KENTUCKY BOARD OF NURSING

[Pages:76]ids019

KENTUCKY BOARD OF NURSING

Discipline Report

23-NOV-21 Page 1 of 76

It is still necessary to complete an Online Licensure Verification to assure that the nurse has a current active license issued by the state of Kentucky

Type of Action: ADMITTED TO KARE - VIA AGREED ORDER

Last Name, First Name

KY Lic Number

KY APRN Number

ANCONA, CARMEN

2050251

ANCONA, CARMEN

1151875

KEPLINGER, PENELOPE

1082943

MULLINS, NICHOLAS

1118548 3006633

RODGERS, JENNIFER

1109659

Type of Action: ADMITTED TO KARE - VIA DECISION

Last Name, First Name

KY Lic Number

KY APRN Number

CORBETT, DAVID

1087630

CORNETT, ANDREA

1091409

MCCARTHY, SUSAN

1106975

PTP Lic Number

PTP Lic Number

Action Date

25-OCT-21 25-OCT-21 03-APR-18 13-DEC-18 14-AUG-17

Action Date

12-DEC-16 04-JUN-12 19-JUL-11

Type of Action: DENIED LICENSURE/CREDENTIAL

Last Name, First Name

KY Lic Number

ADAMS, LISA

ALEXANDER, DEBRA

ANDERSON, REBECCA

ARISTIDE, KAREEN

BENNETT, CONSTANCE

BENNETT, TERESA

BLOUNT, BARBARA

BOSAH, JEAN

BOUCHERIE, SANDRA

BOWERS, VIKKI

BOYLES, KRISTEN

BURCHENAL, LESLIE

BUSH, KAREN

CARRIER, AMY

CASTILLO, AVA

CHRISTNER, KIMBERLY

CHRISTO, TERRI

CLAIR, RANDALL

CLARK, RICKY

CLEMAT, JEAN

COSTNER, ANITA

DADISMAN, AMY

DAVIS, EMMA

DURHAM, BRENDA

EILTS, VICTOR

ELANDER, ANNA

ENGLEMON, WILMA

KY APRN Number

PTP Lic Number

Action Date

15-MAR-21 27-APR-20 02-AUG-11 03-OCT-12 28-OCT-20 27-SEP-12 27-SEP-12 17-JUN-10 27-SEP-12 26-AUG-09 08-AUG-13 21-JUL-95 27-JUN-95 24-FEB-16 15-AUG-97 07-JUN-18 24-FEB-16 14-NOV-95 21-FEB-14 17-SEP-15 22-JUL-14 14-JUN-04 10-FEB-95 11-JAN-99 24-MAR-11 18-SEP-18 20-FEB-96

NOTE: 1. This is a computer generated report. Information contained herein does not indicate appeals or stays that may have been granted or disciplinary actions that may have been cleared. To obtain a copy of a final order, fax your request to Records Custodian, 502-420-1542, or send it via email to KBN.ORR@. There may be a copying fee for any Open Records requests. 2. All information contained in this summary is public. You may copy, post or disseminate the information as needed. 3. A Voluntary Surrender occurs when a complaint is pending and the licensee desires to avoid full investigation or cannot comply with the terms of probation or KARE Program agreement.

ids019

KENTUCKY BOARD OF NURSING

Discipline Report

23-NOV-21 Page 2 of 76

It is still necessary to complete an Online Licensure Verification to assure that the nurse has a current active license issued by the state of Kentucky

