United States v. Donatus Iriele

977 F.3d 1155
CourtCourt of Appeals for the Eleventh Circuit
DecidedOctober 9, 2020
Docket17-13455
StatusPublished
Cited by49 cases

This text of 977 F.3d 1155 (United States v. Donatus Iriele) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eleventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
United States v. Donatus Iriele, 977 F.3d 1155 (11th Cir. 2020).

Opinion

USCA11 Case: 17-13455 Date Filed: 10/09/2020 Page: 1 of 55

[PUBLISH]

IN THE UNITED STATES COURT OF APPEALS

FOR THE ELEVENTH CIRCUIT ________________________

No. 17-13455 ________________________

D.C. Docket No. 1:12-cr-00276-SCJ-JKL-6

UNITED STATES OF AMERICA,

Plaintiff-Appellee,

versus

DONATUS IRIELE,

Defendant-Appellant.

________________________

Appeal from the United States District Court for the Northern District of Georgia ________________________

(October 9, 2020)

Before BRANCH, TJOFLAT, and ED CARNES, Circuit Judges.

ED CARNES, Circuit Judge:

For pill pushers and drug addicts, one part of Lakewood Avenue in south

Atlanta offered one-stop shopping. There was a pill mill where they could get USCA11 Case: 17-13455 Date Filed: 10/09/2020 Page: 2 of 55

prescriptions for their controlled substances of choice with few, if any, questions

asked. And only a short walk down the street was a pharmacy that would fill those

prescriptions even if there were red flags galore. The pill mill was the Atlanta

Medical & Research Clinic (AMARC) and the compliant pharmacy was the

Medicine Center Pharmacy (MCP).1 Donatus Iriele and his wife, Rosemary

Ofume, ran that pharmacy. Both were indicted on various charges.

A jury found Iriele guilty of conspiring with AMARC’s owners and doctors

to illegally dispense controlled substances, of aiding and abetting the illegal

dispensing of controlled substances, and of laundering and conspiring to launder

the proceeds of those illicit sales. This is Iriele’s appeal.

Ofume was convicted for many of the same crimes but she has since died.

As a result, we entered an order dismissing Ofume’s part of the appeal as moot and

remanding that part for the district court to vacate her convictions and dismiss the

indictment as to her. See United States v. Koblan, 478 F.3d 1324, 1325 (11th Cir.

1 The parties use that acronym for the clinic and that initialism for the pharmacy and so will we. We recognize that the use of these two types of abbreviations is not universally applauded. See, e.g., Notice of the U.S. Court of Appeals for the D.C. Circuit (January 26, 2010) (“To enhance the clarity of the brief, the court strongly urges parties to limit the use of acronyms. While acronyms may be used for entities and statutes with widely recognized initials, such as FERC and FOIA, parties should avoid using acronyms that are not widely known.”); Bryan A. Garner, Legal Writing in Plain English 60–62 (2d ed. 2013) (advising legal writers to “[s]hun newfangled acronyms”). We use AMARC and MCP in this opinion because doing so nets out on the side of clarity and helps keep the opinion flowing. Besides, the acronym AMARC “does have a nice ring to it.” See Dormescar v. U.S. Att’y Gen., 690 F.3d 1258, 1259 n.2 (11th Cir. 2012). 2 USCA11 Case: 17-13455 Date Filed: 10/09/2020 Page: 3 of 55

2007). Our order provided that the appeal would “continue unabated” as to Iriele,

and so it has.

I. FACTUAL BACKGROUND

A. The Pill Mill

Although this case is about Iriele and Ofume’s pharmacy, the story starts

with AMARC. It was a pain management clinic owned and operated by Godfrey

and Bona Ilonzo. The clinic had multiple locations throughout Georgia, but the

one at issue here was located in Lakewood, a low-income neighborhood in Atlanta.

AMARC operated out of an old house surrounded by a barbed wire fence. It had

only two exam rooms and little medical equipment.

Patients and employees described the clinic as small, dirty, rundown, and

“sketchy.” A witness testified that at one appointment, there were “roaches

crawling across the exam table.” Another witness testified that the clinic had

“[h]oles in the floor, doors that didn’t close all the way, bugs, roaches, [and]

broken chairs.” The sign out front described it as a clinic for “urgent care, family

medicine, internal medicine, adults, women, [and] children,” but did not mention

pain management.

