ML20082N996

Application for Amend to License R-84,reflecting Assignment of R Bumgarner as New Institute Director.Curriculum Vitae Encl

ML20082N996
Person / Time
Site:	Armed Forces Radiobiology Research Institute
Issue date:	08/05/1991
From:	Irving G ARMED FORCES RADIOBIOLOGICAL RESEARCH INSTITUTE
To:	NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I)
References
NUDOCS 9109100144
Download: ML20082N996 (5)

Text

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s. -Q Th' ' " - DEFENSE NUCLEAR AGENCY 4= ARMED FORCES RADIOBIOLOGY RESE ARCH INSTITUTE I BET HESDA, M ARYLAND 20869-5145 DIR 5 August 1991 S01h.sf 50- / 70

SUBJECT:

Amendment to NRC License Number R-84 United States Nuc;% egulatory tmission Nuclear Material afety Sectio B Division of R 1ation Safety id Safeguards 475 Allen e Road

, King of russia, Pennsyly nia 19406

$ 1. This is to request that our License No. R-84 he amended to reflect that assignment of the new AFRRI Director, Dr. Robert Bumgarner.

' 2. The curriculum vitae of Dr. Robert Bumgarner's training and experience is attached for reference.

3. The change of AFRRI command is due to occur on 30 August 1991. We would appreciate processing of this request before that date.

Wy V George % rving, III Colonel, # SAF, BSC Direc Enclosure J

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• CURRICULUM VITAE EQRART_JJ NYJM5_JLUXGARHliR Rattei_o_f Birt h : -15 October 1944 l Elace of Birtti: Long Beach, California Legal _R9Ridenes: Onondaga Township, Ingham County Michigan tipittal Statum: Married to-Isabel (Cristy)

Cristina Dumgarner No children P_9A.Lt19.D , Businosa Address and Telephone: Director of Undersea Medicine and j-- Radiation Health

}- Bureau -of Medicine and j Surgery 1 Waahington, DC 20372-5120 l

< 202-653-1182 and 202-653-1183 Autovon: 294-1182 and 294-1185 Military Grada: Captain, Medical Corps, U.S. Navy.

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Military Service: U. S. Navy j g 1967-1971 Line Officer, Submarine

Servica'(Designator 1105)

! 1971-1974 Line Officer, Under l Instruction as a Medical Student (Designator 1965) l 1974-Present Medical Corps Officer (Designator 2105 and 2100) 1

Eductdign:-

l 1963 Eaton Rapids High School Eaton Rapids, Michigan i

1967 B. S. (Physics and Biochemistry) ,

Michigan State University l 1968 U. S. Naval Nuclear Power School-i (Nuclear Propulsion Plant

j. Engineering and Operation) 1974 M. D. Michigan State University i

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- Prof essiona1 Egngrigngpq:

.1968-1971 Line. Officer, U. S. Naval 1

Reserve, qualified as a nuclear submariner aboard

' USS Woodrow Wilson SSBN624 1975-1976 Senior Intern l

Naval Regional ,

Medical Center Portsmouth, Virginia 23708 1975-1979 Anatomic _and C1'Inical Pathology Residency i i

Naval Regional Medical Center '

Portsmouth, Virginia 23708 Program Directors:

Nicholas A. D'Amato, M.D.

and Douglas R. Cordray, M.D.

1976-1979 Instructor of Pathology _

l Eastern Virginia Medical School 4

Norfolk, Virginia 1

1976-1979 Undersea- Medical Officer, Naval-Regional Medical Center

.Portsmouth, Virginia i t. ,

1977-1979 Senior-Pathology Resident

- Naval Regional Medical Center

' Portsmouth, Virginia 1979 Staff Pathologist Naval Submarine Medical Center, Groton, Connecticut-_06349 1979-August 1983 Deputy Medical Officer submarine Group Two Groton, Connecticut

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1980-September 1983 Chief of Laboratory Services Naval Submarine Medical Center

' Groton, Connecticut June-September 1983 Director of Ancillary Services (Radiology, Pharmacy, Laboratory, '

etc.)

Naval Submarine Medical Center Groton, Connecticut 2

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PI9htaal_QDal_IXRQI1RnR9_(RQult11 September 1983-August 1984 Director, Naval Drug Screening laboratory Jacksonville, Florida 32214, credentialled as Staff Pathologist with. active clinical privileges, on 23 November 1983 Naval Hospital Jacknonville, Florida 32214 August 1984-Augunt 1986 Force Medical Officer Submarino Force U. S. Pacific Floot Pearl Harbor, Hawaii 96860 Credentialed as Staf f Pathologist, with active clinical privilogos Tripler Army Hospital Honolulu, Hawaii 96859 M2disAl_CattMisat19.nD_and ,

Lic.nnuarna: i National Board of Medical Diplomato Number 156015, Examiners: 16 April 1979 ,

American Board of Pathology: Diplomate in Anatomic and .

Clinical Pathology, 14 November 1979 (No numbers issued prior to ,

1990)

Michigan License Number: 40859, 31 May 1979 virginia License: Number: 0101-30764, 30 July 1979 Connecticut License: Numbor: 21538, 23 July 1979 '

(currently inactivated)

. i Drug Enforcement Agency Not currently Registered

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Controlled Substance Registration: .

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j M9AlqA1_Intar.o.nis t Pathology Submarine and Diving Medicine Radiation Ifealth Physics AEOSclittions _and J.prLetjeg:

College of American Pathologists - Tellow, Number 108182; Laboratory Accreditation Inspector American Association for the Advancement of Science (Life)

United States Naval Inctitute (Life)

Association of Military Surgeons of the United States (Life)

Undersea and liyperbaric Medical Society Executive Committee, Certification Examination Committee llealth Physics Society (Plenary)

Society of Armed Forces medical Laboratory Scientists Paleopathology Association Appointments: Adjunct Assistant Professor of Emergency Medicine (llyperbaric Medicine)

School of Medicine and IIealth Sciences -

The-George Washington University Washington, D. C. 20037 Liaison Officer for DOD (NAVY)

Board on Environmental Studies and Toxicology National Roscarch Council 2101 Constitution Avenue Washington, DC 20418 Referencag: Available upon request.'

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