal[], and local laws
and regulations.' '' Id. at 4.
\8\ The DI also described how Respondent had been previously
notified of violations in 2017, with Respondent at that time cited
by DEA for failing to keep a biennial inventory, failing to maintain
separate and readily retrievable records of controlled substances,
failing to keep controlled substances in a securely locked,
substantially constructed cabinet, and accepting controlled
substances from end users without being licensed as a collector. Id.
at 2, 4-5; see also RFAAX 10. Respondent was also subject to
disciplinary action by the State of Wisconsin Veterinary Examining
Board in 2018 following findings that Respondent had failed to store
controlled substances in a securely locked, substantially
constructed cabinet, had failed to keep a biennial inventory, and
had sold a Schedule III controlled substance to an unregistered
individual who had previously surrendered his DEA registration and
was not authorized to possess or purchase controlled substances.
Declaration, at 2, 5; see also RFAAX 11.
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II. Discussion
A. The Five Public Interest Factors
Under the CSA, ``[a] registration . . . to . . . dispense a
controlled substance . . . may be suspended or revoked by the Attorney
General upon a finding that the registrant . . . has committed such
acts as would render his registration under section 823 of this title
inconsistent with the public interest as determined under such
section.'' 21 U.S.C. 824(a). In making the public interest
determination, the CSA requires consideration of the following factors:
(A) The recommendation of the appropriate State licensing board or
professional disciplinary authority.
(B) The [registrant]'s experience in dispensing, or conducting
research with respect to controlled substances.
(C) The [registrant]'s conviction record under Federal or State
laws relating to the manufacture, distribution, or dispensing of
controlled substances.
(D) Compliance with applicable State, Federal, or local laws
relating to controlled substances.
(E) Such other conduct which may threaten the public health and
safety.
21 U.S.C. 823(g)(1).
The DEA considers these public interest factors in the disjunctive.
Robert A. Leslie, M.D., 68 FR 15,227, 15,230 (2003). Each factor is
weighed on a case-by-case basis. Morall v. Drug Enf't Admin., 412 F.3d
165, 173-74 (D.C. Cir. 2005). Any one factor, or combination of
factors, may be decisive. David H. Gillis, M.D., 58 FR 37507, 37508
(1993).
While the Agency has considered all of the public interest factors
in 21 U.S.C. 823(g)(1),\9\ the Government's evidence in support of its
prima facie case for revocation of Respondent's registration is
confined to Factors B and D. See RFAA, at 6-10.\10\ Moreover, the
Government has the burden of proof in this proceeding. 21 CFR 1301.44.
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\9\ As to Factor A, the Agency considers the recommendation of
the appropriate state licensing board. Here, the state licensing
board has taken disciplinary action against Respondent's veterinary
license arising out of similar misconduct as that which forms the
basis for the OSC in the current matter. See RFAAX 11; RFAAX 14, at
3. Nonetheless, because the Government has not made any
representations as to Factor A in its RFAA, the Agency finds that
Factor A weighs neither for nor against Respondent's continued
registration. As to Factor C, there is no evidence in the record
that Respondent has been convicted of an offense under either
Federal or state law ``relating to the manufacture, distribution, or
dispensing of controlled substances.'' 21 U.S.C. 823(g)(1)(C).
However, as Agency cases have noted, there are a number of reasons
why a person who has engaged in criminal misconduct may never have
been convicted of an offense under this factor. Dewey C. MacKay,
M.D., 75 FR 49956, 49973 (2010). Agency cases have therefore found
that ``the absence of such a conviction is of considerably less
consequence in the public interest inquiry'' and is therefore not
dispositive. Id. Finally, as to Factor E, the Government's evidence
fits squarely within the parameters of Factors B and D and does not
raise ``other conduct which may threaten the public health and
safety.'' 21 U.S.C. 823(g)(1)(E). Accordingly, Factor E does not
weigh for or against Respondent.
\10\ In its RFAA, the Government noted that if the Agency were
to find that Factors B and D did not weigh against Respondent's
continued registration, it would rely on Factor E in the
alternative. Id. at 6.
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Here, the Agency finds that the Government's evidence satisfies its
prima facie burden of showing that Respondent's continued registration
would be ``inconsistent with the public interest.'' 21 U.S.C.
824(a)(4).
B. Factors B and D
Evidence is considered under Public Interest Factors B and D when
it reflects compliance (or non-compliance) with laws related to
controlled substances and experience dispensing controlled substances.