Type of Action: DENIED LICENSURE/CREDENTIAL

Last Name, First Name

KY Lic Number

ESKEW , LUKE

FARQUHAR RODNEY, ANDREA

FERGUSON, VICKIE

FORTUNO, REBECCA

FUNSTON, JACQUELINE

GARTRELL, PAMELA

GEER, TALENA

GIBSON, DEBRA

HACKER, CINDY

HAMSHER, MALLORY

HAMSHER, MALLORY

HARBOUR, TYLER

HOLDER, JESSICA

HUBBARD, MONROE

JACKSON, KIMBERLY

JAMISON, IRMA

JANEVSKI, JENNIFER

JOHNSON, ANITA

JOHNSON, DEBORAH

JOHNSON, SIMONE

JUDD, TIFFANY

KENDALL, EARL

KRAMER, THELMA

LAUDERDALE, MARTHA

LEACH, EUNIDE

LECHERT, STANLEY

LEDFORD, KATHLEEN

LEWALLEN, ASHLEY

LOGAN, BRANDY

LOGAN, COURTNEY

LOVE, ELYSHIA

LOZIER, CATHY

LUDTKE, GALE

MCBRIDE, DAVID

MCHONE, STACEY

MCHONE, STACEY

MEADE, RANDALL

MEEHAN, JOHN

MILLER, MAKISHA

MILLER, TAD

MITCHELL, NECOLE

MONTELEONE, MELISSA

KY APRN Number

PTP Lic Number

Action Date

29-MAR-17 24-OCT-08 13-DEC-02 16-JAN-15 20-APR-07 27-APR-21 06-MAY-16 17-AUG-98 12-DEC-08 16-SEP-14 16-SEP-14 13-MAY-21 20-DEC-12 24-AUG-20 13-DEC-02 11-JUN-99 15-FEB-08 11-APR-19 31-DEC-14 24-SEP-13 19-NOV-10 15-DEC-97 03-APR-96 12-JUN-98 17-JUN-10 18-OCT-21 14-JUN-04 21-SEP-18 19-JUN-14 24-SEP-13 12-MAY-21 16-AUG-16 15-JAN-13 16-OCT-98 27-APR-20 27-APR-20 16-SEP-10 24-JUN-02 14-DEC-15 24-FEB-16 16-OCT-95 06-NOV-20

NOTE: 1. This is a computer generated report. Information contained herein does not indicate appeals or stays that may have been granted or disciplinary actions that may have been cleared. To obtain a copy of a final order, fax your request to Records Custodian, 502-420-1542, or send it via email to KBN.ORR@. There may be a copying fee for any Open Records requests. 2. All information contained in this summary is public. You may copy, post or disseminate the information as needed. 3. A Voluntary Surrender occurs when a complaint is pending and the licensee desires to avoid full investigation or cannot comply with the terms of probation or KARE Program agreement.

ids019

KENTUCKY BOARD OF NURSING

Discipline Report

23-NOV-21 Page 3 of 76

It is still necessary to complete an Online Licensure Verification to assure that the nurse has a current active license issued by the state of Kentucky

Type of Action: DENIED LICENSURE/CREDENTIAL

Last Name, First Name

KY Lic Number

MOORE, LISA

MOORE, WILLIAM

NICHOLS, MARY

NOBLE, JENNIFER

OLOO, DINAH

PATNEAUDE, PAMELA

PAZUKI, MERCY

PEASE, MELISSA

PERKINS, MICHAEL

PETERS, STEPHENY

PRICE, MEGAN

PRICE, MEGAN

PRIDEMORE, LUKE

REED, CHRISTA

REETZKE, ANGELICA

RICE, BETH

RICHBOURG, EDWARD

RIFFE, JESSICA

RIGGINS, KENNETH

ROSSMAN, JUDY

SANON-LAUREDANT, LLOYDIE

SANTOS, STEPHANIE

SCHNEIDER, MICHAEL

SCHROCK, AGNIESZKA

SCOTT, DOLLIE LOUISE

SHELL, SUEANN

SHELL, SUEANN

SHELL, SUEANN

SHOUSE, KATHY

SIMPSON, MARY

SMALL, AUDREY

SMITH, RICHARD

SPIRES, CYNTHIA

STEPHENS, BILLY

STEVENS, KAREN

SUTER, LORENZO

TAYLOR, WILLIAM

THOMPSON, CHERYL

THURMOND, RENARD

TINGLE, ANGELA

TURNER, CHRISTINA

UTHOFF, DEBRA

KY APRN Number

PTP Lic Number

Action Date

24-SEP-13 26-MAR-14 24-APR-09 10-JUN-09 30-JUL-19 09-DEC-05 17-JUN-10 16-JUL-15 19-FEB-96 05-OCT-21 12-JUL-17 12-JUL-17 22-OCT-21 27-APR-21 13-JUL-20 21-JUN-19 01-JUL-96 30-JUL-19 10-OCT-03 10-OCT-97 17-JUN-10 08-MAR-18 09-SEP-19 17-AUG-16 27-APR-00 18-FEB-21 18-FEB-21 18-FEB-21 20-MAR-00 27-SEP-12 17-AUG-98 10-APR-12 08-AUG-13 17-AUG-98 07-DEC-17 30-NOV-04 28-SEP-11 19-FEB-96 06-MAR-13 21-FEB-00 13-MAY-10 08-JUL-99

