List of Licensees as of October 9, 2019 Nevada State Board of …

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

Nevada State Board of Podiatry Licensees

as of July 19, 2021

Master List for Website

Last Hewson Hill Hinh Hollingsworth Hong Hubbard Hulsebos Humes Hutton Jacobson James James Jamison Jarvis Jensen Jex Johnson Johnson Johnson Jones Joseph Joyner Kaminsky Karrasch Kaufman Kaur Kelly Kempe

First Danielle Jon Christopher Scott Eunah Eric Christina Pamela Steven Earl Jon Richard Gary Kenneth Amy Craig Anthea Cherie Kylandra Xylina Robert Audrey Kristi Craig Heather Amrita Pardis Stacey

Middle

M.

R. L. W.

M. S. T.

J. J. C. D. A. D.

License No.

Type

PH1503 Podiatric Hygienist

9105 Podiatrist

2073 Podiatrist

9805 Podiatrist

1207 Podiatrist

0048 Podiatrist

2021 Podiatrist

2056 Podiatrist

0402 Podiatrist

0043 Podiatrist

8902 Podiatrist

9002 Podiatrist

8703 Podiatrist

0108 Podiatrist

PH1909 Podiatric Hygienist

0301 Podiatrist

PH0904 Podiatric Hygienist

9706 Podiatrist

PH0905 Podiatric Hygienist

PH0906 Podiatric Hygienist

2023 Podiatrist

PH2111 Podiatric Hygienist

0902 Podiatrist

0034 Podiatrist

0604 Podiatrist

2055 Podiatrist

2063 Podiatrist

PH2007 Podiatry Hygienist

Expiration Issue Date Date Discipline 11/17/2015 10/31/2016 No 7/15/2010 10/31/2014 No 6/28/2021 10/31/2021 No 7/15/1996 10/31/2009 No 11/1/2012 10/31/2021 No 7/15/1981 10/31/2020 No 6/7/2016 10/31/2020 No 2/18/2020 10/31/2021 No 7/15/2004 10/31/2012 No 7/15/1979 10/31/2021 No 7/15/1989 10/31/2021 No 5/11/1990 10/31/1990 No 8/20/1988 10/31/2010 No 7/15/2001 10/31/2021 No 7/9/2019 10/31/2021 No 7/15/2003 10/31/2012 No 11/1/2009 10/31/2021 No 7/15/1994 10/31/1997 No 7/15/2009 10/31/2014 No 7/15/2009 10/31/2021 No 12/13/2016 10/31/2017 No 6/29/2021 10/31/2021 No 2/25/2009 10/31/2021 Yes 7/15/1977 10/31/2021 No 7/15/2006 10/31/2006 No 2/3/2020 10/31/2021 No 11/2/2020 10/31/2021 No 12/7/2020 10/31/2021 No

Nevada State Board of Podiatry Licensees

as of July 19, 2021

Master List for Website

Last Kendall Kestner King King Klein Klostermann Knegden Kobaissi Koo Kooyman Korab Kraft Kressler Kriegel Krulewitz Kubel Kuruvilla Larkin Larsen Larson Lau Lawrence Leavitt Leavitt Lebaschi Leber Lee Lee

First Michael Stevin Kenneth Steven Robert Eric Joseph Hassan Michelle Michael Jeff Michele Michael Jeffrey David Steven Thomman Kirk Philip Robert David David Terry Tracy Amir Jared Irvin Julie

Middle W. C. R.

F.

M.

I. R. D.

H.

