DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND...

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Division of Public Health PROFESSION LICENSE TYPE NAME LIC NO TYPE OF DISCIPLINARY ACTION START DATE END DATE VIOLATION DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Page 1 of 589 October 2009 - October 2019 Print Date: 11/5/2019 To review the disciplinary action document for any licensee on this report, you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. Alcohol and Drug Counselor Alcohol and Drug Counselor Apthorpe, Mary Angela 972 Cottonwood, AZ Probation 4/24/2012 7/26/2012 Controlled Substance Dependence Misdemeanor Conviction(s) Probation Violation Bailey, Frank Louis, III 612 Omaha, NE Censure 12/27/2017 Exploitation of Another Person Unprofessional Conduct Carde, Lori Lynn 891 Lincoln, NE Civil Penalty 1/19/2016 6/28/2016 Obtaining Fee by Fraud Unprofessional Conduct Probation 1/29/2016 Obtaining Fee by Fraud Unprofessional Conduct Cheatams, Tanesha Shirlon 850 Omaha, NE Probation 4/22/2010 2/11/2011 Alcohol Dependency 7/23/2015 7/23/2016 4/22/2010 2/11/2011 Misdemeanor Conviction(s) 7/23/2015 7/23/2016

Transcript of DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND...

Page 1: DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND …dhhs.ne.gov/licensure/Documents/10-09to10-19discip.pdf · 2019-12-02 · PROFESSION LICENSE TYPE NAME LIC NO TYPE OF DISCIPLINARY

Division of Public Health

PROFESSION

LICENSE TYPE

NAME LIC NO

TYPE OF

DISCIPLINARY ACTION START DATE END DATE VIOLATION

DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES

Page 1 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Alcohol and Drug Counselor

Alcohol and Drug Counselor

Apthorpe, Mary Angela 972

Cottonwood, AZ

Probation 4/24/2012 7/26/2012 Controlled Substance Dependence

Misdemeanor Conviction(s)

Probation Violation

Bailey, Frank Louis, III 612

Omaha, NE

Censure 12/27/2017 Exploitation of Another Person

Unprofessional Conduct

Carde, Lori Lynn 891

Lincoln, NE

Civil Penalty 1/19/2016 6/28/2016 Obtaining Fee by Fraud

Unprofessional Conduct

Probation 1/29/2016 Obtaining Fee by Fraud

Unprofessional Conduct

Cheatams, Tanesha Shirlon 850

Omaha, NE

Probation 4/22/2010 2/11/2011 Alcohol Dependency

7/23/2015 7/23/2016

4/22/2010 2/11/2011 Misdemeanor Conviction(s)

7/23/2015 7/23/2016

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PROFESSION

LICENSE TYPE

NAME LIC NO

TYPE OF

DISCIPLINARY ACTION START DATE END DATE VIOLATION

DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES

Page 2 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Alcohol and Drug Counselor

Cook, Jill C 457

Kearney, NE

Censure 8/10/2017 Misdemeanor Conviction(s)

Dirks, Tamara Jo 764

Sterling, NE

Probation 6/4/2011 6/4/2013 Dishonorable Conduct

Unprofessional Conduct

Dowden, Linda Denise 739

Round Rock, TX

Probation 4/7/2013 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Unprofessional Conduct

Duncan, Lori Kay 808

Omaha, NE

Probation 7/12/2014 Unprofessional Conduct

Dutcher, Suzette Dawn 827

Culbertson, NE

Censure 7/12/2012 Permitting Aiding & Abetting

Engelbart, Aaron Joel 1024

Omaha, NE

Censure 4/30/2014 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Probation 5/23/2013 9/30/2017 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Gehrig, Victor Lee 880

Gordon, NE

Probation 11/2/2010 5/13/2011 Alcohol Dependency

Misdemeanor Conviction(s)

Glasgow, Miles Christopher 950

Omaha, NE

Probation 12/1/2011 8/10/2012 xCourt Conviction

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PROFESSION

LICENSE TYPE

NAME LIC NO

TYPE OF

DISCIPLINARY ACTION START DATE END DATE VIOLATION

DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES

Page 3 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Alcohol and Drug Counselor

Gonzalez, Olivia R 50

Gering, NE

Civil Penalty 6/1/2012 12/1/2012 Unprofessional Conduct

Probation 6/10/2012 12/10/2012

Goodwin, Lori M. 1073

Omaha, NE

Censure 9/23/2015 Unprofessional Conduct

Civil Penalty 3/23/2016

Gustoff, Brandy Kay 705

Omaha, NE

Censure 1/17/2014 Failure to Keep Adequate Records

Obtaining Fee by Fraud

Unprofessional Conduct

Civil Penalty 9/15/2014 Failure to Keep Adequate Records

Obtaining Fee by Fraud

Unprofessional Conduct

Probation 1/27/2014 1/27/2015 Failure to Keep Adequate Records

Obtaining Fee by Fraud

Unprofessional Conduct

Hammer, Brenda Jo 591

Auburn, NE

Revocation 9/14/2017 Dishonorable Conduct

Unprofessional Conduct

Violation of UCA

Holmquist, Donald William 839

Lincoln, NE

Probation 2/17/2010 2/15/2011 Alcohol Addiction

Failure to Comply With Aftercare

xCourt Conviction

Junker, Linda N 646

Falls City, NE

Probation 12/22/2014 12/22/2016 Unprofessional Conduct

Violation of UCSA

xCont Substance Use Disorder - Mild

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PROFESSION

LICENSE TYPE

NAME LIC NO

TYPE OF

DISCIPLINARY ACTION START DATE END DATE VIOLATION

DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES

Page 4 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Alcohol and Drug Counselor

Keck, William Charles, Jr 154

Omaha, NE

Censure 12/4/2009 Unprofessional Conduct

Civil Penalty 6/4/2010

Kirkland, Celeste Rose 1121

Omaha, NE

Revocation 8/3/2019 Dishonorable Conduct

Felony Conviction(s)

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Lange, Joseph Dale 721

Omaha, NE

Probation 7/24/2014 12/21/2014 Alcohol Dependency

Controlled Substance Dependence

Failure to Comply With Aftercare

Misdemeanor Conviction(s)

Unprofessional Conduct

McClarty, Brittany Andre 1061

Manistee, MI

Probation 12/26/2015 7/22/2016 Failed to Report Conviction in 30 days

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

xCont Substance Use Disorder - Severe

Meyer, Christy J 815

Des Moines, IA

Probation 2/19/2012 2/28/2013 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Probation Violation

Unprofessional Conduct

Nelson, William Joseph 765

Omaha, NE

Censure 5/27/2015 Unprofessional Conduct

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PROFESSION

LICENSE TYPE

NAME LIC NO

TYPE OF

DISCIPLINARY ACTION START DATE END DATE VIOLATION

DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES

Page 5 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Alcohol and Drug Counselor

Oltman, Pamela Jo 811

Lincoln, NE

Censure 9/21/2015 Unprofessional Conduct

Civil Penalty 3/21/2016

Porter, Mark Robert 750

Fremont, NE

Suspension 3/2/2019 Dishonorable Conduct

Failure to Keep Adequate Records

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Rech, Kim Kenyon 879

Norfolk, NE

Probation 11/27/2016 11/27/2019 Unprofessional Conduct

Stephens, Sally Ann 883

Elkhorn, NE

Probation 11/28/2015 Alcohol Dependency

Misdemeanor Conviction(s)

Stevens, Christopher Sean 749

Omaha, NE

Probation 4/23/2015 Controlled Substance Abuse

Felony Conviction(s)

Taylor, Jennifer Ruth 521

Seward, NE

Probation 4/10/2011 4/10/2012 Felony Conviction(s)

Unprofessional Conduct

Wilson, Larry Dwight 819

Columbus, NE

Probation 1/27/2014 1/27/2017 Alcohol Dependency

Practice while Impaired

Provisional Alcohol and Drug Counselor

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PROFESSION

LICENSE TYPE

NAME LIC NO

TYPE OF

DISCIPLINARY ACTION START DATE END DATE VIOLATION

DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES

Page 6 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Provisional Alcohol and Drug Counselor

Aesoph, Sheena Elizabeth P-1505

Lincoln, NE

Probation 6/22/2017 6/22/2018 Felony Conviction(s)

Misdemeanor Conviction(s)

Substance Use Disorders-Multiple

Allmendinger, Kayla Jo P-1548

Fremont, NE

Probation 10/30/2017 11/9/2018 Felony Conviction(s)

Misdemeanor Conviction(s)

Substance Use Disorders-Multiple

Anderson, Sheri Lynn P-661

Lincoln, NE

Probation 7/23/2011 Unprofessional Conduct

Apthorpe, Mary Angela P-641

Cottonwood, AZ

Censure 8/11/2011 Controlled Substance Dependence

Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 2/11/2012 Controlled Substance Dependence

Misdemeanor Conviction(s)

Probation Violation

Avery, Tereatha A P-704

Omaha, NE

Probation 2/6/2018 Controlled Substance Dependence

History of Disciplinary Action

Misdemeanor Conviction(s)

Probation Violation

Substance Use Disorders-Multiple

xCriminal Conviction(s)

Becker, Bennjamin Fulton P-973

Lincoln, NE

Probation 1/27/2011 1/27/2013 Alcohol Dependency

xCriminal Conviction(s)

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PROFESSION

LICENSE TYPE

NAME LIC NO

TYPE OF

DISCIPLINARY ACTION START DATE END DATE VIOLATION

DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES

Page 7 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Provisional Alcohol and Drug Counselor

Blankenship, Jennifer Suzanne P-1384

Omaha, NE

Suspension 10/28/2019 Dishonorable Conduct

Exploitation of Another Person

Unprofessional Conduct

Broberg, Matthew Allen P-518

Omaha, NE

Revocation 10/23/2010 Emotional Disability

Failure to Keep Adequate Records

Mental Disability

Unprofessional Conduct

Browning-Prince, Crystal Anne P-1049

Omaha, NE

Censure 5/12/2016 Probation Violation

Unprofessional Conduct

Violation of UCA

xCont Substance Use Disorder - Mild

Civil Penalty 11/12/2016 Probation Violation

Unprofessional Conduct

Violation of UCA

xCont Substance Use Disorder - Mild

Probation 10/31/2015 10/31/2016 Probation Violation

Unprofessional Conduct

Violation of UCA

xCont Substance Use Disorder - Mild

Buckley, Deborah Sue P-1576

Lincoln, NE

Probation 2/14/2018 2/14/2020 Felony Conviction(s)

Misdemeanor Conviction(s)

Substance Use Disorder

Substance Use Disorders-Multiple

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PROFESSION

LICENSE TYPE

NAME LIC NO

TYPE OF

DISCIPLINARY ACTION START DATE END DATE VIOLATION

DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES

Page 8 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Provisional Alcohol and Drug Counselor

Carde-Bernal, Jose P-1215

Columbus, NE

Censure 7/22/2016 Misdemeanor Conviction(s)

Violation of UCA

Suspension 8/1/2016 8/30/2016 Misdemeanor Conviction(s)

Violation of UCA

Conrad, Ryan Fraser P-917

Lincoln, NE

Probation 8/23/2010 xCriminal Conviction(s)

Cook, Kevin Marcell P-882

Omaha, NE

Probation 2/17/2010 2/17/2012 xCourt Conviction

Cox, Andrea K P-648

Blue Hill, NE

Probation 2/8/2010 Dishonorable Conduct

Unprofessional Conduct

Crow, Breanne Emma P-1549

Norfolk, NE

Probation 10/30/2017 Misdemeanor Conviction(s)

Substance Use Disorders-Multiple

Deleon, Julio Cesar P-1153

Allentown, PA

Probation 8/9/2013 6/6/2014 Alcohol Abuse

Misdemeanor Conviction(s)

Diaz, Isabel Vallego P-855

Bellevue, NE

Censure 9/22/2011 Probation Violation

xCourt Conviction

Civil Penalty 3/22/2012 Probation Violation

xCourt Conviction

Probation 10/22/2009 10/22/2011 Probation Violation

xCourt Conviction

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PROFESSION

LICENSE TYPE

NAME LIC NO

TYPE OF

DISCIPLINARY ACTION START DATE END DATE VIOLATION

DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES

Page 9 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Provisional Alcohol and Drug Counselor

Durant, Steven Ray P-972

Omaha, NE

Probation 1/26/2011 1/26/2014 Alcohol Dependency

Controlled Substance Dependence

Misdemeanor Conviction(s)

Engelbart, Aaron Joel P-998

Omaha, NE

Probation 9/30/2012 5/23/2013 Alcohol Dependency

Misdemeanor Conviction(s)

Fuchs, Thomas Barton P-1151

Omaha, NE

Probation 8/1/2013 8/1/2015 Alcohol Dependency

Misdemeanor Conviction(s)

Gilfillan, Dameon Lee P-1023

Bellevue, NE

Probation 12/21/2011 7/21/2014 Controlled Substance Dependence

Felony Conviction(s)

Misdemeanor Conviction(s)

Grendahl, Clarence James P-896

Lincoln, NE

Probation 4/22/2010 4/22/2013 xCourt Conviction

Griffis, Cheri Louise P-915

Elkhorn, NE

Probation 7/22/2010 xCourt Conviction

Habrich, Carla J. P-1105

Omaha, NE

Probation 1/3/2013 5/4/2014 Controlled Substance Dependence

Misdemeanor Conviction(s)

xMind-Altering Substance Dependence

Holmes, Jennifer L. P-1288

Columbus, NE

Revocation 5/2/2018 Dishonorable Conduct

Failure to Safeguard Clients Diginity

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

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PROFESSION

LICENSE TYPE

NAME LIC NO

TYPE OF

DISCIPLINARY ACTION START DATE END DATE VIOLATION

DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES

Page 10 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Provisional Alcohol and Drug Counselor

Johnson, Godfrey Wayne P-1118

Ranchester, WY

Probation 2/11/2013 Misdemeanor Conviction(s)

xMind-Altering Substance Dependence

Johnson, Terence Whitney P-700

Omaha, NE

Revocation 10/4/2013 Controlled Substance Dependence

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Unprofessional Conduct

Kriesch, Shirley Marie P-753

Norfolk, NE

Censure 12/4/2009 Alcohol Dependency

Probation Violation

xCourt Conviction

Civil Penalty 6/4/2010 Alcohol Dependency

Probation Violation

xCourt Conviction

Lahrs, Kathryn J P-734

Lincoln, NE

Suspension 8/26/2013 Failure to File Report-38-1,124,38-1,125

Practice while Impaired

Larson, Lori Beth P-1309

Syracuse, NE

Probation 4/28/2015 Alcohol Dependency

Controlled Substance Dependence

Failure to Disclose Convictions

Misdemeanor Conviction(s)

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PROFESSION

LICENSE TYPE

NAME LIC NO

TYPE OF

DISCIPLINARY ACTION START DATE END DATE VIOLATION

DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES

Page 11 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Provisional Alcohol and Drug Counselor

Lee, Anthony M P-589

Omaha, NE

Probation 2/21/2010 9/4/2011 Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Probation Violation

Suspension 9/4/2011 3/4/2012 Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Probation Violation

Letheby, Katrina Anne P-546

Grand Island, NE

Revocation 11/22/2009 Dishonorable Conduct

Unprofessional Conduct

McCollister, Suzanne M P-1192

Papillion, NE

Probation 1/22/2014 1/22/2016 Alcohol Dependency

Misdemeanor Conviction(s)

xMind-Altering Substance Dependence

McDougle, Eric Scott P-805

Omaha, NE

Revocation 6/17/2012 6/19/2012 Dishonorable Conduct

12/7/2012

6/17/2012 6/19/2012 Unprofessional Conduct

12/7/2012

Stayed Revocation 6/19/2012 12/7/2012 Dishonorable Conduct

Unprofessional Conduct

Milson, Michael Anthony P-1419

Omaha, NE

Limitation-Disciplinary 7/22/2016 Felony Conviction(s)

Lacks Good Character

Misdemeanor Conviction(s)

Probation Felony Conviction(s)

Lacks Good Character

Misdemeanor Conviction(s)

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LICENSE TYPE

NAME LIC NO

TYPE OF

DISCIPLINARY ACTION START DATE END DATE VIOLATION

DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES

Page 12 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Provisional Alcohol and Drug Counselor

Nelson, Trever J P-970

Fremont, NE

Revocation 5/20/2016 Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Offordirinwa, Stella Adachi P-1308

Lincoln, NE

Probation 4/23/2015 1/9/2017 Felony Conviction(s)

Palomo, Daniel Edward P-948

Scottsbluff, NE

Probation 12/2/2010 10/2/2014 Controlled Substance Dependence

xCriminal Conviction(s)

Pedersen, Brandon Michael P-1447

Omaha, NE

Probation 11/16/2016 3/18/2019 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Moderate

xCont Substance Use Disorder - Moderate

Pham, Hung Thuc P-1109

Grand Island, NE

Probation 1/11/2013 1/11/2015 Alcohol Dependency

Controlled Substance Dependence

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

Revocation 3/25/2014 Alcohol Dependency

Controlled Substance Dependence

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

Polk, Marcus Arenett P-1234

Omaha, NE

Probation 7/29/2014 12/21/2016 Failure to Disclose Convictions

xCont Substance Use Disorder - Severe

Reed, Clifford Louis P-899

Papillion, NE

Probation 5/11/2010 xCourt Conviction

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LICENSE TYPE

NAME LIC NO

TYPE OF

DISCIPLINARY ACTION START DATE END DATE VIOLATION

DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES

Page 13 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Provisional Alcohol and Drug Counselor

Rhoden, Heather LaRae P-853

Lincoln, NE

Probation 10/20/2009 10/20/2011 xCourt Conviction

Roney, Marissa Ann P-1149

Omaha, NE

Probation 7/24/2013 7/24/2014 Alcohol Dependency

Misdemeanor Conviction(s)

xMind-Altering Substance Dependence

Rundle, Bradley P-1223

Hastings, NE

Probation 5/7/2014 4/3/2015 Alcohol Dependency

Misdemeanor Conviction(s)

xMind-Altering Substance Dependence

Sheldon, Connie Sue P-941

Lincoln, NE

Censure 8/11/2011 Probation Violation

xCriminal Conviction(s)

Civil Penalty 9/14/2012 Probation Violation

xCriminal Conviction(s)

Probation 10/29/2010 Probation Violation

xCriminal Conviction(s)

Simmons, Ricky C. P-942

Lincoln, NE

Probation 11/1/2010 11/1/2015 xCriminal Conviction(s)

Smith, Lauren Whitney P-1643

Omaha, NE

Probation 12/11/2018 12/11/2021 Misdemeanor Conviction(s)

Substance Use Disorders-Multiple

Smith, Ronald E P-1193

La Vista, NE

Probation 1/22/2014 1/22/2016 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Severe

xMind-Altering Substance Dependence

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PROFESSION

LICENSE TYPE

NAME LIC NO

TYPE OF

DISCIPLINARY ACTION START DATE END DATE VIOLATION

DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES

Page 14 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Provisional Alcohol and Drug Counselor

Snider, Victoria Lynn P-1519

Alta, IA

Probation 7/26/2017 Misdemeanor Conviction(s)

Substance Use Disorders-Multiple

Stephens, Johna Rachael P-1163

Lincoln, NE

Probation 9/20/2013 3/7/2015 Alcohol Dependency

Misdemeanor Conviction(s)

Sullivan, Robin L P-1222

Omaha, NE

Probation 5/7/2014 10/4/2017 Alcohol Dependency

Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

xMind-Altering Substance Abuse

xMind-Altering Substance Dependence

Texidor, Terry P-1389

Omaha, NE

Censure 11/16/2016 Controlled Substance Dependence

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

xMind-Altering Substance Dependence

Civil Penalty 5/16/2017 Controlled Substance Dependence

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

xMind-Altering Substance Dependence

Probation 2/18/2016 Controlled Substance Dependence

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

xMind-Altering Substance Dependence

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Page 15 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Provisional Alcohol and Drug Counselor

Topolski, David Allen P-1304

Omaha, NE

Probation 4/16/2015 4/16/2017 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Mild

xCont Substance Use Disorder - Moderate

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Page 16 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Provisional Alcohol and Drug Counselor

Tower, Lisa Marie P-1150

Norfolk, NE

Censure 12/15/2014 Alcohol Dependency

Controlled Substance Dependence

Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

xMind-Altering Substance Dependence

Civil Penalty 6/15/2015 Alcohol Dependency

Controlled Substance Dependence

Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

xMind-Altering Substance Dependence

Probation 7/29/2013 12/25/2014 Alcohol Dependency

Controlled Substance Dependence

Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

xMind-Altering Substance Dependence

Suspension 12/25/2014 9/21/2015 Alcohol Dependency

9/21/2015

12/25/2014 9/21/2015 Controlled Substance Dependence

9/21/2015

12/25/2014 9/21/2015 Failure to Disclose Convictions

9/21/2015

12/25/2014 9/21/2015 Felony Conviction(s)

9/21/2015

12/25/2014 9/21/2015 Misdemeanor Conviction(s)

9/21/2015

12/25/2014 9/21/2015 Probation Violation

9/21/2015

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Page 17 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Provisional Alcohol and Drug Counselor

Suspension 12/25/2014 9/21/2015 xMind-Altering Substance Dependence

9/21/2015

Uribe, Randall Jon P-1194

Lincoln, NE

Probation 1/27/2014 1/27/2015 Alcohol Dependency

Alcohol Use Disorder, Severe

Failure to Comply With Aftercare

Felony Conviction(s)

Misdemeanor Conviction(s)

Substance Use Disorder

Unprofessional Conduct

xMind-Altering Substance Dependence

Revocation 7/18/2018 Alcohol Dependency

Alcohol Use Disorder, Severe

Failure to Comply With Aftercare

Felony Conviction(s)

Misdemeanor Conviction(s)

Substance Use Disorder

Unprofessional Conduct

xMind-Altering Substance Dependence

Valdez, Juan V. P-992

Gering, NE

Probation 4/22/2011 4/22/2013 Controlled Substance Dependence

xCriminal Conviction(s)

Wells, Trina Ann P-1523

Omaha, NE

Probation 8/17/2017 8/17/2020 Felony Conviction(s)

Misdemeanor Conviction(s)

Substance Use Disorder

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Page 18 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Provisional Alcohol and Drug Counselor

Welton-Jackson, Marci Ann P-712

Lincoln, NE

Censure 5/6/2010 Controlled Substance Dependence

Probation Violation

xCriminal Conviction(s)

Civil Penalty 11/6/2010 Controlled Substance Dependence

Probation Violation

xCriminal Conviction(s)

Zollicoffer, Mat Lavern P-1639

Omaha, NE

Probation 11/20/2018 11/20/2021 Felony Conviction(s)

Misdemeanor Conviction(s)

Substance Use Disorders-Multiple

Asbestos

Asbestos Inspector

Gibson, Brian A 941

Omaha, NE

Civil Penalty 3/29/2017 4/29/2017 178 NAC 22 - Asbestos Control Act

Jefka, Stuart 1260

West Palm Beach, FL

Civil Penalty 6/26/2017 7/26/2017 178 NAC 22 - Asbestos Control Act

Whalen, Michael J 929

Omaha, NE

Revocation 6/27/2010 Unprofessional Conduct

Asbestos Project Designer

Arritt, Robert E 683

Omaha, NE

Civil Penalty 7/12/2012 9/17/2012 Violation of UCA

Girard, Aaron Thomas 706

Sioux City, IA

Civil Penalty 5/29/2014 6/29/2014 11.02D Appropriate Respirator

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Page 19 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Asbestos Project Designer

Huber, Perry L 682

Hermosa, SD

Civil Penalty 6/16/2016 7/16/2016 178 NAC 22 - Asbestos Control Act

Asbestos Supervisor

Aguirre, Ovidio 7073

Omaha, NE

Civil Penalty 5/6/2015 6/6/2015 178 NAC 22 - Asbestos Control Act

Blanco, Jesus M 6902

Omaha, NE

Civil Penalty 1/22/2014 2/22/2014 11.02D Appropriate Respirator

Byers, Roger A 6849

Omaha, NE

Civil Penalty 6/21/2017 7/21/2017 178 NAC 22 - Asbestos Control Act

Dittman, Dillon T 7187

Norfolk, NE

Civil Penalty 6/21/2017 7/21/2017 178 NAC 22 - Asbestos Control Act

Erickson, Nicholas 5942

Lincoln, NE

Civil Penalty 10/8/2013 10/8/2013 11.02D Appropriate Respirator

Flores, Juan J 6975

Omaha, NE

Civil Penalty 5/14/2015 6/14/2015 11.02D Appropriate Respirator

Garcia, Andy 6831

Norfolk, NE

Civil Penalty 8/6/2013 9/6/2013 11.02D Appropriate Respirator

Garcia, Matias 6126

Bellevue, NE

Civil Penalty 5/21/2014 6/21/2014 11.02D Appropriate Respirator

5/6/2015 6/6/2015 178 NAC 22 - Asbestos Control Act

Garcia, Raul Angel 6305

Bellevue, NE

Civil Penalty 6/5/2013 6/5/2013 11.02D Appropriate Respirator

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Page 20 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Asbestos Supervisor

