Notice2025-06421

Henry-Norbert O. Ndekwe, M.D.; Decision and Order

Primary source

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Published
April 16, 2025

Issuing agencies

Justice DepartmentDrug Enforcement Administration

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<title>Federal Register, Volume 90 Issue 72 (Wednesday, April 16, 2025)</title>
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[Federal Register Volume 90, Number 72 (Wednesday, April 16, 2025)]
[Notices]
[Pages 15990-15992]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-06421]


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DEPARTMENT OF JUSTICE

Drug Enforcement Administration


Henry-Norbert O. Ndekwe, M.D.; Decision and Order

    On July 3, 2024, the Drug Enforcement Administration (DEA or 
Government) issued an Order to Show Cause (OSC) to Henry-Norbert O. 
Ndekwe, M.D., of Lawton, Oklahoma (Registrant). Request for Final 
Agency Action (RFAA), at 6, 8. The OSC proposed the revocation of 
Registrant's Certificate of Registration No. BN5794587, alleging that 
Registrant's registration should be revoked because Registrant is 
``currently without authority to prescribe, administer, dispense, or 
otherwise handle controlled substances in the State of Oklahoma, the 
state in which [he is] registered with DEA.'' Id. at 2 (citing 21 
U.S.C. 824(a)(3)).\1\
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    \1\ According to Agency records, Registrant's registration 
expired on October 31, 2024. The fact that a registrant allows his 
registration to expire during the pendency of an OSC does not impact 
the Agency's jurisdiction or prerogative under the Controlled 
Substances Act (CSA) to adjudicate the OSC to finality. Jeffrey D. 
Olsen, M.D., 84 FR 68474, 68476-79 (2019).
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    The OSC notified Registrant of his right to file a written request 
for hearing, and that if he failed to file such a request, he would be 
deemed to have waived his right to a hearing and be in

[[Page 15991]]

default. Id. (citing 21 CFR 1301.43). Here, Registrant did not request 
a hearing. RFAA, at 2.\2\ ``A default, unless excused, shall be deemed 
to constitute a waiver of the registrant's/applicant's right to a 
hearing and an admission of the factual allegations of the [OSC].'' 21 
CFR 1301.43(e).
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    \2\ Based on the Government's submissions in its RFAA dated 
November 5, 2024, the Agency finds that service of the OSC on 
Registrant was adequate. An included declaration from a DEA 
Diversion Investigator (DI) indicates that on May 17, 2024, 
Registrant had requested that he be contacted regarding his DEA 
registration via his registered email address. RFAA, at 10, 13. On 
July 17, 2024, the DI emailed a copy of the OSC to Registrant's 
registered email address, and the email was not returned as 
undeliverable. Id. at 11, 18. On the same date, the DI also mailed a 
copy of the OSC via certified mail to Registrant's registered 
address, but the mailing was returned as undeliverable. Id. at 11, 
16, 20. Here, the Agency finds that Registrant was successfully 
served the OSC by email and that the DI's efforts to serve 
Registrant by other means were `` `reasonably calculated, under all 
the circumstances, to apprise [Registrant] of the pendency of the 
action.' '' Jones v. Flowers, 547 U.S. 220, 226 (2006) (quoting 
Mullane v. Central Hanover Bank & Trust Co., 339 U.S. 306, 314 
(1950)); see also Mohammed S. Aljanaby, M.D., 82 FR 34552, 34552 
(2017) (finding that service by email satisfies due process where 
the email is not returned as undeliverable and other methods have 
been unsuccessful). Therefore, due process notice requirements have 
been satisfied.
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    Further, ``[i]n the event that a registrant . . . is deemed to be 
in default . . . DEA may then file a request for final agency action 
with the Administrator, along with a record to support its request. In 
such circumstances, the Administrator may enter a default final order 
pursuant to [21 CFR] Sec.  1316.67.'' Id. Sec.  1301.43(f)(1). Here, 
the Government has requested final agency action based on Registrant's 
default pursuant to 21 CFR 1301.43(c), (f), 1301.46. RFAA, at 1; see 
also 21 CFR 1316.67.

Findings of Fact

    The Agency finds that, in light of Registrant's default, the 
factual allegations in the OSC are admitted. According to the OSC, 
Registrant's Oklahoma medical license expired on June 1, 2023. RFAA, at 
7. According to Oklahoma online records, of which the Agency takes 
official notice,\3\ Registrant's Oklahoma medical license remains 
expired. Oklahoma Board of Medical Licensure and Supervision Licensee 
Search, <a href="https://www.okmedicalboard.org/search">https://www.okmedicalboard.org/search</a> (last visited date of 
signature of this Order). Accordingly, the Agency finds that Registrant 
is not licensed to practice medicine in Oklahoma, the state in which he 
is registered with DEA.\4\
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    \3\ Under the Administrative Procedure Act, an agency ``may take 
official notice of facts at any stage in a proceeding--even in the 
final decision.'' United States Department of Justice, Attorney 
General's Manual on the Administrative Procedure Act 80 (1947) (Wm. 
W. Gaunt & Sons, Inc., Reprint 1979).
    \4\ Pursuant to 5 U.S.C. 556(e), ``[w]hen an agency decision 
rests on official notice of a material fact not appearing in the 
evidence in the record, a party is entitled, on timely request, to 
an opportunity to show the contrary.'' The material fact here is 
that Registrant, as of the date of this decision, is not licensed to 
practice medicine in Oklahoma. Accordingly, Registrant may dispute 
the Agency's finding by filing a properly supported motion for 
reconsideration of findings of fact within fifteen calendar days of 
the date of this Order. Any such motion and response shall be filed 
and served by email to the other party and to the DEA Office of the 
Administrator, Drug Enforcement Administration at 
<a href="/cdn-cgi/l/email-protection#c9adaca8e7a8adada6e7a8bdbda6bba7acb0ba89adaca8e7aea6bf"><span class="__cf_email__" data-cfemail="8de9e8eca3ece9e9e2a3ecf9f9e2ffe3e8f4fecde9e8eca3eae2fb">[email&#160;protected]</span></a>.
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Discussion

