Expiration Last First Middle License No. Type Issue...

Nevada State Board of Podiatry

Licensees

as of April 8, 2019

Master List for Website

Expiration

Last First Middle License No. Type Issue Date Date Discipline

Agres Susan J. 0908 Podiatrist 10/9/2009 10/31/2019 No

Anders Derek 9501 Podiatrist 7/15/1995 10/31/2014 No

Anderson Belmont W. 0051 Podiatrist 7/15/1981 10/31/2019 No

Anderson Blair 0014 Podiatrist 7/15/1993 10/31/1993 No

Anderson Zachary W. 2037 Podiatrist 6/27/2018 10/31/2019 No

Aramini Michael 9902 Podiatrist 7/15/1999 10/31/2019 No

Ariza John 9502 Podiatrist 7/15/1995 10/31/2019 No

Ashby Nathan 0201 Podiatrist 7/15/2002 10/31/2002 No

Averett James A. 2012 Podiatrist 6/18/2015 10/31/2019 No

Ballard Anna L. 2008 Podiatrist 1/20/2015 10/31/2015 No

Barnes Demetrius J. 2029 Podiatrist 8/7/2017 10/31/2019 No

Barrett Stephen 0903 Podiatrist 3/2/2009 10/31/2019 No

Basinger Robert 0037 Podiatrist 7/15/1988 10/31/2010 No

Bauer Benjamin H. 2015 Podiatrist 11/23/2015 10/31/2019 No

Bax Cathy A. 0042 Podiatrist 7/15/1979 10/31/2019 No

Bean Aaron 1004 Podiatrist 7/15/2010 10/31/2011 No

Bean Harvey K. 0025 Podiatrist 7/15/1973 10/31/2016 No

Bean Jeffrey K. 0101 Podiatrist 7/15/2001 10/31/2019 No

Beck Grant L. 0904 Podiatrist 3/23/2009 10/31/2019 No

Benjamin Toni J. PH1401 Podiatric Hygienist 12/22/2014 10/31/2015 No

Beresh Arnold 9401 Podiatrist 7/15/1993 10/31/1994 No

Betesh Sean M. 2027 Podiatrist 6/6/2017 10/31/2018 No

Biesinger David P. 1005 Podiatrist 3/30/2010 10/31/2019 No

Bindson Henry J. 9402 Podiatrist 7/15/1994 10/31/2016 No

Bogoian Ronald D. 0801 Podiatrist 2/20/2008 10/31/2008 No

Page 1 of 12


Licensees

as of April 8, 2019


Expiration


Borgia Anthony 8901 Podiatrist 7/15/1989 10/31/2019 No

Bowen Jason 0601 Podiatrist 7/15/2006 10/31/2007 No

Bregman Peter J. 1101 Podiatrist 1/3/2011 10/31/2019 No

Broadhead Brian 0202 Podiatrist 5/15/2002 10/31/2002 No

Brody Paul J. 2031 Podiatrist 10/2/2017 10/31/2019 No

Brooks Ramona L. 2040 Podiatrist 11/5/2018 10/31/2019 No

Burchill Casey C. 2010 Podiatrist 5/11/2015 10/31/2019 No

Burgess John F. 0033 Podiatrist 7/15/1976 10/31/2019 No

Cade John E. 9701 Podiatrist 7/15/1997 10/31/2019 No

Cameron Landon T. 2017 Podiatrist 4/18/2016 10/31/2019 No

Card Keith 1006 Podiatrist 4/14/2010 10/31/2019 No

Carletta Eileen PH0901 Podiatric Hygienist 7/15/2009 10/31/2016 No

Castelan Marisol PH0902 Podiatric Hygienist 7/15/2008 10/31/2019 No

Castillo Robinson 0102 Podiatrist 7/15/2001 10/31/2001 No

