List of Licensees as of January 13, 2020 Nevada State ...

Nevada State Board of Podiatry Licensees

as of January 13, 2020

Master List for Website

Last Agres Anders Anderson Anderson Anderson Aramini Ariza Ashby Averett Ballard Barnes Barrett Barris Basinger Bauer Bax Bean Bean Bean Beck Benjamin Beresh Betesh Biesinger Bindson Bogoian Borgia Bowen

First Susan Derek Belmont Blair Zachary Michael John Nathan James Anna Demetrius Stephen Kimberly Robert Benjamin Cathy Aaron Harvey Jeffrey Grant Toni Arnold Sean David Henry Ronald Anthony Jason

Middle J.

W.

W.

A. L. J.

D.

H. A.

K. K. L. J.

M. P. J. D.

License No.

Type

0908 Podiatrist

9501 Podiatrist

0051 Podiatrist

0014 Podiatrist

2037 Podiatrist

9902 Podiatrist

9502 Podiatrist

0201 Podiatrist

2012 Podiatrist

2008 Podiatrist

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

9402 Podiatrist

0801 Podiatrist

8901 Podiatrist

0601 Podiatrist

Expiration Issue Date Date Discipline 10/9/2009 10/31/2020 No 7/15/1995 10/31/2014 No 7/15/1981 10/31/2020 No 7/15/1993 10/31/1993 No 6/27/2018 10/31/2020 No 7/15/1999 10/31/2020 No 7/15/1995 10/31/2020 No 7/15/2002 10/31/2002 No 6/18/2015 10/31/2020 No 1/20/2015 10/31/2015 No 8/7/2017 10/31/2020 No 3/2/2009 10/31/2020 No 11/19/2019 10/31/2020 No 7/15/1988 10/31/2010 No 11/23/2015 10/31/2020 No 7/15/1979 10/31/2020 No 7/15/2010 10/31/2011 No 7/15/1973 10/31/2016 No 7/15/2001 10/31/2020 No 3/23/2009 10/31/2020 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 10/31/2020 No 7/15/1994 10/31/2016 No 2/20/2008 10/31/2008 No 7/15/1989 10/31/2020 No 7/15/2006 10/31/2007 No

Nevada State Board of Podiatry Licensees

as of January 13, 2020

Master List for Website

Last Bowers Bregman Broadhead Brody Brooks Burchill Burgess Cade Cameron Card Carletta Carvajal-Masis Castelan Castillo Chambers Chambers Chavez Child Chow Clark Cohen Colarco Colica Condon Conway Cordoba Cox Cramer

First Alaina Peter Brian Paul Ramona Casey John John Landon Keith Eileen Oscar Marisol Robinson Gary Joseph Chelsy Michael Lap Christine Ted Justin Sharon David Victor Aniela Stephen Kent

Middle M. J.

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

D.

L. E. I

Chi C.

P. A.

A. P.

License No.

