Dr. Terry Sanders v. United States Drug Enforcement Administration

District Court, S.D. West Virginia·Decided July 31, 2026·No. 2:26-cv-00375·Unknown

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF WEST VIRGINIA

CHARLESTON DIVISION

DR. TERRY SANDERS,

Plaintiff,

v. CIVIL ACTION NO. 2:26-cv-00375

UNITED STATES DRUG ENFORCEMENT ADMINISTRATION,

Defendant.

MEMORANDUM OPINION AND ORDER Pending before the court is Plaintiff Dr. Terry Sanders’s Motion for a Temporary Restraining Order and Preliminary Injunction. [ECF No. 5]. In his complaint, Plaintiff sought an order compelling the Defendant United States Drug Enforcement Administration (“DEA”) to adjudicate his pending renewal application and enjoining the DEA from impairing his registration under the Controlled Substances Act. [ECF No. 1, at 14–15]. After he filed his complaint, Plaintiff’s DEA registration was renewed, mooting this action. Still, Plaintiff asserts that this court can grant him relief in the form of enjoining the DEA from taking adverse action against his registration based on the 2022 DUI incident; declare that the renewal application has been fully adjudicated and the matter closed; restore the effective date of the renewed registration from May 14, 2026, to February 28, 2026; and award attorneys’ fees and expenses. [ECF No. 10, at 2, 9]. In response to Plaintiff's motion, Defendant DEA contends that the court lacks Article III jurisdiction because Plaintiff’s registration was never denied, suspended, or revoked; remained active while the timely renewal application was pending; and has now been renewed. [ECF No. 9, at 1]. The DEA further represents that it has not issued an order to show cause (“OTSC”) concerning Plaintiff’s current registration, although Chief Counsel’s consideration of an internal request for such an order remains pending. See id. at 6.

For the reasons explained below, I conclude that Plaintiff’s claims either fail to present a justiciable case or controversy within this court’s Article III jurisdiction or fail to identify final agency action reviewable under the APA. The Complaint, [ECF No. 1], is therefore DISMISSED for lack of subject-matter jurisdiction, and Plaintiff’s Motion for Temporary Restraining Order and Preliminary Injunction, [ECF No. 5], is DENIED as moot. I. BACKGROUND The following facts are drawn from Plaintiff’s Complaint and supporting materials, the DEA’s response and supporting materials, and Plaintiff’s reply. Except where otherwise indicated, the relevant facts are undisputed. Plaintiff Dr. Terry Sanders is an emergency physician who serves rural communities in West Virginia. [ECF No. 1, ¶¶ 17–18]. On June 1, 2022, Plaintiff pleaded

guilty in West Virginia state court to misdemeanor “Driving Under the Influence Causing Bodily Injury” (“DUI”) and “Failure to Obey a Traffic-Control Device.” Id. ¶¶ 21–25. He was not, however, charged with any drug or controlled substance crime. The incident resulted in proceedings before the West Virginia Board of Medicine (“WVBOM”), and Plaintiff voluntarily ceased practicing medicine and enrolled in a medical-professional health program. Id. ¶¶ 23–24, 27. By December 14, 2022, the WVBOM resolved the matter through a consent order that publicly reprimanded Plaintiff and placed his medical license on probation pending his completion of monitoring, evaluation, toxicology screening, counseling, psychiatric monitoring, and professional assessment. Id. ¶¶ 28–30. Plaintiff successfully completed the program on September 11, 2023, after which he returned to unrestricted medical practice. Id. ¶¶ 31–35. In 2023, while the WVBOM consent order remained in effect, Plaintiff applied to renew his DEA registration to dispense controlled substances. See id. ¶ 36; 21 U.S.C. §§ 822(a)(1),

823(g). The DEA inquired about the 2022 DUI incident, Plaintiff responded to that inquiry, and the DEA renewed his registration. [ECF No. 1, ¶¶ 37–39]. On February 10, 2026, Plaintiff timely submitted another application to renew his DEA registration, which was scheduled to expire on February 28, 2026. Id. ¶ 40. The DEA accepted the application and renewal fee, and Plaintiff disclosed the 2022 DUI incident. Id. ¶¶ 41–42. Plaintiff alleges that comparable renewal applications generally are processed within several days. Id. ¶ 43. The DEA assigned Investigator Kevin Joestlein to investigate the application on or about February 11, 2026. [ECF No. 9, at 2]. After submitting the application, Plaintiff retained counsel regarding the DEA’s alleged failure to act upon Plaintiff’s renewal application. [ECF No. 1, ¶¶ 44–45]. On February 25, 2026, Plaintiff and Investigator Joestlein spoke by telephone concerning

the DUI incident as part of the registration renewal process. [ECF No. 1, ¶ 46]. Plaintiff confirmed that he had been impaired by alcohol during the incident. Id. ¶ 47. On February 27, 2026, Investigator Joestlein emailed Plaintiff to confirm that “no other substances were involved,” and Plaintiff answered affirmatively. Id. ¶¶ 48–49. Plaintiff maintains that his answer was truthful because, to his knowledge, no court, medical board, evaluator, or licensing authority had concluded that controlled substances contributed to the DUI incident. Id. ¶ 50. Within two days of that conversation, Investigator Joestlein contacted the West Virginia State Police Forensic Laboratory and learned that controlled substances had been detected in Plaintiff’s system following the DUI incident. [ECF No. 9, at 2–3]. On March 9, 2026, Investigator Joestlein informed Plaintiff by telephone that his registration would remain active beyond its February 28 expiration date while the DEA completed its investigation. [ECF Nos. 9 at 3; 9–1 ¶ 10; 9–6 at 1]. Investigator Joestlein followed the telephone conversation with an email attaching 5 U.S.C. § 558(c)1 and stating: “[the] DEA has

not made a final determination on your application. Therefore, your registration is still considered active.” [ECF No. 9 at 3; 9–1 ¶ 10; 9–6 at 1]. On March 19, 2026, Plaintiff informed Investigator Joestlein that the Kentucky Board of Medical Licensure (“KBML”) also had placed his Kentucky medical license on probation because of the DUI incident. [ECF Nos. 9 at 4–5; 9–1 ¶¶ 16–17]. On April 6, 2026, Investigator Joestlein obtained the KBML agreed order. [ECF Nos. 9 at 4; 9–1 ¶¶ 17–18; 9–14]. DEA thereafter scheduled an in-person meeting for May 1, 2026. [ECF No. 1 ¶ 54]. The parties dispute what Investigator Joestlein communicated about the likely disposition of the renewal application. Plaintiff alleges that Investigator Joestlein accused him of dishonesty and stated that the registration would not be renewed because Plaintiff had misrepresented the

substances involved in the DUI incident. [ECF No. 1 ¶¶ 55–57].

1 The statute states

(c) When application is made for a license required by law, the agency, with due regard for the rights and privileges of all the interested parties or adversely affected persons and within a reasonable time, shall set and complete proceedings required to be conducted in accordance with sections 556 and 557 of this title or other proceedings required by law and shall make its decision. Except in cases of willfulness or those in which public health, interest, or safety requires otherwise, the withdrawal, suspension, revocation, or annulment of a license is lawful only if, before the institution of agency proceedings therefor, the licensee has been given— (1) notice by the agency in writing of the facts or conduct which may warrant the action; and (2) opportunity to demonstrate or achieve compliance with all lawful requirements.

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Dr. Terry Sanders v. United States Drug Enforcement Administration, (S.D.W. Va. 2026).

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