Chambers Gary L. 0001 Podiatrist 7/15/2000 10/31/2019 No

Chambers Joseph E. 0038 Podiatrist 7/15/1976 10/31/2019 No

Chavez Chelsy I PH1901 Podiatric Hygienist 3/19/2019 10/31/2019 No

Child Michael 0103 Podiatrist 7/15/2001 10/31/2011 No

Chow Lap Chi 0501 Podiatrist 7/15/2005 10/31/2019 No

Clark Christine C. 8702 Podiatrist 7/15/1987 10/31/2019 No

Cohen Ted 9301 Podiatrist 7/15/1993 10/31/2019 Yes

Colarco Justin P. 0905 Podiatrist 6/19/2009 10/31/2019 No

Colica Sharon A. 2042 Podiatrist 3/11/2019 10/31/2019 No

Condon David 9403 Podiatrist 7/15/1994 10/31/2019 No

Conway Victor 0029 Podiatrist 7/15/1989 10/31/1995 No

Page 2 of 12


Licensees

as of April 8, 2019


Expiration


Cramer Kent P. 0502 Podiatrist 7/15/2005 10/31/2005 No

Crandall Keith R. 1302 Podiatrist 4/18/2013 10/31/2013 No

Cristensen Lenore 9801 Podiatrist 7/15/1998 10/31/1998 No

Cull Charles C. 1201 Podiatrist 3/26/2012 10/31/2019 No

Cutler Brett W. 9102 Podiatrist 7/15/1990 10/31/1994 No

Dalessandro Nicole 1303 Podiatrist 7/15/2013 10/31/2016 No

Davis Frank M. 0049 Podiatrist 7/15/1980 10/31/2019 No

Davis Kevin 0203 Podiatrist 7/15/2002 10/31/2002 No

Davis Russell 0054 Podiatrist 7/15/1991 10/31/1992 No

Disbury Jonathan 9602 Podiatrist 7/15/1996 10/31/2008 No

Do Matthew M. 0002 Podiatrist 7/15/2000 10/31/2019 No

Dobrowolski Christine C. 1203 Podiatrist 5/29/2012 10/31/2015 No

Dorfman Gary R. 12LL01 Podiatrist - Limited License 7/15/2012 10/31/2018 No

Dove Cyaandi 0602 Podiatrist 7/15/2006 10/31/2019 No

Doxey Douglas R. 1301 Podiatrist 3/28/2013 10/31/2019 No

Draper Donald 0021 Podiatrist 7/15/1989 10/31/1994 No

Draper Shane D. 9903 Podiatrist 7/15/1999 10/31/2019 No

Dull Christine 0204 Podiatrist 7/15/2002 10/31/2002 No

Dunetz Wayne A. 9904 Podiatrist 7/15/1999 10/31/2019 Yes

Eisner Lance 0205 Podiatrist 7/15/2002 10/31/2019 No

Elias Brian M. 0802 Podiatrist 6/5/2008 10/31/2014 No

Emerzian Garo 9404 Podiatrist 7/15/1994 10/31/2019 No

Endo Clifford 9405 Podiatrist 7/15/1994 10/31/1994 No

Falk Jennifer N. 2022 Podiatrist 11/28/2016 10/31/2017 No

Page 3 of 12


Licensees

as of April 8, 2019


Expiration


Fatkin Kenneth E. 1008 Podiatrist 8/26/2010 10/31/2019 No

Fausett James A. 9702 Podiatrist 7/15/1997 10/31/2018 No

Fawson Paul A. 2034 Podiatrist 5/14/2018 10/31/2019 No

Federico Michael F. 0104 Podiatrist 7/15/2001 10/31/2013 No

Feldman Stuart M. 0105 Podiatrist 7/15/2001 10/31/2019 Yes

Ferraro Patricia L. 9201 Podiatrist 7/15/1992 10/31/201 No

