List of Licensees as of October 16, 2019 Nevada State ...

Nevada State Board of Podiatry Licensees

as of July 19, 2021

Master List for Website

Last Agres Aguilar Anders Anderson Anderson Anderson Aramini Argade Ariza Ashby Atkinson Averett Ballard Banda Barnes Barrett Barris Basinger Bauer Bax Bean Bean Bean Beck Benjamin Beresh Betesh Biesinger

First Susan Roxana Derek Belmont Blair Zachary Michael Nina John Nathan Marissa James Anna Christopher Demetrius Stephen Kimberly Robert Benjamin Cathy Aaron Harvey Jeffrey Grant Toni Arnold Sean David

Middle J. L.

W.

W.

R. A. L. A. J.

D.

H. A.

K. K. L. J.

M. P.

License No.

Type

0908 Podiatrist

PH2106 Podiatry Hygienist

9501 Podiatrist

0051 Podiatrist

0014 Podiatrist

2037 Podiatrist

9902 Podiatrist

2058 Podiatrist

9502 Podiatrist

0201 Podiatrist

PH2112 Podiatric Hygienist

2012 Podiatrist

2008 Podiatrist

PH2105 Podiatric Hygienist

2029 Podiatrist

0903 Podiatrist

1920 Podiatric Hygienist

0037 Podiatrist

2015 Podiatrist

0042 Podiatrist

1004 Podiatrist

0025 Podiatrist

0101 Podiatrist

0904 Podiatrist

PH1401 Podiatric Hygienist

9401 Podiatrist

2027 Podiatrist

1005 Podiatrist

Expiration Issue Date Date Discipline 10/9/2009 10/31/2021 No 5/26/2021 10/31/2021 No 7/15/1995 10/31/2014 No 7/15/1981 10/31/2021 No 7/15/1993 10/31/1993 No 6/27/2018 10/31/2021 No 7/15/1999 10/31/2021 No 3/9/2020 10/31/2020 No 7/15/1995 10/31/2021 No 7/15/2002 10/31/2002 No 6/29/2021 10/31/2021 No 6/18/2015 10/31/2021 No 1/20/2015 10/31/2015 No 5/10/2021 10/31/2021 No 8/7/2017 10/31/2021 No 3/2/2009 10/31/2021 No 11/19/2019 10/31/2021 No 7/15/1988 10/31/2010 No 11/23/2015 10/31/2021 No 7/15/1979 10/31/2021 No 7/15/2010 10/31/2011 No 7/15/1973 10/31/2016 No 7/15/2001 10/31/2021 No 3/23/2009 10/31/2021 No 12/22/2014 10/31/2015 No 7/15/1993 10/31/1994 No 6/6/2017 10/31/2018 No 3/30/2010 10/31/2021 No

Nevada State Board of Podiatry Licensees

as of July 19, 2021

Master List for Website

Last Bindson Bogoian Borgia Bowen Bowers Bregman Broadhead Brody Brooks Burchill Burgess Cade Calsada Cameron Card Carletta Carvajal-Masis Castelan Castillo Chambers Chambers Chavez Child Chiong Chow Clark Cohen Colarco

First Henry Ronald Anthony Jason Alaina Peter Brian Paul Ramona Casey John John Tracey Landon Keith Eileen Oscar Marisol Robinson Gary Joseph Chelsy Michael Liah Lap Christine Ted Justin

Middle J. D.

M. J.

J. L. C. F. E. L. T.

D.

L. E. I

L. Chi C.

P.

License No.