NOTE: 1. This is a computer generated report. Information contained herein does not indicate appeals or stays that may have been granted or disciplinary actions that may have been cleared. To obtain a copy of a final order, fax your request to Records Custodian, 502-420-1542, or send it via email to KBN.ORR@. There may be a copying fee for any Open Records requests. 2. All information contained in this summary is public. You may copy, post or disseminate the information as needed. 3. A Voluntary Surrender occurs when a complaint is pending and the licensee desires to avoid full investigation or cannot comply with the terms of probation or KARE Program agreement.

ids019

KENTUCKY BOARD OF NURSING

Discipline Report

23-NOV-21 Page 4 of 76

It is still necessary to complete an Online Licensure Verification to assure that the nurse has a current active license issued by the state of Kentucky

Type of Action: DENIED LICENSURE/CREDENTIAL

Last Name, First Name

KY Lic Number

VIARS, CHERI

VOLLE, ELLEN

WALKER, APRIL

WATSON, AUDIE

WELLS, WILLIAM

WHISENTON, ERICA

WOODS, KYLE

YATES, JOYCE

KY APRN Number

PTP Lic Number

Action Date

18-FEB-97 07-JAN-13 24-JUN-21 20-FEB-96 22-DEC-03 10-SEP-18 12-FEB-03 26-AUG-96

Type of Action: DENIED REINSTATEMENT

Last Name, First Name

KY Lic Number

ABDON, KRISTIN

1123778

ABRAMS, BRENDA KAY

2009096

ACREE, COURTNEY

2039417

ADAIR, SHERRI

1093935

ADAMS, CARESSIA

1144654

ADKINS, ANNA

1035412

ADKINS, IDA L

1073320

ADKINS, JUDY

2033136

ADKINS, JUDY

1111747

ADKINS, SHIRLEY

2028785

ADKINS, SHIRLEY

1107352

ADLER, JOETTA

1064020

ALBERTSEN, JEANINE

1090236

ALEXANDER, ANNA M

1067581

ALLEN, AMY

ALLEN, JUDY A

2022425

ALLEN, KATHRYN

1117030

ANDERSON, HEIDI

2034517

ANDIS, JOANN

1073248

ANDREWS, JANET LEE

2022535

ARNOLD, JESSICA

1119026

ASHCRAFT, DONNA J

2024144

ASHMORE, PAULA

2035254

ATWOOD, LORRIE L

2026306

ATWOOD, RISHELLE

1114202

AVERY, WAYNE

2044706

BABB, MINDY

1098822

BACHOR, CHARLES

2043225

BAGWELL, SHARON DENISE

2022404

BAILEY, BELINDA

2034381

BAILEY, JONI

2040432

KY APRN Number

PTP Lic Number

VA RN 1201948 VA RN 1201948

TN LPN 59537

Action Date

19-FEB-16 23-JUN-06 08-JUN-18 24-OCT-08 20-AUG-20 14-NOV-14 27-JUN-95 10-FEB-12 10-FEB-12 17-JUN-11 17-JUN-11 24-FEB-06 09-FEB-01 17-JUN-88 21-FEB-14 15-DEC-97 31-AUG-15 09-NOV-11 27-JUN-95 06-APR-17 05-DEC-14 18-AUG-00 18-NOV-10 13-FEB-98 12-JUN-14 20-MAR-15 17-JUN-16 28-JAN-14 17-MAR-92 12-APR-16 28-MAR-11

NOTE: 1. This is a computer generated report. Information contained herein does not indicate appeals or stays that may have been granted or disciplinary actions that may have been cleared. To obtain a copy of a final order, fax your request to Records Custodian, 502-420-1542, or send it via email to KBN.ORR@. There may be a copying fee for any Open Records requests. 2. All information contained in this summary is public. You may copy, post or disseminate the information as needed. 3. A Voluntary Surrender occurs when a complaint is pending and the licensee desires to avoid full investigation or cannot comply with the terms of probation or KARE Program agreement.

ids019

KENTUCKY BOARD OF NURSING

Discipline Report

23-NOV-21 Page 5 of 76

It is still necessary to complete an Online Licensure Verification to assure that the nurse has a current active license issued by the state of Kentucky

