Having failed to obtain reinstatement of his license to practice medicine through an action in New Mexico state courts, Dr. Stuart Guttman now seeks relief in federal court. His license to practice medicine was revoked by the New Mexico Board of Medical Examiners (“Board”) and that decision was affirmed by the New Mexico Seventh Judicial District Court. His appeals to the New Mexico Court of Appeals and the New Mexico Supreme Court were unavailing. Subsequently, Dr. Guttman filed suit in federal district court against G.T.S. Khalsa, the Board’s attorney, Livingston Parsons, the hearing officer, and the state of New Mexico, alleging violations of Title II of the Americans with Disabilities ’Act (“ADA”) and 42 U.S.C. § 1983. On the basis of lack of subject matter jurisdiction under the Rooker-Feldman doctrine, the district court granted summary judgment in favor of the defendants. We exercise jurisdiction under 28 UlS.C. § 1291 and AFFIRM.
I
Dr. Guttman possessed a medical license issued in New Mexico in 1993 with certain stipulations that were a consequence of his history of depression and post-traumatic stress disorder. Due to his mental illness, Dr. Guttman had practiced under similar restrictions in both Mississippi and Texas. The stipulations to his New Mexico license *1172 were lifted by the Board in May 1995. However, in December 1999 the Impaired Physicians Committee (“Committee”) directed Dr. Guttman to appear before it in response to complaints received about his professional conduct. After meeting with the Committee, Guttman received from the Board a Notice of Contemplated Action because of his mental illness and because of allegations that he was dishonest in responding to the Board’s inquiries. He further received an Order of Summary Suspension of his medical license. Gutt-man appeared with counsel before the Board at a three-day hearing to determine whether his license to practice medicine in New Mexico should be revoked: During the hearing, Guttman’s counsel proposed a number of restrictions, similar to those under which Guttman had previously practiced in Texas, that would limit Guttman’s medical practice to a solo clinic as well as require regular reporting to the Board and posting notice of his .restrictions in his medical office. These accommodations were designed to address Guttman’s pattern of conduct which made it difficult for fellow physicians and medical staff to work with him.
Following the hearing, the Board made specific findings which included a history of Guttman’s past pattern of problems with medical staff and patients in Mississippi, Texas, and New Mexico. The Board also found that Guttman had not given complete and honest responses to its inquiries concerning past problems with his practice in Gallup, New Mexico. As a consequence of these findings and numerous additional findings of abusive and disruptive behavior toward fellow physicians, medical staff, and patients unbecoming of a licensed physician, the Board concluded that further therapeutic treatment would not remove the danger he posed to the public if he continued to practice medicine. Moreover, the Board found that Guttman could not be effectively monitored and would be unable to practice medicine safely. On February 28, 2001, the Board revoked Guttman’s medical license pursuant to its authority under New Mexico’s Uniform Licensing Act, N.M. Stat. Ann. § 61-1-1 et seq.
Guttman’s appeal of the Board’s decision to the Seventh Judicial District Court of New Mexico was denied because the state court found that the decision was based on substantial evidence and was not arbitrary, capricious, or fraudulent. However, the state court refused to consider Guttman’s claim under Title II of the ADA because the claim had not been raised specifically before the Board. Although Guttman had proposed particular accommodations, he had not asserted any ADA rights before the Board for their consideration. His appeal before the New Mexico Court of Appeals was denied, as was his petition for certiorari to the New Mexico Supreme Court. Having exhausted all available state remedies, Guttman filed a complaint in federal district court alleging violations of his procedural due process rights under § 1988 and for violations of Title II of the ADA. Because a New Mexico state court rendered a final judgment with regard to Dr. Guttman’s appeal from the Board’s decision revoking his license, the district court concluded that it lacked subject matter jurisdiction under the Rooker-Feld-man doctrine to hear Guttman’s claims. In addition, the district court concluded that absolute immunity applied with regard to Guttman’s § 1983 claim against Khalsa and Parsons and that Eleventh Amendment sovereign immunity applied with regard to his ADA claim against New Mexico. Guttman now presents this appeal.
II
We review de novo a district court’s dismissal of a complaint for lack of subject matter jurisdiction.
Kenmen
*1173
Eng’g v. City of Union,
Although federal district court review of issues actually adjudicated by state courts forms the clearest example of a forbidden exercise of appellate jurisdiction, the other half of the
Rooker-Feldman
doctrine forbids a ' district court from entertaining claims “inextricably intertwined” with a state court judgment.