Fielding Morton 03LL01 Podiatrist - Limited License 7/15/2003 10/31/2010 No

Ford L. Bruce 0023 Podiatrist 7/15/1970 10/31/2018 No

Franklin Leonard 10LL01 Podiatrist - Limited License 3/30/2010 10/31/2019 No

Gallarello Peter L. 9901 Podiatrist 7/15/1999 10/31/2019 No

Gardner Richard L. 2020 Podiatrist 5/18/2016 10/31/2019 No

Garrett David 0050 Podiatrist 7/15/1991 10/31/1994 No

Ghamgosar Alireza 0106 Podiatrist 7/15/2000 10/31/2001 No

Giambrone Tracey E. 0206 Podiatrist 7/15/2002 10/31/2019 No

Giles David F. 9703 Podiatrist 7/15/1997 10/31/2019 No

Glantz Katheryne W. 9103 Podiatrist 7/15/1991 10/31/2019 No

Gonzales Henry U. 0003 Podiatrist 8/19/2000 10/31/2004 No

Granata Angela M. 2007 Podiatrist 11/17/2014 10/31/2019 No

Gray Yev 2003 Podiatrist 7/7/2014 10/31/2016 No

Gregory John 9803 Podiatrist 7/15/1997 10/31/1998 No

Gross Arnold 9001 Podiatrist 7/15/1991 10/31/1991 No

Grzywacz Robert B. 0055 Podiatrist 7/15/1982 10/31/2019 No

Gubler Randy L. 9804 Podiatrist 7/15/1998 10/31/2019 No

Hahne Matthew 9104 Podiatrist 7/15/1991 10/31/1994 No

Halat Kathleen M. 0603 Podiatrist 1/23/2006 10/31/2010 No

Page 4 of 12


Licensees

as of April 8, 2019


Expiration


Hambrecht Scott F. 9704 Podiatrist 7/15/1997 10/31/2019 No

Hansen Loren K. 0058 Podiatrist 7/15/1985 10/31/2019 No

Hansen Richard E. 0016 Podiatrist 7/15/1988 10/31/1991 No

Hardy Thomas 0028 Podiatrist 7/15/1990 10/31/1994 No

Harries Bill 0901 Podiatrist 2/12/2009 10/31/2019 No

Haupt David J. 9705 Podiatrist 7/15/1997 10/31/2009 No

Haye Shasta PH0903 Podiatric Hygienist 7/15/2009 10/31/2019 No

Haymes Cesar A. 1003 Podiatrist 2/23/2010 10/31/2012 No

Heller Ai-Quoc N. 1205 Podiatrist 7/26/2012 10/31/2019 No

Hellu Corolinda S. 0107 Podiatrist 7/15/2001 10/31/2010 No

Henry Jerry T. 9406 Podiatrist 7/15/1994 10/31/2019 No

Hewchuck Andrew D. 9503 Podiatrist 7/15/1995 10/31/2014 No

Hewson Danielle PH1503 Podiatric Hygienist 11/17/2015 10/31/2016 No

Hill Jon 9105 Podiatrist 7/15/2010 10/31/2014 No

Hollingsworth Scott 9805 Podiatrist 7/15/1996 10/31/2009 No

Hong Eunah 1207 Podiatrist 11/1/2012 10/31/2019 No

Hubbard Eric R. 0048 Podiatrist 7/15/1981 10/31/2019 No

Hulsebos Christina L. 2021 Podiatrist 6/7/2016 10/31/2019 No

Hutton Steven 0402 Podiatrist 7/15/2004 10/31/2012 No

Jacobson Earl 0043 Podiatrist 7/15/1979 10/31/2019 No

James Jon 8902 Podiatrist 7/15/1989 10/31/2019 No

James Richard 9002 Podiatrist 5/11/1990 10/31/1990 No

Jamison Gary 8703 Podiatrist 8/20/1988 10/31/2010 No

Jarvis Kenneth M. 0108 Podiatrist 7/15/2001 10/31/2019 No