Gonzales, Luis Antonio B 6405

Omaha, NE

Civil Penalty 1/14/2016 2/13/2016 178 NAC 22 - Asbestos Control Act

Gonzalez, Miguel G 3698

Omaha, NE

Civil Penalty 5/14/2015 6/14/2016 178 NAC 22 - Asbestos Control Act

Heaston, George V 6652

Omaha, NE

Civil Penalty 10/4/2016 10/4/2016 178 NAC 22 - Asbestos Control Act

Lawrenz, Stacy P 7254

Lincoln, NE

Civil Penalty 6/13/2018 6/13/2018 11.02D Appropriate Respirator

178 NAC 22 - Asbestos Control Act

Madkins, Tony Terrell 7155

Lincoln, NE

Civil Penalty 1/14/2016 2/13/2016 11.02D Appropriate Respirator

Merksick, Steven P 5594

Council Bluffs, IA

Probation 8/19/2013 8/19/2014 Misrepresentation of Material Facts

Revocation 8/12/2014 178 NAC 22 - Asbestos Control Act

Muniz, Jose F 6998

Norfolk, NE

Civil Penalty 8/6/2013 9/6/2013 11.02D Appropriate Respirator

O'Dey, Darrin D 6509

Norfolk, NE

Civil Penalty 10/16/2018 178 NAC 22 - Asbestos Control Act

Romero, Kaicer L 6605

Omaha, NE

Civil Penalty 5/21/2014 6/21/2014 11.02D Appropriate Respirator

Thibodeau, Michael W 7121

Norfolk, NE

Civil Penalty 6/21/2017 7/21/2017 178 NAC 22 - Asbestos Control Act

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Page 21 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Asbestos Supervisor

Whalen, Michael J 6696

Omaha, NE

Revocation 6/27/2010 Unprofessional Conduct

Asbestos Worker

Aguero, Jose Juan 6873

Omaha, NE

Civil Penalty 5/21/2014 6/21/2014 11.02D Appropriate Respirator

Andrade Villatoro, Luigui P 7849

Omaha, NE

Civil Penalty 5/14/2015 6/14/2015 11.02D Appropriate Respirator

Boltz, Michael T 8047

Sioux City, IA

Civil Penalty 11/12/2015 12/12/2015 178 NAC 22 - Asbestos Control Act

Britten, Dan M 7964

Omaha, NE

Civil Penalty 6/5/2013 6/5/2013 11.02D Appropriate Respirator

Castillo, Edwin J 7975

Lincoln, NE

Civil Penalty 7/25/2013 7/25/2013 11.02D Appropriate Respirator

Clark, Michael S 7951

Lincoln, NE

Civil Penalty 8/6/2013 9/6/2013 11.02D Appropriate Respirator

Codina, Sergio 7303

Omaha, NE

Civil Penalty 1/22/2014 2/22/2014 11.02D Appropriate Respirator

Cook, Dion L 7727

Lincoln, NE

Civil Penalty 3/4/2011 3/16/2011 Failure to Pay Fees

Suspension 3/10/2011

Gant, Clinton S 8142

Sioux City, IA

Civil Penalty 11/12/2015 12/12/2015 178 NAC 22 - Asbestos Control Act

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Page 22 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Asbestos Worker

Gonzalez, Alejandro 7522

Omaha, NE

Civil Penalty 1/22/2014 2/22/2014 11.02D Appropriate Respirator

Gorman, Willard 6927

Des Moines, IA

Civil Penalty 10/17/2016 10/17/2016 11.02D Appropriate Respirator

Hogue, Terrill Lamont 8117

Omaha, NE

Suspension 5/4/2018 11/16/2018 Delinquent Child Support Payment

Hyde, Harvey H, Jr 7791

Lincoln, NE

Civil Penalty 9/10/2014 10/10/2014 11.02D Appropriate Respirator

10/17/2016 10/17/2016

Jones, David L 7374

Lincoln, NE

Civil Penalty 8/13/2013 9/13/2013 11.02D Appropriate Respirator

Lorenzo, Francisco 6883

Omaha, NE

Civil Penalty 6/5/2013 6/5/2013 11.02D Appropriate Respirator

Madkins, Tony Terrell 7835

Lincoln, NE

Civil Penalty 8/13/2013 9/13/2013 11.02D Appropriate Respirator

McCartney, Danniel L 7721

Lincoln, NE

Civil Penalty 7/25/2013 7/25/2013 11.02D Appropriate Respirator

McJunkin, Dashain D 8099

Omaha, NE

Civil Penalty 1/14/2016 2/13/2016 11.02D Appropriate Respirator

8/9/2018 9/9/2018

Nevarez, Nicolas 8005

Lincoln, NE

Civil Penalty 5/14/2015 6/14/2015 11.02D Appropriate Respirator

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Page 23 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Asbestos Worker

Ramirez Ocasio, Alberto 7931

Omaha, NE

Civil Penalty 5/21/2014 6/21/2014 11.02D Appropriate Respirator

Ramirez Vega, Felix 7943

Sioux City, IA

Civil Penalty 11/12/2015 12/12/2015 178 NAC 22 - Asbestos Control Act

Raya, Arturo 7851

Des Moines, IA

Civil Penalty 5/6/2015 6/6/2015 178 NAC 22 - Asbestos Control Act

Rios, Mario A 8018

Omaha, NE

Civil Penalty 5/6/2015 6/6/2015 178 NAC 22 - Asbestos Control Act

Rodriguez Cervantes, Miguel 8196

Norfolk, NE

Civil Penalty 10/16/2018 11.02D Appropriate Respirator

Rodriguez, Sonia 7805

Bellevue, NE

Civil Penalty 5/21/2014 6/21/2014 11.02D Appropriate Respirator

Ross, John Rogers 7984

Lincoln, NE

Civil Penalty 6/21/2017 7/21/2017 178 NAC 22 - Asbestos Control Act

Ruiz, Victor M 7806

Omaha, NE

Civil Penalty 1/22/2014 2/22/2014 11.02D Appropriate Respirator

Scott, Roosevelt 6786

Omaha, NE

Civil Penalty 5/21/2014 6/21/2014 11.02D Appropriate Respirator

Smith, LaQuan C 8060

Omaha, NE

Civil Penalty 8/28/2014 9/28/2014 178 NAC 22 - Asbestos Control Act

Thomas, William L 8116

Lincoln, NE

Civil Penalty 6/18/2015 6/18/2015 178 NAC 22 - Asbestos Control Act

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Page 24 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Asbestos Worker

Thurman, Leroy 8124

Lincoln, NE

Civil Penalty 6/18/2015 7/18/2015 178 NAC 22 - Asbestos Control Act

War Bonnett, Kyle 7963

Lincoln, NE

Civil Penalty 5/14/2015 6/14/2015 11.02D Appropriate Respirator

Wortham, Glenn 7528

Lincoln, NE

Revocation 1/9/2010 Unprofessional Conduct

Zapata, Joel, Jr 7776

Omaha, NE

Civil Penalty 5/21/2014 6/21/2014 11.02D Appropriate Respirator

Athletic Training

Athletic Trainer

Brown, Allyson Carly 994

Omaha, NE

Probation 10/1/2019 10/1/2020 Misdemeanor Conviction(s)

Substance Use Disorders-Multiple

Freeburg, Austin A 593

Scottsbluff, NE

Probation 8/31/2011 8/31/2012 Unlicensed Practice

Henthorne, Jordan M 685

Kearney, NE

Probation 9/9/2013 12/8/2013 Misrepresentation of Material Facts

Hume, Jeffrey Ryan 299

Blair, NE

Probation 2/22/2013 8/22/2013 Unlicensed Practice

Smith, Judy May 77

Waterloo, NE

Probation 12/26/2017 12/26/2019 Unlicensed Practice

Audiology/Speech-Language Path

Audiologist

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Page 25 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Audiologist

Goracke, Loretta M 24

Pickrell, NE

Civil Penalty 6/25/2012 12/25/2012 Failure to Pay Fees

Practice Fraudulently

Unprofessional Conduct

Probation 7/5/2012 Failure to Pay Fees

Practice Fraudulently

Unprofessional Conduct

Suspension 1/17/2013 Failure to Pay Fees

Practice Fraudulently

Unprofessional Conduct

Speech-Language Pathologist

Davenport, Erin A 1514

Lincoln, NE

Civil Penalty 6/4/2014 12/4/2014 Failure to File Report-38-1,124,38-1,125

Misrepresentation of Material Facts

Unprofessional Conduct

Violation of Dept Order

Revocation 8/1/2015 Failure to File Report-38-1,124,38-1,125

Misrepresentation of Material Facts

Unprofessional Conduct

Violation of Dept Order

Suspension 6/14/2014 7/14/2014 Failure to File Report-38-1,124,38-1,125

Misrepresentation of Material Facts

Unprofessional Conduct

Violation of Dept Order

DeRosa, Susan Marie 1709

Bronx, NY

Probation 11/13/2014 11/13/2015 Other State Action

Karhoff, Kelly Lynne 1200

Omaha, NE

Probation 2/10/2013 2/10/2015 Misdemeanor Conviction(s)

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Page 26 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Speech-Language Pathologist

Rundstrom, Teressa S 903

Portland, OR

Civil Penalty 12/21/2009 6/21/2010 Misdemeanor Conviction(s)

Unprofessional Conduct

Probation 12/31/2009 Misdemeanor Conviction(s)

Unprofessional Conduct

Skripsky, Sarah Marie 1387

La Vista, NE

Probation 3/2/2010 3/2/2011 Unlicensed Practice

Wheeler, Jessica 1515

Omaha, NE

Probation 3/21/2012 9/21/2012 xFraud,Forgery,Misrep Material Facts

Body Art

Body Brander

Coon, Ronn L 6

Omaha, NE

Probation 4/9/2010 4/9/2012 Failure to Comply w Federal or State Law

xCourt Conviction

Body Piercer

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Page 27 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Body Piercer

Alderette, Leon Charles 197

Bellevue, NE

Civil Penalty 11/5/2013 5/5/2014 Misdemeanor Conviction(s)

5/7/2015 5/7/2016

11/5/2013 5/5/2014 Misrepresentation of Material Facts

5/7/2015 5/7/2016

11/5/2013 5/5/2014 Permitting Aiding & Abetting

5/7/2015 5/7/2016

11/5/2013 5/5/2014 Practice in Unlicensed Premises

5/7/2015 5/7/2016

11/5/2013 5/5/2014 Unlicensed Practice

5/7/2015 5/7/2016

Probation 2/22/2018 2/22/2021 Failed to Report Conviction in 30 days

11/15/2013 5/15/2014 Misdemeanor Conviction(s)

2/22/2018 2/22/2021

11/15/2013 5/15/2014 Misrepresentation of Material Facts

2/22/2018 2/22/2021

11/15/2013 5/15/2014 Permitting Aiding & Abetting

Practice in Unlicensed Premises

2/22/2018 2/22/2021 Substance Use Disorder

11/15/2013 5/15/2014 Unlicensed Practice

Alexander, Zachary Scott 177

Lincoln, NE

Probation 3/16/2011 Controlled Substance Dependence

Failure to Disclose Convictions

xCriminal Conviction(s)

Allsman, Matthew Alexander 140

Columbus, NE

Censure 12/14/2010 Misrepresentation of Material Facts

Allsman, Trenton Thomas 141

Lincoln, NE

Probation 2/12/2014 8/12/2014 Unlicensed Practice

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Page 28 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Body Piercer

Beirola, Jennifer J 85

Omaha, NE

Civil Penalty 10/21/2015 4/21/2016 Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

Bortner, Ryan Wayne 224

North Platte, NE

Probation 5/16/2014 11/16/2014 Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Coon, Ronn L 161

Omaha, NE

Probation 4/9/2010 4/9/2012 Failure to Comply w Federal or State Law

xCourt Conviction

Fortner, Leighton Robert Cole 171

La Vista, NE

Probation 12/22/2010 11/14/2011 Delinquent Child Support Payment

Failure to Disclose Convictions

Failure to File Report-38-1,124,38-1,125

12/26/2018 10/1/2019 Felony Conviction(s)

Misdemeanor Conviction(s)

12/22/2010 11/14/2011 Permitting Aiding & Abetting

Violation of Dept Order

xCriminal Conviction(s)

Gaeta, Robert A 247

Norfolk, NE

Probation 3/14/2016 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Gandert, James A J 40

Norfolk, NE

Censure 11/16/2009 Permitting Aiding & Abetting

Civil Penalty 5/16/2010

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Page 29 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Body Piercer

Hansen, Sabrina Marie 150

Seward, NE

Probation 10/11/2019 10/11/2021 Alcohol Use Disorder, Moderate

Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

Jerke, Bethani LeAnn 296

Hastings, NE

Probation 4/17/2018 Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Leick, Aaron Madsen 226

Omaha, NE

Probation 6/9/2014 Alcohol Dependency

Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Nath, Chad Michael 63

Omaha, NE

Censure 4/19/2012 Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation 4/29/2012 4/29/2013 Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Nuzum, Kathryn Sue 251

Bellevue, NE

Probation 5/19/2016 11/19/2016 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Slagle, Seth Marshall 158

Lincoln, NE

Probation 3/3/2010 3/3/2011 xCourt Conviction

Stevens, Colin H 142

Norfolk, NE

Revocation 11/25/2010 Probation Violation

xCourt Conviction

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Page 30 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Body Piercer

Stewart, Christopher Michael 283

Bellevue, NE

Probation 11/9/2017 11/9/2018 Felony Conviction(s)

Strong, Shawn 62

Beatrice, NE

Censure 4/5/2012 Permitting Aiding & Abetting

Wilsey, David Richard 43

Hastings, NE

Probation 4/6/2016 8/2/2017 Controlled Substance Dependence

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Practice while Impaired

Wilson, Ronald Lee 175

Holdrege, NE

Probation 2/14/2011 8/14/2011 Failure to Disclose Convictions

xCriminal Conviction(s)

Permanent Color Technician

Allmon, Megan Joanna 83

Omaha, NE

Probation 2/25/2016 11/12/2019 Alcohol Abuse

Controlled Substance Dependence

Felony Conviction(s)

xMind-Altering Substance Abuse

Baker, Jodi Lyn 225

Omaha, NE

Probation 1/7/2019 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Coon, Ronn L 66

Omaha, NE

Probation 4/9/2010 4/9/2012 Failure to Comply w Federal or State Law

xCourt Conviction

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Page 31 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Permanent Color Technician

Hansen, Kelly Louise 37

Seward, NE

Censure 3/3/2010 Misrepresentation of Material Facts

Unprofessional Conduct

Civil Penalty 9/3/2010 Misrepresentation of Material Facts

Unprofessional Conduct

Probation 3/13/2010 9/13/2010 Misrepresentation of Material Facts

Unprofessional Conduct

Judkins, Melanie Marie 4

Omaha, NE

Censure 10/7/2010 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Rader, Amanda Lorretta 260

Lexington, NE

Probation 6/11/2019 12/11/2019 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Zook, Fran K 30

Grand Island, NE

Civil Penalty 7/22/2015 7/22/2016 Permitting Aiding & Abetting

Tattoo Artist

Adkisson, Todd Stephen 174

Sutherland, NE

Civil Penalty 12/19/2013 6/19/2014 Permitting Aiding & Abetting

Probation 12/29/2013 6/29/2014

Aguilar, Andrew J 630

Lincoln, NE

Probation 1/27/2017 1/27/2021 Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

Albers, Anthony J 481

Blair, NE

Probation 9/19/2013 9/19/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

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Page 32 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Tattoo Artist

Alderette, Leon Charles 437

Bellevue, NE

Civil Penalty 11/5/2013 5/5/2014 Misdemeanor Conviction(s)

5/7/2015 5/7/2016

11/5/2013 5/5/2014 Misrepresentation of Material Facts

5/7/2015 5/7/2016

11/5/2013 5/5/2014 Permitting Aiding & Abetting

5/7/2015 5/7/2016

11/5/2013 5/5/2014 Practice in Unlicensed Premises

5/7/2015 5/7/2016

11/5/2013 5/5/2014 Unlicensed Practice

5/7/2015 5/7/2016

Probation 2/22/2018 2/22/2021 Failed to Report Conviction in 30 days

11/15/2013 5/15/2014 Misdemeanor Conviction(s)

2/22/2018 2/22/2021

11/15/2013 5/15/2014 Misrepresentation of Material Facts

2/22/2018 2/22/2021

11/15/2013 5/15/2014 Permitting Aiding & Abetting

Practice in Unlicensed Premises

2/22/2018 2/22/2021 Substance Use Disorder

11/15/2013 5/15/2014 Unlicensed Practice

Allen, Maxwell J 677

McCook, NE

Censure 3/1/2019 Failed to Report Conviction in 30 days

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation Violation

Probation 11/14/2017 2/19/2019 Failed to Report Conviction in 30 days

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation Violation

Arias, Eric J 508

Lincoln, NE

Probation 7/16/2014 7/16/2015 Failure to Disclose Convictions

Misdemeanor Conviction(s)

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Page 33 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Tattoo Artist

Avila, Jose Luis, Jr 384

Springfield, MO

Probation 11/16/2011 4/16/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Barber, Ariel Brianne 777

Omaha, NE

Probation 8/1/2019 2/1/2020 Misdemeanor Conviction(s)

Substance Use Disorder

Barnhill, Wesley James 581

Stapleton, NE

Censure 6/28/2019 Permitting Aiding & Abetting

Practice in Unlicensed Premises

Civil Penalty 12/28/2019 Permitting Aiding & Abetting

Practice in Unlicensed Premises

Beaudette, Aaron Michael 287

Fremont, NE

Probation 11/9/2009 8/14/2010 xCourt Conviction

Beirola, Jennifer J 20

Omaha, NE

Civil Penalty 10/21/2015 4/21/2016 Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

Bothwell, Dillion B 498

Omaha, NE

Probation 4/18/2014 Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

Suspension 11/3/2014 Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

Coon, Ronn L 299

Omaha, NE

Probation 4/9/2010 4/9/2012 Failure to Comply w Federal or State Law

xCourt Conviction

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Page 34 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Tattoo Artist

Davidson, Jackie L, II 503

Wichita Falls, TX

Civil Penalty 2/11/2015 8/11/2015 Misrepresentation of Material Facts

Unlicensed Practice

DeLeon, Kody N 548

Omaha, NE

Suspension - Non-Child Support Payment 7/11/2019 Delinquent Child Support Payment

Diaz, Miguel Angel, Jr 328

Omaha, NE

Probation 11/12/2010 11/12/2012 Failure to Disclose Convictions

Probation Violation

xCriminal Conviction(s)

Revocation 2/19/2013 Failure to Disclose Convictions

Probation Violation

xCriminal Conviction(s)

Dishman, Robert J 260

Elgin, NE

Civil Penalty 2/23/2012 8/23/2012 Failure to Comply w Federal or State Law

Practice in Unlicensed Premises

Unlicensed Practice

Violation of UCA

Probation 3/3/2012 Failure to Comply w Federal or State Law

Practice in Unlicensed Premises

Unlicensed Practice

Violation of UCA

Drefs, Jeremiah J 434

Omaha, NE

Probation 9/13/2012 3/13/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Dvorak, Michael John 714

Omaha, NE

Probation 5/30/2018 5/30/2022 Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Substance Use Disorders-Multiple

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Page 35 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Tattoo Artist

Elmore, Charles Lawrence 537

Papillion, NE

Probation 4/9/2015 4/9/2017 Delinquent Child Support Payment

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Forrest, Loren Mae 751

Lincoln, NE

Probation 2/19/2019 8/19/2019 Failure to Disclose Convictions

Misdemeanor Conviction(s)

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Page 36 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Tattoo Artist

Fortner, Leighton Robert Cole 335

La Vista, NE

Civil Penalty 4/9/2015 10/9/2015 Delinquent Child Support Payment

Failure to Disclose Convictions

Failure to File Report-38-1,124,38-1,125

Permitting Aiding & Abetting

Violation of Dept Order

xCriminal Conviction(s)

Probation 12/22/2010 6/22/2011 Delinquent Child Support Payment

4/19/2015 11/26/2015

3/21/2018 9/16/2018

12/22/2010 6/22/2011 Failure to Disclose Convictions

4/19/2015 11/26/2015

3/21/2018 9/16/2018

12/22/2010 6/22/2011 Failure to File Report-38-1,124,38-1,125

4/19/2015 11/26/2015

3/21/2018 9/16/2018

12/22/2010 6/22/2011 Permitting Aiding & Abetting

4/19/2015 11/26/2015

3/21/2018 9/16/2018

12/22/2010 6/22/2011 Violation of Dept Order

4/19/2015 11/26/2015

3/21/2018 9/16/2018

12/22/2010 6/22/2011 xCriminal Conviction(s)

4/19/2015 11/26/2015

3/21/2018 9/16/2018

Suspension 11/26/2015 2/22/2018 Delinquent Child Support Payment

9/16/2018 10/4/2018

11/26/2015 2/22/2018 Failure to Disclose Convictions

9/16/2018 10/4/2018

11/26/2015 2/22/2018 Failure to File Report-38-1,124,38-1,125

9/16/2018 10/4/2018

11/26/2015 2/22/2018 Permitting Aiding & Abetting

9/16/2018 10/4/2018

11/26/2015 2/22/2018 Violation of Dept Order

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Page 37 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Tattoo Artist

Suspension 9/16/2018 10/4/2018 Violation of Dept Order

11/26/2015 2/22/2018 xCriminal Conviction(s)

9/16/2018 10/4/2018

Furlong, William John 438

Omaha, NE

Probation 10/15/2012 Felony Conviction(s)

Gaeta, Robert A 573

Norfolk, NE

Probation 1/26/2016 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Gandert, James A J 78

Norfolk, NE

Censure 11/16/2009 Permitting Aiding & Abetting

Civil Penalty 5/16/2010

Garcia, Miguel A 429

Grand Island, NE

Probation 8/20/2012 2/20/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Garcia, Rigoberto 205

Scottsbluff, NE

Suspension 12/23/2009 Misdemeanor Conviction(s)

Unprofessional Conduct

Garman, Temple A 279

Rushville, NE

Civil Penalty 11/25/2014 5/25/2015 Misrepresentation of Material Facts

Probation Violation

Unlicensed Practice

Probation 12/5/2014 5/5/2015 Misrepresentation of Material Facts

Probation Violation

Unlicensed Practice

Suspension 3/23/2015 Misrepresentation of Material Facts

Probation Violation

Unlicensed Practice

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Page 38 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Tattoo Artist

Gilster, Robert Gordon 186

Grand Island, NE

Probation 12/9/2009 2/9/2010 xCourt Conviction

Goettsch, Thomas Henry 417

Columbus, NE

Probation 6/6/2012 10/14/2012 Misdemeanor Conviction(s)

xMind-Altering Substance Dependence

Suspension 10/15/2012 1/24/2017 Misdemeanor Conviction(s)

xMind-Altering Substance Dependence

Gomez, Jose Juan 756

Sioux City, IA

Probation 2/25/2019 8/25/2019 Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Goodteacher, Edwin Massey, Jr 131

Lincoln, NE

Civil Penalty 1/31/2013 3/31/2014 Misdemeanor Conviction(s)

Probation 2/10/2013 2/10/2014

Suspension 4/30/2014 9/4/2014

Goodteacher, Thomas Joseph 76

Fairbury, NE

Probation 7/19/2010 4/24/2011 Failure to Disclose Convictions

Probation Violation

xCourt Conviction

Revocation 4/24/2011 Failure to Disclose Convictions

Probation Violation

xCourt Conviction

Graber, Leslie James 272

Omaha, NE

Censure 12/1/2011 Probation Violation

xCourt Conviction

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Page 39 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Tattoo Artist

Heiliger, Wayne James 234

Omaha, NE

Suspension 12/12/2013 Alcohol Dependency

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Hernandez, Alberto, Jr 343

Carter Lake, IA

Probation 1/10/2011 xCriminal Conviction(s)

Holmes III, Edward 658

Omaha, NE

Probation 7/7/2017 1/7/2018 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Suspension 12/11/2017 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Holmes, Robert H 14

Omaha, NE

Civil Penalty 7/23/2014 1/23/2015 Permitting Aiding & Abetting

Probation 8/2/2014 8/2/2015

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Page 40 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Tattoo Artist

Huerta, Isaac 494

Omaha, NE

Censure 7/1/2015 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 1/1/2016 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Probation 6/2/2019 6/2/2021 Failed to Report Conviction in 30 days

3/10/2014 5/14/2015 Failure to Disclose Convictions

Misdemeanor Conviction(s)

6/2/2019 6/2/2021

3/10/2014 5/14/2015 Probation Violation

Suspension 11/3/2014 1/7/2015 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Ideker, Jesse Ryan 713

Omaha, NE

Probation 5/23/2018 11/23/2018 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Judkins, Melanie Marie 34

Omaha, NE

Censure 10/7/2010 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Klein, Nathan J 182

Loomis, NE

Censure 1/12/2010 Unprofessional Conduct

Civil Penalty 1/1/2011

Probation 1/22/2010 1/22/2011

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Tattoo Artist

Kline, Jason David 407

Omaha, NE

Probation 4/6/2012 10/6/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Revocation 3/2/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Lawson, Nicholas Donald 631

Lincoln, NE

Probation 2/1/2017 8/1/2017 Misdemeanor Conviction(s)

Locke, Anthony Wayne 504

Bennington, NE

Probation 6/13/2014 12/13/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Longoria, Raul 382

Omaha, NE

Probation 11/2/2011 11/2/2016 Alcohol Dependency

Controlled Substance Dependence

Felony Conviction(s)

Misdemeanor Conviction(s)

Unlicensed Practice

Magnetti, Scott R 379

Omaha, NE

Censure 7/26/2012 Practice in Unlicensed Premises

Unprofessional Conduct

Civil Penalty 1/26/2014 Practice in Unlicensed Premises

Unprofessional Conduct

Malchow, Jeremiah Arnold 403

Plattsmouth, NE

Probation 3/30/2012 Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Tattoo Artist

Malone, Michael A 290

Grand Island, NE

Probation 12/8/2009 8/11/2011 Probation Violation

xCourt Conviction

Revocation 8/11/2011 Probation Violation

xCourt Conviction

Martini, Christopher Edward 125

Omaha, NE

Probation 11/18/2009 11/18/2010 Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

xCourt Conviction

Martini, Danielle Michelle 458

Lincoln, NE

Probation 7/22/2016 1/22/2017 Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

McCoy, Tanner D 325

Lincoln, NE

Probation 3/11/2018 3/11/2019 Alcohol Use Disorder, Severe

Failed to Report Conviction in 30 days

10/26/2010 10/26/2012 Failure to Disclose Convictions

3/11/2018 3/11/2019 Misdemeanor Conviction(s)

