BEFORE THE MEDICAL BOARD OF CALiFORNIA DEPARTMENT OF CONSUMER AFFAIRS STATE OF CALIFORNIA In the Matter of the Accusation Against: ) ) ZOYA KOSMAN, M.D. ) Case No. 800-2018-046406 Physician's and 1 Surgeon's ) Certificate No. A82420 ) ) ·Respondent. ) ) BY OPERATION OF LAW PETITION FOR RECONSIDERATION .. No action having been taken on the petition for reconsideration, filed by Zoya Kosman, M.D., . and the time for.action having expired at 5 p.m. on February 1, 2019, the petition is denied by operation of law.
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BEFORE THE MEDICAL BOARD OF CALiFORNIA
DEPARTMENT OF CONSUMER AFFAIRS STATE OF CALIFORNIA
In the Matter of the Accusation Against: ) )
ZOYA KOSMAN, M.D. ) Case No. 800-2018-046406 Physician's and 1Surgeon's ) Certificate No. A82420 )
) ·Respondent. )
)
DENI~L BY OPERATION OF LAW PETITION FOR RECONSIDERATION
..
No action having been taken on the petition for reconsideration, filed by Zoya Kosman, M.D., . and the time for.action having expired at 5 p.m. on February 1, 2019, the petition is d~emed denied by operation of law.
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XAVIER BECERRA Attorney General of California MARY CAIN-SIMON Supervising Deputy Attorney General CAROLYNE Ev ANS Deputy Attorney General State Bar No. 289206
455 Golden Gate Avenue, Suite 11000 San Francisco, CA 94102-7004 Telephone: (415) 510-3448 Facsimile: (415) 703-5480 E-mail: [email protected]
Attorneys for Complainant
BEFORE THE MEDICAL BOARD ·oF CALIFORNIA
DEPARTMENT OF CONSUMER AFFAIRS ·STATE OF CALIFORNIA
In the Matter of the Accusation Against:
ZOYA KOSMAN, M.D 4057 Suffield Ct. · Skokie IL 60076-1946
Physician's and Surgeon's Certificate No. A 82420
Respondent.
Case No. 800-2018-046406
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DEFAULT DECISION AND ORDER
·[Gov. Code§ 11520]
FINDINGS OF FACT
1. On or about November 14, 2018, Complainant Kimberly Kirchmeyer, in her official
22 capacity as the Executive Director o~ the Medical Board of California (Board), Department of
24 (Respondent) before the Medical Board of California.
25 2. On or about March 26, 2003, the Medical Board of California issued Physician's and
26 Surgeon's Certificate No. A 82420 to Respondent. The Physician's and Surgeon's Certificate
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(ZOYA KOSMAN, M.D) DEFAULT DECISION & ORDER (800-2018-046406)
1 expired on August 31, 2018, and has not been renewed. (Exhibit Packet, Exhibit 11:
2 Certificate of Licensure.)
3 3. On or about April 2, 2018, Respondent pled guilty to making a false statement and
4 . representation o:f material fact for use in determining the right to a federal benefit in violation of
5 42 U.S.C. Section 408 (3) in criminal case number 16 CR 403 in the United States District Court,
6 Northern District of Illinois, Eastern Division. Specifically, Respondent was convicted of making
7 a false statement regarding a patient's eligibility to receive a federal disability benefit.
8 Respondent listed various patient complaints and symptoms and functional abilities knowing that
9 the patient had not reported these complaints, symptoms, and functional abilities. Respondent
1 O submitted these false statements to the Social Security Administration. Furthermore, Respondent
11 submitted additional false statements to the Illinois Department of Human Services. Based on
12 Respondent's unprofessional conduct and conviction, the Illinois Divi~ion of Financial and
13 Professional Regulation ordered that Respondent's Illinois license not be renewed. (Exhibit
14 Packet, Exhibit 2, Illinois Division of Financial and Professional Regulation Order (Illinois
15 Order).)
16 4. On or about June 28, 2018, the Illinois Division of Financial and Professional
17 Regulation issued an Order (Illinois Order). The Illinois Order found that Respondent had
18 engaged in unprofessional conduct and ordered that her Illinois medical license not be renewed.