Jex Craig T. 0301 Podiatrist 7/15/2003 10/31/2012 No

Page 5 of 12


Licensees

as of April 8, 2019


Expiration


Johnson Anthea PH0904 Podiatric Hygienist 11/1/2009 10/31/2019 No

Johnson Cherie 9706 Podiatrist 7/15/1994 10/31/1997 No

Johnson Kylandra PH0905 Podiatric Hygienist 7/15/2009 10/31/2014 No

Jones Xylina PH0906 Podiatric Hygienist 7/15/2009 10/31/2019 No

Joseph Robert J. 2023 Podiatrist 12/13/2016 10/31/2017 No

Kaminsky Kristi 0902 Podiatrist 2/25/2009 10/31/2019 Yes

Karrasch Craig C. 0034 Podiatrist 7/15/1977 10/31/2019 No

Kaufman Heather D. 0604 Podiatrist 7/15/2006 10/31/2006 No

Kendall Michael W. 0057 Podiatrist 7/15/1984 10/31/2019 No

King Steven 98-- Podiatrist 7/15/1998 10/31/1998 No

Klein Robert 9603 Podiatrist 2/5/1996 10/31/1996 No

Klostermann Eric 9407 Podiatrist 7/15/1994 10/31/1997 No

Knegden Joseph F. 9707 Podiatrist 7/15/1997 10/31/2019 No

Kobaissi Hassan 0109 Podiatrist 7/15/2001 10/31/2005 No

Koo Michelle 2002 Podiatrist 7/7/2014 10/31/2019 No

Kooyman Michael 0503 Podiatrist 7/15/2005 10/31/2019 No

Korab Jeff M. 1007 Podiatrist 5/17/2010 10/31/2012 No

Kraft Michele 8903 Podiatrist 7/15/1990 10/31/1994 No

Kressler Michael 9202 Podiatrist 7/15/1992 10/31/2019 No

Kriegel Jeffrey I. 0605 Podiatrist 7/15/2006 10/31/2009 No

Krulewitz David 0053 Podiatrist 7/15/1982 10/31/2019 No

Kubel Steven R. 9302 Podiatrist 7/15/1993 10/31/2019 No

Kuruvilla Thomman 0606 Podiatrist 7/15/2006 10/31/2019 No

Larkin Kirk D. 1206 Podiatrist 8/1/2012 10/31/2019 No

Larsen Philip 0005 Podiatrist 7/15/1996 10/31/2019 No

Page 6 of 12


Licensees

as of April 8, 2019


Expiration


Larson Robert 9604 Podiatrist 7/15/1996 10/31/2019 No

Lau David 9504 Podiatrist 7/15/1995 10/31/2019 No

Lawrence David 0027 Podiatrist 7/15/1989 10/31/1996 No

Leavitt Terry H. 0024 Podiatrist 7/15/1971 10/31/2019 No

Leavitt Tracy 0701 Podiatrist 7/15/2007 10/31/2019 No

Lebaschi Amir 0907 Podiatrist 7/15/2009 10/31/2010 No

Lee Irvin A. 9003 Podiatrist 7/15/1990 10/31/2019 No

Lee Julie 1108 Podiatrist 7/15/2011 10/31/2012 No

Lehmann Sean 0006 Podiatrist 7/15/2000 10/31/2018 No

Lekawa Henry 0302 Podiatrist 7/15/1988 10/31/2011 No

Lembersky Mark 0403 Podiatrist 7/15/2004 10/31/2019 No

Levine Noah 0110 Podiatrist 7/15/2001 10/31/2019 No

Levine Stephen M. 2005 Podiatrist 8/13/2014 10/31/2015 No

Levitsky David 0504 Podiatrist 7/15/2005 10/31/2016 No

Lindstrom Quinn 2001 Podiatrist 6/24/2014 10/31/2019 No

Liu Jazmine 1106 Podiatrist 7/15/2011 10/31/2011 No

