Webform Block: Submission #77
Submission information
Submission Number: 77
Submission ID: 1974
Submission UUID: 539d1bba-5a64-4006-86c2-93ee0ddae60a
Submission URI: /conflict-disclosure
Created: Fri, 04/24/2026 - 06:58
Completed: Fri, 04/24/2026 - 06:58
Changed: Wed, 05/13/2026 - 16:07
Remote IP address: 24.230.76.186
Submitted by: Anonymous
Language: English
Is draft: No
Webform: Conflict of Interest
Submitted to: Webform Block
Sandra DePountis
ND Board of Medicine
Stephanie Sievert
NDBOM Board Member
Ms. Sievert recused herself in Case 4.1 pursuant to North Dakota Century Code section 43-17-07.2: Conflict of Interest in that at as a Board member, she “may not participate in the making of any decision or the taking of any action affecting that member’s personal, professional, or pecuniary interest, or that of a known relative or business or professional associate.”
Remaining members of board, commission, committee, or legislative body
NDBOM’s Investigatory Panel B’s Meeting – 4.23.2026 - Dr. ** disclosed a conflict of interest in case #* and therefore was required to recuse from the case, discussion, and vote – as required by North Dakota Board of Medicine statute 43-17-07.2.
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I certify that the information provided in this disclosure form is true, correct, complete, and of my own personal knowledge. I will fully cooperate in the process regarding this disclosure form.
04-24-2026