19 (Exhibit Packet, Exhibit 2,Jllinois Division of Financial and Professional Regulation Order
20 (Illinois Order).)
21 5. On or about November 14, 2018, an employee of the Board, served by Certified and
22 First Class Mail a copy of the Accusation No. 800-2018-046406, Statement to Respondent,
23 Notice of Defense, Request for Discovery, Government Code sections 11507.5, 11507.6, and
24 11507.7, a Manual of Model Disciplinary Orders and Model Disciplinary Guidelines, and
25 Uniform Standards for Substance Abusing Licensees to Respondent's address ofrecord with the
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28 1 The evidence in support of this Default Decision and Order is submitted herewith as the
"Exhibit Packet."
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(ZOY A KOSMAN, M.D) DEF AULT DECISION & ORDER (800-2018-046406)
1 Board, which was and is 4057 Suffield Ct. Skokie IL 60076-1946 (Exhibit Packet, Exhibit 3,
2 Accusation, related documents and Declaration of Service.)
3 6. Service of the Accusation was effective as a matter_oflaw under the provisions of
4 Government Code section 11505, subdivision (c).
5 7. On or about December 3, 2018, the aforementioned documents were returned by the
6 U.S. Postal Service marked "Unable to Forward." (Exhibit Packet, Exhibit 4, U.S. Postal Service
7 Returned Envelope.)
8 8. On November 30, 2018, an employee of the Attorney General's Office served by
9. Certified and First Class mail addressed to Respondent at 4057 Suffield Ct. Skokie IL 60076-
10 1946 a Courtesy Notice of Default. The Courtesy Notice of Default with a copy of the
11 Accusation and Notice of Defense advised Respondent that she was in default; t~at she should
12 take immediate action and file a Notice of Defense; and cautioned her that a decision would be
13 rendered by the Board without hearing__ if she did not take action. (Exhibit Packet, Exhibit 5
14 Courtesy Notice of Default and Declaration of Service.)
15 STATUTORY AUTHORITY
16 9. Business and Professions Code section 118 states, in pertinent part:
17 11 (b) The suspension, expiration, or forfeiture by operation of law of a license issued by a
18 board in the department, or its suspension, forfoiture, or cancellation by order of the board or by
19 order of a court of law, or its surrender without the written consent of the board, shall not, during
20 any period in which it may be renewed, restored, reissued, or reinstated, deprive the board of its
21 authority to institute or continue a disciplinary proceeding against the licensee upon any ground
22 provided by law or to enter an order suspending or _revoking the license or otherwise taking .
23 disciplinary action against the license on any such ground. 11
24 · 10. Government Code section 11506 states, in pertinent part:
25 "(c) The respondent shall be entitled to a hearing on the merits ifthe respondent files a
26 notice of defense, and the notice shall be deemed a specific denial of all parts of the accusation
27 not expressly admitted. Failure to file a notice of defense shall constitute a waiver of respondent's
28 right to a hearing, butthe agency in its discretion may nevertheless grant a hearing. 11 •
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(ZOY A KOSMAN, M.D) DEF AVLT DECISION & ORDER (800-2018-046406)
1 Respondent failed to file a Notice of Defense within 15 days after service upon her of the
2 Accusation, and therefore waived her right to a hearing on the merits of Accusation No. 800-
3 2018-046406.
4 .11. California Government Code section 11520 states, in pertinent part:
5 11 (a) If the respondent either fails to file a notice of defense or to appear at the hearing, the
6 agency may take action based upon the respondent's express admissions or upon other evidence
7 and affidavits may be used as evidence without any no.tice to respondent. 11
8 12. Section 2305 of the Code states:
9 "The revocation, suspension, or other discipline, restriction or limitation imposed by
1 O another state upon a license or certificate to practice medicine issued by that state, or the
11 revocation, suspension, or restriction of the authority to practice medicine by any agency of the
12 federal government, that would have been grounds for discipline in California of a licensee under
13 this chapter [Chapter 5, the Medical Practice Act] shall constitute grounds for disciplinary action
14 for unprofessional conduct against the licensee in this state."