E. A.

License No. 0057 Podiatrist 2065 Podiatrist 2068 Podiatrist 98-- Podiatrist 9603 Podiatrist 9407 Podiatrist 9707 Podiatrist 0109 Podiatrist 2002 Podiatrist 0503 Podiatrist 1007 Podiatrist 8903 Podiatrist 9202 Podiatrist 0605 Podiatrist 0053 Podiatrist 9302 Podiatrist 0606 Podiatrist 1206 Podiatrist 0005 Podiatrist 9604 Podiatrist 9504 Podiatrist 0027 Podiatrist 0024 Podiatrist 0701 Podiatrist 0907 Podiatrist 2049 Podiatrist 9003 Podiatrist 1108 Podiatrist

Type

Expiration Issue Date Date Discipline 7/15/1984 10/31/2021 No 2/17/2021 10/31/2021 No 3/15/2021 10/31/2021 No 7/15/1998 10/31/1998 No 2/5/1996 10/31/1996 No 7/15/1994 10/31/1997 No 7/15/1997 10/31/2021 No 7/15/2001 10/31/2005 No 7/7/2014 10/31/2021 No 7/15/2005 10/31/2021 No 5/17/2010 10/31/2012 No 7/15/1990 10/31/1994 No 7/15/1992 10/31/2021 No 7/15/2006 10/31/2009 No 7/15/1982 10/31/2021 No 7/15/1993 10/31/2021 No 7/15/2006 10/31/2021 No 8/1/2012 10/31/2021 No 7/15/1996 10/31/2021 No 7/15/1996 10/31/2021 No 7/15/1995 10/31/2021 No 7/15/1989 10/31/1996 No 7/15/1971 10/31/2021 No 7/15/2007 10/31/2021 No 7/15/2009 10/31/2010 No 7/5/2019 10/31/2020 No 7/15/1990 10/31/2021 No 7/15/2011 10/31/2012 No

Nevada State Board of Podiatry Licensees

as of July 19, 2021

Master List for Website

Last Lehmann Lekawa Lembersky Leonard LeVal Levine Levine Levitsky Lindstrom Liu Louk Loveland Lyon Mackey Magnesen Maples Marcus Marek Marek Markowitz Marquez Masood Maya McAllister McArthur McKeever McLeod McMeekin

First Sean Henry Mark Amy Cynthia Noah Stephen David Quinn Jazmine Ernest Lacey Wesley Ryan David Alexis Tamara Lee Neal Hope Allison Hasan Martha Tyler Troy Dekker Misako Thomas

Middle

N. A. M.

J. W. T. T. A.

C. A. L. S. S N.

License No.

Type

0006 Podiatrist

0302 Podiatrist

0403 Podiatrist

PH1925 Podiatry Hygienist

PH1910 Podiatry Hygienist

0110 Podiatrist

2005 Podiatrist

0504 Podiatrist

2001 Podiatrist

1106 Podiatrist

9708 Podiatrist

2044 Podiatrist

9807 Podiatrist

1105 Podiatrist

9910 Podiatrist

PH2001 Podiatry Hygienist

8704 Podiatrist

8904 Podiatrist

0044 Podiatrist

1401 Podiatrist

2030 Podiatrist

2051 Podiatrist

PH2003 Podiatric Hygienist

2071 Podiatrist

2025 Podiatrist

2014 Podiatrist

1107 Podiatrist

0059 Podiatrist

Expiration Issue Date Date Discipline 7/15/2000 10/31/2018 No 7/15/1988 10/31/2011 No 7/15/2004 10/31/2021 No 12/3/2019 10/31/2021 No 7/9/2019 10/31/2020 No 7/15/2001 10/31/2021 No 8/13/2014 10/31/2015 No 7/15/2005 10/31/2016 No 6/24/2014 10/31/2021 No 7/15/2011 10/31/2011 No 7/15/1997 10/31/2021 No 5/8/2019 10/31/2021 No 7/15/1998 10/31/2021 No 7/19/2011 10/31/2017 No 7/15/1999 10/31/2021 No 2/10/2020 10/31/2021 No 7/15/1987 10/31/2021 No 7/15/1991 10/31/2008 No 7/15/1979 10/31/2021 No 1/16/2014 10/31/2021 No 8/7/2017 10/31/2019 No 7/29/2019 10/31/2021 No 10/19/2020 10/31/2021 No 6/15/2021 10/31/2021 No 4/17/2017 10/31/2021 No 11/2/2015 10/31/2016 No 8/5/2011 10/31/2018 No 7/15/1987 10/31/2021 No

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