Louk Ernest 9708 Podiatrist 7/15/1997 10/31/2019 No

Lyon Wesley W. 9807 Podiatrist 7/15/1998 10/31/2019 No

Mackey Ryan T. 1105 Podiatrist 7/19/2011 10/31/2017 No

Magnesen David T. 9910 Podiatrist 7/15/1999 10/31/2019 No

Marcus Tamara 8704 Podiatrist 7/15/1987 10/31/2019 No

Marek Lee 8904 Podiatrist 7/15/1991 10/31/2008 No

Marek Neal 0044 Podiatrist 7/15/1979 10/31/2019 No

Markowitz Hope C. 1401 Podiatrist 1/16/2014 10/31/2019 No

Marquez Allison A. 2030 Podiatrist 8/7/2017 10/31/2019 No

Page 7 of 12


Licensees

as of April 8, 2019


Expiration


McArthur Troy S 2025 Podiatrist 4/17/2017 10/31/2019 No

McKeever Dekker N. 2014 Podiatrist 11/2/2015 10/31/2016 No

McLeod Misako 1107 Podiatrist 8/5/2011 10/31/2018 No

McMeekin Thomas 0059 Podiatrist 7/15/1987 10/31/2019 No

McNamara Gregory 9810 Podiatrist 7/15/1998 10/31/2019 No

McNeil Daniel J. 0018 Podiatrist 7/15/1963 10/31/2017 No

McQuaid Matthew 9809 Podiatrist 7/15/1998 10/31/2019 No

Mehrizi Samira 2028 Podiatrist 6/22/2017 10/31/2019 No

Melhuish Victoria 9505 Podiatrist 7/15/1995 10/31/2019 No

Mendez Ana M. PH1502 Podiatric Hygienist 3/24/2015 10/31/2019 No

Miller Jolynn PH0801 Podiatric Hygienist 7/15/2008 10/31/2019 No

Miller Mark 9101 Podiatrist 7/15/1991 10/31/2019 No

Mooney Timothy M. 0008 Podiatrist 7/15/2000 10/31/2019 No

Murray-Clark Michelle R. 2032 Podiatrist 11/1/2017 10/31/2018 No

Naegle Derek W. 0909 Podiatrist 7/15/2009 10/31/2010 No

Nebeker Franklin K. 2013 Podiatrist 9/10/2015 10/31/2019 No

Nguyen Henny 0111 Podiatrist 7/15/2001 10/19/2006 No

Nguyen Huy 9808 Podiatrist 7/15/1998 4/14/2000 No

Nguyen Nick 9709 Podiatrist 7/15/1995 10/31/1996 No

Niknafs Mostafa 9605 Podiatrist 11/1/2006 10/31/2007 No

Noorda Jameson B. 0505 Podiatrist 1/15/2006 10/31/2019 No

Noorda Leon 0022 Podiatrist 7/15/1969 10/31/2008 No

Noorda Spencer K. 2018 Podiatrist 4/18/2016 10/31/2019 No

Olcott Mandy L. 0804 Podiatrist 7/10/2008 10/31/2019 No

Ornstein Phillip 0047 Podiatrist 7/15/1988 10/31/2008 No

Page 8 of 12


Licensees

as of April 8, 2019


Expiration


Panicco Jordan R. 2024 Podiatrist 2/16/2017 10/31/2018 No

Paoletti Robert 2009 Podiatrist 5/11/2015 10/31/2017 No

Parke Conan R. 2004 Podiatrist 8/1/2014 10/31/2019 No

Patton John P. 9506 Podiatrist 7/15/1995 10/31/2019 No

Penrod Dallas R. 0045 Podiatrist 7/15/1979 10/31/2012 No

Peterson Ryan T. 1104 Podiatrist 5/11/2011 10/31/2019 No

Piano Theodore J. 9710 Podiatrist 7/15/1997 10/31/2019 No

Pillsbury Clark W. 8801 Podiatrist 7/15/1988 10/31/2017 No