15 13. Section 141 of the Code states:
16 11 (a) For any licensee holding a license issued by a board under the jurisdiction of the
17 department, a disciplinary-action taken by another state, by any agency of the federal government,
18 or by another country for any act substantially related to the practice regulated by the California
19 license, may be a ground for disciplinary action by the respective state licensing board. A
20 . certified copy of the record of the disciplinary action taken against the licensee by another state,
21 an agency of the federal government, or another country shall be conclusive evidence of the
22 events related therein.
23 "(b) Nothing in this section shall preclude a board from applying a specific statutory
24 provision in the licensing act administered by that board that provides for discipline based upon a
25 disciplinary action taken against the licensee by another state, an agency of the federal
26 government, or' another country. 11
27 14. Pursuant to its authority under Government Code section 11520, the Board finds j
28 Respondent is in default. The Board will take action without further hearing and, based on
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(ZOYA KOSMAN, M.D) DEFAULT DECISION & ORDER (800-2018-046406)
1 Respondent's express admissions by way of default and the evidence before it, contained in the
2 Exhibit Packet, Exhibits 1, 2, and 3, 4, and 5, finds that the allegations in Accusation No. 800-
3 2018-046406 are true.
4 DETERMINATION OF ISSUES
5 Pursuant to the foregoing Findings of Fact, Respondent's conduct, and the actions of the
6 Illinois Division of Financial and Professional Regulation, constitute cause for discipline within
7 the meaning of Business and Professions Code sections 2305 and 141 (a).
8 DISCIPLINARY ORDER
9 IT IS SO ORDERED that Physician's and Surgeon's Certificate No. A 82420, heretofore
10 issued to RespondentZOYA KOSMAN, M.D, is REVOKED.
11 Pursuant to Governme~t Code section 11520, subdivision (c), Respondent may serve a 12 written motion requesting that the Decision be vacated and stating the grounds relied on within
13 severi (7) days after seryice of the Decision on Respondent. The agency in its discretion may
14 vacate the Decision and grant a he~ring on a showing of good cause, as defined in the statute.
15 This Decision shall become effective on February 1, 2019, at 5•00p.m.
16 It is so ORDERED ~J=a=n=u=a=r__,____,,2,_.___--=->~"-------
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SF2018201551
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(ZOYA KOSMAN, M.D) DEFAULT DECISION & ORDER (800-2018-046406)
1 · XAVIER BECERRA Attorney General of California
2 MARY CAIN-SIMON Supervising Deputy Attorney General
3 CAROLYNE Ev ANS Deputy Attorney General
4 State Bar No. 289206 455 Golden.Gate Avenue, Suite 11000
5 San Francisco, CA 94102-7004 Telephone: (415) 510-3448
6' Facsimile: ( 415) 703-5480 Attorneys for Coinplainant
BEFORE THE
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MEDICAL BOARD OF CALIFORNIA DEPARTMENT OF CONSUMER AFFAIRS
STATE OF CALIFORNIA
~n the Matter of the Accusation Against:
Zoya Kosman, M.D 14 4057 Suffield Ct.
. Skokie IL 60076-1946 15
16 Physician's and Surgeon's Certificate No. A 82420,
Case No. 800-2018-046406
ACCUSATION
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Respondent.
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21 Complainant alleges:
22 PARTIES I
23 1. Kimberly Kirchmeyer (Complainant) brings this Acc1:1sation solely in her official
24 capacity as the Executive Director of the Medical Board of California, Department of Consumer
25 Affairs (Board).
26 2. On or about March 26, 2003, the Medical Board issued Physician's and Surgeon's
27 Certificate Number A 82420 to Zoya Kosman, M.D (Respondent). The Physician's and Surgeon's ·
28 Certificate expired on August 31, 2018, and has not been renewed.
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(ZOYA KOSMAN, M.D) ACCUSATION NO. 800-2018-046406
JURISDICTION
2 3. This Accusation is brought before the Board, under the authority of the following
3 laws. All section references are to the Business and Professions Code unless otherwise indicated.