AMARC didn’t operate like a normal clinic or medical facility. Instead of

allowing patients to schedule appointments, employees would call patients once a

month and tell them what day they could come in to see a doctor. When patients

3 USCA11 Case: 17-13455 Date Filed: 10/09/2020 Page: 4 of 55

arrived, they had to put their names on a sign-in sheet and would be seen on a first-

come, first-served basis. As a result, patients often showed up hours before the

clinic opened and waited in line in the parking lot. One patient said there was a

“rat race” to be the first person seen. Eventually the clinic hired a security guard to

see that people waited in their cars instead of congregating in front of the building.

One doctor worked per shift, and he or she would normally arrive around

11:00 a.m. but sometimes much later. The doctor would see between 40 and 100

patients per day, sometimes causing the clinic to stay open until 10:00 or 11:00

p.m. Physical exams lasted between five and ten minutes and often included

nothing more than a basic vitals check, a quick evaluation of whatever area of the

body the patient claimed was hurting, and a urine test for drugs. After the

examination, the doctor would write one or more prescriptions. At least one

AMARC doctor would often write prescriptions for patients without ever

examining them at all.

In almost all cases, AMARC would prescribe its patients opioids, Xanax, or

Soma (a muscle relaxant). Usually the clinic would prescribe all three of those

drugs to the same patient at the same time. 2 The doctors often gave patients

prescriptions for the specific drugs that they asked for by name. The clinic did not

2 Soma was not a controlled substance when Iriele committed his crimes, but it is now. We mention it because opioids, Xanax, and Soma, when used in combination, are what one expert witness called the “the unholy holy trinity for substance abuse.” 4 USCA11 Case: 17-13455 Date Filed: 10/09/2020 Page: 5 of 55

accept insurance, credit cards, debit cards, or money orders for doctor visits; it was

cash only. First-time patients paid between $300 and $350 for their visit, while

returning patients paid $150. Some long-time patients of the clinic paid only $100

per visit.

Former patients and clinic employees testified that most of AMARC’s

clientele was made up of drug addicts and drug dealers, many of whom traveled

from far away and in groups to visit the clinic. Witnesses recalled seeing patients

who were underweight, had track marks on their arms, were missing teeth, had lost

their hair, and were otherwise “disheveled” and “shaggy.” Witnesses also

described how patients showed up “high” and would fall asleep, exchange

medications, and shoot up drugs in the bathroom while waiting to see a doctor.

One witness described AMARC’s patients as “living and talking and wanting and

breathing for one thing”: pills.

B. The Compliant Pharmacy

Iriele and Ofume’s pharmacy, MCP, was located just a few blocks away

from AMARC, an easy walk. Whenever MCP was open either Iriele or Ofume

was present. Ofume was the main pharmacist, although others worked there.

Iriele had been a licensed pharmacist but was no more. The Georgia Pharmacy

5 USCA11 Case: 17-13455 Date Filed: 10/09/2020 Page: 6 of 55

Free access — add to your briefcase to read the full text and ask questions with AI

Related

United States v. Javier Hernandez
Eleventh Circuit, 2026
United States v. Michael Shirley
Eleventh Circuit, 2026
United States v. Sherlyn Sims
Eleventh Circuit, 2025
United States v. Victor Cremades
Eleventh Circuit, 2025
United States v. Orlando Paradise
Eleventh Circuit, 2025
United States v. Matthew Zayas
141 F.4th 1217 (Eleventh Circuit, 2025)
United States v. Avery Long
Eleventh Circuit, 2024
United States v. Frank Bynes, Jr.
Eleventh Circuit, 2024
United States v. Constantine Varazo, II
118 F.4th 1346 (Eleventh Circuit, 2024)
United States v. Terius Thomas
108 F.4th 1351 (Eleventh Circuit, 2024)
Karastan Edwards v. U.S. Attorney General
97 F.4th 725 (Eleventh Circuit, 2024)
United States v. David Chappell Fey
89 F.4th 903 (Eleventh Circuit, 2023)
United States v. Branden Tyler
Eleventh Circuit, 2023

Cite This Page — Counsel Stack

Bluebook (online)
977 F.3d 1155, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-v-donatus-iriele-ca11-2020.