10/26/2010 10/26/2012 xCriminal Conviction(s)

Miller, Dan J 240

Columbus, NE

Censure 10/14/2010 Misrepresentation of Material Facts

Moran, Justin Clark 539

Oneill, NE

Probation 4/20/2015 10/20/2015 Delinquent Child Support Payment

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Suspension - Non-Child Support Payment 5/7/2017 Delinquent Child Support Payment

Failure to Disclose Convictions

Misdemeanor Conviction(s)

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Page 43 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Tattoo Artist

Muessel, Ryan G 455

Omaha, NE

Probation 4/12/2013 10/12/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Nath, Chad Michael 229

Omaha, NE

Censure 4/19/2012 Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation 4/29/2012 4/29/2013 Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Nguyen, Kenneth Lee 331

Lincoln, NE

Probation 12/1/2010 3/31/2013 Failure to Disclose Convictions

xCriminal Conviction(s)

Olivo, Aaron M 523

Omaha, NE

Probation 11/13/2014 11/13/2015 Felony Conviction(s)

Misdemeanor Conviction(s)

Peterson, Joseph Harley 82

Chapman, NE

Probation 3/6/2012 3/6/2014 Felony Conviction(s)

Misdemeanor Conviction(s)

Phillips, Scott Allen 342

Bellevue, NE

Censure 9/29/2014 Violation of UCA

Civil Penalty 3/29/2015

Pochop, Michael Jerome 520

Hastings, NE

Probation 10/27/2014 4/27/2015 Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Proctor, Joe Wesley 48

Aurora, NE

Censure 12/2/2010 Misrepresentation of Material Facts

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Tattoo Artist

Proctor, Shaun 426

Grand Island, NE

Probation 7/30/2012 1/30/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Rader, Amanda Lorretta 768

Lexington, NE

Probation 6/11/2019 12/11/2019 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Rasmussen, Jaret W 652

Shelton, NE

Probation 6/23/2017 6/23/2019 Misdemeanor Conviction(s)

Probation Violation

Substance Use Disorders-Multiple

Revocation 3/1/2019 Misdemeanor Conviction(s)

Probation Violation

Substance Use Disorders-Multiple

Rebmann, Walter Matthew 436

Saint Louis, MO

Probation 10/2/2012 Misdemeanor Conviction(s)

Unlicensed Practice

Redmerski, Dustin Lopaka 352

Omaha, NE

Censure 12/13/2012 Permitting Aiding & Abetting

xCriminal Conviction(s)

Civil Penalty 12/13/2013 Permitting Aiding & Abetting

xCriminal Conviction(s)

Probation 3/1/2011 9/1/2011 Permitting Aiding & Abetting

xCriminal Conviction(s)

Roy, Tyson Matthew 465

North Platte, NE

Probation 6/24/2013 Alcohol Dependency

Misdemeanor Conviction(s)

xMind-Altering Substance Dependence

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Page 45 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Tattoo Artist

Scheffler, Dakota James 746

Fullerton, NE

Probation 1/10/2019 8/9/2019 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Suspension 5/8/2019 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Sharp, Clayton Allen 339

Omaha, NE

Censure 9/22/2011 Alcohol Abuse

Failure to Disclose Convictions

Probation Violation

xCriminal Conviction(s)

Civil Penalty 9/22/2012 Alcohol Abuse

Failure to Disclose Convictions

Probation Violation

xCriminal Conviction(s)

Probation 12/23/2010 2/23/2012 Alcohol Abuse

Failure to Disclose Convictions

Probation Violation

xCriminal Conviction(s)

Revocation 2/23/2012 Alcohol Abuse

Failure to Disclose Convictions

Probation Violation

xCriminal Conviction(s)

Shillings, Wesley P 385

Wymore, NE

Probation 11/16/2011 4/16/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Smith, Michael Lee 690

Lincoln, NE

Probation 1/18/2018 7/18/2018 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Unlicensed Practice

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Page 46 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Tattoo Artist

Soriano, Juan C 600

Scottsbluff, NE

Probation 7/27/2016 1/27/2017 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Stark, Travis F 317

North Platte, NE

Censure 4/14/2011 Controlled Substance Dependence

7/12/2012

4/25/2013

4/14/2011 Failure to Disclose Convictions

7/12/2012

4/25/2013

4/14/2011 Probation Violation

7/12/2012

4/25/2013

4/14/2011 xCriminal Conviction(s)

7/12/2012

4/25/2013

Civil Penalty 4/14/2011 10/14/2011 Controlled Substance Dependence

4/25/2013 4/25/2014

4/14/2011 10/14/2011 Failure to Disclose Convictions

4/25/2013 4/25/2014

4/14/2011 10/14/2011 Probation Violation

4/25/2013 4/25/2014

4/14/2011 10/14/2011 xCriminal Conviction(s)

4/25/2013 4/25/2014

Probation 8/26/2010 8/26/2014 Controlled Substance Dependence

Failure to Disclose Convictions

Probation Violation

xCriminal Conviction(s)

Revocation 7/4/2014 4/18/2017 Controlled Substance Dependence

Failure to Disclose Convictions

Probation Violation

xCriminal Conviction(s)

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Page 47 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Tattoo Artist

Stattler, Joshua A 466

Plattsmouth, NE

Probation 6/25/2013 12/25/2013 Delinquent Child Support Payment

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Suspension - Non-Child Support Payment 7/24/2015 12/31/2015 Delinquent Child Support Payment

8/25/2018

7/24/2015 12/31/2015 Failure to Disclose Convictions

8/25/2018

7/24/2015 12/31/2015 Misdemeanor Conviction(s)

8/25/2018

Stewart, Christopher Michael 666

Bellevue, NE

Probation 9/20/2017 9/20/2018 Felony Conviction(s)

Stone, Constance Beth 622

McCook, NE

Probation 12/15/2016 6/15/2017 Misdemeanor Conviction(s)

Unlicensed Practice

Strong, Shawn 128

Beatrice, NE

Censure 4/5/2012 Permitting Aiding & Abetting

Sullivan, Simon Carl 609

Fremont, NE

Probation 9/30/2016 3/30/2017 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Szafrajda, James Dean 245

Hastings, NE

Probation 10/7/2013 10/7/2014 Alcohol Abuse

Controlled Substance Abuse

Controlled Substance Dependence

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

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Page 48 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Tattoo Artist

Tichacek-Brower, Machel Lee 396

Lincoln, NE

Civil Penalty 11/1/2012 5/1/2013 Failure to File Report-38-1,124,38-1,125

Practice in Unlicensed Premises

Unlicensed Practice

Probation 11/10/2012 5/10/2013 Failure to File Report-38-1,124,38-1,125

Practice in Unlicensed Premises

Unlicensed Practice

Torrez, Donte 355

Omaha, NE

Probation 3/8/2011 12/1/2011 Probation Violation

Revocation 12/1/2011

Vogt, Lane M 701

Ravenna, NE

Revocation 7/4/2019 Alcohol Use Disorder, Mild

Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

Substance Use Disorder, Severe

Walker, Daniel L 486

Lincoln, NE

Probation 11/13/2013 5/13/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Weddle, Gregory L 329

Columbus, NE

Probation 11/15/2010 Failure to Disclose Convictions

xCriminal Conviction(s)

Williams, Calvin D 338

Omaha, NE

Probation 12/23/2010 6/23/2011 Failure to Disclose Convictions

xCriminal Conviction(s)

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Page 49 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Tattoo Artist

Wilsey, David Richard 85

Hastings, NE

Probation 4/6/2016 8/2/2017 Controlled Substance Dependence

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Practice while Impaired

Wilson, Ronald Lee 349

Holdrege, NE

Probation 2/14/2011 8/14/2011 Failure to Disclose Convictions

xCriminal Conviction(s)

Yager, Nicholas R 360

Lincoln, NE

Censure 1/14/2015 Probation Violation

xAlcohol & Chemical Dependence/Addiction

xCriminal Conviction(s)

Civil Penalty 7/14/2015 Probation Violation

xAlcohol & Chemical Dependence/Addiction

xCriminal Conviction(s)

Probation 4/11/2011 11/10/2011 Probation Violation

12/18/2013 12/18/2015

4/11/2011 11/10/2011 xAlcohol & Chemical Dependence/Addiction

12/18/2013 12/18/2015

4/11/2011 11/10/2011 xCriminal Conviction(s)

12/18/2013 12/18/2015

Revocation 11/10/2011 12/18/2013 Probation Violation

xAlcohol & Chemical Dependence/Addiction

xCriminal Conviction(s)

Zitek, Jeremy Joseph 387

Omaha, NE

Probation 11/28/2011 5/28/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Chiropractic

Chiropractor

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Page 50 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Chiropractor

Anderson, Corey Robert, DC 1246

Juniata, NE

Probation 10/5/2014 10/5/2019 Controlled Substance Dependence

Dishonorable Conduct

Violation of UCSA

Armstrong, Michelle Lavon, DC 1196

Omaha, NE

Civil Penalty 10/15/2010 4/15/2011 Permitting Aiding & Abetting

Unprofessional Conduct

Probation 2/28/2014 Permitting Aiding & Abetting

Unprofessional Conduct

Bauer, Thomas G, DC 618

Lincoln, NE

Civil Penalty 5/21/2010 11/21/2010 Unprofessional Conduct

Probation 5/31/2010 5/31/2012

Belitz, John Francis, DC 1086

Omaha, NE

Censure 8/11/2011 Probation Violation

Unprofessional Conduct

Civil Penalty 2/11/2012 Probation Violation

Unprofessional Conduct

Bowlin, Levi Taylor, DC 1877

Scottsbluff, NE

Probation 1/4/2016 1/4/2019 Alcohol Abuse

Misdemeanor Conviction(s)

Buchta, Geoffrey Raymond, DC 1764

Elkhorn, NE

Probation 5/23/2013 5/23/2014 Alcohol Abuse

Driscoll, Chris William, DC 1177

Omaha, NE

Probation 6/1/2017 12/1/2017 Misrepresentation of Material Facts

Unlicensed Practice

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Page 51 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Chiropractor

Dunlop, Nelson Curtis, DC 1076

North Platte, NE

Censure 11/5/2013 Dishonorable Conduct

Probation Violation

Unprofessional Conduct

Civil Penalty 8/24/2010 2/24/2011 Dishonorable Conduct

8/11/2011 2/11/2012

8/24/2010 2/24/2011 Probation Violation

8/11/2011 2/11/2012

8/24/2010 2/24/2011 Unprofessional Conduct

8/11/2011 2/11/2012

Probation 9/3/2010 5/5/2014 Dishonorable Conduct

Probation Violation

Unprofessional Conduct

Felsing, Richard Allen, DC 989

Crete, NE

Probation 10/8/2013 4/8/2014 Unlicensed Practice

Freeman, Adam James, DC 1903

Omaha, NE

Probation 7/20/2016 7/20/2017 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Hansen, Katherine Elizabeth, DC 1583

Omaha, NE

Probation 10/22/2012 10/22/2013 Permitting Aiding & Abetting

Love, Kenneth Lee, DC 1192

Lincoln, NE

Censure 11/18/2015 Dishonorable Conduct

Unprofessional Conduct

Civil Penalty 2/11/2010 8/11/2010 Dishonorable Conduct

Unprofessional Conduct

Marley, Joel Edwin, DC 1458

Omaha, NE

Probation 2/25/2013 4/26/2013 Unlicensed Practice

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Page 52 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Chiropractor

Melcher, Alesa Jo, DC 1056

Norfolk, NE

Civil Penalty 8/28/2012 8/28/2015 Felony Conviction(s)

Unprofessional Conduct

Muthart, Nicholas J, DC 1708

Kearney, NE

Probation 2/10/2012 8/10/2012 Misdemeanor Conviction(s)

Novotny, Bradlee Neal, DC 1029

Lincoln, NE

Civil Penalty 9/23/2010 3/23/2011 Failure to Disclose Convictions

Permitting Aiding & Abetting

Probation 10/3/2010 10/3/2011 Failure to Disclose Convictions

Permitting Aiding & Abetting

Pomajzl, Randy Lynn, DC 870

Grand Island, NE

Probation 2/21/2010 1/21/2011 Unprofessional Conduct

Riley, Michael David, DC 1897

Joplin, MO

Probation 5/12/2016 5/12/2017 Other State Action

Violation of UCA

Scholl, Derek Alan, DC 1839

Omaha, NE

Probation 2/8/2019 2/8/2020 Alcohol Use Disorder, Moderate

Misdemeanor Conviction(s)

Smith, Sean W, DC 1918

Omaha, NE

Probation 12/8/2016 12/8/2017 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Mild

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Page 53 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Chiropractor

Yoo, David Anthony, DC 1445

Omaha, NE

Revocation 8/25/2011 Dishonorable Conduct

Immoral Conduct

Unprofessional Conduct

Temporary Suspension 8/11/2011 8/25/2011 Dishonorable Conduct

Immoral Conduct

Unprofessional Conduct

Young, Klayton Michael, DC 1912

Omaha, NE

Probation 10/20/2016 3/19/2019 Misdemeanor Conviction(s)

xCont Substance Use Disorder - Severe

Zach, Heather Marie, DC 1795

Lincoln, NE

Probation 11/22/2017 11/22/2018 Unlicensed Practice

Violation of the UCA

Cosmetology

Cosmetician

Darnell, Danielle Lynn 31

Scottsbluff, NE

Civil Penalty 5/20/2016 11/20/2016 Permitting Aiding & Abetting

Practice Beyond Scope

Practice in Unlicensed Premises

Untruthful Advertising

Violation of UCA

Probation 5/30/2016 11/30/2016 Permitting Aiding & Abetting

Practice Beyond Scope

Practice in Unlicensed Premises

Untruthful Advertising

Violation of UCA

Cosmetologist

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Page 54 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Adcock, Michelle Louise 46444

Omaha, NE

Censure 5/6/2010 Controlled Substance Dependence

Misdemeanor Conviction(s)

Probation Violation

Revocation 3/3/2011 Controlled Substance Dependence

Misdemeanor Conviction(s)

Probation Violation

Aken, Carey Sue 34874

Valley, NE

Probation 7/26/2013 Alcohol Dependency

1/18/2012 7/26/2013 Failure to Disclose Convictions

7/26/2013

Felony Conviction(s)

1/18/2012 7/26/2013 Misdemeanor Conviction(s)

7/26/2013

1/18/2012 7/26/2013 Probation Violation

Alfieri, Sarah Elizabeth 46076

San Diego, CA

Probation 7/5/2012 1/5/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Andersen, Brandi Lee 43782

Omaha, NE

Probation 12/13/2013 6/13/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Anderson, Sarah Christine 44593

Wausa, NE

Probation 1/5/2016 7/5/2016 Unlicensed Practice

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Page 55 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Anderson, Stacey Wray 42068

Elkhorn, NE

Civil Penalty 5/7/2015 11/17/2015 Practice Beyond Scope

Practice in Unlicensed Premises

Violation of UCA

Suspension 5/17/2015 2/1/2017 Practice Beyond Scope

Practice in Unlicensed Premises

Violation of UCA

Arfmann, Lacey Austin 43014

Lincoln, NE

Probation 4/15/2019 4/15/2021 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Asche, Loretta Mary 35804

Malcolm, NE

Probation 3/27/2018 9/27/2018 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Atsou, Julie Christine 49084

Omaha, NE

Probation 10/26/2012 Alcohol Dependency

Misdemeanor Conviction(s)

Babcock, Audrey Kay 49872

Lincoln, NE

Probation 3/20/2014 7/12/2017 Alcohol Dependency

Misdemeanor Conviction(s)

Baker, Amy Lynn 48398

Palmyra, NE

Probation 8/31/2011 2/29/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Baker, Michelle Debra Dawn 42945

Minden, NE

Probation 6/1/2010 1/26/2012 Probation Violation

xCourt Conviction

Revocation 1/26/2012 Probation Violation

xCourt Conviction

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Page 56 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Ball, Lacey Jo 47255

Bellevue, NE

Censure 9/22/2011 Probation Violation

xCourt Conviction

Probation 8/6/2010 8/6/2011 Probation Violation

5/10/2012

8/6/2011 xCourt Conviction

5/10/2012

Revocation 5/10/2012 Probation Violation

xCourt Conviction

Barker, Christina Lynne 43606

Lincoln, NE

Probation 4/2/2018 12/25/2018 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Unlicensed Practice

Suspension 12/25/2018 2/21/2019 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Unlicensed Practice

Beal, Kanani Kealoha 51912

Omaha, NE

Probation 4/22/2019 4/22/2021 Misdemeanor Conviction(s)

Becker, Daniel Joseph 47219

Omaha, NE

Censure 4/5/2012 Probation Violation

xCourt Conviction

Civil Penalty 4/5/2013 Probation Violation

xCourt Conviction

Becker, Jennifer Ellen 45537

Scottsbluff, NE

Probation 10/25/2018 10/25/2019 Misdemeanor Conviction(s)

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Page 57 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Beerman, Sarah Jessica 49113

Omaha, NE

Probation 11/13/2012 Alcohol Abuse

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Belitz, Nathaniel John 45542

Norfolk, NE

Probation 10/16/2013 10/16/2017 Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Severe

xMind-Altering Substance Dependence

Revocation 7/2/2014 Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Severe

xMind-Altering Substance Dependence

Bell, Mallory Marie 48888

Omaha, NE

Probation 6/21/2012 6/21/2017 Alcohol Dependency

Misdemeanor Conviction(s)

Benavides, Stevie Nicole 47792

Gering, NE

Probation 8/24/2010 8/24/2011 xCriminal Conviction(s)

Berezay, Amanda Joy 45878

Omaha, NE

Probation 3/30/2017 3/30/2018 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Mild

Berg, Stacy Marlene 48969

Lincoln, NE

Probation 8/16/2012 2/16/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Bienka, Alicia Marie 48575

Lincoln, NE

Censure 5/10/2012 Controlled Substance Abuse

Controlled Substance Dependence

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Probation 12/13/2011 Controlled Substance Abuse

Controlled Substance Dependence

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Bihlmaier, Casondra Rose 48272

North Platte, NE

Probation 10/3/2017 10/3/2019 Failure to Disclose Convictions

10/3/2019 10/3/2020

10/3/2017 10/3/2019 Misdemeanor Conviction(s)

10/3/2019 10/3/2020

10/3/2017 10/3/2019 Probation Violation

10/3/2019 10/3/2020

10/3/2017 10/3/2019 Substance Use Disorder

10/3/2019 10/3/2020

Bittfield, Jamie Jo 35474

Kenesaw, NE

Probation 10/6/2016 4/6/2017 Unlicensed Practice

Bittner, Jessica Eileen 48736

Norfolk, NE

Probation 3/9/2012 9/9/2012 Misdemeanor Conviction(s)

Blain, Shannon Rae 49660

Gering, NE

Probation 10/30/2013 10/30/2014 Misdemeanor Conviction(s)

Bohs, Michelle Clare 47290

Omaha, NE

Revocation 6/30/2011 Probation Violation

xCourt Conviction

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Page 59 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Borcherding, Jessica Lynn 39955

Blair, NE

Probation 11/25/2013 Unlicensed Practice

Bottolfsen, Sandra Christine 45550

Lincoln, NE

Probation 4/18/2010 4/18/2011 Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Bressman, Dorothy LeAnn 49131

Omaha, NE

Probation 2/24/2017 8/24/2017 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Bressman, Madison M 49778

Kearney, NE

Probation 1/21/2014 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

xMind-Altering Substance Dependence

Revocation 2/14/2015 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

xMind-Altering Substance Dependence

Bridgeford, Jasmine Lee 49398

Omaha, NE

Probation 5/10/2013 1/28/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Brignola, Janine Marie 45079

Omaha, NE

Probation 5/3/2010 12/17/2010 xCourt Conviction

11/13/2015 1/29/2016

7/21/2016 4/22/2017

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Page 60 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Bristol, Angela Dawn 48200

Loomis, NE

Probation 4/19/2011 9/28/2011 Alcohol Dependency

Probation Violation

xCriminal Conviction(s)

Brittain, Michelle Marie 41926

Grand Junction, CO

Revocation 8/21/2011 Misrepresentation of Material Facts

Unlicensed Practice

Brodigan, D'Ne Rose 49566

Lincoln, NE

Probation 9/11/2013 5/29/2014 Alcohol Abuse

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Revocation 5/29/2014 Alcohol Abuse

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Brooks, Christina Dawn 46928

Farnhamville, IA

Revocation 4/20/2010 7/12/2012 Probation Violation

xCourt Conviction

Brown, Sue Ann 48562

Hershey, NE

Probation 12/6/2011 6/6/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Bstandig, Katrina Lynn 50683

Lincoln, NE

Probation 1/15/2016 7/15/2016 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Burton, Tranika LaNorma 48456

Lincoln, NE

Probation 10/13/2011 4/13/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

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Page 61 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Busboom, Courtney Anne 47992

Lincoln, NE

Probation 1/11/2011 Alcohol Addiction

xCriminal Conviction(s)

Butterfield, Misty Ann 46920

North Platte, NE

Revocation 6/30/2011 Probation Violation

xCourt Conviction

Callaghan, Elizabeth Marie 50285

North Platte, NE

Probation 3/4/2015 10/7/2015 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Suspension 9/3/2015 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Campbell, Billie Jean 49599

Lincoln, NE

Probation 9/25/2013 3/25/2014 Controlled Substance Dependence

Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Carl, Christina Marie 46352

Lincoln, NE

Probation 7/1/2017 7/1/2020 Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

xAlcohol Use Disorder - Moderate

xCont Substance Use Disorder - Severe

Carlson, Ashley Ann 51389

Hastings, NE

Probation 10/30/2017 10/30/2019 Felony Conviction(s)

Misdemeanor Conviction(s)

Substance Use Disorder

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Page 62 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Carstens, Nicole Jean 48484

Grand Island, NE

Probation 10/26/2011 3/21/2017 Failure to Disclose Convictions

3/18/2015

10/26/2011 Felony Conviction(s)

3/18/2015

10/26/2011 Misdemeanor Conviction(s)

3/18/2015

Castelan, Araceli Diaz 46769

Omaha, NE

Censure 9/17/2014 Unlicensed Practice

Civil Penalty 9/17/2015

Cavanaugh, Mary Louise 36283

Omaha, NE

Probation 5/8/2012 11/8/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Chanthavong, Lonie Otie 51263

Grand Island, NE

Probation 6/14/2017 12/14/2017 Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Chlopek, Stacey Lynn 41016

Ogallala, NE

Probation 10/11/2013 4/11/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

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Page 63 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Chunka, Amanda Marie 49132

Bellevue, NE

Probation 11/2/2014 Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Moderate

xCont Substance Use Disorder - Moderate

Revocation 8/21/2016 Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Moderate

xCont Substance Use Disorder - Moderate

Cihal, Jamie Eileen 48755

Lincoln, NE

Probation 2/26/2012 8/26/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Clark, Kara Lise 38906

Lavista, NE

Censure 3/3/2011 Probation Violation

Unlicensed Practice

Civil Penalty 9/3/2012 Probation Violation

Unlicensed Practice

Probation 9/17/2010 10/22/2012 Probation Violation

Unlicensed Practice

Suspension 9/24/2012 9/24/2012 Probation Violation

Unlicensed Practice

Clarke, Trisha Ann 47833

Lincoln, NE

Probation 5/20/2015 11/20/2015 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Suspension 11/4/2015 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

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Page 64 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Clemons, Angela Jo 48328

Lincoln, NE

Probation 7/12/2011 1/12/2012 Failure to Disclose Convictions

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Coble, Sarah Elizabeth 48381

Dannebrog, NE

Probation 8/23/2011 1/15/2014 Alcohol Dependency

Controlled Substance Dependence

Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Coffey, Abigail Francis 47094

Wilber, NE

Probation 1/6/2013 1/6/2015 Alcohol Dependency

Misdemeanor Conviction(s)

Collett, Brittany Katlin 47126

Lincoln, NE

Censure 9/22/2017 Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Moderate

Civil Penalty 3/22/2018 Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Moderate

Probation 2/11/2017 2/11/2019 Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Moderate

Cook, Stacey Marie 47934

Council Bluffs, IA

Probation 11/17/2010 12/15/2011 Controlled Substance Dependence

xCriminal Conviction(s)

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Page 65 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Cooper, Venus Reann 46124

Omaha, NE

Probation 6/18/2012 12/18/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Cornelius, Dove A 41567

Lincoln, NE

Probation 9/19/2013 9/19/2014 Failure to Disclose Convictions

12/17/2018

9/19/2013 9/19/2014 Misdemeanor Conviction(s)

12/17/2018

9/19/2013 9/19/2014 Probation Violation

12/17/2018

9/19/2013 9/19/2014 Unlicensed Practice

12/17/2018

Suspension 5/8/2019 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Unlicensed Practice

Coughlon, Madyson Mikael 51603

Omaha, NE

Probation 5/4/2018 11/4/2018 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Suspension 10/29/2018 11/5/2018 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

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Page 66 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Cox, Tammy Lynn 47661

Minneapolis, MN

Censure 8/28/2012 Probation Violation

12/6/2012

8/28/2012 xCourt Conviction

12/6/2012

Probation 5/10/2010 12/6/2012 Probation Violation

12/6/2012 12/6/2013

5/10/2010 12/6/2012 xCourt Conviction

12/6/2012 12/6/2013

Crabtree, Patricia Phyllis 48357

Kansas City, MO

Probation 8/8/2011 8/8/2012 Misdemeanor Conviction(s)

Craghead, Patricia Ann 33311

Lincoln, NE

Probation 3/12/2010 3/19/2013 Controlled Substance Dependence

xCriminal Conviction(s)

Crawford, Chelsi Marie 49027

Omaha, NE

Probation 9/26/2012 3/26/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Crawford, Christopher Scott 51272

Omaha, NE

Probation 6/21/2017 6/21/2018 Felony Conviction(s)

