| Date of birth: | Nov 24, 1967 |
| Hair: | Brown |
| Eyes: | Hazel |
| Probable cause affidavit: | SUBMITTED BY: BERGEN, JOHN 0519 (13-59677) (AR13-5720) IT IS UNLAWFUL FOR ANY PERSON TO ACQUIRE OR OBTAIN OR ATTEMPT TO ACQUIRE OR OBTAIN POSSESSION OF A CONTROLLED SUBSTANCE BY MISREPRESENTATION, FRAUD, FORGERY, DECEPTION OR SUBTERFUGE, IN VIOLATION OF FLORIDA STATE STATUTE 893.13(7)(A)9. ON 051013, I RECEIVED A REPORT FROM PATROL ABOUT A SUBJECT PASSING FRAUDULENT PRESCRIPTIONS. THE FRAUDULENT PRESCRIPTIONS WERE FOR LORTAB. LORTAB IS A BRAND NAME FOR HYDROCODONE, A SCHEDULE THREE CONTROLLED ANALGESIC PAIN KILLER. THE REPORT STATED THAT THE DEFENDANT, MR DANIEL FULTZ, WAS WORKING AS AN X-RAY TECHNICIAN AT THE CHRIST MEDICAL CENTER IN CRYSTAL RIVER FOR DOCTORâS ALI AND TAWFIK. ON 050613, DR ALI WAS ON THE PHONE WITH THE WALGREENS PHARMACIST DISCUSSING A PATIENT, AT WHICH TIME THE PHARMACIST ASKED THE DOCTOR IF HE HAD WRITTEN A PRESCRIPTION THAT DAY FOR A TEN DAY SUPPLY OF LORTAB FOR THE DEFENDANT. DR ALI TOLD THE PHARMACIST THAT HE HAS SEEN THE DEFENDANT AS A PATIENT IN THE PAST AND HAS WRITTEN HIM TWO PRESCRIPTIONS ONE ON 031413 AND ANOTHER ON 040813. DR ALI ADVISED THE PHARMACIST THAT ALL THE OTHER PRESCRIPTIONS WERE FRAUDULENT. DR ALI AND THE PHARMACIST FOUND OUT THAT THE DEFENDANT PASSED FRAUDULENT PRESCRIPTIONS ON THE FOLLOWING DAYS: 5/6/13- PERCOCET 5/325, 30 PILLS 4/24/13 HYDROCODONE 7.5/500, 90 PILLS 4/13/13 METHADONE 10, 60 PILLS 4/12/13 HYDROCODONE 10/500, 21 PILLS 4/4/13 HYDROCODONE 10/500, 28 PILLS 3/30/13 HYDROCODONE 7.5/500, 30 PILLS 3/27/13 HYDROCODONE 10/500, 60 PILLS 3/18/13 PERCOCET 10/325, 90 PILLS 3/7/13 HYDROCODONE 10/325, 60 PILLS DR ALI WAS VERY BUSY WITH PATIENTS AND WAS ANGRY WITH THE DEFENDANT SO HE CONFRONTED HIM AND TOLD HIM TO GO PICK UP THE FRAUDULENT PRESCRIPTION DATED 050613 FROM THE PHARMACY SO HE COULD SEE IT. WHEN THE DEFENDANT GOT BACK AND SHOWED IT TO DR ALI HE TOLD THE DEFENDANT TO STOP WORKING IMMEDIATELY AND ENTER A DRUG REHAB FACILITY, WHICH HE DID. DR ALI THEN CALLED THE SHERIFFâS OFFICE TO REPORT THE CRIME. ON 052113, I MADE CONTACT WITH THE DEFENDANT BY TELEPHONE AND EXPLAINED THAT I NEEDED TO GET HIS SIDE OF THE STORY ABOUT THE FRAUDULENT PRESCRIPTIONS. THE DEFENDANT AGREED TO TALK TO ME VOLUNTARILY AND TOLD ME I COULD MEET HIM AT HIS NEW PLACE OF EMPLOYMENT (WHICH IS NO LONGER IN THE MEDICAL FIELD). THE DEFENDANT WAS VERY COOPERATIVE AND AGREED TO ANSWER MY QUESTIONS. I ASKED THE DEFENDANT ABOUT THE FRAUDULENT PRESCRIPTIONS