Type

9402 Podiatrist

0801 Podiatrist

8901 Podiatrist

0601 Podiatrist

PH1933 Podiatry Hygienist

1101 Podiatrist

0202 Podiatrist

2031 Podiatrist

2040 Podiatrist

2010 Podiatrist

0033 Podiatrist

9701 Podiatrist

PH2109 Podiatric Hygienist

2017 Podiatrist

1006 Podiatrist

PH0901 Podiatric Hygienist

PH1921 Podiatric Hygienist

PH0902 Podiatric Hygienist

0102 Podiatrist

0001 Podiatrist

0038 Podiatrist

PH1901 Podiatric Hygienist

0103 Podiatrist

PH2110 Podiatric Hygienist

0501 Podiatrist

8702 Podiatrist

9301 Podiatrist

0905 Podiatrist

Expiration Issue Date Date Discipline 7/15/1994 10/31/2016 No 2/20/2008 10/31/2008 No 7/15/1989 10/31/2021 No 7/15/2006 10/31/2007 No 12/26/2019 10/31/2020 No 1/3/2011 10/31/2021 No 5/15/2002 10/31/2002 No 10/2/2017 10/31/2021 No 11/5/2018 10/31/2019 No 5/11/2015 10/31/2021 No 7/15/1976 10/31/2021 No 7/15/1997 10/31/2021 No 6/29/2021 10/31/2021 No 4/18/2016 10/31/2021 No 4/14/2010 10/31/2021 No 7/15/2009 10/31/2016 No 11/19/2019 10/31/2021 No 7/15/2008 10/31/2021 No 7/15/2001 10/31/2001 No 7/15/2000 10/31/2021 No 7/15/1976 10/31/2021 No 3/19/2019 10/31/2021 No 7/15/2001 10/31/2011 No 6/29/2021 10/31/2021 No 7/15/2005 10/31/2021 No 7/15/1987 10/31/2021 No 7/15/1993 10/31/2021 Yes 6/19/2009 10/31/2021 No

Nevada State Board of Podiatry Licensees

as of July 19, 2021

Master List for Website

Last Colica Condon Conway Cordoba Cox Cox Cramer Crandall Cristensen Cull Cutler Dalessandro Dameron Danesh Davis Davis Davis Derouin Disbury Do Dobrowolski Dorfman Dove Doxey Doyle Draper Draper Dull

First Sharon David Victor Aniela Bethany Stephen Kent Keith Lenore Charles Brett Nicole Layne Peyman Frank Kevin Russell Katie Jonathan Matthew Christine Gary Cyaandi Douglas Megan Donald Shane Christine

Middle A.

A. A. P. R.

C. W.

A.

M.

M.

M. C. R.

R. B.

D.

License No.

Type

2042 Podiatrist

9403 Podiatrist

0029 Podiatrist

2046 Podiatrist

PH2102 Podiatric Hygienist

PH1915 Podiatry Hygienist

0502 Podiatrist

1302 Podiatrist

9801 Podiatrist

1201 Podiatrist

9102 Podiatrist

1303 Podiatrist

2061 Podiatrist

2072 Podiatrist

0049 Podiatrist

0203 Podiatrist

0054 Podiatrist

PH1906 Podiatric Hygienist

9602 Podiatrist

0002 Podiatrist

1203 Podiatrist

12LL01 Podiatrist - Limited License

0602 Podiatrist

1301 Podiatrist

PH1922 Podiatric Hygienist

0021 Podiatrist

9903 Podiatrist

0204 Podiatrist

Expiration Issue Date Date Discipline 3/11/2019 10/31/2021 No 7/15/1994 10/31/2021 No 7/15/1989 10/31/1995 No 6/18/2019 10/31/2021 No 3/15/2021 10/31/2021 No 9/13/2019 10/31/2020 No 7/15/2005 10/31/2005 No 4/18/2013 10/31/2013 No 7/15/1998 10/31/1998 No 3/26/2012 10/31/2021 No 7/15/1990 10/31/1994 No 7/15/2013 10/31/2016 No 8/31/2020 10/31/2021 No 6/21/2021 10/31/2021 No 7/15/1980 10/31/2021 No 7/15/2002 10/31/2002 No 7/15/1991 10/31/1992 No 5/8/2019 10/31/2019 No 7/15/1996 10/31/2008 No 7/15/2000 10/31/2021 No 5/29/2012 10/31/2015 No 7/15/2012 10/31/2018 No 7/15/2006 10/31/2021 No 3/28/2013 10/31/2021 No 11/19/2019 10/31/2021 No 7/15/1989 10/31/1994 No 7/15/1999 10/31/2021 No 7/15/2002 10/31/2002 No

Nevada State Board of Podiatry Licensees

as of July 19, 2021

Master List for Website

Last Dunetz Eisner Elias Emerzian Endo England Engorn Falk Fatkin Fausett Fawson Federico Feldman Ferraro Ferreira Fielding Fitzgerald Ford Franklin Gallarello Garcia-Vazquez Gardner Garrett Gathings Gephart Ghamgosar Giambrone Giles

First Wayne Lance Brian Garo Clifford Hayley David Jennifer Kenneth James Paul Michael Stuart Patricia Jazmin Morton Seth L. Leonard Peter Jennifer Richard David Courtney Tammy Alireza Tracey David

Middle A.

M.

B. A. N. E. A. A. F. M. L. A.

B. Bruce

L. A. L.

M. K.

E. F.

License No.