Type of Action: DENIED REINSTATEMENT

Last Name, First Name

KY Lic Number

BALLARD, JASON

1130758

BALLARD, SHARON MARIE

1061862

BANKS, ROBERT

1129111

BARBER, KERRI R

2026642

BARGO, LOUISE

1075631

BASIL, PATRICIA

2034595

BATEY LOFTIS, NATOSHA

BAYENS, SHERIDAN

2044424

BEACH, EMILY

1089672

BEARD, ANGELA

2047569

BEHERY, CAROLE S

1069090

BELCHER, SHAWN M

2025456

BELL, TISHA

2038648

BELL, TISHA

1117999

BENTON, LINDA

2020323

BENTON, LINDA

1060517

BIBELHAUSER, CHARLES

2030347

BIRNEY, MELISSA

2038367

BLACK, MARY JANE

1035360

BLACKSHEAR, REGINA

2036180

BLADON, WENDY

1093289

BLAIR, RICHARD

2043970

BLANTON, BARBARA

2021594

BLANTON, BARBARA

1069028

BLUITT, STEPHANIE

2047581

BOOKER, TACHELLE

2037995

BOOKS, TAMMY

2029274

BOOKS, TAMMY

1094075

BORN, NATALIE

1129140

BOWE, BETHANY

2031056

BOWLES, SYMANTHA

2046220

BOWMAN, ROSA

2025648

BOYD, JILL

1101495

BOYD, LISA

2041880

BRADLEY, ROBIN

2032543

BRANAM, KIMBERLY

2036102

BRANAM, KIMBERLY

2036102

BRANHAM, JESSICA

2045884

BRATCHER, BRANDON

1126531

BRAUN, CHRISTINE

1106080

BRINDLEY, SHARI

1037558

BROCK, DONNA

1058407

KY APRN Number 3007154

3006188 3006188

3003684

PTP Lic Number

TN LPN 58912

Action Date

20-AUG-20 21-DEC-93 17-JUN-16 25-APR-94 14-MAY-20 09-FEB-04 12-AUG-16 05-JAN-15 18-FEB-16 30-JUL-19 22-JUN-93 26-AUG-96 20-MAR-15 20-MAR-15 24-JUN-02 24-JUN-02 25-APR-08 08-DEC-16 22-JUN-01 12-JUN-14 06-MAY-03 12-APR-16 09-DEC-05 09-DEC-05 18-FEB-21 16-FEB-07 17-SEP-15 17-SEP-15 15-MAR-21 19-FEB-16 02-NOV-16 12-DEC-08 13-MAR-08 17-JUN-11 17-JUN-16 05-MAY-11 05-MAY-11 12-APR-18 31-AUG-15 19-APR-07 14-DEC-15 12-APR-18

NOTE: 1. This is a computer generated report. Information contained herein does not indicate appeals or stays that may have been granted or disciplinary actions that may have been cleared. To obtain a copy of a final order, fax your request to Records Custodian, 502-420-1542, or send it via email to KBN.ORR@. There may be a copying fee for any Open Records requests. 2. All information contained in this summary is public. You may copy, post or disseminate the information as needed. 3. A Voluntary Surrender occurs when a complaint is pending and the licensee desires to avoid full investigation or cannot comply with the terms of probation or KARE Program agreement.

ids019

KENTUCKY BOARD OF NURSING

Discipline Report

23-NOV-21 Page 6 of 76

It is still necessary to complete an Online Licensure Verification to assure that the nurse has a current active license issued by the state of Kentucky

