DES MOINES, Iowa (AP) — A former Iowa doctor has lost his appeal of an Iowa Board of Medicine disciplinary action against him. The medical board said Tuesday it found deficiencies in 71-year-old Robert Tobin’s surgical practices in 2005 and imposed certain requirements on him. The board says he failed to meet them and filed disciplinary charges against him in 2007, 2010, and again in 2011. In March 2012 the board suspended his license for six months and fined him $10,000.

Tobin sued saying he had complied with most of the requirements. He lost in district court and appealed. The Iowa Court of Appeals last week concluded the sanctions were reasonable. Tobin, an ophthalmologist in St. Joseph, Mo., previously practiced in Council Bluffs and Des Moines.