Type

9904 Podiatrist

0205 Podiatrist

0802 Podiatrist

9404 Podiatrist

9405 Podiatrist

1911 Podiatric Hygienist

2064 Podiatrist

2022 Podiatrist

1008 Podiatrist

9702 Podiatrist

2034 Podiatrist

0104 Podiatrist

0105 Podiatrist

9201 Podiatrist

PH1918 Podiatric Hygienist

03LL01 Podiatrist - Limited License

PH1923 Podiatric Hygienist

0023 Podiatrist

10LL01 Podiatrist - Limited License

9901 Podiatrist

PH2108 Podiatric Hygienist

2020 Podiatrist

0050 Podiatrist

PH1908 Podiatric Hygienist

2062 Podiatrist

0106 Podiatrist

0206 Podiatrist

9703 Podiatrist

Expiration Issue Date Date Discipline 7/15/1999 10/31/2021 Yes 7/15/2002 10/31/2021 No 6/5/2008 10/31/2014 No 7/15/1994 10/31/2021 No 7/15/1994 10/31/1994 No 8/19/2019 10/31/2021 No 12/16/2020 10/31/2021 No 11/28/2016 10/31/2017 No 8/26/2010 10/31/2021 No 7/15/1997 10/31/2018 No 5/14/2018 10/31/2021 No 7/15/2001 10/31/2013 No 7/15/2001 10/31/2021 Yes 7/15/1992 10/31/2021 No 9/25/2019 10/31/2021 No 7/15/2003 10/31/2010 No 11/19/2019 10/31/2021 No 7/15/1970 10/31/2018 No 3/30/2010 10/31/2021 No 7/15/1999 10/31/2021 No 6/21/2021 10/31/2021 No 5/18/2016 10/31/2021 No 7/15/1991 10/31/1994 No 6/18/2019 10/31/2021 No 11/2/2020 10/31/2021 No 7/15/2000 10/31/2001 No 7/15/2002 10/31/2021 No 7/15/1997 10/31/2021 No

Nevada State Board of Podiatry Licensees

as of July 19, 2021

Master List for Website

Last Glantz Gomez Gonzales Granata Gray Gregory Gross Grzywacz Gubler Hahne Halat Hallman Hambrecht Hansen Hansen Hardy Harper Harries Haupt Haye Haymes Heller Hellu Hendershot Hendershot Henry Herrera Hewchuck

First Katheryne Sarai Henry Angela Yev John Arnold Robert Randy Matthew Kathleen Daniel Scott Loren Richard Thomas Eugene Bill David Shasta Cesar Ai-Quoc Corolinda Blair Wade Jerry Kristy Andrew

Middle W.

U. M.

B. L.

M.

F. K. E.

T.

J.

A. N. S. R. A. T. R. D.

License No.

Type

9103 Podiatrist

PH1905 Podiatric Hygienist

0003 Podiatrist

2007 Podiatrist

2003 Podiatrist

9803 Podiatrist

9001 Podiatrist

0055 Podiatrist

9804 Podiatrist

9104 Podiatrist

0603 Podiatrist

2054 Podiatrist

9704 Podiatrist

0058 Podiatrist

0016 Podiatrist

0028 Podiatrist

2059 Podiatrist

0901 Podiatrist

9705 Podiatrist

PH0903 Podiatric Hygienist

1003 Podiatrist

1205 Podiatrist

0107 Podiatrist

2052 Podiatrist

2050 Podiatrist

9406 Podiatrist

PH2006 Podiatric Hygienist

9503 Podiatrist

Expiration Issue Date Date Discipline 7/15/1991 10/31/2021 No 4/16/2019 10/31/2020 No 8/19/2000 10/31/2004 No 11/17/2014 10/31/2021 No 7/7/2014 10/31/2016 No 7/15/1997 10/31/1998 No 7/15/1991 10/31/1991 No 7/15/1982 10/31/2021 No 7/15/1998 10/31/2021 No 7/15/1991 10/31/1994 No 1/23/2006 10/31/2010 No 1/31/2020 10/31/2021 No 7/15/1997 10/31/2021 No 7/15/1985 10/31/2021 No 7/15/1988 10/31/1991 No 7/15/1990 10/31/1994 No 3/31/2020 10/31/2021 No 2/12/2009 10/31/2021 No 7/15/1997 10/31/2009 No 7/15/2009 10/31/2021 No 2/23/2010 10/31/2012 No 7/26/2012 10/31/2021 No 7/15/2001 10/31/2010 No 11/4/2019 10/31/2021 No 7/22/2019 10/31/2021 No 7/15/1994 10/31/2021 No 12/7/2020 10/31/2021 No 7/15/1995 10/31/2014 No

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