4 4: Section 2227 of the Code provides, in part, that a licensee who is found guilty under
5 the Medical Practice Act may have his or her license revoked, suspended for a period not to
6 exceed one year, placed on probation and required to pay the costs of probation monitoring, be
7 publicly reprimanded, or such other action taken in relation to discipline as the Board deems
8 proper.
9 5. Section 2234 of th~ Code provides that the Board shall take action against a licensee
IO who is charged with unprofessional conduct.
11 6. Section 2305 of the Code states:
12 "The revocation, suspension, or other discipline, restriction or limitation imposed by
13 another state upon a license or certificate to practice medicine issued by that state, or the
14 revocation, suspension, or restriction of the authority to practice medicine by any agency of the
15 federal government, that would have been grounds for discipline. in California of a licensee under
16 this chapter [Chapter 5, the Medical Practice Act] shall constitute grounds for disciplinary action
17 for unprofessional conduct against the licensee in this state."
18 7. Section 141 of the Code states:
19 "(a) For any licensee holding a license issued by a board under the jurisdiction of the
20 department, a disciplinary action taken by another state, by any agency of the federal government,
21 or by another country for any act substantially related to the practice regulated by the California
22 license, may be a ground for disciplinary action by the respective state licen~ing board. A
23 certified copy of the record of the .disciplinary action taken against the licensee by another state, '
24 an agency of the federal government, or another country shall be conclusive evidence of the
25 events related therein.
26 "(b) Nothing in this section shall preclude a board from applying a specific statutory
27 provision in the licensing act administered by that board that provides for discipline based upon a . .
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(ZOY A KOSMAN, M.D) ACCUSATION NO. ·soo-2018-046406
disciplinary a".tion taken again~t the licensee by another state, an agency of the federal
2 gov eminent, or another country."
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CAUSE FOR DISCIPLINE
(Discipline, Restriction, or Limitation Imposed by Another State)
8. On or about June 28, 2018, the Illinois Division of Financial and Professional
Reg;ulation issued an Order (Illinois Order). The Illinois Order found that Respondent had
engaged in unprofessional conduct and ordered that her Illinois ·medical license not be renewed.
The circumstances are as follows:
9. On or about April 2, 2018, Respondent pled guilty to making a false statement and
1 O representation of material fact for use in determining the right to a federal benefit in violation of
11 42 U.S.C. Section 408 (3) in criminal case number 16 CR 403 in the United States District Court,
12 Northern District of Illinois, Eastern Division. Specifically, Respondent was convicted of making
13 a false statement regarding a patient's eligibility to receive a federa~ disability benefit.
14 Respondent listed various patient complaints and symptoms and functional abilities knowing'that
15 the patient had not reported these complaints, symptoms, and functional abilities. Respondent
16 submitted these false statements to the Social S~curity Administration. Furthermore; Respondent
17 submitted additi9nal false statements to the Illinois Department of Human Services. Based on
18 . Respondent's unprofessional conduct and conviction, the Illinois Division of Financial and
19 · Professional Regulation ordered that Respondent's Illinois license not be renewed.
20 10. Respondent's conduct as set forth above in paragraphs 8 through 9, and the actions of
21 the Illinois Division of Financial and Professional Regulation, as set forth in the Illinois Order,
22 constitute unprofessional conduct within the meaning of section 2305 and conduct subject to
. 23 discipline within the meaning of section 141(a). The Illinois Order is attached as Exhibit A.
24 PRAYER ·
25 WHEREFORE, Complainant requests that a hearing be held on the matters herein alleged,
26 and that following the hearing, the Medical Board of California issue a decision:
27 1. Revoking or suspending Physician's and Surgeon's Certificate Number A 82420,
28 issued to Respondent;
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(ZOY A KOSMAN, M.D) ACCUSATION. NO. 800-2018-046406
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2. Revoking, suspending or denying approval of Respondent's authority to supervise
2 physician assistants and advanced practice nurses;
3 3. Ordering Respondent, if placed on probation, to pay the Board the costs of probation
4 monitoring; and
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4. Taking such other and further action as deemed necessary and proper.