Misdemeanor Conviction(s)

Substance Use Disorders-Multiple

Crawford, Kola Maree, LT 45043

Mc Cook, NE

Probation 2/17/2017 Probation Violation

Unlicensed Practice

Suspension 7/5/2017 Probation Violation

Unlicensed Practice

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Page 67 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Croup, Kylie Rozell 48001

Grant, NE

Probation 1/14/2011 5/20/2015 Alcohol Abuse

xCriminal Conviction(s)

Cummings, Carly Lindsey 49397

Lincoln, NE

Probation 5/10/2013 11/10/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Cutler, Sara Jo 43217

Omaha, NE

Censure 2/11/2011 Alcohol Abuse

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 8/11/2011 Alcohol Abuse

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation Violation

Probation 8/16/2010 8/16/2011 Alcohol Abuse

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation Violation

Danielski, Jennifer Lyn 44758

Valentine, NE

Censure 3/17/2011 Practice in Unlicensed Premises

Violation of UCA

Davis, Lora Michelle 41396

Lincoln, NE

Probation 5/23/2018 11/23/2018 Unlicensed Practice

Dean, Emily Marie 48333

Harrison, NE

Probation 7/25/2011 2/25/2013 Controlled Substance Dependence

Misdemeanor Conviction(s)

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Page 68 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Dickmeyer, Kasey Lynn 46584

Valley, NE

Probation 5/5/2013 2/19/2019 Failure to Comply With Aftercare

Practice while Impaired

Revocation 2/19/2019 Dishonorable Conduct

Probation Violation

Dishman, Amy Dawn 47928

Central City, NE

Probation 11/15/2010 12/18/2011 Failure to Disclose Convictions

Probation Violation

xCriminal Conviction(s)

Revocation 12/18/2011 Failure to Disclose Convictions

Probation Violation

xCriminal Conviction(s)

Donald, Christina A 47768

Lincoln, NE

Probation 8/10/2010 8/10/2011 xCriminal Conviction(s)

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Page 69 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Dortch, Dylan Jerrell 48296

Omaha, NE

Censure 12/8/2011 Alcohol Abuse

Controlled Substance Dependence

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

Civil Penalty 6/8/2012 Alcohol Abuse

Controlled Substance Dependence

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

Probation 6/15/2011 Alcohol Abuse

Controlled Substance Dependence

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

Suspension 7/19/2012 Alcohol Abuse

Controlled Substance Dependence

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

Dortch, LaTasha Charell 50740

Hastings, NE

Probation 2/23/2016 8/23/2016 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Suspension 8/5/2016 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

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Page 70 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Dorwart, Sasha Matel 51072

Lincoln, NE

Probation 1/13/2017 7/13/2017 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Suspension 5/25/2017 12/13/2017 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Douglass, Jeffrey Allan 33590

Omaha, NE

Probation 1/11/2012 Alcohol Dependency

Failure to Pay Fees

Suspension 4/23/2010 8/12/2011 Alcohol Dependency

Failure to Pay Fees

Drees, Dana Michelle 43464

Beatrice, NE

Probation 4/2/2019 4/2/2022 Failure to Disclose Convictions

Failure to Pay Fees

Misdemeanor Conviction(s)

Substance Use Disorder

Drummond, Debra Susan 36885

Hastings, NE

Probation 5/16/2010 3/13/2011 Failure to File Report-38-1,124,38-1,125

Misrepresentation of Material Facts

Probation Violation

Revocation 3/13/2011 Failure to File Report-38-1,124,38-1,125

Misrepresentation of Material Facts

Probation Violation

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Page 71 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Easterling, Stephanie Deshaun 47053

Omaha, NE

Probation 10/13/2015 7/20/2018 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Suspension 3/16/2016 5/24/2017 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Ebner, Courtney Elizabeth Colleen 48669

Lincoln, NE

Probation 2/8/2012 2/8/2013 Alcohol Abuse

Misdemeanor Conviction(s)

Eilers, Carrie Ann 43430

Adams, NE

Probation 4/18/2010 4/18/2013 Alcohol Dependency

Misdemeanor Conviction(s)

Embury, Kodie Lee 52112

Omaha, NE

Probation 10/31/2019 10/31/2021 Misdemeanor Conviction(s)

Substance Use Disorders-Multiple

Engel, Gayle Andrea 44469

Hastings, NE

Probation 3/28/2013 3/28/2018 Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

Revocation 3/26/2014 Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

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Page 72 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Eurek, Teri Elizabeth 46484

Madison, NE

Censure 11/14/2017 Practice in Unlicensed Premises

Unlicensed Practice

Unprofessional Conduct

Civil Penalty 5/14/2018 Practice in Unlicensed Premises

Unlicensed Practice

Unprofessional Conduct

Evans, Connie Lynn 47893

Grand Island, NE

Probation 10/26/2010 10/26/2012 Failure to Disclose Convictions

xCriminal Conviction(s)

Evans, Diane Marie 31668

Omaha, NE

Revocation 12/2/2010 xFraudulent Practice

Evans, Sadie Mae 49684

Lincoln, NE

Probation 11/12/2013 11/12/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Everroad, Terra Dill 41646

Omaha, NE

Probation 10/4/2013 4/4/2014 Unlicensed Practice

Fair, Katie Jo 48191

Greenwood, NE

Probation 4/12/2011 12/29/2011 Alcohol Abuse

Failure to Disclose Convictions

Probation Violation

xCriminal Conviction(s)

Revocation 12/29/2011 Alcohol Abuse

Failure to Disclose Convictions

Probation Violation

xCriminal Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Finkral, Alyssa Dawn 48792

Lindsay, NE

Probation 4/12/2012 Alcohol Dependency

Failure to Disclose Convictions

Misdemeanor Conviction(s)

xMind-Altering Substance Abuse

Finley, Kim Dalern 32080

Ashland, NE

Probation 10/29/2012 10/29/2013 Practice Beyond Scope

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Fleming, Laci Loveda 50190

Hampton, NE

Probation 11/24/2014 5/24/2015 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Florian Hernandez, Alba Luz 50206

Lincoln, NE

Probation 1/1/2015 7/1/2015 Unlicensed Practice

Fogerty, Olivia Jean 48187

Lincoln, NE

Probation 4/8/2011 8/11/2011 Alcohol Abuse

Failure to Disclose Convictions

xCriminal Conviction(s)

Ford, Alysha Marie 49050

Papillon, NE

Probation 10/9/2012 4/9/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

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Page 74 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Foster, Ashley Nicole 47658

omaha, NE

Censure 2/11/2011 Probation Violation

1/26/2012

2/11/2011 xCourt Conviction

1/26/2012

Civil Penalty 2/11/2011 8/11/2011 Probation Violation

1/26/2012 5/6/2012

2/11/2011 8/11/2011 xCourt Conviction

1/26/2012 5/6/2012

Probation 5/6/2010 5/6/2011 Probation Violation

5/6/2012

5/6/2011 xCourt Conviction

5/6/2012

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Page 75 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Fox, Margaret Mae 49119

Scottsbluff, NE

Censure 7/26/2013 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

xMind-Altering Substance Dependence

Civil Penalty 7/26/2014 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

xMind-Altering Substance Dependence

Probation 11/19/2012 11/19/2014 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

xMind-Altering Substance Dependence

Suspension 8/13/2014 9/2/2014 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

xMind-Altering Substance Dependence

Freeman, Natasha Cole 50901

Omaha, NE

Probation 7/15/2016 2/20/2018 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Suspension 2/15/2017 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

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Page 76 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Friesen, Samantha Nicole 49978

Sioux Falls, SD

Probation 6/9/2014 12/9/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Suspension 11/3/2014 11/4/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Fulton, Sara Layne 50617

Lincoln, NE

Probation 7/1/2018 7/1/2020 Alcohol Use Disorder, Mild

Misdemeanor Conviction(s)

Substance Use Disorder, Mild

Violation of UCSA

Furlough, Shannon Renee 49343

Omaha, NE

Probation 4/2/2013 2/10/2016 Felony Conviction(s)

Misdemeanor Conviction(s)

Gallegos, Henrietta Charlene 43539

Lincoln, NE

Probation 7/8/2010 2/17/2011 Failure to File Report-38-1,124,38-1,125

Misrepresentation of Material Facts

Probation Violation

Revocation 2/17/2011 Failure to File Report-38-1,124,38-1,125

Misrepresentation of Material Facts

Probation Violation

Garcia Rodriguez, Maria Celia 45851

Omaha, NE

Civil Penalty 9/25/2014 9/25/2015 Permitting Aiding & Abetting

Probation 10/5/2014 10/5/2015

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Page 77 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Garcia, Jackleane Christina 51301

omaha, NE

Probation 7/17/2017 1/17/2018 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Suspension 12/11/2017 12/12/2017 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Garcia, Veronica JoAnn 49844

Grand Island, NE

Probation 3/4/2014 9/4/2014 Misdemeanor Conviction(s)

Gardner, Tremain Talmadge 43039

lavista, NE

Revocation 12/2/2010 Probation Violation

xCourt Conviction

Garringer, Melanie Dawn 47114

Lincoln, NE

Censure 11/3/2009 Probation Violation

5/12/2011

11/3/2009 xCourt Conviction

Civil Penalty 5/3/2010 Probation Violation

xCourt Conviction

Suspension 7/26/2012 7/26/2013 Probation Violation

Gartner, Amanda Rae 48815

Lincoln, NE

Probation 4/25/2012 10/25/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Revocation 11/20/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

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Page 78 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Gatlingkull, Regina Leigh 50327

Oak Harbor, WA

Probation 3/31/2015 3/31/2018 Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Severe

xCont Substance Use Disorder - Severe

Geiser, Nicholas Lee 49169

Lincoln, NE

Probation 12/18/2012 Alcohol Dependency

Misdemeanor Conviction(s)

Gilkerson, Rebecca Marie 41640

Falls City, NE

Civil Penalty 10/23/2014 10/23/2015 Practice in Unlicensed Premises

Violation of Dept Order

Probation 11/2/2014 11/2/2015 Practice in Unlicensed Premises

Violation of Dept Order

Suspension 7/14/2015 8/12/2015 Practice in Unlicensed Premises

11/26/2015 4/25/2018

7/14/2015 8/12/2015 Violation of Dept Order

11/26/2015 4/25/2018

Gocke, Shannon Kay 37552

Lincoln, NE

Probation 7/9/2013 1/9/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Golden, Monica Ann 50754

Omaha, NE

Probation 3/8/2016 9/8/2016 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Suspension 8/5/2016 10/18/2016 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

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Page 79 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Goodwin, Michelle Denise 40813

Omaha, NE

Censure 1/31/2013 Failure to Disclose Convictions

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Violation of Dept Order

xCriminal Conviction(s)

Civil Penalty 7/31/2013 Failure to Disclose Convictions

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Violation of Dept Order

xCriminal Conviction(s)

Probation 5/25/2011 5/25/2012 Failure to Disclose Convictions

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Violation of Dept Order

xCriminal Conviction(s)

Suspension 10/11/2013 Failure to Disclose Convictions

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Violation of Dept Order

xCriminal Conviction(s)

Grant, Lori Ann 37224

Geneva, NE

Probation 5/20/2012 11/20/2012 Failure to File Report-38-1,124,38-1,125

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Page 80 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Graver, Shannon Michelle 47258

Omaha, NE

Probation 10/3/2015 10/3/2020 Alcohol Dependency

Controlled Substance Dependence

Probation Violation

xCourt Conviction

Revocation 4/8/2010 10/3/2015 Alcohol Dependency

7/10/2016

4/8/2010 10/3/2015 Controlled Substance Dependence

7/10/2016

4/8/2010 10/3/2015 Probation Violation

7/10/2016

4/8/2010 10/3/2015 xCourt Conviction

7/10/2016

Gray, LaShana Terese 47038

Omaha, NE

Probation 7/1/2013 1/1/2014 Failure to File Report-38-1,124,38-1,125

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Page 81 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Gregerson, Heather Michelle 49046

Plattsmouth, NE

Censure 10/30/2013 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

xMind-Altering Substance Dependence

Civil Penalty 7/31/2014 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

xMind-Altering Substance Dependence

Probation 10/4/2012 8/26/2014 Alcohol Dependency

7/24/2015 5/30/2016

10/4/2012 8/26/2014 Misdemeanor Conviction(s)

7/24/2015 5/30/2016

10/4/2012 8/26/2014 Probation Violation

7/24/2015 5/30/2016

10/4/2012 8/26/2014 Violation of Dept Order

7/24/2015 5/30/2016

10/4/2012 8/26/2014 xMind-Altering Substance Dependence

7/24/2015 5/30/2016

Revocation 5/30/2016 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

xMind-Altering Substance Dependence

Suspension 8/26/2014 8/27/2014 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

xMind-Altering Substance Dependence

Griffin, Mecchia Elaine 49168

Omaha, NE

Probation 1/1/2013 1/1/2014 Misdemeanor Conviction(s)

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Page 82 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Grof, Rachelle Elaine 50915

Tecumseh, NE

Probation 7/28/2016 7/28/2017 Lacks Good Character

Misdemeanor Conviction(s)

Gross, Tiffany Mae 49574

Springfield, NE

Probation 9/10/2013 9/10/2018 Controlled Substance Dependence

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Revocation 10/9/2014 Controlled Substance Dependence

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Grothe, Krystle Lee 48237

North Loup, NE

Probation 5/12/2011 8/12/2011 Failure to Disclose Convictions

xCriminal Conviction(s)

Grundmann, Tina Lane 40468

Omaha, NE

Censure 12/12/2013 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 6/12/2014 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Probation 6/3/2013 2/17/2016 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Haag, Dawn Kay 36512

Oxford, NE

Civil Penalty 6/20/2011 6/20/2012 Misrepresentation of Material Facts

Practice in Unlicensed Premises

Violation of UCA

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Page 83 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Hagberg, Ingrid Catheryn 48155

Omaha, NE

Censure 7/29/2014 Alcohol Dependency

6/7/2016

7/29/2014 Controlled Substance Dependence

6/7/2016

7/29/2014 Probation Violation

6/7/2016

7/29/2014 xCriminal Conviction(s)

6/7/2016

Civil Penalty 7/29/2014 1/29/2015 Alcohol Dependency

Controlled Substance Dependence

Probation Violation

xCriminal Conviction(s)

Probation 3/23/2011 6/7/2016 Alcohol Dependency

Controlled Substance Dependence

Probation Violation

xCriminal Conviction(s)

Hagemann, Cassandra Kaye 47312

Alda, NE

Probation 12/4/2018 12/4/2021 Misdemeanor Conviction(s)

Substance Use Disorders-Multiple

Hanley, Jennifer Marie 41925

Chadron, NE

Probation 9/25/2010 9/25/2011 Failure to File Report-38-1,124,38-1,125

Misrepresentation of Material Facts

Hansen, Sabrina Marie 49942

Seward, NE

Probation 10/11/2019 10/11/2021 Alcohol Use Disorder, Moderate

Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

Harm, Gwendolyn Lee 35603

North Platte, NE

Suspension 2/8/2010 4/9/2010 Probation Violation

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Page 84 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Harris, Kimberly Michelle 47093

Papillion, NE

Probation 6/26/2013 12/26/2013 Unlicensed Practice

Harry, Lindsay Marie 47766

Omaha, NE

Censure 9/20/2012 Failure to File Report-38-1,124,38-1,125

Probation Violation

xCriminal Conviction(s)

Civil Penalty 12/31/2013 Failure to File Report-38-1,124,38-1,125

Probation Violation

xCriminal Conviction(s)

Probation 8/6/2010 11/20/2012 Failure to File Report-38-1,124,38-1,125

Probation Violation

xCriminal Conviction(s)

Hart, Amanda Kay 47788

Sidney, NE

Probation 8/15/2011 2/15/2012 Unlicensed Practice

Hascall, Amber Marie 44500

West Sacramento, CA

Probation 10/13/2011 4/13/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Hausman, Jessica Marie 43711

Beatrice, NE

Probation 2/28/2011 2/28/2013 Misdemeanor Conviction(s)

Probation Violation

Heikes, Hannah May 49766

Lincoln, NE

Probation 2/1/2019 2/1/2020 Felony Conviction(s)

Helmuth, Debra L 34993

Ogallala, NE

Censure 5/21/2010 Practice Beyond Scope

Unprofessional Conduct

Civil Penalty 5/21/2011 Practice Beyond Scope

Unprofessional Conduct

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Page 85 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Helwick, Rebecca Ann 48056

Hastings, NE

Probation 2/4/2011 8/4/2011 Failure to Disclose Convictions

xCriminal Conviction(s)

Henry, Charleen Kay 31973

Gretna, NE

Probation 6/2/2015 Misdemeanor Conviction(s)

Herd, Brianne Marie 46295

Omaha, NE

Probation 3/3/2011 9/3/2011 Failed to Report Conviction in 30 days

Failure to Disclose Convictions

Misdemeanor Conviction(s)

xCourt Conviction

Hernandez, Danielle Brienne 43100

Kearney, NE

Revocation 7/17/2010 Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Hernandez, DeShawn Novella 44828

Omaha, NE

Probation 3/29/2011 10/21/2011 Probation Violation

Revocation 10/12/2011

Hespen, Shannon Marie 44534

La Vista, NE

Censure 6/24/2014 Failure to File Report-38-1,124,38-1,125

Probation Violation

Probation 12/12/2013 6/12/2014 Failure to File Report-38-1,124,38-1,125

Probation Violation

Heuwinkel, Heather Michelle 49406

Glenwood, IA

Probation 5/20/2013 Felony Conviction(s)

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Page 86 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Hillis, Hannah Marie 47517

Lincoln, NE

Censure 5/26/2016 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Moderate

Civil Penalty 11/26/2016 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Moderate

Probation 11/30/2015 11/16/2016 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Moderate

Hime, Brandi Michelle 43500

Wahoo, NE

Probation 8/1/2016 2/1/2017 Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

Hoff, James Louis D 43546

Cape Girardeau, MO

Revocation 10/12/2011 4/30/2014 Probation Violation

xCourt Conviction

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Page 87 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Hoffman, Shaunte Elizabeth 49276

Lincoln, NE

Censure 10/30/2013 Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Moderate

xCont Substance Use Disorder - Moderate

Probation 2/20/2013 2/20/2015 Misdemeanor Conviction(s)

2/18/2015 2/18/2020

2/20/2013 2/20/2015 Probation Violation

2/18/2015 2/18/2020

2/20/2013 2/20/2015 xAlcohol Use Disorder - Moderate

2/18/2015 2/18/2020

2/20/2013 2/20/2015 xCont Substance Use Disorder - Moderate

2/18/2015 2/18/2020

Revocation 11/20/2016 Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Moderate

xCont Substance Use Disorder - Moderate

Hongsermeier, Melisa Ellen 48169

North Platte, NE

Probation 3/30/2011 9/30/2011 Failure to Disclose Convictions

xCourt Conviction

Hopkins, April Dawn 42927

Grand Island, NE

Probation 4/29/2012 11/27/2016 Controlled Substance Dependence

Hopkins, Deanna Rae 46727

Rapid City, SD

Probation 9/30/2010 Failure to Disclose Convictions

Probation Violation

xCriminal Conviction(s)

Revocation 6/30/2011 Failure to Disclose Convictions

Probation Violation

xCriminal Conviction(s)

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Page 88 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Hopper, Melissa Christine 48231

Lincoln, NE

Probation 5/9/2011 11/9/2011 Failure to Disclose Convictions

xCriminal Conviction(s)

Hornung, Lucas James 49067

Bellevue, NE

Probation 10/17/2012 4/17/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Hortman, Wendy Jo 49629

Norfolk, NE

Probation 10/11/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Revocation 9/15/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Howell, Heather Rose 48608

Omaha, NE

Probation 1/3/2012 7/3/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Huff, Janet Gene 49877

Grant, NE

Probation 3/21/2014 Felony Conviction(s)

Probation Violation

Suspension 11/3/2014 Felony Conviction(s)

Probation Violation

Hughes, Jessica Amy 42325

Omaha, NE

Probation 11/12/2010 11/12/2011 Unlicensed Practice

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Page 89 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Hughes, Shannon Lorraine 48781

Gering, NE

Censure 4/15/2013 Alcohol Dependency

12/23/2014

4/15/2013 Controlled Substance Dependence

12/23/2014

4/15/2013 Failure to Disclose Convictions

12/23/2014

4/15/2013 Misdemeanor Conviction(s)

12/23/2014

4/15/2013 Probation Violation

12/23/2014

Civil Penalty 4/15/2013 4/15/2014 Alcohol Dependency

7/9/2014 1/9/2015

4/15/2013 4/15/2014 Controlled Substance Dependence

7/9/2014 1/9/2015

4/15/2013 4/15/2014 Failure to Disclose Convictions

7/9/2014 1/9/2015

4/15/2013 4/15/2014 Misdemeanor Conviction(s)

7/9/2014 1/9/2015

4/15/2013 4/15/2014 Probation Violation

7/9/2014 1/9/2015

Probation 4/6/2012 4/6/2015 Alcohol Dependency

8/15/2014

4/6/2012 Controlled Substance Dependence

8/15/2014

4/6/2012 Failure to Disclose Convictions

8/15/2014

4/6/2012 Misdemeanor Conviction(s)

8/15/2014

4/6/2012 Probation Violation

8/15/2014

Suspension 8/1/2014 8/14/2014 Alcohol Dependency

1/2/2015

8/1/2014 8/14/2014 Controlled Substance Dependence

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Page 90 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Suspension 1/2/2015 Controlled Substance Dependence

8/1/2014 8/14/2014 Failure to Disclose Convictions

1/2/2015

8/1/2014 8/14/2014 Misdemeanor Conviction(s)

1/2/2015

8/1/2014 8/14/2014 Probation Violation

1/2/2015

Hurt, ReShawn Dawnte' 49240

Omaha, NE

Probation 2/4/2013 8/4/2013 Failure to Disclose Convictions

Iaquinta, Danielle Simone 49602

Newport Beach, CA

Probation 4/17/2016 4/17/2018 Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

Jacob, Kelly Michelene 40480

Omaha, NE

Probation 8/20/2013 2/20/2014 Unlicensed Practice

Jaquith, Amanda Rae 42478

Omaha, NE

Probation 3/3/2014 9/1/2016 Alcohol Dependency

Probation Violation

xCourt Conviction

xMind-Altering Substance Dependence

Revocation 11/16/2009 Alcohol Dependency

Probation Violation

xCourt Conviction

xMind-Altering Substance Dependence

Jensen, Jaime Lynn 44857

Alliance, NE

Probation 4/6/2011 10/6/2011 Failure to Disclose Convictions

xCourt Conviction

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Page 91 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Jensen, Michelle Marie 49401

Council Bluffs, IA

Censure 8/8/2014 Alcohol Dependency

Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

Civil Penalty 2/8/2015 Alcohol Dependency

Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

Probation 5/13/2013 3/7/2015 Alcohol Dependency

4/6/2017 2/25/2018

5/13/2013 3/7/2015 Failure to Disclose Convictions

4/6/2017 2/25/2018

5/13/2013 3/7/2015 Felony Conviction(s)

4/6/2017 2/25/2018

5/13/2013 3/7/2015 Misdemeanor Conviction(s)

4/6/2017 2/25/2018

5/13/2013 3/7/2015 Probation Violation

4/6/2017 2/25/2018

5/13/2013 3/7/2015 Violation of Dept Order

4/6/2017 2/25/2018

Revocation 2/25/2018 Probation Violation

Suspension 3/7/2015 4/6/2017 Alcohol Dependency

Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

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Page 92 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Jessup, Dawn L 40102

Maxwell, NE

Probation 11/25/2013 5/25/2014 Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Johnson, Andrew Joel 49641

Portland, OR

Censure 1/21/2015 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 7/21/2015 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Probation 10/21/2013 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Johnson, Howard William 48574

Omaha, NE

Probation 12/13/2011 5/7/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Johnson, Jennifer Jo 48253

Omaha, NE

Probation 5/19/2011 11/19/2011 xCriminal Conviction(s)

Johnson, Julie Ann 41158

Bellevue, NE

Civil Penalty 10/23/2013 4/23/2014 Practice in Unlicensed Premises

Violation of UCA

Probation 11/2/2013 5/2/2014 Practice in Unlicensed Premises

Violation of UCA

Johnson, Shauna Rae 42709

Lincoln, NE

Probation 12/7/2010 12/7/2011 Unlicensed Practice

Jones, Christian Winsmere 41748

Omaha, NE

Probation 11/8/2012 11/8/2013 Unlicensed Practice

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Page 93 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Jones, Shani Michelle 42043

Omaha, NE

Probation 3/10/2013 9/10/2013 Unprofessional Conduct

Jordan, Candace Lenise 45003

Lincoln, NE

Suspension 3/16/2016 8/16/2017 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Karmazin, Rachael Layne 44155

Elkhorn, NE

Civil Penalty 9/16/2013 9/16/2014 Practice in Unlicensed Premises

Unprofessional Conduct

Violation of UCA

Probation Practice in Unlicensed Premises

Unprofessional Conduct

Violation of UCA

Kauble, Jana Christine 33071

Lincoln, NE

Probation 8/10/2012 2/10/2013 Unlicensed Practice

Kenney, Paul Christopher 46260

Omaha, NE

Probation 9/10/2013 4/17/2014 Misdemeanor Conviction(s)

Kilkenny, Tania Rabecca 49059

Bellevue, NE

Probation 3/20/2019 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Suspension 8/14/2019 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

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Page 94 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Knox, Kayla Taylor 47165

Gering, NE

Probation 4/3/2017 10/3/2017 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Suspension 9/14/2017 10/10/2017 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Knust, Sarah Marie 50362

Neligh, NE

Probation 4/27/2015 4/27/2017 Misdemeanor Conviction(s)