See Sualeh Ashraf, M.D., 88 FR 1095, 1097 (2023); Kareem Hubbard, M.D.,
87 FR 21156, 21162 (2022). In the current matter, the Government has
alleged that Respondent violated numerous Federal laws regulating
controlled substances. RFAAX 14, at 2-3. Specifically, Federal law
requires that registrants (1) keep a biennial inventory of any
controlled substances on hand; (2) keep controlled substances in a
``securely locked, substantially constructed cabinet''; (3) dispose of
controlled substances properly so as to comply with applicable
regulations and render the controlled substances non-retrievable; (4)
keep records of the disposal of controlled substances; and (5) timely
report any loss of controlled substances. 21 U.S.C. 827(a)-(b); 21 CFR
1301.75(b), 1301.76(b), 1304.11(a), 1304.11(c), 1304.21(e), 1317.90,
and 1317.95.\11\
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\11\ Federal law also prohibits an individual from accepting
controlled substances from end users without being authorized as a
collector. 21 U.S.C. 822(g)(1)(A) (incorrectly cited in the OSC as
21 U.S.C. 821(g)(1)(A), see RFAAX 14, at 3); 21 CFR 1317.30 and
1317.40.
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Here, the record demonstrates that Respondent, among other things,
failed to conduct a biennial inventory of controlled substances, failed
to properly store controlled substances in a securely locked,
substantially constructed cabinet, failed to dispose of controlled
substances properly so as to comply with applicable regulations and
render the controlled substances non-retrievable, failed to keep
records of the disposal of controlled substances, and failed to timely
report the loss of controlled substances. As Respondent's conduct
displays clear violations of the various Federal regulations described
above, the Agency hereby sustains the Government's allegations that
Respondent repeatedly violated Federal law relating to controlled
substances.
Accordingly, the Agency finds that Factors B and D weigh in favor
of revocation of Respondent's registration and thus finds Respondent's
continued registration to be inconsistent with the public interest in
balancing the factors of 21 U.S.C. 823(g)(1). The Agency further finds
that Respondent failed to provide sufficient evidence to rebut the
Government's prima facie case.
[[Page 76858]]
III. Sanction
Where, as here, the Government has established grounds to revoke
Respondent's registration, the burden shifts to the registrant to show
why he can be entrusted with the responsibility carried by a
registration. Garret Howard Smith, M.D., 83 FR 18882, 18910 (2018).
When a registrant has committed acts inconsistent with the public
interest, he must both accept responsibility and demonstrate that he
has undertaken corrective measures. Holiday CVS, L.L.C., dba CVS
Pharmacy Nos 219 and 5195, 77 FR 62316, 62339 (2012) (internal
quotations omitted). Trust is necessarily a fact-dependent
determination based on individual circumstances; therefore, the Agency
looks at factors such as the acceptance of responsibility, the
credibility of that acceptance as it relates to the probability of
repeat violations or behavior, the nature of the misconduct that forms
the basis for sanction, and the Agency's interest in deterring similar
acts. See, e.g., Robert Wayne Locklear, M.D., 86 FR 33738, 33746
(2021).
Here, although Respondent initially requested a hearing, he
withdrew his hearing request and did not otherwise avail himself of the
opportunity to refute the Government's case. As such, Respondent has
made no representations as to his future compliance with the CSA nor
made any demonstration that he can be entrusted with registration. In
fact, despite having already been subject to state action and a Federal
citation in 2017 and thus put on notice of the impropriety of his
actions, Respondent failed to change his ways and continued to commit
much of the same misconduct. Moreover, the evidence presented by the
Government clearly shows that Respondent violated the CSA, further
indicating that Respondent cannot be entrusted. Accordingly, the Agency
will order the revocation of Respondent's registration.
Order
Pursuant to 28 CFR 0.100(b) and the authority vested in me by 21
U.S.C. 824(a), I hereby revoke DEA Certificate of Registration No.
AK7830640 issued to Jagjit Kaleka, D.V.M. Further, pursuant to 28 CFR
0.100(b) and the authority vested in me by 21 U.S.C. 823(g)(1), I
hereby deny any pending applications of Jagjit Kaleka, D.V.M., to renew
or modify this registration, as well as any other pending application
of Jagjit Kaleka, D.V.M., for additional registration in Wisconsin.
This Order is effective December 7, 2023.
Signing Authority
This document of the Drug Enforcement Administration was signed on
October 31, 2023, by Administrator Anne Milgram. That document with the
original signature and date is maintained by DEA. For administrative
purposes only, and in compliance with requirements of the Office of the
Federal Register, the undersigned DEA Federal Register Liaison Officer
has been authorized to sign and submit the document in electronic
format for publication, as an official document of DEA. This
administrative process in no way alters the legal effect of this
document upon publication in the Federal Register.
Heather Achbach,
Federal Register Liaison Officer, Drug Enforcement Administration.
[FR Doc. 2023-24524 Filed 11-6-23; 8:45 am]
BILLING CODE 4410-09-P