Submission Number: 245
Submission ID: 870
Submission UUID: 5702036d-d40d-495a-9948-9927b1cd0b7e

Created: Fri, 10/24/2025 - 16:53
Completed: Fri, 10/24/2025 - 16:53
Changed: Tue, 01/13/2026 - 13:43

Remote IP address: 24.230.76.186
Submitted by: Anonymous
Language: English

Is draft: No
Sandra DePountis
ND Board of Medicine
Mandi Johnson, MD
NDBOM Board Member
Dr. Johnson recused herself in case #3.2 pursuant to North Dakota Century Code section 43-17-07.2 providing that an investigatory panel member “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.”
Yes
No
No
Dr. Johnson recused herself in case #3.2 pursuant to North Dakota Century Code section 43-17-07.2 providing that an investigatory panel member “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.”
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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.
Signature
10-24-2025
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