DATED: · ___ Jfovemher 14", 2018
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(ZOY A KOSMAN, M.D.) ACCUSATION NO. 800-2018-046406
EXHIBIT A
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STATE OF ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
DMSION OF PROFESSIONAL REGULATION
DEPARTMENT OF FINANCIAL AND PROFESSIONAL ) REGULATION of the State of Illinois, Complainant · )
v. Zaya Kosman, M.D. License No. 036-097367, Respondent
ORDER
) ) )
No. 2016-05486
This matter having come before the Director of the Division of Professional Regulation .
of the Department of Financial and Professional Regulation of~e State of Illinois after a Notice of
· In,tent to Refuse to Renew the Illinois Ph~sician and Surgeon License No. 036-097367 of
Respondent, Zaya. Kosman, M.D:, was served upon her at her last khown address to the
Department, and Respondent failed to timely file a request for a hearing.
NOW, THEREFORE, I, JESSICA BAER, DIRECTOR OF THE DIVISION OF
PROFESSIONAL REGULATION of the Department of Financial and Professional Regulation of·
the State of Illinois, find:
1. Respondent, Zoya Kosman, M.D., -is a holder of Illinois Physician and Surgeon
License No. 036-097367, which is presently in inactive status
2. On April 2, 2018; Respondent plead guilty of violation of 42 U.S.C. Section 408(3)
(making and causing to be made a fal~e statement and representation of material fact for
use in determining the right to a federal benefit) in the Crimtnal Ca_se No. 16 CR 403 in
the United States District Court,· Northern District of Illinois, Eastern Division. (See . . . ' .
Department's Exhibit A, attached hereto and made a part of this Order. Respondent's
aforementioned Plea of Guilty is grounds for the Department to Refuse to Renew
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Respondent's Illinois Physician and Surgeon License in violation of Section 60/22
(A)(3) of the Illinois Medical Practice Act:
3. I have jurisdiction over the parties and subject matter herein pursuant to 20 ILCS
2105/2105-15 and 225 ILCS 60/22.
It IS ORDERED that Zoya Kosman, M.D., Illinois Physician and Surgeon License No. 036-
097367 SHALL NOT BE RENEWED as of the date of this ORDER
DATED THIS · 1)fr· , DAY OF _ __,\1-U,=;_-~u=""--_· ____ , 20 lL_. _j
-:r;
: .. - .. ··-. - ·~·.: .: ,· - -
_DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION of the State of Illinois
.-.. DIVISION OF PROFESSIONAL"REGULATION
Jessica Baer · .· Director of he Di · ion of Professional Regulation
pursuant to Guideline § 3El.l and enhancement of her sentence for obstruction of
justice under Guideline ~ 3Gl.l, and· may be prosecuted as a violation of Title 18,
United States Code, Section 1001, or as a contempt of the Court.
20. For the purpose of monitoring defendant's compliance with her
obligations to pay a fine during any term of supervised release or probation .to which
defendant is sentenced, defendant further consents to the disclo~mre by the IRS to
the Probatio~ Office and the United States Attorneys Office of defendant's individual
income tax returns (together with extensions,· correspondence, and other ta.""{
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information) filed subsequent to defendant's sentencing, to and including the final
year of any period of supervised release or probation, to which defend;mt is sentenced.
Defendant also agrees that a certified copy of this Agreement shall be sufficient . . .
evidence of defendant's request to the IRS to disclose the returns and return
inforniation, as provided for in Title 26, United States Code, Section 6103(b).
Other Terms
21. Defendant agrees to cooperate with the United States Attorney's Office
in collecting any unpaid fine for which defendant is liable, including providing
financial statements and supporting records as requested by the United States
Attorney's Office.
22. Defendant understands that, if co'nvicted, a defendant who is not a
United States citizen may-be removed-from the United States, denied citizenship; and
denied admission to the United States in the future.
