iission beaeoe {opr pole spe bate : Sean ermavane tt fia John H. Armstrong, MD, FACS *ootmty HEALTH ‘State Surgeon Ganeral & Soertary Viston: Tobe tie Hesltiet Sate eaten TO: Sue Foster, Executive Director, Board of Dentistry, ne FROM: Chelsea R. Enright, Assistant General Counsel. © RE: Voluntary Relinquishment SUBJECT: DOH v. Howard S. Schneider, D.D.S, DOH Case Number 2015-11091 DATE: May 22, 2015 Enclosed you will find materials in the above-referenced case to be placed on the agenda for final agency action for the May 29, 2015 meeting of the board. The following information is provided in this regard. Subject: Subject's Address of Record: Enforcement Address: Subject's License No: Licensure File No: Initial Licensure Date: Board Certification: Required to Appear: Current IPN/PRN Contract: Allegation(s): Prior Discipline: Probable Cause Panel: Subject's Attorney: Complainant/ Address: Materials Submitted: Florkia Dopartmont of Health (ie he Gena Coins -Proseton Sones Unt 4052 Ball Cys Way, Be GS» Talanaseo, FL 32309205, PHONE: 502464444" FAKESODAS 04 Howard S. Schneider, D.D.S. 1871 University Blvd South Jacksonville, FL 32216 1871 University Blvd South Jacksonville, FL 32216 3412 Rank: DN 2153 8/10/1962 None No NA Section 466.028(1)(x) None Waived Pro Se Department Of Health/Media Analyst Memorandum to the Board Voluntary Relinquishment Initiating Complaint wnwFloridaHealth.gov "TWITTER Halin?LA FACEEOOIGFLOaparenensPzath YOUTUBE: Noh FuCkR eae INTEREST: HealsFILED DEPARTMENT OF HEALTH DEPUTY CLERK CLERK “Angel Sanders DEPARTMENT OF HEALTH, DATE MAY 2-2 2015 Petitioner, a 2015-1109 | v, DOH Case No, XXXX-XXXXX Howard Schneider, ODS Respondent, eee VOLUNTARY RELINQUISHMENT OF LICENSE Respondent Howard Schnelder, DDS, lleense number DN 3412, hereby voluntarily relinquishes’ Respondent's lloense to practice Dentistry In the State of Horida and states as follows: 1. Respondent's purpose In executing this Voluntary Relinquishment Is to avold further administrative action with respect to this cause, Respondent understands that acceptance by the Board of Dentistry (hereinafter the Board) of this Voluntary Relinguishment shall be construed as disciplinary action against Respondent's license pursuant to Section 456.072(1)(f), Florida Statutes. Respondent agrees to never reapply for any lisensure pertaining to Dentistry in the State of Florida, Respondent agrees to voluntarily cease practicing Dentistry Immedtately upon executing this Voluntary Relinqulshment. Respondent, further agrees to refrain from the practice of Dentistry until such time as this Voluntary Relinguishment Is presented to the Board and the Board Issues a written final order in this matter, > =In order to expedite consideration and resolution of this action by the Board in a publtc meeting, Respondent, being fully advised of the consequences of. so doing, hereby walves the statutory privilege of confidentiality of Section 456.073(10), Florida Statutes, and waives a determination of probable cause, by the Probable Cause Panel, or the Department When appropriate, pursuant to Section 456.073(4), Florida Statutes, regarding the complaint, the Investigative report of the Department of Health, and all other Information obtained pursuant to the Department's investigation in the above-styled action. By signing this walver, Respondent understands that the record and complaint become public record and remain public record and that Information fs Immediately accessible to the public, Section 4456,073(40) Florida Statutes 5, Upon the Boards acceptance of this Voluntary Relinquishment, Respondent agrees to walve all rights to seek juclktal review of, or to otherwise challenge or contest the validity of, this Voluntary Rellnquishment and of the Final Order of the Board incorporating this Voluntary Relinquishment. 6 Petitioner and Respondent hereby agree that upon the Board's acceptance of this Voluntary Relinguishment, each party shall bear its own attorney's fees and costs related to the prosecution or defense of this matter, 7. Respondent authorizes the Board to review and examine all Investigative file materials concerning Respondent in connection with the Board‘s consideration of this Voluntary Relingulshment. Respondent agrees that consideration of this Voluntary Relinguishment and other related materials by the Board shall not prejudice or preclude the BOH y, Howard Schneller, DDS Cese Number XO IOCORK 2Board, or any of its members, from further participation, consideration, or resolution of these proceedings If the terms of this Voluntary Relinqulshment are not accepted by the Board, gM DATED this Eo ey oF. STATE OF FLORIDA COUNTY OF: Bofore me, personally appeared Howard Schneider ___, whose Wdentty ts known to me by (type of identification) and who, under icknowledges that his slgnatifre appears above. Sworn to and subscribed before me 2015, NOTARY PUBLIC DOH y, Howard Schneider, DDS Case Number XXX XXXHK 4