Type of Action: DENIED REINSTATEMENT

Last Name, First Name

KY Lic Number

BROWN, AMANDA

1134210

BROWN, DANA

2044854

BROWN, FLOY

2019746

BROWN, JUDY MARIE

2014727

BROWN, TERESA

1084530

BRYAN, JOY

2050961

BUFKIN, ROBIN

1055492

BULLARD, LESA

1114565

BULLOCK, CHERYN

2025966

BULLOCK, TRACEY

1081270

BUNTON, TONYA

1069541

BURCHETT, AMY

2039412

BURDINE, STEPHANIE

1068108

BUSH, DONNA

2026214

BUSSELL, KRISTA

2040205

BUTLER, BILLIE JO

2039467

BUTLER, BILLIE JO

1116057

BUTTERFIELD, COREY

2043912

BYRD, BRIDGET

1133004

CALLOWAY, CRISTY

2035424

CAMPBELL, SHEILA

2040382

CANNON, SHIRLEY M

2027530

CANTRELL, VIVIAN

1051739

CANTRELL, VIVIAN

2015340

CARTER LAKE, CASSANDRA

2050921

CARTER, ROSEMARY K

2026652

CARTWRIGHT, TARAH

2042813

CASTLE, REBECCA

2036346

CATRON, CHRISTY

2041584

CAUDELL-ROSARIO, TAKISHA

2046123

CAUSEY, TAMMY

2029238

CAZZEL, JESSICA

1151464

CAZZELL, STEPHANIE

1143057

CECIL, LEANNE

2031478

CHAMBERS, DEBORAH ANN

1049730

CHAMBERS, DEBORAH ANN

2012858

CHAPMAN, ANGELA

1107877

CHEN, MARGARET

1069124

CHOLEWA, JODY

2040436

CLINE, PAMELA

2040124

COATNEY, PAMELA

1044833

COLLIER, TUNECIA K

1073689

KY APRN Number

3003010

PTP Lic Number

Action Date

14-DEC-15 12-APR-18 20-APR-01 17-MAR-92 17-JUN-11 12-DEC-19 15-DEC-15 19-FEB-16 17-JUN-16 19-FEB-16 12-APR-18 17-JUN-16 31-DEC-14 21-DEC-93 12-DEC-19 19-FEB-16 19-FEB-16 12-JUN-14 09-AUG-18 29-AUG-07 18-JUN-20 31-OCT-94 10-OCT-97 10-OCT-97 05-OCT-21 25-APR-94 31-AUG-15 07-JUN-18 17-JUN-16 19-FEB-16 19-DEC-05 18-JUN-20 24-OCT-16 07-APR-98 15-DEC-97 15-DEC-97 12-APR-18 19-AUG-93 19-FEB-16 12-JUN-14 07-DEC-92 11-AUG-16

NOTE: 1. This is a computer generated report. Information contained herein does not indicate appeals or stays that may have been granted or disciplinary actions that may have been cleared. To obtain a copy of a final order, fax your request to Records Custodian, 502-420-1542, or send it via email to KBN.ORR@. There may be a copying fee for any Open Records requests. 2. All information contained in this summary is public. You may copy, post or disseminate the information as needed. 3. A Voluntary Surrender occurs when a complaint is pending and the licensee desires to avoid full investigation or cannot comply with the terms of probation or KARE Program agreement.

ids019

KENTUCKY BOARD OF NURSING

Discipline Report

23-NOV-21 Page 7 of 76

It is still necessary to complete an Online Licensure Verification to assure that the nurse has a current active license issued by the state of Kentucky

Type of Action: DENIED REINSTATEMENT

Last Name, First Name

KY Lic Number

COLLINS, KATIE

2041654

COLLINS, SHANNA

2039847

COLLINS, TARA

2036240

COMPTON, KATHERINE

2042024

CONNER, JASON

2040483

CONRAD, STEPHANIE

2026824

COOK, KIMBERLY

1055512

COOK, RITA DARLENE

2021530

COOPER, MARGARET

1071301

COPE, KIMBERLY

2039376

COPLEY, CARRIE

1114992

COPPAGE, BRENDA ANN

1056000

CORDER, RONALD

2027690

COSBY, AMY

1103895

COTTEY, FARRAH

2044026

COX, GINGER

2027599

CRAIG, HOPE

1091510

CRAWFORD, TONI

2015238

CROSS, STEPHANIE

2043726

CROWE, CATHY

2029325

CROWE, CATHY

1100110

CULBERTSON, TRACY

2041453

CUMMINS, KANDY

2034543

CUMMINS, KANDY

1105215

CUNNINGHAM, CHRISTY

2026378

DAILEY, DANA

1126913

DALTON, MICHELLE

1096462

DAVIS, BRANDON

DAVIS, ELIZABETH R

2018266

DAVIS, JAN

2028135

DAVIS, JIMMIE

1067811

DAVIS, JULIE

2003980

DAVIS, VICKIE

2020647

DAY, LAURA

1100316

DEATON, KATIE

1139583

DEER, TARA

2036890

DELGADO, KATHY

2034129

DENNEY, TRACI D

2026028

DENNISON, MARY

1068308

DEWHIRST, CONSTANCE

1121070

DILLINGHAM, MARY

2022836

DIXON, ERICA

2037346

KY APRN Number

PTP Lic Number

Action Date

29-MAR-11 13-APR-12 11-AUG-16 10-AUG-17 16-APR-20 07-JUN-18 18-JUN-08 20-AUG-99 06-APR-17 19-FEB-10 10-APR-14 13-DEC-99 15-MAY-14 12-JUN-14 20-OCT-15 02-JUL-97 19-OCT-17 21-FEB-14 20-MAR-15 07-JAN-08 07-JAN-08 07-JUN-18 26-FEB-08 26-FEB-08 20-MAR-15 17-JUN-16 14-OCT-11 07-JUN-18 13-OCT-92 25-APR-08 15-MAY-14 13-FEB-87 23-JUN-06 19-FEB-16 11-APR-19 25-JAN-11 01-DEC-11 16-OCT-98 17-JUN-11 21-AUG-14 29-NOV-07 18-JUN-10