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. Case: 1:16-cr-00403 Document#:. '38 Filed: 04/02/18 Page 14 of 15 Page ID #:68
Conclusion
23. Defendant understands that this Agreement "Will be filed with.the Court,
will become a matter of public record, and may be disclosed to any person.·
24. Defendant understands that her· compliance with ·each part of this
-------:-Agre.emen:t e4:t_en(Lg throughout the period ofher sentence, ?rid failure to abide by any . ------~--- - - . -------
te:r:ni of the Agreement is .a violation of the Agreement. Defendant further
understands that in the event she violates this Agreement, the government, at its
option, may move to vacate the Aoareement, rendering it null and void, and thereafter
prosecute defendant not subject to· any of the limits set forth iri this .Agreement, or
may mov~ to resenterice defendanf or require-d-efendant'~ specific performance of-this
Agreement. Defendant understands and agrees that in the event that the Court
. peTmits defendant to w;i.thdraw from this Aooreement, or defendant breaches any of
its terms and the government elects to void the ~eement and prosecute defendant,
any prosecutions that .are not time-barred by the applicable statute_ oflimitations on
the. d~te of the signing ·of this. Agreement may be commenced against defendant hi
. accordance with this paragraph, notwithstanding. the exp~ation· of the statu.te of
limitations between the signirig of this Agreeme~t and the· commencement. of such
prosecutions.
25. Should the judge refuse to i::i.ccept defendant's plea of guilty, this
Agreement shall become null and void and neither party will be bound to it.
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. Case: 1:16-cr-00403 Document~: 38" Fi!ed: 04/02/18 Page 15 of 15 Page ID #:69
26. Defendant and her attorney acknowledge that no threats, promises, or.
representations have been made, nor agreements reached, other than thos~ set forth
in this Agreement, to cause defend~t to plead guilty.
27. Defendant acknowledges that she has read th.is Aoo-reement and carefully
reviewed each provision with her attorney. Defendant further acknowledges that she
understands and voluntarily accepts each and every term and condition - of this
Agreement.
AGREED THIS DATE: -Jxor-'-i,""-'--'-i \.,_9 ....... ~Q'--"o~\ ~~-
ZOYAKOSMAN Defen~fillt J n '. ·}/ . . /l~
..:::: ..... >~ / . ::::,~:-~· ct! -;·: - -?;:..,
STEVEN sHANl:N· . Attorney for Defendant
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STATE OF ILLINOIS DEPART1\1ENT OF FINANCIAL AND PROFESSIONAL REGULATION
DMSION OF PROFESSION.AL REGULATION
DEPARTMENT OF FINANCIAL AND PROFESSIONAL ) . REGULATION of the State of Illinois, Complainant )
v. ) . No. 2016-05486 -~----- -Zoya-K:osman,-M-;I:); )
License No. 036-097367, Respondent )
Notice of Intent to Refuse to Renew
To: ZOYA KOSMAN, M.D . . 4057 SUFFIELD CT SKOKIE, IL 6007 6 .
SINCE November 2017,.Respondent's Illinois Physician and Surgeon License has bee11 on placed on inactive status. The· Depa.rt.irient has jurisdiction to investigate complaints and to bring this actfon_pur~uant to Illinois Medical Practic.e Act..
BE NOTIFIED THAT the Dep~ent has determined that y~~r license to practice as a Physician and Surgeon in the State of Illinois may be placed on Refuse to Renew status or othenvise disciplined due: the fqllmvjng: - · . ·· · · · · · · ··· -· ·· · · ·
(i) On Aprll 2, 20l 8, Resp~ndent plead guilty ofviolati~n of42 U.S.C. Se~tion 408(3) (making and causing to· be made a false statement and representation of material fact
. for use in determining the right to a federal benefit) in the Criminal Case No.-16 CR 403 in· the United States District Court, Northern District of lllinois, Eastern Division, in violation of Section 60/22 (A)(3) of the Illinois MedicaLP:ractice Act. See Department Exhibit A, attached hereto and made a part of this Notice. ·
YOU ARE FURTHER NOTIFIED that you have the· right to request a hearing to address the aforementioned alleged violations of Illinois Medical Practice Act that may .result in your Illinois Physician and Surgeon License No. 036-097367 be placed in Refuse to Renew status or othenvise be disciplined.