Type

PH1933 Podiatry Hygienist

1101 Podiatrist

0202 Podiatrist

2031 Podiatrist

2040 Podiatrist

2010 Podiatrist

0033 Podiatrist

9701 Podiatrist

2017 Podiatrist

1006 Podiatrist

PH0901 Podiatric Hygienist

PH1921 Podiatric Hygienist

PH0902 Podiatric Hygienist

0102 Podiatrist

0001 Podiatrist

0038 Podiatrist

PH1901 Podiatric Hygienist

0103 Podiatrist

0501 Podiatrist

8702 Podiatrist

9301 Podiatrist

0905 Podiatrist

2042 Podiatrist

9403 Podiatrist

0029 Podiatrist

2046 Podiatrist

PH1915 Podiatry Hygienist

0502 Podiatrist

Expiration Issue Date Date Discipline 12/26/2019 10/31/2020 No 1/3/2011 10/31/2020 No 5/15/2002 10/31/2002 No 10/2/2017 10/31/2020 No 11/5/2018 10/31/2019 No 5/11/2015 10/31/2020 No 7/15/1976 10/31/2020 No 7/15/1997 10/31/2020 No 4/18/2016 10/31/2020 No 4/14/2010 10/31/2020 No 7/15/2009 10/31/2016 No 11/19/2019 10/31/2020 No 7/15/2008 10/31/2020 No 7/15/2001 10/31/2001 No 7/15/2000 10/31/2020 No 7/15/1976 10/31/2020 No 3/19/2019 10/31/2020 No 7/15/2001 10/31/2011 No 7/15/2005 10/31/2020 No 7/15/1987 10/31/2020 No 7/15/1993 10/31/2020 Yes 6/19/2009 10/31/2020 No 3/11/2019 10/31/2020 No 7/15/1994 10/31/2020 No 7/15/1989 10/31/1995 No 6/18/2019 10/31/2020 No 9/13/2019 10/31/2020 No 7/15/2005 10/31/2005 No

Nevada State Board of Podiatry Licensees

as of January 13, 2020

Master List for Website

Last Crandall Cristensen Cull Cutler Dalessandro Davis Davis Davis Derouin Disbury Do Dobrowolski Dorfman Dove Doxey Doyle Draper Draper Dull Dunetz Eisner Elias Emerzian Endo England Falk Fatkin Fausett

First Keith Lenore Charles Brett Nicole Frank Kevin Russell Katie Jonathan Matthew Christine Gary Cyaandi Douglas Megan Donald Shane Christine Wayne Lance Brian Garo Clifford Hayley Jennifer Kenneth James

Middle R.

C. W.

M.

M.

M. C. R.

R. B.

D.

A.

M.

B. N. E. A.

License No.

Type

1302 Podiatrist

9801 Podiatrist

1201 Podiatrist

9102 Podiatrist

1303 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

9904 Podiatrist

0205 Podiatrist

0802 Podiatrist

9404 Podiatrist

9405 Podiatrist

1911 Podiatric Hygienist

2022 Podiatrist

1008 Podiatrist

9702 Podiatrist

Expiration Issue Date Date Discipline 4/18/2013 10/31/2013 No 7/15/1998 10/31/1998 No 3/26/2012 10/31/2020 No 7/15/1990 10/31/1994 No 7/15/2013 10/31/2016 No 7/15/1980 10/31/2020 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 10/31/2020 No 5/29/2012 10/31/2015 No 7/15/2012 10/31/2018 No 7/15/2006 10/31/2020 No 3/28/2013 10/31/2020 No 11/19/2019 10/31/2020 No 7/15/1989 10/31/1994 No 7/15/1999 10/31/2020 No 7/15/2002 10/31/2002 No 7/15/1999 10/31/2020 Yes 7/15/2002 10/31/2020 No 6/5/2008 10/31/2014 No 7/15/1994 10/31/2020 No 7/15/1994 10/31/1994 No 8/19/2019 10/31/2020 No 11/28/2016 10/31/2017 No 8/26/2010 10/31/2020 No 7/15/1997 10/31/2018 No

Nevada State Board of Podiatry Licensees

as of January 13, 2020

Master List for Website

Last Fawson Federico Feldman Ferraro Ferreira Fielding Fitzgerald Ford Franklin Gallarello Gardner Garrett Gathings Ghamgosar Giambrone Giles Glantz Gomez Gonzales Granata Gray Gregory Gross Grzywacz Gubler Hahne Halat Hambrecht

First Paul Michael Stuart Patricia Jazmin Morton Seth L. Leonard Peter Richard David Courtney Alireza Tracey David Katheryne Sarai Henry Angela Yev John Arnold Robert Randy Matthew Kathleen Scott

Middle A. F. M. L. A.

B. Bruce

L. L.

M.

E. F. W.

U. M.

B. L.

M. F.

License No.