Platz Isartora Sofia PH1301 Podiatric Hygienist 7/15/2013 10/31/2019 No

Politz Jodi S. 9811 Podiatrist 7/15/1998 10/31/2019 No

Porter James 9408 Podiatrist 7/15/1994 10/31/1994 No

Pourziaee Bobby 0405 Podiatrist 7/15/2004 10/31/2019 No

Powell Andrew B. 0010 Podiatrist 7/15/2000 10/31/2019 No

Rapada Vanessa B. PH1501 Podiatric Hygienist 3/24/2015 10/31/2019 No

Rawson Mark 9409 Podiatrist 7/15/1994 10/31/2019 No

Reber Leon 0506 Podiatrist 7/15/2005 10/31/2014 No

Reed Michael C. 2036 Podiatrist 6/26/2018 10/31/2019 No

Reed Roger B. 8905 Podiatrist 7/15/1989 10/31/2019 No

Reyes Sean W. 2011 Podiatrist 5/11/2015 10/31/2019 No

Reyzelman Alexander 0507 Podiatrist 7/15/2005 10/31/2019 No

Rhee Edward S. 0508 Podiatrist 7/15/2000 10/31/2004 No

Rhodes Randy D 9812 Podiatrist 7/15/1998 10/31/1998 No

Ricciardi Anthony 9507 Podiatrist 7/15/1995 10/31/2019 No

Richardson Eric 9908 Podiatrist 7/15/1999 10/31/1999 No

Rivera Jorge M. 1001 Podiatrist 1/15/2010 10/31/2014 No

Page 9 of 12


Licensees

as of April 8, 2019


Expiration


Roberts Raymond 9004 Podiatrist 7/15/1990 10/31/2019 No

Robinson Glen 9813 Podiatrist 7/15/1998 10/31/1999 No

Rogers Lee C. 0906 Podiatrist 7/15/2009 10/31/2009 No

Rosenberg David 0207 Podiatrist 2/20/2002 10/31/2006 No

Ross James 8906 Podiatrist 7/15/1989 10/31/1992 No

Rothstein Andrew 0011 Podiatrist 7/15/2000 10/31/2019 No

Samant Priya 2039 Podiatrist 7/30/2018 10/31/2019 No

Sarte Richard J. 9106 Podiatrist 7/15/1991 10/31/2019 No

Schmutz Kenneth W. 0040 Podiatrist 7/15/1988 10/31/2009 No

Schoen Patricia J. PH1902 Podiatry Hygienist 4/8/2019 10/31/2019 No

Schulhofer Sanford 9410 Podiatrist 7/15/1994 N/A No

Sekhon Charlotte 2006 Podiatrist 11/3/2014 10/31/2016 No

Sekhon Charlotte 2038 Podiatrist 6/28/2018 10/31/2019 No

Seymour Stephen J. 0509 Podiatrist 7/15/2005 10/31/2014 No

Shalev Amir 0304 Podiatrist 7/15/2003 10/31/2019 No

Shui Wing 9508 Podiatrist 7/15/1989 10/31/1990 No

Singel Marcus J. 9303 Podiatrist 7/15/1993 10/31/2019 No

Smith Carl B. 0031 Podiatrist 7/15/1976 10/31/2016 No

Smith Lary J. 9203 Podiatrist 7/15/1992 10/31/2019 No

Stacey Douglas S. 8601 Podiatrist 7/15/1986 10/31/2019 No

Steffonetti Charles P. 0208 Podiatrist 7/15/2002 10/31/2003 No

Stewart Jeffrey 0209 Podiatrist 7/15/2002 10/31/2019 No

Street Ashley J. 1903 Podiatry Hygienist 4/8/2019 10/31/2019 No

Sutherland Tom 0020 Podiatrist 7/15/1994 10/31/1994 No

Swenson Grant 2000 Podiatrist 4/1/2014 10/31/2019 No

Page 10 of 12


Licensees

as of April 8, 2019