Koch, Lindsey Renee 48199

Lincoln, NE

Probation 4/19/2011 Failure to Disclose Convictions

Misdemeanor Conviction(s)

xAlcohol & Controlled Substance Dependen

Koeber, Amanda Kay 46676

Lincoln, NE

Probation 1/6/2018 Felony Conviction(s)

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Page 95 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Kozisek, Sarah Rose 43260

Omaha, NE

Censure 3/2/2016 Alcohol Dependency

3/30/2017

3/2/2016 Failure to Disclose Convictions

3/30/2017

3/2/2016 Misdemeanor Conviction(s)

3/30/2017

3/2/2016 Probation Violation

3/30/2017

Civil Penalty 3/2/2016 9/2/2016 Alcohol Dependency

3/30/2017 3/30/2018

3/2/2016 9/2/2016 Failure to Disclose Convictions

3/30/2017 3/30/2018

3/2/2016 9/2/2016 Misdemeanor Conviction(s)

3/30/2017 3/30/2018

3/2/2016 9/2/2016 Probation Violation

3/30/2017 3/30/2018

Probation 8/26/2014 8/14/2017 Alcohol Dependency

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Revocation 8/14/2017 Alcohol Dependency

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Suspension 10/19/2016 11/3/2016 Alcohol Dependency

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Kramer, Cherie Marie 51763

Gothenburg, NE

Probation 10/30/2018 Failure to Disclose Convictions

Felony Conviction(s)

Other State Action

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Page 96 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Krayenhagen, Jennifer Leigh 44420

San Antonio, TX

Probation 5/29/2015 11/29/2015 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Kreutzer, Rochelle Marie 49567

Lincoln, NE

Probation 9/11/2013 3/11/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

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TYPE OF

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Page 97 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Krivda, Sabrina Marie 48551

Lincoln, NE

Censure 2/23/2012 Alcohol Dependency

12/2/2013

12/8/2015

2/23/2012 Misdemeanor Conviction(s)

12/2/2013

12/8/2015

2/23/2012 Probation Violation

12/2/2013

12/8/2015

2/23/2012 Violation of Dept Order

12/2/2013

12/8/2015

Civil Penalty 2/23/2012 3/15/2013 Alcohol Dependency

12/8/2015 6/8/2016

2/23/2012 3/15/2013 Misdemeanor Conviction(s)

12/8/2015 6/8/2016

2/23/2012 3/15/2013 Probation Violation

12/8/2015 6/8/2016

2/23/2012 3/15/2013 Violation of Dept Order

12/8/2015 6/8/2016

Probation 12/1/2011 3/19/2017 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

Suspension 7/14/2016 10/31/2016 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

Kroeze, Kathryn Marie 48751

La Vista, NE

Probation 3/21/2012 9/21/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

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Page 98 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Kubes, Chelsey Dee 51814

Liberty, NE

Probation 1/4/2019 5/8/2019 Failure to Disclose Convictions

5/9/2019 7/4/2019

1/4/2019 5/8/2019 Felony Conviction(s)

5/9/2019 7/4/2019

1/4/2019 5/8/2019 Misdemeanor Conviction(s)

5/9/2019 7/4/2019

1/4/2019 5/8/2019 Probation Violation

5/9/2019 7/4/2019

Suspension 5/8/2019 5/9/2019 Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

Kudlacek, Lea Maria 27899

Grafton, NE

Censure 1/14/2015 Practice in Unlicensed Premises

Unlicensed Practice

Violation of UCA

Civil Penalty 1/14/2016 Practice in Unlicensed Premises

Unlicensed Practice

Violation of UCA

Probation 8/12/2014 8/12/2015 Practice in Unlicensed Premises

Unlicensed Practice

Violation of UCA

Lacy, Kelly Jo 47711

Gothenburg, NE

Probation 6/29/2010 6/29/2014 Alcohol Abuse

Controlled Substance Dependence

Failure to Disclose Convictions

xCriminal Conviction(s)

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Page 99 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Lafler, Eric Sean 46212

Sidney, NE

Censure 6/24/2010 Failure to Pay Fees

Misdemeanor Conviction(s)

Probation Violation

xControlled Substance Addiction/Depndncy

Suspension 10/31/2009 11/25/2009 Failure to Pay Fees

Larsen, Joilynn Marie 48459

Gretna, NE

Probation 1/16/2017 1/16/2018 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Moderate

LeMay, Amanda Lynn 50737

Minatare, NE

Probation 2/18/2016 2/18/2017 Felony Conviction(s)

Misdemeanor Conviction(s)

Leazer, Cynthia Victoria 45101

Omaha, NE

Revocation 8/16/2010 Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Lech, Rachel M 40580

Atkinson, NE

Censure 1/24/2017 Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

xAlcohol Use Disorder - Moderate

Civil Penalty 7/24/2017 Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

xAlcohol Use Disorder - Moderate

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Page 100 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Lefevre, Craig Arnett 47887

Lincoln, NE

Censure 8/11/2011 Controlled Substance Dependence

Probation Violation

xCriminal Conviction(s)

Probation 10/21/2010 Controlled Substance Dependence

Probation Violation

xCriminal Conviction(s)

Revocation 5/21/2013 Controlled Substance Dependence

Probation Violation

xCriminal Conviction(s)

Suspension 8/19/2012 9/17/2012 Controlled Substance Dependence

Probation Violation

xCriminal Conviction(s)

Leibhart, Karrie Elizabeth 47564

Lincoln, NE

Censure 9/23/2010 Probation Violation

xCourt Conviction

Probation 3/8/2010 Probation Violation

xCourt Conviction

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Page 101 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Lewin, Jessica Leigh 48321

Ashland, NE

Probation 4/19/2015 7/27/2018 Alcohol Dependency

2/1/2019 8/28/2020

7/28/2018

4/19/2015 7/27/2018 Controlled Substance Abuse

2/1/2019 8/28/2020

7/28/2018

4/19/2015 7/27/2018 Controlled Substance Dependence

2/1/2019 8/28/2020

7/28/2018

4/19/2015 7/27/2018 Failure to File Report-38-1,124,38-1,125

2/1/2019 8/28/2020

7/28/2018

4/19/2015 7/27/2018 Felony Conviction(s)

2/1/2019 8/28/2020

7/28/2018

4/19/2015 7/27/2018 Misdemeanor Conviction(s)

2/1/2019 8/28/2020

7/28/2018

4/19/2015 7/27/2018 Probation Violation

2/1/2019 8/28/2020

7/28/2018

4/19/2015 7/27/2018 Violation of Dept Order

2/1/2019 8/28/2020

7/28/2018

Suspension 3/2/2019 Alcohol Dependency

Controlled Substance Abuse

Controlled Substance Dependence

Failure to File Report-38-1,124,38-1,125

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

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Page 102 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Lewis, Nakeita Renea 47342

Omaha, NE

Probation 10/20/2009 10/20/2010 xCourt Conviction

Limbach, Beth Ann 45429

Kearney, NE

Probation 8/11/2014 3/7/2016 Felony Conviction(s)

Misrepresentation of Material Facts

Linner, Tara Louise 46529

Beaver City, NE

Censure 6/24/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Probation 6/24/2013 6/24/2015 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Linz, Aurora Christa 43791

Scottsbluff, NE

Probation 9/9/2010 8/3/2012 Probation Violation

Unlicensed Practice

Revocation 1/27/2013 3/18/2015 Probation Violation

Unlicensed Practice

Loftin, Brody B 50089

Omaha, NE

Probation 9/17/2014 6/4/2015 Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Logan, Kayla Jo 47977

Dakota City, NE

Probation 1/1/2011 7/1/2011 Failure to Disclose Convictions

xCriminal Conviction(s)

Lopez Franco, Ana Cristina 46634

Crete, NE

Civil Penalty 12/2/2010 5/2/2011 Permitting Aiding & Abetting

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Lopez, Anavel 43913

Lexington, NE

Probation 7/23/2010 1/23/2011 Failure to Disclose Convictions

xCriminal Conviction(s)

Luellen, Travell Nicole 41694

Omaha, NE

Censure 2/11/2011 Misrepresentation of Material Facts

Luginbill, Jeromie Eugene 47760

Lincoln, NE

Probation 7/30/2010 8/11/2011 Alcohol Abuse

Controlled Substance Dependence

Probation Violation

xCriminal Conviction(s)

Revocation 8/11/2011 Alcohol Abuse

Controlled Substance Dependence

Probation Violation

xCriminal Conviction(s)

Lukasiewicz, Angela Kay 43412

Hastings, NE

Probation 7/23/2010 7/23/2011 Alcohol Dependency

Failure to File Report-38-1,124,38-1,125

xCourt Conviction

xCriminal Conviction(s)

xFailure To File Mandatory Report

Lund, Jennifer Ann 41258

Firth, NE

Civil Penalty 8/28/2014 2/28/2015 Unprofessional Conduct

Probation 9/7/2014 5/1/2015

Malmgren, Molly Kaye 49554

Lincoln, NE

Probation 8/29/2013 6/29/2014 Alcohol Dependency

Felony Conviction(s)

Misdemeanor Conviction(s)

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Page 104 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Marsh, Allison Renee 51886

Plattsmouth, NE

Probation 3/22/2019 9/22/2019 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Martin, Tanya Therese 41939

Omaha, NE

Probation 2/29/2016 8/29/2016 Probation Violation

Unlicensed Practice

Suspension 8/5/2016 8/16/2016 Probation Violation

Unlicensed Practice

Martinez, Kimberly Sue 41641

Sioux City, IA

Probation 8/14/2014 2/14/2015 Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Martinez, Stephanie Renee 47001

Weatherford, TX

Censure 11/16/2009 Probation Violation

xCourt Conviction

Civil Penalty 5/16/2010 Probation Violation

xCourt Conviction

Suspension 8/1/2012 8/31/2012 Probation Violation

xCourt Conviction

Martini, Danielle Michelle 44805

Lincoln, NE

Probation 9/27/2011 3/27/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Mason, Tristen Lindsey 46219

Lincoln, NE

Probation 1/9/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Revocation 11/30/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

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Page 105 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Matlock, Otis 32947

Omaha, NE

Probation 10/21/2011 10/21/2012 Failure to Disclose Convictions

3/20/2017 9/20/2017 Felony Conviction(s)

Matthews, Jerome Dupree 48103

Omaha, NE

Probation 5/10/2016 11/10/2016 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Matzen, Sheryl Kay 31356

Blair, NE

Probation 4/17/2016 4/17/2017 Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

McCarter, Kristina Marie 46673

Lincoln, NE

Revocation 8/21/2011 Misdemeanor Conviction(s)

Probation Violation

xAlcohol & Chemical Dependence/Addiction

McCrary, Kaitlin Suzanne 49732

Tabor, IA

Revocation 7/1/2018 Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

Unprofessional Conduct

McKnight, Nichole Dawn 43954

Sidney, NE

Censure 6/13/2012 Probation Violation

xCourt Conviction

Civil Penalty 12/13/2012 Probation Violation

xCourt Conviction

Probation 4/29/2010 Probation Violation

xCourt Conviction

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Page 106 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

McLaurin, Gerome Bernard 43337

Broken Bow, NE

Probation 3/18/2019 Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

McLemore, Candace LaMoyne 47009

Richmond, VA

Censure 6/28/2010 Probation Violation

xCourt Conviction

Civil Penalty 12/28/2010 Probation Violation

xCourt Conviction

McNish, Kyna Lee 49770

Kearney, NE

Probation 1/17/2014 7/17/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

McWilliams, Pia Rochelle 49364

Lincoln, NE

Probation 4/22/2013 10/22/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Meier, Victoria Ann 44964

Lincoln, NE

Probation 11/2/2014 Alcohol Addiction

Felony Conviction(s)

Misdemeanor Conviction(s)

xAlcohol Use Disorder - Mild

xFraud,Forgery,Misrep Material Facts

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Page 107 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Mendoza, Erika Magdalena 48238

Holdrege, NE

Censure 7/2/2014 Alcohol Dependency

Failure to Disclose Convictions

Probation Violation

xAmphetamine Dependence in Remission

xCriminal Conviction(s)

Probation 5/12/2011 5/12/2014 Alcohol Dependency

Failure to Disclose Convictions

Probation Violation

xAmphetamine Dependence in Remission

xCriminal Conviction(s)

Mick, Leah Lynn 45827

Omaha, NE

Probation 3/18/2012 3/18/2013 Alcohol Abuse

Misdemeanor Conviction(s)

Miigerl, Krystle Elizabeth 44903

Ravenna, NE

Probation 6/3/2014 6/3/2015 Unlicensed Practice

Miley-Schultz, LeeAnn Annette 51054

Hastings, NE

Probation 12/16/2016 12/16/2017 Failure to File Report-38-1,124,38-1,125

7/8/2019

12/16/2016 12/16/2017 Felony Conviction(s)

7/8/2019

12/16/2016 12/16/2017 Misdemeanor Conviction(s)

7/8/2019

Miller, Erika D 42590

Omaha, NE

Probation 4/28/2011 2/27/2014 Unlicensed Practice

Miller, Jasonette Sue 49043

Lincoln, NE

Probation 10/3/2012 4/3/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

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Page 108 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Miller, Marissa Ann 44671

Lincoln, NE

Probation 8/16/2010 2/5/2011 Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Miller-Lind, Gemi Jan 47667

Mitchell, NE

Probation 5/17/2010 5/17/2011 xCourt Conviction

Mills, Candace Aileen 32193

Omaha, NE

Probation 4/4/2018 10/4/2018 Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Mlynarik, Ashley Marie 46023

Omaha, NE

Probation 8/18/2011 2/18/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Unlicensed Practice

Revocation 8/10/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Unlicensed Practice

Suspension 5/10/2012 8/10/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Unlicensed Practice

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Page 109 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Mohnike, Abbey Leigh 49931

Grand Island, NE

Censure 8/4/2014 Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

xMind-Altering Substance Dependence

Civil Penalty 2/4/2015 Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

xMind-Altering Substance Dependence

Probation 4/30/2014 4/30/2019 Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

xMind-Altering Substance Dependence

Molczyk, Erica Renae 48837

Lincoln, NE

Probation 5/8/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Revocation 3/6/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Moore, Corey Lee 50453

Omaha, NE

Probation 6/25/2015 12/31/2016 Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

Suspension 3/16/2016 10/18/2016 Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

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Page 110 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Mora, Alma Fabiola 41218

Bellevue, NE

Censure 12/4/2009 Permitting Aiding & Abetting

Civil Penalty 6/4/2010

Morgan, Jay Andrew 46838

Denver, CO

Censure 9/6/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Probation 2/7/2012 8/7/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Morosic, Anissa Michelle 52094

Indianola, NE

Probation 10/22/2019 10/22/2022 Misdemeanor Conviction(s)

Substance Use Disorders-Multiple

Morton, Brandi Leigh 47415

Omaha, NE

Censure 4/5/2012 Probation Violation

xCourt Conviction

Civil Penalty 10/5/2012 Probation Violation

xCourt Conviction

Probation 12/2/2009 7/30/2012 Probation Violation

xCourt Conviction

Naber, Callie Ann 48765

Taylor, NE

Probation 3/30/2012 9/30/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Navarro, Michelle Cathleen 51259

North Platte, NE

Probation 10/20/2018 10/20/2019 Felony Conviction(s)

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Page 111 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Neal, Kay Marie 48204

Cozad, NE

Probation 4/20/2011 10/20/2011 Failure to Disclose Convictions

xCriminal Conviction(s)

Nguyen, Andrew Hieu 48334

Lincoln, NE

Probation 7/25/2011 7/25/2014 Felony Conviction(s)

Misdemeanor Conviction(s)

Norris, Kimberly Jo 45600

Omaha, NE

Probation 7/23/2010 7/23/2011 Failure to Disclose Convictions

xCriminal Conviction(s)

O'Banion, Suzann 41358

Norfolk, NE

Censure 5/2/2017 Practice in Unlicensed Premises

Unlicensed Practice

Unprofessional Conduct

O'Neal, Rebecca Lyn 47595

Lincoln, NE

Probation 3/30/2010 xCourt Conviction

Olson, Susan Marie 30793

Omaha, NE

Probation 9/25/2013 Alcohol Dependency

Controlled Substance Dependence

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Orozco, Emma Lee 48275

OMAHA, NE

Probation 6/1/2018 12/1/2018 Failure to Disclose Convictions

Misdemeanor Conviction(s)

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Page 112 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Ortiz, Thomas Charles 36919

Waverly, NE

Censure 5/5/2014 Alcohol Dependency

Failure to File Report-38-1,124,38-1,125

Felony Conviction(s)

Misrepresentation of Material Facts

Probation Violation

Probation 12/16/2012 1/26/2016 Alcohol Dependency

Failure to File Report-38-1,124,38-1,125

Felony Conviction(s)

Misrepresentation of Material Facts

Probation Violation

Paitz, Cecilia Marie 40496

Waverly, NE

Probation 9/10/2017 3/26/2019 Alcohol Abuse

Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

Pariset, Mercedes Lyn 48708

Fremont, NE

Censure 8/28/2012 Alcohol Dependency

Controlled Substance Dependence

Misdemeanor Conviction(s)

Probation Violation

Probation 2/28/2012 2/28/2014 Alcohol Dependency

Controlled Substance Dependence

Misdemeanor Conviction(s)

Probation Violation

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Page 113 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Parker, JaRee Elizabeth 47431

Omaha, NE

Censure 10/5/2016 Alcohol Dependency

6/5/2018

10/5/2016 Failure to File Report-38-1,124,38-1,125

6/5/2018

10/5/2016 Misdemeanor Conviction(s)

6/5/2018

10/5/2016 Misrepresentation of Material Facts

6/5/2018

10/5/2016 Probation Violation

6/5/2018

10/5/2016 Violation of Dept Order

6/5/2018

Civil Penalty 10/5/2016 4/5/2017 Alcohol Dependency

9/22/2017 9/22/2018

10/5/2016 4/5/2017 Failure to File Report-38-1,124,38-1,125

9/22/2017 9/22/2018

10/5/2016 4/5/2017 Misdemeanor Conviction(s)

9/22/2017 9/22/2018

10/5/2016 4/5/2017 Misrepresentation of Material Facts

9/22/2017 9/22/2018

10/5/2016 4/5/2017 Probation Violation

9/22/2017 9/22/2018

10/5/2016 4/5/2017 Violation of Dept Order

9/22/2017 9/22/2018

Probation 1/20/2014 1/20/2019 Alcohol Dependency

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Probation Violation

Violation of Dept Order

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Page 114 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Pasco, Audrey Rebecca 47976

Lincoln, NE

Probation 1/1/2011 7/1/2011 Failure to Disclose Convictions

xCriminal Conviction(s)

Penney, Lathres Sheron 48205

Omaha, NE

Probation 4/20/2011 10/20/2011 Failure to Disclose Convictions

xCriminal Conviction(s)

Perez, Amber Dawn 50585

Lincoln, NE

Probation 11/2/2015 11/2/2018 Alcohol Dependency

Controlled Substance Dependence

Felony Conviction(s)

Misdemeanor Conviction(s)

xMind-Altering Substance Dependence

Perkumas, Angela Ann 42691

LaVista, NE

Probation 3/10/2013 3/10/2017 Alcohol Dependency

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Pflug, Erin Nicole 45356

Omaha, NE

Civil Penalty 2/9/2012 8/9/2012 Failure to File Report-38-1,124,38-1,125

Violation of AOC

Phelps, Logan Jan 49166

Kearney, NE

Probation 12/14/2012 12/14/2014 Felony Conviction(s)

xMind-Altering Substance Abuse

xMind-Altering Substance Dependence

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Page 115 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Phillips, Jordan Danielle 48681

North Platte, NE

Censure 6/1/2012 Alcohol Abuse

Controlled Substance Abuse

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Probation 2/13/2012 7/10/2013 Alcohol Abuse

Controlled Substance Abuse

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Revocation 7/11/2013 Alcohol Abuse

Controlled Substance Abuse

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Phillips, Natasha Meghan 46924

Papillion, NE

Revocation 4/28/2011 Probation Violation

Phimvongsa, Kylie Jo 48129

Salina, KS

Probation 3/10/2011 Controlled Substance Dependence

xCriminal Conviction(s)

Pierce, Faith Marie 47509

Bertrand, NE

Probation 2/3/2010 6/15/2010 xCourt Conviction

Pochop, Odett Alejandra 49210

Hastings, NE

Probation 1/23/2013 Felony Conviction(s)

Misdemeanor Conviction(s)

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Page 116 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Porter, Kathleen Kaye 30622

Lincoln, NE

Civil Penalty 12/13/2012 6/13/2013 Unprofessional Conduct

Violation of UCA

Probation 12/23/2012 6/23/2013 Unprofessional Conduct

Violation of UCA

Powell, Kristy Lynne 50053

Bellevue, NE

Probation 8/18/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Suspension 12/19/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Pratt, Emily Sarah 50159

La Vista, NE

Probation 11/5/2014 6/20/2017 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Prince, Angela Marie 48419

Omaha, NE

Probation 9/19/2011 3/19/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

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Page 117 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Proctor, Stephanie Rae 50791

Andrews, TX

Censure 6/2/2017 Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Severe

xCont Substance Use Disorder - Severe

Civil Penalty 6/2/2018 Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Severe

xCont Substance Use Disorder - Severe

Probation 3/31/2016 Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Severe

xCont Substance Use Disorder - Severe

Puente, Theresa Katherine 37669

Grand Island, NE

Probation 6/23/2013 6/23/2014 Alcohol Abuse

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Puentes, Nicole Lynn 48612

BELLEVUE, NE

Probation 1/3/2012 7/3/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Putnam, Dwayne Lynn 42135

Glenwood Springs, CO

Probation 4/12/2011 10/12/2011 Failure to Disclose Convictions

xCriminal Conviction(s)

Randle, Kenya Danae 41938

Mesquite, TX

Probation 3/8/2010 3/8/2011 Probation Violation

Unlicensed Practice

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Rauterkus, Jennifer Jo 48303

North Platte, NE

Censure 6/13/2012 Alcohol Dependency

9/6/2012

6/4/2014

6/13/2012 Controlled Substance Dependence

9/6/2012

6/4/2014

6/13/2012 Misdemeanor Conviction(s)

9/6/2012

6/4/2014

6/13/2012 Probation Violation

9/6/2012

6/4/2014

Probation 6/21/2011 12/21/2014 Alcohol Dependency

Controlled Substance Dependence

Misdemeanor Conviction(s)

Probation Violation

Ray, Kiley Marie 48635

Fremont, NE

Probation 1/26/2012 7/26/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Reilly, Teresa Justine 46686

Los Angeles, CA

Probation 6/23/2013 12/5/2014 Felony Conviction(s)

Richard, Kihlisha DeShawn 49855

Bellevue, NE

Probation 3/7/2014 9/7/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Richardson, Eryn Rae 48724

Grand Island, NE

Probation 1/12/2015 7/12/2015 Practice in Unlicensed Premises

Violation of UCA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Richardson, Kirstynne Mara 51015

Omaha, NE

Probation 11/10/2016 5/10/2017 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Richter-Anderson, Karla Kristine 31715

Kearney, NE

Probation 7/11/2015 1/11/2016 Alcohol Abuse

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Rivera, Melody 48709

Lincoln, NE

Probation 2/28/2012 8/28/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Roberts, Nicole Dee 49990

Omaha, NE

Probation 6/27/2014 12/27/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Robinson, Sheena Delray 44928

Blair, NE

Revocation 1/14/2011 4/7/2014 Alcohol Abuse

Failure to Disclose Convictions

Misdemeanor Conviction(s)

xFailure To File Mandatory Report

Robinson, Tracii Loraine 38861

Omaha, NE

Probation 8/26/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Unlicensed Practice

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Page 120 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Rogers, Callie Gabriele 48931

Eagle, NE

Censure 1/10/2014 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Probation 7/16/2012 7/16/2014 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Rojas, Brea Dene 47962

Scottsbluff, NE

Probation 12/10/2010 7/5/2011 Failure to Disclose Convictions

Probation Violation

xCriminal Conviction(s)

Rolenc, April Lynn 47289

Hooper, NE

Revocation 3/17/2015 Controlled Substance Dependence

Felony Conviction(s)

Romine, Ashlee Rene' 49611

Lemoyne, NE

Probation 10/2/2013 4/2/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Rose, Erin Lee 49858

Schuyler, NE

Probation 3/10/2014 9/10/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Rosendahl, Dawn Rae 28198

La Vista, NE

Probation 4/6/2017 Alcohol Abuse

Controlled Substance Abuse

Failure to File Report-38-1,124,38-1,125

Rother, Jennifer Kay 47591

Grand island, NE

Probation 3/25/2010 3/25/2011 xCourt Conviction

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Roxburgh, Tracey Ann 34673

Omaha, NE

Probation 11/21/2011 5/21/2012 Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Russell, Felicia Gail 38986

Omaha, NE

Probation 1/10/2018 7/10/2018 Unlicensed Practice

Rutledge, Rhonda Marie 47446

Norfolk, NE

Probation 12/22/2009 12/22/2010 xCourt Conviction

Salazar, Nathaniel Quinn 49228

Scottsbluff, NE

Censure 10/17/2013 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 4/17/2014 Alcohol Abuse

8/25/2014 2/25/2015

10/17/2013 4/17/2014 Misdemeanor Conviction(s)

8/25/2014 2/25/2015

10/17/2013 4/17/2014 Probation Violation

8/25/2014 2/25/2015

Probation 1/29/2013 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Revocation 2/21/2015 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Salerno, Carmen Jo 28171

Omaha, NE

Probation 7/28/2010 1/28/2011 xCriminal Conviction(s)

xFailure To File Mandatory Report

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Samuelson, Danielle Jean 47729

Oxford, NE

Censure 6/20/2011 Practice in Unlicensed Premises

Violation of UCA

Samway, Heidi Jo 39040

Lincoln, NE

Probation 7/26/2013 1/26/2014 Unlicensed Practice

Sanchez, Consuelo 51805

York, NE

Probation 12/17/2018 12/17/2021 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Substance Use Disorders-Multiple