Feldman,
*1174
Because Guttman first raised
his
claims in state court, we look, under
Rooker-Feldman,
to whether he essentially seeks to bring a forbidden de facto appeal.
See, e.g., Facio v. Jones,
In the present case, Guttman alleges that his injury results from the Board’s failure to provide accommodations for him pursuant to the ADA. Noting that he presented the Board with proposed restrictions to his license to practice medicine, he argues that a violation of the ADA did not occur until the Board rendered its decision and refused to provide him any accommodations for his mental illness. Thus, at first it would appear that he does not allege injury from the state-court judgment, and that because he “asserts as a legal wrong an allegedly illegal act or omission by an adverse party,
Rooker-Feldman
does not bar jurisdiction.”
Noel v. Hall,
Our inquiry then requires us to ask whether the purpose of Guttman’s ADA claim is separable from and collateral to the merits of the state-court judgment affirming the Board’s revocation of his medical license. In order to facilitate this inquiry into the federal suit’s purpose, we have held that when determining whether the federal plaintiff asserts a legal injury by an adverse party or by a state-court judgment, we must look to the
relief
sought, not simply to the issues raised.
Kenmen Eng’g,
We recognize that the state court’s refusal to hear Guttman’s ADA claims
on the
basis that they were not properly preserved for appeal complicates the issue before us. Guttman argues that his ADA claims have never been “actually decided,” and are therefore separate from the state-court judgment affirming his license revocation. We are not deprived of subject matter jurisdiction to hear Guttman’s ADA claims, however, merely because they were first raised in state court. It is state-court judgments that trigger the jurisdictional bar of
Rooker-Feldman,
not state-court claims. In the instant ease, the state court refused to exercise jurisdiction over the ADA claim, and hence did not decide it on the merits.
See Pittsburg County Rural Water Dist. No. 7 v. City of McAlester, 358
*1175
F.3d 694, 707 (10th Cir.2004) (concluding that
Rooker-Feldman
does not bar a federal suit where a state court did not decide the federal claim on the merits);
Whiteford v. Reed,
As Appellees argue before us, the state court found that the Board’s decision was supported by substantial evidence reflected in the record and was not fraudulent, arbitrary, or capricious. That evidence includes the Board’s finding that Dr. Guttman engaged in dishonesty and professional misconduct, which are grounds for revocation of his license separate from the Board’s finding that the public could not be protected adequately from his mental illness through accommodations to his license. Therefore, because a New Mexico state court judgment affirmed the Board’s decision as based on substantial evidence, we now lack jurisdiction to hear Dr. Gutt-man’s ADA claim which is “inextricably intertwined” with the state court’s merits decision. Through his ADA claim, Gutt-man would have us disrupt or undo the New Mexico state court decision affirming his license revocation, needlessly duplicate judicial proceedings, and ignore congressional limitation of our judicial power under § 1257. Under Rooker-Feldman, we are jurisdictionally barred from doing so.
Guttman also argues that because New Mexico state courts refused jurisdiction over his ADA claim, he has been deprived of a full and fair opportunity to litigate this claim. Even if he has suffered such a deprivation, our Circuit has held that
Rooker-Feldman
“bars any suit that seeks to disrupt or ‘undo’ a prior state-court judgment, regardless of whether the state-court proceeding afforded the federal-court plaintiff a full and fair opportunity to litigate her claims.”
Kenmen Eng’g.,
Ill
Even if the Rooker-Feldman doctrine did not bar his action, the district court found that Eleventh-Amendment immunity applied to Guttman’s claim under Title II of the ADA against New Mexico and that absolute immunity applied to his § 1983 claims against defendants Khalsa and Parsons. Because we conclude that *1176 Rooker-Feldman deprives the district court of subject matter jurisdiction to hear Guttman’s claims, we need not reach the merits of defendants’ immunity defenses.
We hold that district court properly determined that it lacked subject matter jurisdiction under Rooker-Feldman and AFFIRM.
Notes
. This rule is not absolute, as district courts may properly exercise what is in effect appellate jurisdiction over collateral attacks to state court judgments pursuant to 28 U.S.C. § 2254.
. Unlike a defense of res judicata (or "claim preclusion”), which requires federal courts to give preclusive effect to state court judgments as determined by state law pursuant to the full faith and credit statute, 28 U.S.C. § 1738,
Rooker-Feldman
is a matter of federal law and operates as a subject-matter jurisdictional bar that may be raised at any time.
See GASH Assocs. v. Rosemont,