    Pursuant to 21 U.S.C. 824(a)(3), the Attorney General is authorized 
to suspend or revoke a registration issued under 21 U.S.C. 823 ``upon a 
finding that the registrant . . . has had his State license or 
registration suspended . . . [or] revoked . . . by competent State 
authority and is no longer authorized by State law to engage in the . . 
. dispensing of controlled substances.''
    With respect to a practitioner, DEA has also long held that the 
possession of authority to dispense controlled substances under the 
laws of the state in which a practitioner engages in professional 
practice is a fundamental condition for obtaining and maintaining a 
practitioner's registration. Gonzales v. Oregon, 546 U.S. 243, 270 
(2006) (``The Attorney General can register a physician to dispense 
controlled substances `if the applicant is authorized to dispense . . . 
controlled substances under the laws of the State in which he 
practices.' . . . The very definition of a `practitioner' eligible to 
prescribe includes physicians `licensed, registered, or otherwise 
permitted, by the United States or the jurisdiction in which he 
practices' to dispense controlled substances. Sec.  802(21).''). The 
Agency has applied these principles consistently. See, e.g., James L. 
Hooper, M.D., 76 FR 71371, 71372 (2011), pet. for rev. denied, 481 F. 
App'x 826 (4th Cir. 2012); Frederick Marsh Blanton, M.D., 43 FR 27616, 
27617 (1978).\5\
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    \5\ This rule derives from the text of two provisions of the 
CSA. First, Congress defined the term ``practitioner'' to mean ``a 
physician . . . or other person licensed, registered, or otherwise 
permitted, by . . . the jurisdiction in which he practices . . . , 
to distribute, dispense, . . . [or] administer . . . a controlled 
substance in the course of professional practice.'' 21 U.S.C. 
802(21). Second, in setting the requirements for obtaining a 
practitioner's registration, Congress directed that ``[t]he Attorney 
General shall register practitioners . . . if the applicant is 
authorized to dispense . . . controlled substances under the laws of 
the State in which he practices.'' 21 U.S.C. 823(g)(1). Because 
Congress has clearly mandated that a practitioner possess state 
authority in order to be deemed a practitioner under the CSA, DEA 
has held repeatedly that revocation of a practitioner's registration 
is the appropriate sanction whenever he is no longer authorized to 
dispense controlled substances under the laws of the state in which 
he practices. See, e.g., James L. Hooper, M.D., 76 FR 71371-72; 
Sheran Arden Yeates, M.D., 71 FR 39130, 39131 (2006); Dominick A. 
Ricci, M.D., 58 FR 51104, 51105 (1993); Bobby Watts, M.D., 53 FR 
11919, 11920 (1988); Frederick Marsh Blanton, M.D., 43 FR 27617.
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    Under Oklahoma law, ``dispense'' means ``to deliver a controlled 
dangerous substance to an ultimate user or human research subject by or 
pursuant to the lawful order of a practitioner, including the 
prescribing, administering, packaging, labelling, or compounding 
necessary to prepare the substance for such distribution.'' Okla. Stat. 
tit. 63, section 2-101(14) (2024). Further, a ``practitioner'' includes 
``a medical doctor or osteopathic physician . . . or any other person, 
licensed, registered or otherwise permitted to prescribe, distribute, 
dispense . . . or administer a controlled dangerous substance in the 
course of professional practice or research in th[e] state.'' Id. 
section 2-101(42)(a)(1), (8).
    Here, the undisputed evidence in the record is that Registrant 
currently lacks authority to practice medicine in Oklahoma. As 
discussed above, an individual must be a licensed practitioner to 
dispense a controlled substance in Oklahoma. Thus, because Registrant 
lacks authority to practice medicine in Oklahoma and, therefore, is not 
authorized to handle controlled substances in Oklahoma, Registrant is 
not eligible to maintain a DEA registration. Accordingly, the Agency 
will order that Registrant's DEA registration be revoked.

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. 
BN5794587 issued to Henry-Norbert O. Ndekwe, M.D. 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 Henry-Norbert O. Ndekwe, 
M.D., to renew or modify this registration, as well as any other 
pending application of Henry-Norbert O. Ndekwe, M.D., for additional 
registration in Oklahoma. This Order is effective May 16, 2025.

Signing Authority

    This document of the Drug Enforcement Administration was signed on 
April 10, 2025, by Acting Administrator Derek Maltz. That document with 
the original signature and date is maintained by DEA. For 
administrative purposes only, and in compliance with requirements of 
the

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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. 2025-06421 Filed 4-15-25; 8:45 am]
BILLING CODE 4410-09-P


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Indexed from Federal Register on April 16, 2025.

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