Sanders, Jessica Lanette 46609

Omaha, NE

Revocation 5/10/2012 Alcohol Abuse

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Practice in Unlicensed Premises

Sandoval, Maria D 50648

Grand Island, NE

Probation 12/24/2015 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Suspension 5/12/2016 5/17/2016 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Schardt, Myra Lynn 27983

Byron, NE

Probation 2/7/2017 8/7/2017 Unlicensed Practice

Schimonitz, Rebecca Lynne 45539

Omaha, NE

Probation 12/8/2009 12/8/2011 xCourt Conviction

Revocation 9/10/2019 Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Schroeder, Ceanna Lynn 49552

Lincoln, NE

Probation 8/27/2013 8/27/2015 Alcohol Dependency

Misdemeanor Conviction(s)

Schuetz, Cheryl K 33083

Omaha, NE

Probation 4/3/2015 11/3/2015 Unlicensed Practice

Schulz, Brandee Lauree 41344

Grand Island, NE

Probation 10/18/2017 Misdemeanor Conviction(s)

Substance Use Disorder

Schwenke, Amanda Marie 46567

Kearney, NE

Probation 4/24/2018 8/13/2018 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Suspension 8/13/2018 9/16/2018 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Scott, Lisa Renee 34020

Longmont, CO

Probation 11/25/2010 Alcohol Dependency

Misdemeanor Conviction(s)

xFailure To File Mandatory Report

Scribner, Jamie Lee 45312

OMAHA, NE

Probation 6/13/2012 12/13/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Sell, Shayla Nicole 47594

Lincoln, NE

Probation 3/26/2010 3/26/2011 xCourt Conviction

Seng, Tara J 41625

Omaha, NE

Suspension 2/15/2017 2/5/2019 Probation Violation

Unlicensed Practice

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Shaske, Amberrose Michelle 48752

Omaha, NE

Probation 1/15/2014 1/15/2016 Alcohol Dependency

3/22/2012

1/15/2014 1/15/2016 Controlled Substance Dependence

3/22/2012

1/15/2014 1/15/2016 Failure to Disclose Convictions

3/22/2012

1/15/2014 1/15/2016 Misdemeanor Conviction(s)

3/22/2012

Sheldon, Adria LaDonna 48787

Lincoln, NE

Probation 4/11/2012 10/11/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Sheppard, Sarah Michele 45847

Hastings, NE

Probation 11/16/2011 4/16/2012 Alcohol Dependency

3/7/2019 3/7/2021

9/16/2013

11/16/2011 4/16/2012 Failure to Disclose Convictions

3/7/2019 3/7/2021

9/16/2013

11/16/2011 4/16/2012 Misdemeanor Conviction(s)

3/7/2019 3/7/2021

9/16/2013

Skinner, Nicole Gail 37286

Fairfield, NE

Probation 10/16/2013 10/16/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Unlicensed Practice

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Skinner, Reggie Ann 41839

Ogallala, NE

Censure 12/4/2014 Failure to Disclose Convictions

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Practice in Unlicensed Premises

Violation of UCA

xCourt Conviction

Civil Penalty 12/4/2015 Failure to Disclose Convictions

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Practice in Unlicensed Premises

Violation of UCA

xCourt Conviction

Probation 3/1/2011 9/1/2011 Failure to Disclose Convictions

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Practice in Unlicensed Premises

Violation of UCA

xCourt Conviction

Skrdlant, Jami Marie 46626

Crete, NE

Probation 3/7/2017 9/7/2017 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Smith, Heather Marie 49704

Holdrege, NE

Probation 9/4/2015 3/4/2016 Failure to File Report-38-1,124,38-1,125

Smith, Tameaka LaShawn 48972

Omaha, NE

Probation 8/17/2012 4/7/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Snyder, Ashley Jean 44521

North Platte, NE

Probation 9/4/2015 3/4/2016 Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Snyder, Ellen Jean 49639

Blue Hill, NE

Probation 10/17/2013 4/17/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Spanel, Rebecca Marie 50741

Grand Island, NE

Probation 2/24/2016 8/24/2016 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Suspension 8/5/2016 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Spencer, Brian Courtonio 49620

Omaha, NE

Censure 9/10/2019 Alcohol Abuse

Failed to Report Conviction in 30 days

Felony Conviction(s)

History of Disciplinary Action

Misdemeanor Conviction(s)

Probation Violation

Substance Use Disorder

Civil Penalty 3/10/2020 Alcohol Abuse

Failed to Report Conviction in 30 days

Felony Conviction(s)

History of Disciplinary Action

Misdemeanor Conviction(s)

Probation Violation

Substance Use Disorder

Probation 1/2/2019 1/2/2021 Alcohol Abuse

Failed to Report Conviction in 30 days

Felony Conviction(s)

History of Disciplinary Action

Misdemeanor Conviction(s)

Probation Violation

Substance Use Disorder

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Page 127 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Spotanski, Trisha Janelle 46999

Shelton, NE

Probation 6/10/2013 12/10/2013 Misdemeanor Conviction(s)

Unlicensed Practice

Srivisay, Anna M 48634

Grand Island, NE

Probation 1/25/2012 7/25/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Stanley, Amanda Rae 48198

Hickman, NE

Probation 4/14/2011 10/14/2011 Failure to Disclose Convictions

xCriminal Conviction(s)

Stege, Theresa Kay 45579

Beatrice, NE

Probation 3/13/2010 3/13/2011 Failure to File Report-38-1,124,38-1,125

Misrepresentation of Material Facts

Stevens, Sally Jo 45815

Beatrice, NE

Censure 2/11/2010 Failure to Pay Fees

Permitting Aiding & Abetting

Civil Penalty 2/11/2011 Failure to Pay Fees

Permitting Aiding & Abetting

Suspension 4/1/2011 Failure to Pay Fees

Permitting Aiding & Abetting

Stevenson, Stephanie Marie 43873

Omaha, NE

Probation 3/1/2011 9/1/2011 Failure to Disclose Convictions

xCriminal Conviction(s)

Stohlmann, Jessica Lea 42646

Omaha, NE

Probation 1/12/2010 7/10/2010 Unlicensed Practice

Stohlmann, Maggie Elizabeth 48190

Omaha, NE

Probation 6/27/2016 12/27/2016 Unlicensed Practice

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Page 128 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Strong, LeAnne Marie 43570

Kearney, NE

Revocation 9/25/2010 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

xAlcohol & Chemical Dependence/Addiction

Suarez, Deanna Rosa 44190

Omaha, NE

Probation 3/7/2019 3/7/2021 Alcohol Use Disorder, Moderate

Failed to Report Conviction in 30 days

4/2/2013 10/2/2016 Failure to Disclose Convictions

Misdemeanor Conviction(s)

3/7/2019 3/7/2021

4/2/2013 10/2/2016 Probation Violation

Unlicensed Practice

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Page 129 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Sue, Kailee Mia 35774

Bellevue, NE

Censure 5/29/2014 Alcohol Dependency

Controlled Substance Dependence

Felony Conviction(s)

Probation Violation

Unprofessional Conduct

xCriminal Conviction(s)

xUnlawful CS Distribution

Civil Penalty 11/29/2014 Alcohol Dependency

Controlled Substance Dependence

Felony Conviction(s)

Probation Violation

Unprofessional Conduct

xCriminal Conviction(s)

xUnlawful CS Distribution

Probation 4/19/2011 4/19/2016 Alcohol Dependency

Controlled Substance Dependence

Felony Conviction(s)

Probation Violation

Unprofessional Conduct

xCriminal Conviction(s)

xUnlawful CS Distribution

Sullivan, Jennifer Ann 36515

Plattsmouth, NE

Censure 7/22/2016 Permitting Aiding & Abetting

Practice in Unlicensed Premises

Unprofessional Conduct

Sutter, Laura Lisa 32252

Sarasota, FL

Probation 11/19/2012 5/19/2013 Misdemeanor Conviction(s)

Tafolla, Amanda Crystal 49223

Sidney, NE

Probation 1/25/2013 7/25/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

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Page 130 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Talbott, Amanda R 47933

Lincoln, NE

Probation 9/4/2015 3/4/2016 Failed to Report Conviction in 30 days

Tangeman, Christine Lynn 36464

Omaha, NE

Probation 5/10/2011 11/10/2011 Failure to Disclose Convictions

5/10/2012

11/10/2011 Probation Violation

5/10/2012

11/10/2011 xCriminal Conviction(s)

5/10/2012

Tanksley, Rochelle Denise 47127

Omaha, NE

Censure 10/23/2015 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

Civil Penalty 4/23/2016 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

Probation 4/24/2013 11/24/2015 Failure to Disclose Convictions

9/4/2017 9/4/2020 Felony Conviction(s)

4/24/2013 11/24/2015 Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

Suspension 6/9/2016 6/13/2016 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

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Page 131 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Tanner, Laura Christine 47927

Omaha, NE

Censure 6/28/2019 Alcohol Use Disorder, Severe

Felony Conviction(s)

Probation Violation

Civil Penalty 12/28/2019 Alcohol Use Disorder, Severe

Felony Conviction(s)

Probation Violation

Probation 11/12/2010 2/27/2013 Alcohol Dependency

10/22/2013 10/22/2014

4/16/2018 4/16/2022 Alcohol Use Disorder, Severe

Felony Conviction(s)

11/12/2010 2/27/2013 Probation Violation

10/22/2013 10/22/2014

4/16/2018 4/16/2022

11/12/2010 2/27/2013 xCriminal Conviction(s)

10/22/2013 10/22/2014

Suspension 2/28/2013 10/21/2013 Alcohol Dependency

Probation Violation

xCriminal Conviction(s)

Taulbee, Rebecca Dawn 43429

Fremont, NE

Probation 7/29/2011 10/9/2012 Misdemeanor Conviction(s)

Probation Violation

Taulborg, Melissa Adair 48753

Omaha, NE

Probation 3/22/2012 3/22/2013 Alcohol Dependency

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Taylor, Kalyn Kameyl 49453

Boulder, CO

Probation 6/24/2013 9/29/2015 Alcohol Abuse

9/29/2015 9/29/2016

6/24/2013 9/29/2015 Felony Conviction(s)

9/29/2015 9/29/2016

6/24/2013 9/29/2015 Lacks Good Character

9/29/2015 9/29/2016

Taylor, Niquisha LeJoyce Marie 46629

Omaha, NE

Probation 5/13/2011 11/13/2011 Failure to Disclose Convictions

11/13/2011 5/13/2012

5/13/2011 11/13/2011 Probation Violation

11/13/2011 5/13/2012

5/13/2011 11/13/2011 xCriminal Conviction(s)

11/13/2011 5/13/2012

Taylor, Walter Grant 47442

Bellevue, NE

Censure 6/25/2012 Previous Violations Resumed

Probation Violation

xCourt Conviction

Probation 6/28/2019 6/28/2022 Previous Violations Resumed

12/17/2009

6/28/2019 6/28/2022 Probation Violation

12/17/2009

6/28/2019 6/28/2022 xCourt Conviction

12/17/2009

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Teahon, Katie Jo 49467

Kearney, NE

Probation 7/1/2013 10/10/2013 Failed to Report Conviction in 30 days

2/11/2017

7/1/2013 10/10/2013 Felony Conviction(s)

2/11/2017

7/1/2013 10/10/2013 Misdemeanor Conviction(s)

2/11/2017

7/1/2013 10/10/2013 xAlcohol Use Disorder - Mild

2/11/2017

7/1/2013 10/10/2013 xCont Substance Use Disorder - Moderate

2/11/2017

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Tesarek, Michelle Renae 46414

Omaha, NE

Censure 8/29/2018 Alcohol Abuse

Controlled Substance Abuse

Controlled Substance Dependence

Failure to File Report-38-1,124,38-1,125

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 2/28/2019 Alcohol Abuse

Controlled Substance Abuse

Controlled Substance Dependence

Failure to File Report-38-1,124,38-1,125

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

Probation 7/12/2016 7/12/2020 Alcohol Abuse

Controlled Substance Abuse

Controlled Substance Dependence

Failure to File Report-38-1,124,38-1,125

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

Revocation 2/8/2019 Alcohol Abuse

Controlled Substance Abuse

Controlled Substance Dependence

Failure to File Report-38-1,124,38-1,125

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

Suspension 8/13/2014 7/12/2016 Alcohol Abuse

Controlled Substance Abuse

Controlled Substance Dependence

Failure to File Report-38-1,124,38-1,125

Felony Conviction(s)

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Page 135 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Suspension 8/13/2014 7/12/2016 Misdemeanor Conviction(s)

Probation Violation

Teten, Ashley Kristine 46834

Nebraska City, NE

Censure 11/16/2009 Alcohol Addiction

Probation Violation

xCourt Conviction

Civil Penalty 12/16/2010 Alcohol Addiction

Probation Violation

xCourt Conviction

Theis, Alexander Lee 48859

Omaha, NE

Probation 5/21/2012 5/21/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Thies, Abbie Lynn 51437

Wayne, NE

Probation 12/11/2017 12/11/2019 Misdemeanor Conviction(s)

Thille, Marissa Lynne 47090

Yuba City, CA

Censure 4/19/2012 Failure to File Report-38-1,124,38-1,125

Thomas, Michael Tyler 47317

Omaha, NE

Censure 7/13/2010 Failure to Comply With Aftercare

Probation Violation

xCourt Conviction

xFailure To File Mandatory Report

Civil Penalty 1/13/2011 Failure to Comply With Aftercare

Probation Violation

xCourt Conviction

xFailure To File Mandatory Report

Thomas, Monique Louise 44114

Omaha, NE

Probation 7/10/2012 3/4/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

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Page 136 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Thompson, Trisha Marie 49351

Omaha, NE

Censure 8/8/2019 Misrepresentation of Material Facts

Unlicensed Practice

Civil Penalty 2/8/2020 Misrepresentation of Material Facts

Unlicensed Practice

Timm, Catie Lynn 49069

Campbell, NE

Probation 10/22/2012 4/22/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Timmerman, Dillon Cokey 47939

Lincoln, NE

Probation 11/24/2010 11/24/2011 xCriminal Conviction(s)

Tobey, Kayla Marie 48215

Hastings, NE

Probation 4/25/2011 2/9/2012 Controlled Substance Dependence

8/8/2014 1/29/2016

4/25/2011 2/9/2012 Probation Violation

8/8/2014 1/29/2016

4/25/2011 2/9/2012 xCriminal Conviction(s)

8/8/2014 1/29/2016

Revocation 1/29/2016 Controlled Substance Dependence

Probation Violation

xCriminal Conviction(s)

Tomanek, Laurie Rae 43239

Omaha, NE

Probation 3/18/2012 5/21/2013 Alcohol Abuse

Misdemeanor Conviction(s)

Tomety, Tiffany Ann 48077

Richwood, TX

Probation 2/14/2011 2/14/2012 Alcohol Abuse

Failure to Disclose Convictions

xCriminal Conviction(s)

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Page 137 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Tompkins, Amanda Jo 49188

Gering, NE

Probation 1/1/2013 Alcohol Dependency

Felony Conviction(s)

Misdemeanor Conviction(s)

Toomey, Jessica Dawn 42081

Lincoln, NE

Censure 1/31/2013 Practice in Unlicensed Premises

Unprofessional Conduct

Violation of UCA

Civil Penalty 7/31/2013 Practice in Unlicensed Premises

Unprofessional Conduct

Violation of UCA

Townsell, LaMinah Layla 44468

Omaha, NE

Probation 8/26/2010 9/28/2011 xCriminal Conviction(s)

Treptow, Geraldine Lynne 39383

Comstock, NE

Probation 9/15/2011 3/15/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Truesdell, John Fredrick, II 48569

Omaha, NE

Probation 12/7/2011 Alcohol Dependency

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Tucker, Amanda Zee 44577

Omaha, NE

Probation 4/28/2010 10/28/2010 xCourt Conviction

Udo, Ekaete Arceal 51194

Omaha, NE

Probation 4/13/2017 10/13/2017 Failure to Disclose Convictions

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Utecht, Melissa Jo 45976

Hastings, NE

Probation 4/16/2010 10/16/2010 xCourt Conviction

Valentine, Lakia Shantel 43766

Omaha, NE

Civil Penalty 1/7/2013 1/7/2014 Failure to Pay Fees

Permitting Aiding & Abetting

Practice in Unlicensed Premises

Unprofessional Conduct

Violation of UCA

Probation 1/17/2013 7/17/2013 Failure to Pay Fees

Permitting Aiding & Abetting

Practice in Unlicensed Premises

Unprofessional Conduct

Violation of UCA

Suspension 1/29/2014 Failure to Pay Fees

Permitting Aiding & Abetting

Practice in Unlicensed Premises

Unprofessional Conduct

Violation of UCA

Valentine, Shamika Latoya 42470

Omaha, NE

Probation 11/16/2011 11/16/2012 Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Valenzuela, Adria Lee 48455

Kearney, NE

Censure 6/25/2012 Alcohol Abuse

Controlled Substance Dependence

Probation Violation

Probation 10/13/2011 10/13/2014 Alcohol Abuse

Controlled Substance Dependence

Probation Violation

Van Nortrick, Kara Michele 45702

Missouri Valley, IA

Probation 3/19/2014 9/19/2014 Misdemeanor Conviction(s)

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Page 139 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

VanAcker, Crysten Marie 46534

Cozad, NE

Probation 4/29/2012 4/29/2014 Alcohol Dependency

Controlled Substance Dependence

Vang, Mollie Rhay 50015

Lincoln, NE

Probation 6/19/2019 12/19/2019 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Vaughn, Jaesa Suzanne 50548

Lincoln, NE

Probation 10/6/2015 11/8/2017 Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

xAlcohol Use Disorder - Mild

xCont Substance Use Disorder - Moderate

Velazquez, Kristen R 51025

Omaha, NE

Probation 11/21/2016 5/21/2017 Probation Violation

Unlicensed Practice

Suspension 3/28/2017 4/26/2017 Probation Violation

Unlicensed Practice

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Villalon, Amanda Rachelle 43384

Lexington, NE

Censure 7/13/2010 Alcohol Dependency

7/31/2019 Alcohol Use Disorder, Moderate

7/13/2010 Controlled Substance Abuse

Failure to Disclose Convictions

Failure to File Report-38-1,124,38-1,125

7/31/2019 Felony Conviction(s)

7/13/2010 Misdemeanor Conviction(s)

7/31/2019 Probation Violation

Civil Penalty 1/31/2020 Alcohol Use Disorder, Moderate

Felony Conviction(s)

Probation Violation

Probation 8/10/2011 8/10/2015 Alcohol Dependency

Alcohol Use Disorder, Moderate

1/13/2018 1/13/2022

8/10/2011 8/10/2015 Controlled Substance Abuse

Failure to Disclose Convictions

Failure to File Report-38-1,124,38-1,125

Felony Conviction(s)

1/13/2018 1/13/2022

8/10/2011 8/10/2015 Misdemeanor Conviction(s)

Probation Violation

1/13/2018 1/13/2022

Volquardsen, Sarah Michelle 43598

Kearney, NE

Censure 8/20/2015 Unlicensed Practice

Votava, Danielle Marie 47754

Lincoln, NE

Probation 7/28/2010 1/28/2011 Failure to Disclose Convictions

xCriminal Conviction(s)

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Page 141 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Waddell, Stephanie Marie 47123

Lilburn, GA

Probation 3/19/2013 3/19/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Unlicensed Practice

Wagener, Kelsi Nicole 47541

Omaha, NE

Probation 7/11/2015 7/11/2019 Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

xAlcohol Use Disorder - Severe

xCont Substance Use Disorder - Severe

Wagner, Tara Marie 42969

Columbus, NE

Censure 4/19/2012 Permitting Aiding & Abetting

Suspension 11/9/2012

Walker, Tempest Olivian 50415

Omaha, NE

Probation 6/5/2015 12/5/2015 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Suspension 11/4/2015 11/9/2015 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Ward, Andrea Shaunte 46631

Sidney, NE

Probation 4/12/2016 10/12/2016 Failure to Disclose Convictions

Misdemeanor Conviction(s)

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Page 142 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Ward, Elizabeth Diane 51716

Fremont, NE

Probation 9/14/2018 9/14/2019 Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

Suspension 1/17/2019 6/26/2019 Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

Watts, Michael Christopher 49476

Wooster, OH

Probation 7/2/2013 7/2/2016 Misdemeanor Conviction(s)

Probation Violation

xMind-Altering Substance Dependence

Suspension 8/18/2014 11/18/2014 Misdemeanor Conviction(s)

Probation Violation

xMind-Altering Substance Dependence

Weaver, LaReshia Denise 49341

Lincoln, NE

Probation 4/3/2013 10/3/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

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Page 143 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Webber, Krystle Jamie 45744

Omaha, NE

Censure 8/25/2011 Alcohol Dependency

4/14/2016

8/25/2011 Failure to Disclose Convictions

4/14/2016

8/25/2011 Misdemeanor Conviction(s)

4/14/2016

8/25/2011 Probation Violation

4/14/2016

8/25/2011 Violation of Dept Order

4/14/2016

Civil Penalty 8/25/2011 2/25/2012 Alcohol Dependency

4/14/2016 10/14/2016

8/25/2011 2/25/2012 Failure to Disclose Convictions

4/14/2016 10/14/2016

8/25/2011 2/25/2012 Misdemeanor Conviction(s)

4/14/2016 10/14/2016

8/25/2011 2/25/2012 Probation Violation

4/14/2016 10/14/2016

8/25/2011 2/25/2012 Violation of Dept Order

4/14/2016 10/14/2016

Probation 12/12/2010 12/31/2012 Alcohol Dependency

2/9/2015 10/29/2016

12/12/2010 12/31/2012 Failure to Disclose Convictions

2/9/2015 10/29/2016

12/12/2010 12/31/2012 Misdemeanor Conviction(s)

2/9/2015 10/29/2016

12/12/2010 12/31/2012 Probation Violation

2/9/2015 10/29/2016

12/12/2010 12/31/2012 Violation of Dept Order

2/9/2015 10/29/2016

Revocation 10/29/2016 Alcohol Dependency

Failure to Disclose Convictions

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Revocation 10/29/2016 Probation Violation

Violation of Dept Order

Wells, Trina Ann 40283

Omaha, NE

Censure 3/31/2011 Controlled Substance Dependence

Failure to Disclose Convictions

Probation Violation

xCriminal Conviction(s)

Civil Penalty 9/30/2011 Controlled Substance Dependence

1/12/2012 7/12/2012

3/31/2011 9/30/2011 Failure to Disclose Convictions

1/12/2012 7/12/2012

3/31/2011 9/30/2011 Probation Violation

1/12/2012 7/12/2012

3/31/2011 9/30/2011 xCriminal Conviction(s)

1/12/2012 7/12/2012

Probation 12/7/2010 4/19/2012 Controlled Substance Dependence

3/4/2016 3/4/2018

12/7/2010 4/19/2012 Failure to Disclose Convictions

3/4/2016 3/4/2018

12/7/2010 4/19/2012 Probation Violation

3/4/2016 3/4/2018

12/7/2010 4/19/2012 xCriminal Conviction(s)

3/4/2016 3/4/2018

Wenzel, Lisa Lee 38333

Unadilla, NE

Probation 7/22/2015 1/22/2016 Unlicensed Practice

Werts, Vonda Rae 47988

Lincoln, NE

Probation 1/10/2011 7/10/2011 xCriminal Conviction(s)

Westfall, Nina Rae 39525

Geneva, NE

Probation 12/16/2014 6/16/2015 Unlicensed Practice

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Page 145 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

White, Maureen Collette 47618

Union, NE

Censure 9/6/2012 Probation Violation

xCourt Conviction

Probation 4/16/2010 4/16/2013 Probation Violation

xCourt Conviction

Suspension 9/6/2012 10/6/2012 Probation Violation

xCourt Conviction

Whitlatch, Heather Lynn 45905

Lincoln, NE

Revocation 3/26/2014 Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Whitley, Shannon Monque 50219

Omaha, NE

Probation 1/13/2015 7/14/2015 Misdemeanor Conviction(s)

Probation Violation

Suspension 7/14/2015 7/16/2015 Misdemeanor Conviction(s)

Probation Violation

Wilhelm, Derrick John 46825

Lincoln, NE

Revocation 7/17/2011 Probation Violation

xCourt Conviction

Wilhelm, Krista Ann 40441

Omaha, NE

Probation 12/17/2013 Controlled Substance Dependence

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Williams, Amherstine Lynnette 43524

Omaha, NE

Censure 11/2/2010 Probation Violation

Civil Penalty 3/5/2012

Probation 3/3/2010 11/11/2011 xCriminal Conviction(s)

Suspension 4/2/2012 1/16/2018 Probation Violation

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Page 146 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Wilson, Lynette Ann 35240

Omaha, NE

Probation 5/20/2010 1/27/2017 xCourt Conviction

Wilson, Meshelle Deon Rose 49909

Lincoln, NE

Probation 4/18/2014 10/18/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Suspension 11/3/2014 11/4/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Woods, Credessa Eileen 46181

Omaha, NE

Revocation 3/17/2011 4/15/2013 Failure to Disclose Convictions

Failure to File Report-38-1,124,38-1,125

Misrepresentation of Material Facts

Unlicensed Practice

Worden, Brooke Courtney 48808

Ainsworth, NE

Probation 4/23/2012 4/23/2013 Alcohol Abuse

Misdemeanor Conviction(s)

Workman, Leslie Kristine 47619

Elkhorn, NE

Probation 4/16/2010 10/16/2010 xCourt Conviction

Wranek, Hillery Rae 51513

Central City, NE

Probation 2/6/2018 8/6/2018 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Wright, Yolanda Denise 38348

Lincoln, NE

Probation 4/19/2010 10/19/2010 xCourt Conviction

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetologist

Wunderlich, Jennifer Lynn 41406

Omaha, NE

Civil Penalty 9/8/2016 3/8/2017 Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Moderate

Probation 10/1/2015 4/28/2016 Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Moderate