AND HE SAID THAT HE KNOWS IT WAS WRONG AND THAT HE HAS A DRUG PROBLEM. HE FURTHER ADVISED ME THAT NOT ONLY HAD HE LEFT THE MEDICAL FIELD COMPLETELY HE VOLUNTARILY SURRENDERED HIS X-RAY LICENSE SO AS NOT TO BE TEMPTED. THE DEFENDANT AND I LOOKED AT A LIST OF THE PRESCRIPTIONS FROM THE PHARMACY AND HE TOLD ME THAT HE THOUGHT THE DOCTOR DID WRITE HIM SOME OF THE PRESCRIPTIONS. HE DID ADMIT THAT HE WROTE FRAUDULENT PRESCRIPTIONS ON 033013, 041213, AND 050613. I SHOWED HIM THE ORIGINAL PRESCRIPTION DATED 050613 WHICH HE DID CONFIRM WAS FAKE. HE COULD NOT REMEMBER WHAT OTHER FRAUDULENT PRESCRIPTIONS HE MIGHT HAVE PASSED. HE ALSO INFORMED ME THAT HE PASSED AT LEAST ONE PRESCRIPTION IN HIS WIFEâS NAME THAT WAS FAKE. I ASKED THE DEFENDANT IF HE HAD STOLEN A PRESCRIPTION PAD FROM THE OFFICE AND HE SAID HE DID NOT. HE TOLD ME THAT WHEN HE WANTED PILLS HE WOULD SIMPLY GO IN THE EXAM ROOM AND WRITE OUT A PRESCRIPTION FOR HIMSELF AND FORGE THE DOCTORâS SIGNATURE. THE DEFENDANT AND I MADE ARRANGEMENTS FOR HIM TO TURN HIMSELF IN ON 052213 SO HE COULD CONTINUE TO WORK TO SUPPORT HIS FAMILY. ON 052213, THE DEFENDANT MET ME AT THE CITRUS COUNTY DETENTION FACILITY WHERE HE WAS CHARGED WITH ONE COUNT OF OBTAINING A CONTROLLED SUBSTANCE BY FRAUD. DUE TO THE DEFENDANT MAKING HIS OWN ARRANGEMENTS TO SEEK HELP FOR HIS DRUG PROBLEM AND HIS COOPERATION HE WAS RELEASED ON HIS OWN RECOGNIZANCE. ALL PAPERWORK AND COPIES OF THE PRESCRIPTIONS WERE TURNED IN TO RECORDS. THE ORIGINAL PRESCRIPTIONS WERE TURNED IN TO EVIDENCE. |
| Inmate name: | DANIEL BLAKLEY FULTZ |
| Supervision type: | COMMUNITY CONTROL - PROB. |
| Supervision begin date: | Oct 23, 2013 |
| Scheduled termination date: | Oct 22, 2015 |
| Inmate status: | ACTIVE |
| DC number: | U09187 |
| Current location: | TAVARES |
| Arrest number: | 12514 |
| Arrest date: | Oct 25, 2014 |
| Arrest type: | Warrant/Capias |
| Booking location: | Citrus County, FL |
| Arrest number: | 5720 |
| Arrest date: | May 22, 2013 |
| Arrest type: | Felony |
| Booking location: | Citrus County, FL |
| Booking location: | Citrus County, FL |
| Discharge date: | Oct 23, 2013 |
| Offense date: | Feb 10, 2013 |
| Offense: | OBT.SUB BY FRAUD OR ATT. |
| County: | CITRUS |
| Community supervision length: | 0Y 24M 0D |
| Case number: | 1300432 |
| Code: | 893.13(7)(A)9 |
| Charge description: | Obtain Controlled Substance by Fraud or Deception |
| Code: | 948.06 F |
| Charge description: | Violation of Probation or Community Control (Felony) |
| Bond amount: | $0 |