NOTE: 1. This is a computer generated report. Information contained herein does not indicate appeals or stays that may have been granted or disciplinary actions that may have been cleared. To obtain a copy of a final order, fax your request to Records Custodian, 502-420-1542, or send it via email to KBN.ORR@. There may be a copying fee for any Open Records requests. 2. All information contained in this summary is public. You may copy, post or disseminate the information as needed. 3. A Voluntary Surrender occurs when a complaint is pending and the licensee desires to avoid full investigation or cannot comply with the terms of probation or KARE Program agreement.

ids019

KENTUCKY BOARD OF NURSING

Discipline Report

23-NOV-21 Page 8 of 76

It is still necessary to complete an Online Licensure Verification to assure that the nurse has a current active license issued by the state of Kentucky

Type of Action: DENIED REINSTATEMENT

Last Name, First Name

KY Lic Number

DOAN, KIMBERLY

2029119

DODSON, LACI

1138060

DOLBERRY, EMILY

2042103

DORRIS, LISA

1077566

DOTY, CYNTHIA

1099435

DOUCET, LAUREL M

1069896

DOWNING, REBA

2023734

DRYDEN, NANCY

2026038

DU CHANE, MURIEL

2035223

DUNCAN, PAMELA J

2023357

DURANT, SUZANNE A

1069145

DURBIN, JEFFERI

1102464

ELLIOTT, PAULINE

1069257

ELLIOTT, VICKIE

2034498

ELLIOTT, VICKIE

1110400

ELLIS, ANTHONY G

2024203

ELLISON, KRISTINA

2037575

ELMORE, NANCY

1075544

EMERSON, PENNY

1062888

ENGLEHARDT, TERESA

2024664

ENRIQUEZ, MICHELLE

1118823

ENRIQUEZ, MICHELLE

2042175

ERVIN, GERALDINE

2002964

ESTEP, RHONDA

1080033

ETTER, JULIA

1105681

EVE, LAURA

1031702

EVERETT, JAMES

1119800

FARLEY, CRYSTAL

2050298

FENWICK, TINA

1048320

FETTY, DAVID

1114584

FIELDS, EMILY

1127644

FIELDS, JANICE S

2027465

FISCHER, DENISE

2041449

FITCH, PAMELA

1097787

FITZGERALD, TRACEY

2040870

FLEMING, CLAUDETTE

1057454

FORD, KATRINA

1096298

FOSSON, HEIDI

1064453

FOSTER, DOROTHY

1020146

FOWLER, MARGARET

2024068

FOX, AMANDA

2045601

FOX, TAMARA

2040251

KY APRN Number

PTP Lic Number

Action Date

20-APR-07 19-FEB-16 07-DEC-17 08-APR-03 15-JUN-07 21-DEC-93 15-DEC-97 08-DEC-16 17-JUN-16 04-OCT-02 01-MAR-93 24-OCT-08 21-DEC-93 07-JUN-18 07-JUN-18 21-FEB-95 20-OCT-06 11-DEC-98 18-OCT-99 15-DEC-97 07-JUN-18 07-JUN-18 01-JUL-96 10-OCT-05 15-OCT-14 12-AUG-16 05-DEC-14 08-DEC-16 12-APR-16 25-FEB-10 11-JUL-13 31-OCT-94 06-APR-17 22-MAY-13 14-DEC-15 25-APR-94 29-MAR-11 24-OCT-08 07-DEC-17 19-FEB-16 10-APR-14 20-APR-07

NOTE: 1. This is a computer generated report. Information contained herein does not indicate appeals or stays that may have been granted or disciplinary actions that may have been cleared. To obtain a copy of a final order, fax your request to Records Custodian, 502-420-1542, or send it via email to KBN.ORR@. There may be a copying fee for any Open Records requests. 2. All information contained in this summary is public. You may copy, post or disseminate the information as needed. 3. A Voluntary Surrender occurs when a complaint is pending and the licensee desires to avoid full investigation or cannot comply with the terms of probation or KARE Program agreement.

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