YOU SHALL HA VE 30 days from the date this notice is mailed to make a written request for a helling. Failure to request a hearing Within 30 days will result in the entry of the Order of Refusal to Renew your Illinois Physician and Surgeon License No. 036-0973 6_7. Your request for a hearing should be directed to the Clerk of the Court, Illinois Department of Financial and Professional Regulation,Division of Professional Regulation, 100 W. Randolph St.,.Suite 9-300, Chicago, IL 60601.
Ururw irlTnl" ,._nm
-· "':•.)
• 1
' '• 1
Vladimir Lozovskiy
DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION of the State of Illinois, Division of Professionai Regulation
as . Chief of Medical Prosecutions
Staff Attorney, Medical Prosecutions Unit Department of Financial and Professional Regulation
- Division of Professional Regulation · 100 West Randolph, 9-300 Chicago, Illinois 60601 312/814-1691-.
STATEOFILLINOIS ) ) ss: 2016-05486
COUNTY OF COOK )
UNDER PENALTIES, as provide by law pursuant to Section 1-109 of the Illinois Code of Civil
Procedure, the undersigned certifies that I caused the attached NOTICE OF INTENT TO
REFUSE TO RENEW to be mailed to Respondent by regular mail to her last known address
with the Department on the _j!j!!: day of April 2018 . . .
. . Af(:1lztttf-· ~
www.idfpr.com
STATE OF ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
DIVISION OF PROFESSIONAL REGULATION
DIVISION OF PROFESSIONAL REGULATION OF· THE ILLINOIS DEPARTMENT OF' FINANCiAL' AND PROI:ESSIONAL REGULATION, Complainant
v.
ZOYA KOSMAN MD,
TO: ZOYA KOSMAN MD . 4 05 7 SUFFIELD CT .SKOKIE, IL 60076
Respondent.
NOTICE
) ) ) ) ) ) )
Case No. 201sos4B6
Please take notice that the Director of the Division of Professional Regulation signed the attached Order which is a final administrative decision. ·
You have a right to judicial review of all final administrative decisions of this Department, pursuant to the provisions of the Code.of Civil Procedure, Administrative ReYiew Law ("Law"), 735_ ILCS 5/J-l_OJ, and
· the rules adopted pursuant to the Law. Any action filed pursuant to the Law shall name the following parties as Defendants at the specified address: Illinois Department of Finandal and Profes_sional Regulation and Jessica A. Baer as Director of the Division of Professional Regulation, I 00 West Randolph Street, 9111 Floor, Chicago, II lino is 60601.
The _Order of the Director of the Division of Professional Regulation will be _implernented as of the date the Order wa.5 signed unless otherwise stated. ·· · ·
ILL·IN~IS DEPARTMENT OF ~rNANCIAL AND PROFESSIONAL REGULATION SECRETARY BRYANA:SCHNEIDER
Clerk Traci Ortdrey:- .. Division of Professional Regulation
For all non-P ERC license matters, please direct inquiries to: Division of Professional Regulation 100 West Randolph Street 911i Floor Chicago, IL 6060 l 312-814·4504
For all PERC matlers. please direct inquiries to: Enforcement Administration Unit .320 W. Washington St. 2nd Floor Springfield, IL 62702 217-557-9198 FPR.DPREJ\LViilillinois.gov
. '
ST ATE OF ILLINOIS
COUNTY OF SANGAMON
j ) )
ss:
Under penalties, as provided by law pursuant to Section 1-109 of the Illinois Code of Civil Procedure, the undersigned certifies that I caused the attached document to be emailed/sent via regular mail pursuant to Department of Professional Regulation Law, 20 ILCS 2105/2015-7, before 5:00 pm CST on the 6th day of July 2018, to person(s) at the address (es) listed on the attached documents.