Expiration


Taormino Peter 9411 Podiatrist 7/15/1994 10/31/2006 No

Tester Bridget 0510 Podiatrist 3/14/2005 10/31/2005 No

Thomas Matthew R. 1204 Podiatrist 6/18/2012 10/31/2013 No

Thoms Tanya 0511 Podiatrist 7/20/2005 10/31/2006 No

Tilton Jeremy S. 1202 Podiatrist 4/30/2012 10/31/2019 No

Tingle Ryan W. 0910 Podiatrist 11/20/2009 10/31/2013 No

Tobin Gordon 0015 Podiatrist N/A N/A No

Tomczak Rodney L. 1102 Podiatrist 4/25/2011 10/31/2019 No

Torgesen Gerald W. 0014 Podiatrist 7/15/2000 10/31/2019 No

Travisano Vincent L. 9711 Podiatrist 7/15/1997 10/31/2018 No

Tropea Denise 9204 Podiatrist 7/15/1992 10/31/2019 No

Utley John D. 9713 Podiatrist 7/15/1997 10/31/2019 No

Vera Ada I. 0016 Podiatrist 7/15/2000 10/31/2019 No

Verghese Riya 0112 Podiatrist 7/15/2001 10/31/2002 No

Vito George R. 0911 Podiatrist 7/15/2009 10/31/2011 No

Waite Jason D. 2019 Podiatrist 4/29/2016 10/31/2019 No

Waldman Daniel L. PH1202 Podiatric Hygienist 7/15/2012 10/31/2014 No

Ward Lawrence 0407 Podiatrist 7/15/2004 10/31/2005 No

Wassel Nahad 2035 Podiatrist 6/21/2018 10/31/2019 No

Weiner Ira 9205 Podiatrist 7/15/1992 10/31/2019 No

Weisberg Melvin 0030 Podiatrist 7/15/1988 10/31/1995 No

Westbrook Jovan PH0907 Podiatric Hygienist 7/15/2009 10/31/2019 No

Williams Alecia 0803 Podiatrist 7/2/2008 10/31/2011 No

Williams Charles 9304 Podiatrist 7/15/1992 10/31/1994 No

Wilson Catherine J. 0306 Podiatrist 7/15/2003 10/31/2019 No

Page 11 of 12

Nevada State Board of Podiatry Master List for WebsiteLicensees

as of April 8, 2019

Expiration


Wisniewski Jason R. 2016 Podiatrist 3/1/2016 10/31/2019 No

Wittenberg Alan L. 1002 Podiatrist 2/3/2010 10/31/2016 No

Wittenberg Lee 0607 Podiatrist 7/15/2006 10/31/2019 No

Wolley Mark 1103 Podiatrist 7/15/2010 10/31/2011 No

Wong David T. 2041 Podiatrist 2/12/2019 10/31/2019 No

Wood Jeremy 0307 Podiatrist 7/15/2003 10/31/2019 No

Woods Kelley J. 9905 Podiatrist 7/15/1999 10/31/2019 No

Yamamoto Ernest 9509 Podiatrist 7/15/1995 10/31/1996 No

Yoon Paul 0512 Podiatrist 10/8/2009 10/31/2009 No

Young Marc C. 9814 Podiatrist 7/15/1998 10/31/2019 Yes

Young Randal J. 9712 Podiatrist 7/15/1997 10/31/2014 No

Zang Todd 9906 Podiatrist 7/15/1999 10/31/2019 No

Zargar Alireza 2026 Podiatrist 4/20/2017 10/31/2017 No

Zeetser Vladimir 2003 Podiatrist 11/2/2017 10/31/2019 No

Page 12 of 12

Date post:	30-May-2020
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Expiration Last First Middle License No. Type Issue...

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