Suspension 4/28/2016 Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Moderate

Yadlapalli, Santhi Sudha 46325

Omaha, NE

Civil Penalty 11/2/2010 5/2/2011 Unlicensed Practice

Violation of UCA

Young, Amber Marsha Sheri 50355

Omaha, NE

Probation 4/22/2015 10/22/2015 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Zabokrtsky, Diane Ruth 40900

Lincoln, NE

Censure 3/17/2010 Felony Conviction(s)

Probation Violation

Civil Penalty 9/17/2010 Felony Conviction(s)

Probation Violation

Probation 2/7/2017 8/7/2017 Unlicensed Practice

Zamarripa, Pamela Sue 39799

Grand Island, NE

Probation 2/24/2010 2/24/2011 xCourt Conviction

Zeigler, Candace Rana 38767

North Platte, NE

Probation 3/24/2017 9/24/2017 Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetology Instructor

Adcock, Michelle Louise 1179

Omaha, NE

Censure 5/6/2010 Controlled Substance Dependence

Misdemeanor Conviction(s)

Probation Violation

Revocation 3/3/2011 Controlled Substance Dependence

Misdemeanor Conviction(s)

Probation Violation

Armstead, Kisha Deanne 1220

Lincoln, NE

Probation 3/16/2011 9/16/2011 Failure to Disclose Convictions

xCourt Conviction

Dean, Emily Marie 1245

Harrison, NE

Probation 3/1/2012 2/25/2013 Controlled Substance Dependence

Misdemeanor Conviction(s)

Lee, Julie Marie 1231

Springfield, NE

Probation 5/18/2011 11/18/2011 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Lukasiewicz, Angela Kay 1146

Hastings, NE

Probation 7/23/2010 7/23/2011 Alcohol Dependency

Failure to File Report-38-1,124,38-1,125

xCourt Conviction

xCriminal Conviction(s)

xFailure To File Mandatory Report

Martinez, Alfonso Arturo 1236

Omaha, NE

Probation 9/19/2011 4/5/2012 Alcohol Dependency

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Cosmetology Instructor

Miller-Lind, Gemi Jan 1215

Mitchell, NE

Probation 1/10/2011 1/10/2012 xCourt Conviction

Olson, Jerico Cheyne 1271

Cedar Creek, NE

Probation 8/13/2013 2/13/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Puente, Theresa Katherine 1069

Grand Island, NE

Probation 6/23/2013 6/23/2014 Alcohol Abuse

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Swiney-Free, Tiffany Danielle 1278

NORCROSS, GA

Probation 1/22/2014 7/22/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Tippery, Dina Marie 1200

LaVista, NE

Probation 2/24/2010 8/24/2010 xCourt Conviction

Trew, Danielle Rae 1238

Kearney, NE

Probation 10/13/2011 4/13/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Vasquez, Joshua Sebastian 1259

Kearney, NE

Probation 11/6/2012 5/6/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Esthetician

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Esthetician

Anderson, James LaFayette 787

Lincoln, NE

Probation 6/10/2012 11/1/2012 Controlled Substance Dependence

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

11/20/2014 11/20/2015

6/10/2012 11/1/2012 Practice in Unlicensed Premises

11/20/2014 11/20/2015 Probation Violation

xAlcohol Use Disorder - Mild

Atkins, Jacqueline Rae 773

Arnold, NE

Censure 12/12/2013 Permitting Aiding & Abetting

Civil Penalty 6/12/2014

Probation 12/22/2013 12/22/2014

Barnes, Shelly Ann 1040

Fremont, NE

Probation 8/18/2010 2/18/2011 Failure to Disclose Convictions

xCriminal Conviction(s)

Bivens, Elizabeth Anne 1115

Omaha, NE

Probation 5/3/2011 Alcohol Abuse

xCriminal Conviction(s)

Blechschmidt, Mary Helen 679

Omaha, NE

Probation 12/23/2013 6/23/2014 Unlicensed Practice

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Esthetician

Bors, Taylor Ann 1897

Lincoln, NE

Probation 3/21/2018 8/13/2018 Failure to Disclose Convictions

8/14/2018 9/21/2018

3/21/2018 8/13/2018 Misdemeanor Conviction(s)

8/14/2018 9/21/2018

3/21/2018 8/13/2018 Probation Violation

8/14/2018 9/21/2018

Suspension 8/13/2018 8/14/2018 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Carlson, Lisa Marie 1605

Omaha, NE

Probation 9/18/2015 9/18/2016 Misdemeanor Conviction(s)

Unlicensed Practice

Chambers, Angela Marie 1698

Omaha, NE

Probation 6/27/2016 12/27/2016 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Christensen, Alexis Michaela 908

Oxford, NE

Revocation 12/24/2010 Probation Violation

Christenson, Stephanie Dawn 1694

Bennington, NE

Probation 6/16/2016 6/14/2018 Felony Conviction(s)

Misdemeanor Conviction(s)

Cloud, Catherine Ann 592

Omaha, NE

Probation 6/17/2013 12/17/2013 Unlicensed Practice

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Esthetician

Collett, Brittany Katlin 982

Lincoln, NE

Censure 9/22/2017 Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Moderate

Probation 2/11/2017 2/11/2019 Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Moderate

2/16/2010 4/23/2010 xCourt Conviction

Donohoe, Karla Marie 1482

Lincoln, NE

Probation 5/16/2014 9/30/2014 Alcohol Abuse

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Emery, Stacey Lenette 1016

Humble, TX

Probation 5/18/2010 xCourt Conviction

Feder, Samantha Leigh 1440

Omaha, NE

Probation 1/7/2014 8/20/2015 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

xMind-Altering Substance Dependence

Revocation 8/20/2015 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

xMind-Altering Substance Dependence

Ficenec, Mary Margaret 362

Omaha, NE

Probation 10/13/2011 Alcohol Dependency

Controlled Substance Abuse

Felony Conviction(s)

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Esthetician

Garringer, Melanie Dawn 987

Lincoln, NE

Probation 2/24/2010 Probation Violation

xCourt Conviction

Gartner, Amanda Rae 1245

Lincoln, NE

Probation 5/2/2012 11/2/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Revocation 11/20/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Gonzalez, Janeth Gonzalez 1557

South Sioux City, NE

Probation 3/26/2015 9/26/2015 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Guenther, Brooke Elizabeth 1578

Pierce, NE

Probation 6/17/2015 11/30/2015 Alcohol Abuse

Misdemeanor Conviction(s)

xMind-Altering Substance Abuse

Hall, Jill Nicole 1627

Lincoln, NE

Probation 3/18/2019 9/18/2019 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Hixson, Kristen Kay 1782

Bellevue, NE

Probation 5/11/2017 11/11/2017 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Suspension 10/6/2017 10/9/2017 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Esthetician

Killion, Rita May 1561

Saint Paul, NE

Probation 4/15/2015 10/15/2015 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Knust, Sarah Marie 1687

Neligh, NE

Probation 6/3/2016 4/27/2017 Misdemeanor Conviction(s)

Kreitler, Mina Ton 1477

Omaha, NE

Censure 4/5/2019 Permitting Aiding & Abetting

Practice in Unlicensed Premises

Unprofessional Conduct

Violation of Dept Order

Civil Penalty 10/5/2019 Permitting Aiding & Abetting

Practice in Unlicensed Premises

Unprofessional Conduct

Violation of Dept Order

Suspension 8/14/2019 Permitting Aiding & Abetting

Practice in Unlicensed Premises

Unprofessional Conduct

Violation of Dept Order

Lampe, Amber Dawn 1203

Lincoln, NE

Probation 1/26/2012 7/26/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Larsen, Joilynn Marie 387

Gretna, NE

Probation 1/16/2017 1/16/2018 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Moderate

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Esthetician

Maddocks, Jennifer Ruth Solomon 1568

Omaha, NE

Probation 5/12/2015 10/10/2017 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Suspension 2/2/2016 6/2/2016 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Martin, Jennifer Ann 2048

Lincoln, NE

Probation 3/6/2019 3/6/2020 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Substance Use Disorder

McCool, Kandi Kay 1372

Neola, IA

Probation 6/5/2013 9/25/2013 Failure to Disclose Convictions

10/15/2018 12/22/2018

6/5/2013 9/25/2013 Misdemeanor Conviction(s)

10/15/2018 12/22/2018

McKelvey, Nicole Lynn 1185

Lincoln, NE

Probation 11/22/2011 5/22/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Molina, Dianna Anita 2046

Kearney, NE

Probation 2/27/2019 8/27/2019 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Mossey, Jennifer Anne 1304

Omaha, NE

Probation 11/6/2012 11/6/2013 Alcohol Abuse

Failure to Disclose Convictions

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Esthetician

Naple, Elizabeth Mackenzie 1061

Omaha, NE

Censure 2/11/2011 Alcohol Abuse

Failure to Disclose Convictions

Probation Violation

xCriminal Conviction(s)

Civil Penalty 8/11/2011 Alcohol Abuse

Failure to Disclose Convictions

Probation Violation

xCriminal Conviction(s)

Probation 10/27/2010 4/12/2011 Alcohol Abuse

12/15/2015 6/30/2017

10/27/2010 4/12/2011 Failure to Disclose Convictions

12/15/2015 6/30/2017

10/27/2010 4/12/2011 Probation Violation

12/15/2015 6/30/2017

10/27/2010 4/12/2011 xCriminal Conviction(s)

12/15/2015 6/30/2017

Nguyen, Kim 714

Columbus, NE

Civil Penalty 4/25/2013 4/25/2014 Practice Beyond Scope

Practice in Unlicensed Premises

Probation 5/5/2013 11/5/2013 Practice Beyond Scope

Practice in Unlicensed Premises

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Esthetician

Nguyen, Vu Long 587

Lincoln, NE

Censure 4/20/2010 Failure to File Report-38-1,124,38-1,125

Felony Conviction(s)

Misrepresentation of Material Facts

Probation Violation

Civil Penalty 10/20/2010 Failure to File Report-38-1,124,38-1,125

1/12/2012 7/12/2012

4/20/2010 10/20/2010 Felony Conviction(s)

1/12/2012 7/12/2012

4/20/2010 10/20/2010 Misrepresentation of Material Facts

1/12/2012 7/12/2012

4/20/2010 10/20/2010 Probation Violation

1/12/2012 7/12/2012

Probation 4/30/2010 4/30/2014 Failure to File Report-38-1,124,38-1,125

Felony Conviction(s)

Misrepresentation of Material Facts

Probation Violation

O'Neill, Sara Lorraine 2054

Omaha, NE

Probation 3/27/2019 3/27/2020 Misdemeanor Conviction(s)

Partridge, Christine Marie 2016

Omaha, NE

Probation 1/10/2019 7/10/2019 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Perales, Veronica 1858

Omaha, NE

Probation 11/29/2017 5/29/2018 Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Peterson, Fawn Rebecca 330

Papillion, NE

Probation 6/23/2013 Alcohol Dependency

Controlled Substance Abuse

Failure to File Report-38-1,124,38-1,125

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Esthetician

Prittie, Megan Irene 1048

Sioux City, IA

Probation 8/8/2010 2/8/2011 Failure to Disclose Convictions

xCriminal Conviction(s)

Richardson, Eryn Rae 1433

Grand Island, NE

Probation 1/12/2015 7/12/2015 Practice in Unlicensed Premises

Violation of UCA

Rivera, Melody 1190

Lincoln, NE

Probation 12/1/2011 6/1/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Spicka, Erin Leigh, DA 1065

Crete, NE

Probation 11/17/2010 11/17/2011 Failure to Disclose Convictions

xCriminal Conviction(s)

Taulborg, Melissa Adair 1227

Omaha, NE

Probation 3/22/2012 3/22/2013 Alcohol Dependency

Misdemeanor Conviction(s)

Thompson, Karen Lynn 1010

Lincoln, NE

Probation 4/29/2010 xCourt Conviction

Trampe, Ashley Marie 1430

Lexington, NE

Censure 7/23/2014 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 1/23/2015 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Probation 11/26/2013 10/3/2014 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Esthetician

Tyler, Emily Anne 1031

Lincoln, NE

Probation 12/27/2014 12/27/2016 Alcohol Dependency

Failure to File Report-38-1,124,38-1,125

Tyrrell, Tiffany Ann 1376

Omaha, NE

Censure 9/10/2019 Alcohol Use Disorder, Moderate

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation Violation

Substance Use Disorder, Moderate

Civil Penalty 3/10/2020 Alcohol Use Disorder, Moderate

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation Violation

Substance Use Disorder, Moderate

Probation 5/17/2019 5/17/2022 Alcohol Use Disorder, Moderate

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation Violation

Substance Use Disorder, Moderate

Vance, Jill Renee 1669

Omaha, NE

Probation 3/21/2016 9/21/2016 Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Vandenberg, Nicole J 1105

Seward, NE

Probation 4/14/2011 10/14/2011 Failure to Disclose Convictions

xCriminal Conviction(s)

Vasquez, Angela Ann 1258

Hickman, NE

Probation 6/14/2012 12/14/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Esthetician

Veatch, Larissa Marie 1923

Prague, NE

Probation 5/30/2018 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Vo, Tu Anh Thi 1297

Elkhorn, NE

Probation 10/17/2012 4/17/2013 Other State Action

Wageman, Danielle Margaret 808

Omaha, NE

Revocation 12/24/2010 Probation Violation

Weakland, Jessica Marie 1194

Beatrice, NE

Probation 12/16/2011 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Suspension 6/13/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Wimmer, Anna Galina 673

LINCOLN, NE

Probation 2/18/2014 2/18/2017 Alcohol Dependency

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Wrye, Vanella Flavia 1136

Orange Park, FL

Censure 4/5/2019 Permitting Aiding & Abetting

Practice in Unlicensed Premises

Civil Penalty 10/5/2019 Permitting Aiding & Abetting

Practice in Unlicensed Premises

Dentistry

Dental Hygienist

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Dental Hygienist

Dondlinger, Sandra J, DH 637

Kearney, NE

Suspension 12/31/2009 1/31/2010 Practice Beyond Scope

Drahota, Deann Marie 954

Elkhorn, NE

Civil Penalty 4/29/2013 10/29/2013 Unlicensed Practice

Probation

Eden, Erica Ann, DH 2150

Lincoln, NE

Probation 4/18/2014 4/18/2015 Alcohol Abuse

Misdemeanor Conviction(s)

Haswell, MacKenzie Jean 2254

Norfolk, NE

Probation 5/3/2011 5/3/2012 Misdemeanor Conviction(s)

12/4/2014 12/4/2016

5/3/2011 5/3/2012 Misrepresentation of Material Facts

12/4/2014 12/4/2016

5/3/2011 5/3/2012 xAlcohol Use Disorder - Mild

12/4/2014 12/4/2016

Keese, Marie Allene, DH 1114

Lincoln, NE

Censure 3/3/2010 Probation Violation

Civil Penalty 9/3/2010

Kendall, Regina K, DH 2546

Garland, NE

Probation 7/31/2014 7/31/2015 Lacks Good Character

Misdemeanor Conviction(s)

Klimiades, Stephanie A, DH 2033

Bellevue, NE

Probation 9/20/2019 9/20/2024 Alcohol Use Disorder, Severe

Misdemeanor Conviction(s)

Substance Use Disorder, Mild

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Dental Hygienist

Lueders, Jacqueline Jayne, DH 1737

Beatrice, NE

Petition for Disp Action & Temp Susp 4/12/2012 4/19/2012 Controlled Substance Dependence

Dishonorable Conduct

Violation of UCSA

Suspension 4/19/2012 4/19/2013 Controlled Substance Dependence

Dishonorable Conduct

Violation of UCSA

Temporary Suspension 4/13/2012 4/19/2012 Controlled Substance Dependence

Dishonorable Conduct

Violation of UCSA

McMann, Emily, DH 2461

Bellevue, NE

Censure 8/28/2014 Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 2/28/2015 Misdemeanor Conviction(s)

Probation Violation

Probation 8/20/2013 8/20/2014 Misdemeanor Conviction(s)

Probation Violation

Ohlinger, Allie Rae, DH 2723

Omaha, NE

Probation 10/19/2016 8/4/2017 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Moderate

Owens, Larry Dallas, DH 956

Bellevue, NE

Probation 1/4/2011 1/4/2013 Alcohol Abuse

Misdemeanor Conviction(s)

Plate, Farrah Lynn, DDS 1468

Lincoln, NE

Probation 7/23/2018 Dishonorable Conduct

Substance Use Disorder, Moderate

Violation of UCSA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Dental Hygienist

White, Mickey Ray, Jr 2020

Council Bluffs, IA

Censure 8/28/2018 Alcohol Abuse

Alcohol Use Disorder, Severe

Misdemeanor Conviction(s)

Probation Violation

xCont Substance Use Disorder - Moderate

xCont Substance Use Disorder - Severe

Civil Penalty 2/28/2019 Alcohol Abuse

Alcohol Use Disorder, Severe

Misdemeanor Conviction(s)

Probation Violation

xCont Substance Use Disorder - Moderate

xCont Substance Use Disorder - Severe

Probation 3/21/2018 3/21/2021 Alcohol Abuse

Alcohol Use Disorder, Severe

Misdemeanor Conviction(s)

Probation Violation

xCont Substance Use Disorder - Moderate

xCont Substance Use Disorder - Severe

Dentist

Barney DDS, Earl R 4636

Papillion, NE

Censure 8/11/2011 Unprofessional Conduct

Civil Penalty 2/11/2012

Beck DDS, Alan J 4937

Lincoln, NE

Suspension 8/2/2011 12/1/2011 Alcohol Dependency

Failure to Comply With Aftercare

Violation of UCSA

xControlled Substance Addiction

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Dentist

Blome, Gregory Dale, DDS 5203

Lincoln, NE

Censure 3/31/2010 Probation Violation

Unprofessional Conduct

xFailure to Keep Accurate CS Records

Blome-Wubbels, Sara Elizabeth, DDS 6616

Lincoln, NE

Civil Penalty 11/16/2009 5/16/2010 Unprofessional Conduct

Probation 11/26/2009 11/26/2011

Branchaud, James A, DDS 5146

Omaha, NE

Petition for Disp Action & Temp Susp 3/1/2013 6/5/2013 Alcohol Addiction

Alcohol Dependency

Probation 6/5/2013 6/5/2018 Alcohol Addiction

Alcohol Dependency

Temporary Suspension 3/4/2013 6/4/2013 Alcohol Addiction

Alcohol Dependency

Brouillette, Mark R, DDS 5539

Chandler, AZ

Probation 12/2/2011 12/2/2013 Dishonorable Conduct

Failure to Keep Adequate Records

Felony Conviction(s)

Negligent Conduct

Unprofessional Conduct

Violation of UCSA

xSexual Misconduct

Bush, Stephen Richard, DDS 5333

Kearney, NE

Censure 11/16/2009 Permitting Aiding & Abetting

Civil Penalty 5/16/2010

DiPrima, Katherine Marie, DDS 6325

Omaha, NE

Censure 8/9/2019 Failure to Keep Adequate Records

Permitting Aiding & Abetting

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Dentist

Ellingson, Daniel Lee, DDS 7004

Papillion, NE

Probation 12/29/2017 12/29/2022 Alcohol Use Disorder, Severe

Controlled Substance Dependence

Dishonorable Conduct

Felony Conviction(s)

Unprofessional Conduct

Violation of UCSA

Suspension 2/26/2018 Alcohol Use Disorder, Severe

Controlled Substance Dependence

Dishonorable Conduct

Felony Conviction(s)

Unprofessional Conduct

Violation of UCSA

Furst DDS, Henry C 4538

Eagle, NE

Limitation-Disciplinary 11/18/2015 12/1/2016 Pattern of Negligence

Unprofessional Conduct

Garro, Gregory Louis, Jr DDS 5751

Omaha, NE

Revocation 3/1/2019 Dishonorable Conduct

Felony Conviction(s)

Obtaining Fee by Fraud

Unprofessional Conduct

Green, Scott Stewart, DDS 6276

Omaha, NE

Censure 2/25/2015 Unprofessional Conduct

Civil Penalty 2/25/2020

Probation 2/2/2012 2/2/2013

Suspension 9/4/2011 2/2/2012

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Dentist

Hagen, Kenneth J, Jr, DDS 4646

Omaha, NE

Censure 4/14/2016 Failure to Comply w Federal or State Law

Misdemeanor Conviction(s)

Civil Penalty 10/14/2016 Failure to Comply w Federal or State Law

Misdemeanor Conviction(s)

Limitation-Disciplinary 8/21/2013 Failure to Comply w Federal or State Law

Misdemeanor Conviction(s)

Kirkland, Travis Zean, DDS 7057

Elko, NV

Censure 11/12/2014 Permitting Aiding & Abetting

Civil Penalty 5/12/2016

Revocation 3/16/2019 Failure to File Report-38-1,124,38-1,125

History of Disciplinary Action

Other State Action

Odorisio, Francis D, DDS 4706

Omaha, NE

Civil Penalty 2/9/2012 8/9/2012 Unprofessional Conduct

Pieper, Todd Bryant, DDS 6023

Scottsbluff, NE

Limitation-Disciplinary 11/20/2015 Failure to Keep Adequate Records

Pattern of Negligence

Unprofessional Conduct

Plate, Farrah Lynn, DDS 6546

Lincoln, NE

Probation 7/23/2018 7/23/2023 Dishonorable Conduct

Substance Use Disorder, Moderate

Violation of UCSA

Samuelson, Greg Stuart, DDS 5341

Omaha, NE

Probation 8/14/2017 8/4/2018 Failure to Keep Adequate Records

Pattern of Negligence

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Dentist

Secola, Lourdes Maria, DDS 5942

Omaha, NE

Probation 8/20/2017 8/20/2018 Failure to Keep Adequate Records

Violation of UCSA

Stacey, Richard A, DDS 5510

Bellevue, NE

Censure 8/20/2012 Failure to Keep Adequate Records

Prescribing CS to Person in Same Houshld

Unprofessional Conduct

Civil Penalty 8/28/2012 2/28/2013 Failure to Keep Adequate Records

Prescribing CS to Person in Same Houshld

Unprofessional Conduct

Starkey, Michael A, DDS 4968

Omaha, NE

Censure 11/16/2009 Controlled Substance Dependence

Practice while Impaired

Probation Violation

Unprofessional Conduct

Violation of UCSA

xFailure to Conform-Stndrds of Practice

Strevey, Philip E, DDS 5511

Omaha, NE

Censure 11/12/2014 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Probation 7/1/2014 7/1/2015 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Sullivan, Sean Timothy, DDS 5674

Omaha, NE

Probation 2/19/2012 2/19/2014 Alcohol Dependency

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Dentist

Swartz, Thomas Joseph, DDS 6665

Omaha, NE

Petition for Disp Action & Temp Susp 11/13/2013 12/18/2013 Controlled Substance Dependence

Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

Probation 7/23/2014 7/23/2019 Alcohol Dependency

Controlled Substance Dependence

Dishonorable Conduct

Misdemeanor Conviction(s)

Obtained Drug Unlawfully

Unprofessional Conduct

Violation of UCSA

Suspension 11/13/2013 5/13/2014 Controlled Substance Dependence

Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

Temporary Suspension 11/18/2013 12/18/2013 Controlled Substance Dependence

Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

Thalken, James Edward, DDS 6975

North Platte, NE

Revocation 10/20/2018 Failure to Comply With Aftercare

Other State Action

Zikmund DDS, Stephen Louis 5352

Omaha, NE

Petition for Disp Action & Temp Susp 10/25/2012 2/7/2013 Alcohol Dependency

Practice while Impaired

Unprofessional Conduct

Temporary Suspension 10/31/2012 2/6/2013 Alcohol Dependency

Practice while Impaired

Unprofessional Conduct

Local Anesthesia Certification

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Local Anesthesia Certification

Owens, Larry Dallas, DH 316

Bellevue, NE

Probation 1/4/2011 1/4/2013 Alcohol Abuse

Misdemeanor Conviction(s)

Minimal Sedation Permit

DiPrima, Katherine Marie, DDS 108

Omaha, NE

Censure 8/9/2019 Failure to Keep Adequate Records

Permitting Aiding & Abetting

Unprofessional Conduct

Plate, Farrah Lynn, DDS 256

Lincoln, NE

Probation 7/23/2018 7/23/2023 Dishonorable Conduct

Substance Use Disorder, Moderate

Violation of UCSA

Emergency Medical Care

EMS Instructor

Batenhorst, Ryan K 355

Lincoln, NE

Probation 1/6/2010 1/6/2012 xWillful ULL Violation

Reynolds, Karen Marie 300

Kimball, NE

Revocation 11/2/2010 Misrepresentation of Material Facts

Permitting Aiding & Abetting

Thornton, Todd A 177

Long Pine, NE

Revocation 4/30/2014 Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

EMT

Auman, Kent R 21876

Seward, NE

Probation 3/11/2016 3/11/2017 Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

EMT

Beck, Thomas H 10087

Tekamah, NE

Probation 2/15/2018 8/14/2019 Misdemeanor Conviction(s)

Substance Use Disorder

Blake, Andrew L 20748

Bridgeport, NE

Revocation 6/10/2015 Felony Conviction(s)

Misdemeanor Conviction(s)

xCont Substance Use Disorder - Moderate

Blundell, Jenee Maxine 21163

Geneva, NE

Probation 7/10/2014 7/10/2019 Alcohol Dependency

7/10/2019 Controlled Substance Dependence

7/10/2019 Felony Conviction(s)

7/10/2019 Misdemeanor Conviction(s)

Bogatz, Robin K 16104

Central City, NE

Revocation 2/10/2016 Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

Bradley, Ted Alan 17610

North Platte, NE

Probation 3/18/2012 3/18/2016 Alcohol Dependency

Misdemeanor Conviction(s)