Type

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

2020 Podiatrist

0050 Podiatrist

PH1908 Podiatric Hygienist

0106 Podiatrist

0206 Podiatrist

9703 Podiatrist

9103 Podiatrist

PH1905 Podiatric Hygienist

0003 Podiatrist

2007 Podiatrist

2003 Podiatrist

9803 Podiatrist

9001 Podiatrist

0055 Podiatrist

9804 Podiatrist

9104 Podiatrist

0603 Podiatrist

9704 Podiatrist

Expiration Issue Date Date Discipline 5/14/2018 10/31/2020 No 7/15/2001 10/31/2013 No 7/15/2001 10/31/2020 Yes 7/15/1992 10/31/2020 No 9/25/2019 10/31/2020 No 7/15/2003 10/31/2010 No 11/19/2019 10/31/2020 No 7/15/1970 10/31/2018 No 3/30/2010 10/31/2020 No 7/15/1999 10/31/2020 No 5/18/2016 10/31/2020 No 7/15/1991 10/31/1994 No 6/18/2019 10/31/2020 No 7/15/2000 10/31/2001 No 7/15/2002 10/31/2020 No 7/15/1997 10/31/2020 No 7/15/1991 10/31/2020 No 4/16/2019 10/31/2020 No 8/19/2000 10/31/2004 No 11/17/2014 10/31/2020 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 10/31/2020 No 7/15/1998 10/31/2020 No 7/15/1991 10/31/1994 No 1/23/2006 10/31/2010 No 7/15/1997 10/31/2020 No

Nevada State Board of Podiatry Licensees

as of January 13, 2020

Master List for Website

Last Hansen Hansen Hardy Harries Haupt Haye Haymes Heller Hellu Hendershot Hendershot Henry Hewchuck Hewson Hill Hollingsworth Hong Hubbard Hulsebos Hutton Jacobson James James Jamison Jarvis Jensen Jex Johnson

First Loren Richard Thomas Bill David Shasta Cesar Ai-Quoc Corolinda Blair Wade Jerry Andrew Danielle Jon Scott Eunah Eric Christina Steven Earl Jon Richard Gary Kenneth Amy Craig Anthea

Middle K. E.

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

R. L.

M. S. T.

License No.

Type

0058 Podiatrist

0016 Podiatrist

0028 Podiatrist

0901 Podiatrist

9705 Podiatrist

PH0903 Podiatric Hygienist

1003 Podiatrist

1205 Podiatrist

0107 Podiatrist

2052 Podiatrist

2050 Podiatrist

9406 Podiatrist

9503 Podiatrist

PH1503 Podiatric Hygienist

9105 Podiatrist

9805 Podiatrist

1207 Podiatrist

0048 Podiatrist

2021 Podiatrist

0402 Podiatrist

0043 Podiatrist

8902 Podiatrist

9002 Podiatrist

8703 Podiatrist

0108 Podiatrist

PH1909 Podiatric Hygienist

0301 Podiatrist

PH0904 Podiatric Hygienist

Expiration Issue Date Date Discipline 7/15/1985 10/31/2020 No 7/15/1988 10/31/1991 No 7/15/1990 10/31/1994 No 2/12/2009 10/31/2020 No 7/15/1997 10/31/2009 No 7/15/2009 10/31/2020 No 2/23/2010 10/31/2012 No 7/26/2012 10/31/2020 No 7/15/2001 10/31/2010 No 11/4/2019 10/31/2020 No 7/22/2019 10/31/2020 No 7/15/1994 10/31/2020 No 7/15/1995 10/31/2014 No 11/17/2015 10/31/2016 No 7/15/2010 10/31/2014 No 7/15/1996 10/31/2009 No 11/1/2012 10/31/2020 No 7/15/1981 10/31/2020 No 6/7/2016 10/31/2020 No 7/15/2004 10/31/2012 No 7/15/1979 10/31/2020 No 7/15/1989 10/31/2020 No 5/11/1990 10/31/1990 No 8/20/1988 10/31/2010 No 7/15/2001 10/31/2020 No 7/9/2019 10/31/2020 No 7/15/2003 10/31/2012 No 11/1/2009 10/31/2020 No

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