Brush, Alex Daniel 20500

Loomis, NE

Censure 11/12/2014 Unprofessional Conduct

Civil Penalty 11/12/2015

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

EMT

Buck, Joshua P 14738

Bennet, NE

Censure 6/25/2012 Alcohol Dependency

Failure to File Report-38-1,124,38-1,125

Failure to Pay Fees

Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 12/25/2012 Alcohol Dependency

Failure to File Report-38-1,124,38-1,125

Failure to Pay Fees

Misdemeanor Conviction(s)

Probation Violation

Probation 4/18/2010 4/18/2013 Alcohol Dependency

Failure to File Report-38-1,124,38-1,125

Failure to Pay Fees

Misdemeanor Conviction(s)

Probation Violation

Revocation 4/25/2013 Alcohol Dependency

Failure to File Report-38-1,124,38-1,125

Failure to Pay Fees

Misdemeanor Conviction(s)

Probation Violation

Suspension 1/17/2013 4/24/2013 Alcohol Dependency

Failure to File Report-38-1,124,38-1,125

Failure to Pay Fees

Misdemeanor Conviction(s)

Probation Violation

Buller, Luke Russel 23333

Omaha, NE

Probation 6/24/2019 6/16/2020 Misdemeanor Conviction(s)

Substance Use Disorder

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

EMT

Christen, John 5710

Merna, NE

Revocation 9/30/2013 Dishonorable Conduct

Misrepresentation of Material Facts

Unprofessional Conduct

xFailure to Conform-Stndrds of Practice

Christiansen, Chad Michael 21845

Valentine, NE

Censure 11/16/2016 Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Moderate

xCont Substance Use Disorder - Mild

Civil Penalty 5/16/2017 Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Moderate

xCont Substance Use Disorder - Mild

Probation 2/4/2016 Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Moderate

xCont Substance Use Disorder - Mild

Ciancio, Sarah Lynn 22804

Fullerton, NE

Censure 5/31/2018 Misdemeanor Conviction(s)

Probation Violation

Substance Use Disorders-Multiple

Civil Penalty Misdemeanor Conviction(s)

Probation Violation

Substance Use Disorders-Multiple

Probation 3/1/2018 Misdemeanor Conviction(s)

Probation Violation

Substance Use Disorders-Multiple

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

EMT

Clark, James Michael 23508

Falls City, NE

Probation 10/3/2019 10/2/2020 Misdemeanor Conviction(s)

Substance Use Disorder

Colgrove, Jacob Richard 14015

Beatrice, NE

Probation 9/11/2010 8/19/2011 Alcohol Abuse

8/19/2011 8/19/2012

9/11/2010 8/19/2011 Failure to Disclose Convictions

8/19/2011 8/19/2012

9/11/2010 8/19/2011 Misdemeanor Conviction(s)

8/19/2011 8/19/2012

9/11/2010 8/19/2011 Unprofessional Conduct

8/19/2011 8/19/2012

Davison, Lyle V 19285

Norfolk, NE

Probation 4/11/2017 4/11/2020 Misdemeanor Conviction(s)

Revocation 8/28/2014 4/11/2017

Demery, Brian K 17539

Omaha, NE

Probation 12/31/2009 12/31/2012 Alcohol Dependency

Misdemeanor Conviction(s)

Donald, Shawn T 15100

Lincoln, NE

Probation 12/10/2011 12/10/2014 Probation Violation

Unprofessional Conduct

Revocation 4/21/2014 Probation Violation

Unprofessional Conduct

Duarte, Alejandro Ramon 22295

Omaha, NE

Probation 2/22/2017 Misdemeanor Conviction(s)

Ewald, Courtney Elaine 19642

Hershey, NE

Probation 4/27/2011 Other State Action

Probation Violation

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

EMT

Fisher, Keith A 15222

Amherst, NE

Probation 9/7/2014 9/7/2019 Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Folken, Ashley S 18075

Leigh, NE

Suspension 9/3/2010 10/3/2010 Unprofessional Conduct

Grill, Justin A 19451

Blair, NE

Probation 9/27/2010 9/27/2011 Lacks Good Character

Misdemeanor Conviction(s)

Hansen, Jason T 15980

Omaha, NE

Censure 8/28/2014 Alcohol Dependency

Failure to Comply With Aftercare

Probation Violation

Civil Penalty 2/28/2015 Alcohol Dependency

Failure to Comply With Aftercare

Probation Violation

Probation 1/6/2013 1/6/2017 Alcohol Dependency

Failure to Comply With Aftercare

Probation Violation

Hart, Chad M 18492

Ashland, NE

Probation 3/31/2016 3/31/2017 Misdemeanor Conviction(s)

xCont Substance Use Disorder - Severe

xControlled Substance Addiction

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

EMT

Havener, Jami Renee 19452

Arapahoe, NE

Censure 4/14/2011 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 10/14/2011 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Probation 9/27/2010 9/22/2011 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Hendricksen, Justin L 16783

Merna, NE

Civil Penalty 9/16/2010 9/16/2011 Unprofessional Conduct

Herink, Luke J 19800

Meridian, ID

Probation 8/23/2011 8/23/2014 Alcohol Abuse

Misdemeanor Conviction(s)

Hermanson, Eric B 15313

Valley, NE

Probation 7/8/2015 7/8/2018 Alcohol Abuse

Misdemeanor Conviction(s)

Herrick, Len 7562

Franklin, NE

Censure 2/12/2018 Unprofessional Conduct

Hoover, Michael Wayne 10075

Louisville, NE

Probation 11/10/2017 11/10/2020 Alcohol Abuse

Practice while Impaired

Unprofessional Conduct

Houseman, Justin Dean 22212

Talmage, NE

Probation 11/2/2016 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Moderate

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Page 176 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

EMT

Hurlburt, Brandi S 13929

Arcadia, NE

Petition for Disp Action & Temp Susp 4/23/2012 6/25/2012 Controlled Substance Abuse

Controlled Substance Dependence

Dishonorable Conduct

Violation of UCSA

xFraud,Forgery,Misrep Material Facts

Probation 6/21/2013 8/8/2016 Controlled Substance Abuse

3/15/2017 1/26/2019

6/21/2013 8/8/2016 Controlled Substance Dependence

3/15/2017 1/26/2019

6/21/2013 8/8/2016 Dishonorable Conduct

3/15/2017 1/26/2019

6/21/2013 8/8/2016 Violation of UCSA

3/15/2017 1/26/2019

6/21/2013 8/8/2016 xFraud,Forgery,Misrep Material Facts

3/15/2017 1/26/2019

Suspension 4/23/2012 4/23/2013 Controlled Substance Abuse

Controlled Substance Dependence

Dishonorable Conduct

Violation of UCSA

xFraud,Forgery,Misrep Material Facts

Temporary Suspension 4/25/2012 6/25/2012 Controlled Substance Abuse

Controlled Substance Dependence

Dishonorable Conduct

Violation of UCSA

xFraud,Forgery,Misrep Material Facts

Ickler, Cheryl L 16541

Hubbard, NE

Revocation 3/13/2010 Felony Conviction(s)

Johnson, Bruce J 8987

Omaha, NE

Censure 7/25/2017 Misdemeanor Conviction(s)

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Page 177 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

EMT

Kaplan, Sanford S 18127

Lincoln, NE

Revocation 10/23/2009 Felony Conviction(s)

Kenney, Sumner Elyse 20914

Omaha, NE

Probation 10/30/2013 Misdemeanor Conviction(s)

King, Daniel R 6336

Lincoln, NE

Revocation 5/29/2014 Felony Conviction(s)

Knotek-Wangberg, Nicholas Lee 22291

Council Bluffs, IA

Probation 2/16/2017 9/27/2017 Alcohol Abuse

Controlled Substance Abuse

Lacks Good Character

Misdemeanor Conviction(s)

Kraegel, Connor H 21149

Cody, WY

Probation 6/30/2014 6/30/2015 Misdemeanor Conviction(s)

LaPlante, Clarissa A 10132

Niobrara, NE

Probation 1/29/2010 1/29/2012 Dishonorable Conduct

Unprofessional Conduct

Lambert, Daryl Gene 22572

Wayne, NE

Probation 7/31/2017 7/31/2018 Alcohol Abuse

Misdemeanor Conviction(s)

Lassley, Jessica Anne 19975

Omaha, NE

Revocation 4/16/2014 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Violation of UCSA

Luethge, Stephen Edward 18629

Gretna, NE

Probation 9/7/2014 9/7/2017 Alcohol Abuse

Misdemeanor Conviction(s)

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Page 178 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

EMT

McClain, Travis J 19448

Norfolk, NE

Probation 9/24/2010 5/10/2012 Alcohol Dependency

9/24/2016

5/10/2012 Misdemeanor Conviction(s)

9/24/2016

5/10/2012 Probation Violation

9/24/2016

Revocation 5/10/2012 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

McGill, Jonathan Andrew 19050

La Vista, NE

Probation 12/28/2009 12/28/2010 Felony Conviction(s)

Misdemeanor Conviction(s)

McIntosh, Toni 15413

Oakland, IA

Revocation 4/19/2012 Misdemeanor Conviction(s)

McKain, Ryan M 21379

Omaha, NE

Probation 1/23/2015 1/23/2020 Alcohol Dependency

Misdemeanor Conviction(s)

Mehringer, Christopher Lynn 17900

Mc Cook, NE

Revocation 1/31/2013 Abuse of Resident

Misdemeanor Conviction(s)

Monnahan, Brian A 21800

Palisade, NE

Probation 12/31/2015 12/31/2016 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Mild

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Page 179 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

EMT

Moore, Derek Domonic 19861

Kearney, NE

Censure 4/16/2014 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 10/16/2014 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Probation 9/29/2011 3/16/2015 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Suspension 3/16/2015 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Morgaridge, Scott 10569

Gretna, NE

Probation 5/30/2015 5/30/2020 Alcohol Dependency

5/30/2020 Misdemeanor Conviction(s)

Neideffer, Paul E 12948

Scottsbluff, NE

Probation 5/15/2014 5/15/2019 Alcohol Dependency

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation Violation

Unprofessional Conduct

Newton, Sara A.E. 23301

Bradshaw, NE

Probation 8/15/2016 8/15/2021 Alcohol Use Disorder, Moderate

Misdemeanor Conviction(s)

Substance Use Disorder

Nielsen, Bryce C 20702

Lincoln, NE

Probation 6/17/2013 6/17/2014 Alcohol Abuse

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Page 180 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

EMT

Nordstrom, Daniel Scott 19476

Omaha, NE

Probation 1/10/2016 1/10/2019 Alcohol Abuse

Misdemeanor Conviction(s)

O'Brien, Trever E 19745

Norfolk, NE

Probation 7/13/2011 1/13/2012 Lacks Good Character

Peterson, Michael B 22500

Gothenburg, NE

Probation 6/21/2017 6/21/2018 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Mild

Pinkerton, Brandi Lea 20692

Callaway, NE

Probation 6/14/2013 6/14/2018 Controlled Substance Dependence

Felony Conviction(s)

Misdemeanor Conviction(s)

Poe, Nicholas Ray 20902

Omaha, NE

Probation 10/9/2013 8/20/2015 Probation Violation

xMind-Altering Substance Dependence

Porter, John A 15163

Lincoln, NE

Revocation 9/5/2014 Felony Conviction(s)

Ramsey-Dietlin, Jennifer K 18319

Bellevue, NE

Suspension 5/8/2012 5/8/2013 Unprofessional Conduct

Violation of UCA

Reed, Jonathan Jay 18478

Gretna, NE

Probation 12/31/2014 9/6/2017 Alcohol Dependency

Misdemeanor Conviction(s)

Reese, Dennis L, RP, PharmD 22209

Creston, NE

Probation 10/24/2016 1/8/2019 Controlled Substance Dependence

Obtained Drug Unlawfully

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Page 181 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

EMT

Reynolds, Karen Marie 9412

Kimball, NE

Censure 11/2/2010 Misrepresentation of Material Facts

Permitting Aiding & Abetting

Rosenthal, Kristofer M 19946

North Platte, NE

Probation 11/2/2014 11/2/2017 Alcohol Abuse

Misdemeanor Conviction(s)

Saxton, Renee M 19802

Lincoln, NE

Probation 11/22/2014 11/22/2016 Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Unprofessional Conduct

Sedivy, John L 20048

Bancroft, NE

Probation 2/24/2012 6/12/2015 Alcohol Dependency

Felony Conviction(s)

Misdemeanor Conviction(s)

Sena, Michael S 9259

Omaha, NE

Probation 12/24/2010 12/24/2011 Alcohol Abuse

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Smith, Tricia Lea 19223

Center, NE

Censure 11/2/2010 Misrepresentation of Material Facts

Civil Penalty 11/2/2011

Suspension 11/12/2010 12/12/2010

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Page 182 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

EMT

Snowball, John Y 19986

Sioux City, IA

Probation 1/11/2012 2/28/2013 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Revocation 2/28/2013 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Staley, Tom D 14777

Lincoln, NE

Probation 8/11/2014 8/11/2015 Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Stithem, Travis G 23300

Cozad, NE

Probation 6/5/2019 6/4/2020 Misdemeanor Conviction(s)

Substance Use Disorder

Strawn, Tyler J 19679

Kansas City, MO

Censure 8/11/2011 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 2/11/2012 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Probation 5/19/2011 2/24/2012 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Thornton, Todd A 12080

Long Pine, NE

Probation 5/10/2014 5/10/2015 Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Turnbull, Jason A 19803

Pawnee City, NE

Probation 8/24/2011 11/19/2011 Misdemeanor Conviction(s)

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Page 183 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

EMT

Vieyra, Aaron Lewis 14183

North Platte, NE

Revocation 12/2/2013 12/2/2015 Alcohol Abuse

Controlled Substance Abuse

Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Felony Conviction(s)

Violation of UCSA

Wiekhorst, Michael Scott 22111

Valley, NE

Probation 8/3/2016 8/3/2018 Misdemeanor Conviction(s)

Wonka, Alexandria Anne 21934

Weston, NE

Probation 12/5/2016 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Moderate

xAlcohol Use Disorder - Severe

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Page 184 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

EMT

York, Michael J 17649

Omaha, NE

Censure 11/2/2010 Alcohol Dependency

8/11/2011

11/2/2010 Misdemeanor Conviction(s)

8/11/2011

11/2/2010 Probation Violation

8/11/2011

Civil Penalty 11/2/2010 11/2/2011 Alcohol Dependency

8/11/2011 2/11/2013

11/2/2010 11/2/2011 Misdemeanor Conviction(s)

8/11/2011 2/11/2013

11/2/2010 11/2/2011 Probation Violation

8/11/2011 2/11/2013

Probation 11/13/2009 11/13/2014 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Suspension 12/13/2009 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Zitterkopf, Rebecca Jean 18048

Gering, NE

Probation 9/3/2010 3/3/2011 Practice Beyond Scope

EMT-Intermediate

Hynes, Kory Daniel 2867

Lino Lakes, MN

Probation 3/23/2010 8/10/2010 Alcohol Dependency

Misdemeanor Conviction(s)

Mallette, Kent A 1083

Uehling, NE

Revocation 1/5/2011 Felony Conviction(s)

Emergency Medical Responder

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Page 185 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Emergency Medical Responder

McQuigg, Dustin L 3456

Beatrice, NE

Probation 7/29/2015 7/29/2017 Felony Conviction(s)

Newton, Sara A.E. 3500

Bradshaw, NE

Probation 8/15/2016 8/15/2021 Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Moderate

xCont Substance Use Disorder - Severe

Suspension 2/27/2017 4/28/2017 Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Moderate

xCont Substance Use Disorder - Severe

First Responder

Diaz, Juan 2293

Grand Island, NE

Revocation 10/23/2009 Felony Conviction(s)

Misdemeanor Conviction(s)

Paramedic

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Page 186 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Paramedic

Andrade, Mario Alberto 4240

South Sioux City, NE

Censure 2/21/2019 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Unprofessional Conduct

Violation of UCSA

Civil Penalty 8/21/2019 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Unprofessional Conduct

Violation of UCSA

Probation 8/4/2017 8/4/2020 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Unprofessional Conduct

Violation of UCSA

Boettcher, Mindi Jo 3684

Lincoln, NE

Probation 3/7/2019 3/7/2020 Alcohol Use Disorder, Moderate

Misdemeanor Conviction(s)

Coyle, Michael F 3466

Sisseton, SD

Probation 9/15/2014 Controlled Substance Dependence

Fhuere, Mark A 2319

Grand Island, NE

Revocation 8/28/2014 Felony Conviction(s)

Gesell, Phillip J 2235

Norfolk, NE

Censure 8/28/2014 Failure to File Report-38-1,124,38-1,125

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

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Page 187 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Paramedic

Guido, Frank J 3456

Bellevue, NE

Probation 8/4/2017 Alcohol Dependency

Controlled Substance Abuse

Violation of UCSA

Herink, Luke J 3983

Meridian, ID

Censure 8/28/2014 Probation Violation

Civil Penalty 2/28/2015

Probation 6/24/2013 8/23/2014 Alcohol Abuse

Misdemeanor Conviction(s)

Hillabrand, Scott D 3813

Lincoln, NE

Censure 4/16/2014 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Violation of Dept Order

Civil Penalty 5/1/2015 11/1/2015 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Violation of Dept Order

Holland, Christopher Martin 3560

Omaha, NE

Censure 10/21/2015 Unprofessional Conduct

Hynes, Kory Daniel 3593

Lino Lakes, MN

Probation 8/10/2010 11/5/2010 Alcohol Dependency

Misdemeanor Conviction(s)

Johnson, Jarrett D 2451

Holdrege, NE

Censure 12/8/2011 Failure to File Report-38-1,124,38-1,125

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

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Page 188 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Paramedic

Jones, Brandee M 3176

Omaha, NE

Censure 4/30/2014 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Probation 5/10/2014 5/10/2015 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Knotek-Wangberg, Nicholas Lee 4625

Council Bluffs, IA

Probation 9/27/2017 2/16/2020 Alcohol Abuse

Controlled Substance Abuse

Lacks Good Character

Misdemeanor Conviction(s)

Masoner, Sharon Kay 3373

Franklin, NE

Limitation-Disciplinary 2/9/2012 5/12/2012 Pattern of Negligence

Unprofessional Conduct

Mauro, Anthony R 3790

Spring Valley, CA

Probation 2/13/2012 Alcohol Abuse

Misdemeanor Conviction(s)

Newell, Corey D 3774

Salina, KS

Revocation 9/30/2013 Misdemeanor Conviction(s)

Unprofessional Conduct

Poe, Nicholas Ray 4313

Omaha, NE

Censure 10/24/2017 Probation Violation

xMind-Altering Substance Dependence

Civil Penalty 4/24/2018 Controlled Substance Dependence

Probation Violation

xMind-Altering Substance Dependence

Probation 8/20/2015 10/9/2018 Controlled Substance Dependence

Probation Violation

xMind-Altering Substance Dependence

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Page 189 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Paramedic

Reed, Jonathan Jay 3549

Gretna, NE

Probation 12/13/2014 12/31/2014 Alcohol Dependency

Misdemeanor Conviction(s)

Schlehuber, Patrick J 3682

Omaha, NE

Probation 6/8/2011 1/1/2012 Alcohol Dependency

6/22/2017

6/8/2011 1/1/2012 Failure to Comply With Aftercare

6/22/2017

6/8/2011 1/1/2012 xCriminal Conviction(s)

6/22/2017

Sindorf, Michael R 3701

Lincoln, NE

Probation 7/27/2011 7/27/2012 Misdemeanor Conviction(s)

Probation Violation

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Page 190 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Paramedic

Smith, Michael J 3402

Gering, NE

Censure 9/3/2010 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Practice Beyond Scope

Probation Violation

Unprofessional Conduct

Probation 3/3/2011 Failure to File Report-38-1,124,38-1,125

9/16/2012 9/22/2013

9/3/2010 3/3/2011 Failure to Keep Adequate Records

9/16/2012 9/22/2013

9/3/2010 3/3/2011 Practice Beyond Scope

9/16/2012 9/22/2013

9/3/2010 3/3/2011 Probation Violation

9/16/2012 9/22/2013

9/3/2010 3/3/2011 Unprofessional Conduct

9/16/2012 9/22/2013

Revocation 4/3/2015 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Practice Beyond Scope

Probation Violation

Unprofessional Conduct

Suspension 9/22/2013 4/3/2015 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Practice Beyond Scope

Probation Violation

Unprofessional Conduct

Strawn, Tyler J 3826

Kansas City, MO

Probation 6/20/2012 9/12/2014 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Paramedic

Svejkowsky, Tammy L 3301

Raeford, NC

Limitation-Disciplinary 3/3/2011 Negligent Conduct

Unprofessional Conduct

Walling, Kyle A 2774

Papillion, NE

Probation 3/18/2012 3/18/2017 Alcohol Dependency

Misdemeanor Conviction(s)

Walsh, Sandy M 3705

Ravenna, NE

Probation 5/10/2017 5/10/2018 Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

Walters, Adam J 3479

Grand Island, NE

Censure 7/23/2012 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Wurdeman, Chad W 3363

Norfolk, NE

Probation 2/21/2015 9/6/2017 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Moderate

York, Michael J 3941

Omaha, NE

Probation 2/28/2013 11/13/2014 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Funeral Directing

Apprentice-Full

Cuba, Lisa A 118

Omaha, NE

Probation 5/15/2013 Alcohol Dependency

Misdemeanor Conviction(s)

xMind-Altering Substance Dependence

Apprentice-Split 1

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Apprentice-Split 1

Reisig, Richard Craig 106

Scottsbluff, NE

Probation 12/12/2017 Misdemeanor Conviction(s)

Funeral Director and Embalmer

Collins, Eric Shawn 1453

Liberty, MO

Revocation 5/30/2016 Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Misrepresentation of Material Facts

DeGeorge, Robert J 1190

Papillion, NE

Probation 11/3/2017 11/3/2018 Alcohol Abuse

Misdemeanor Conviction(s)

xCourt Conviction

Dubas, Steve R 1238

Stromsburg, NE

Censure 3/31/2010 Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Civil Penalty 10/1/2010 Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Gray, Ryan M 1284

Omaha, NE

Censure 1/8/2019 Permitting Aiding & Abetting

Hardiman Phillip E 1178

Omaha, NE

Probation 6/22/2015 12/22/2015 Unlicensed Practice

Hasemann, Scott A. 1164

Wayne, NE

Probation 6/16/2015 12/16/2015 Unlicensed Practice

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Page 193 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Funeral Director and Embalmer

Lauber, William J 1097

Milford, NE

Censure 10/23/2013 Alcohol Abuse

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Probation Violation

Civil Penalty 4/23/2014 Alcohol Abuse

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Probation Violation

Probation 1/17/2013 1/17/2015 Alcohol Abuse

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Probation Violation

Lewis, Terry G 1043

Great Bend, KS

Probation 8/12/2010 8/12/2015 xCriminal Conviction(s)

O'Brien, Stephen D 706

Kearney, NE

Suspension 8/12/2018 Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Roby, Keith Leland 880

Plattsmouth, NE

Civil Penalty 12/27/2012 12/27/2013 Unprofessional Conduct

Suspension 1/6/2013 2/5/2013

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Funeral Director and Embalmer

Rozanek Rodney 666

Lincoln, NE

Censure 1/10/2014 Failure to File Report-38-1,124,38-1,125

10/4/2017 Permitting Aiding & Abetting

1/10/2014 Unprofessional Conduct

Violation Burial Pre-need Act

Civil Penalty 7/10/2014 Failure to File Report-38-1,124,38-1,125

10/4/2017 4/4/2018 Permitting Aiding & Abetting

1/10/2014 7/10/2014 Unprofessional Conduct

Violation Burial Pre-need Act

Probation 1/20/2014 7/20/2014 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Violation Burial Pre-need Act

Rozanek, R A 1155

Omaha, NE

Revocation 12/16/2016 Failed to Report Conviction in 30 days

Felony Conviction(s)

Misrepresentation of Material Facts

xAlcohol Use Disorder - Severe

xCont Substance Use Disorder - Moderate

Solt, Leslie Mitchell 1398

Central City, NE

Censure 4/12/2013 Alcohol Dependency

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Civil Penalty 10/12/2013 Alcohol Dependency

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation 4/22/2013 10/22/2014 Alcohol Dependency

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Stonacek, Todd William 1089

Pierce, NE

Censure 12/27/2012 Unprofessional Conduct

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Page 195 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Funeral Director and Embalmer

Stranglen, David Alan 1266

Papillion, NE

Censure 3/31/2011 Dishonorable Conduct

Unprofessional Conduct

Wilson, Murray, Jr 893

Hastings, NE

Censure 10/31/2014 Unprofessional Conduct

Lead

Lead Abatement Risk Assessor

Arens, Jamie R 104

Norfolk, NE

Civil Penalty 6/11/2014 7/11/2014 178 NAC 23 - Lead Based Paint

Lead Abatement Supervisor

Thompson, Joseph W 157

Omaha, NE

Suspension 7/8/2011 9/8/2011 Failure to Pay Fees

Massage Therapy

Massage Therapist

Abboud, Michael A 3207

Omaha, NE

Probation 8/20/2014 8/20/2015 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Suspension 12/19/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Atkins, Jacqueline Rae 2248

Arnold, NE

Censure 12/12/2013 Permitting Aiding & Abetting

Civil Penalty 9/30/2014

Probation 12/22/2013 12/22/2014

Beckman, Natalie Ann 3482

Omaha, NE

Probation 8/15/2018 2/15/2019 Unlicensed Practice

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Massage Therapist

Benson, Abbie J 2265

Cambridge, NE

Probation 10/29/2012 4/29/2013 Unlicensed Practice

Bourke, Suzanne L. 3351

Omaha, NE

Probation 11/9/2015 5/9/2016 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Branigan, Taylor D 3663

Tucson, AZ

Probation 3/8/2018 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Substance Use Disorders-Multiple

Buffington, Melvin Raymond 3383

Omaha, NE

Petition for Disp Action & Temp Susp 3/14/2018 4/17/2018 Dishonorable Conduct

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Suspension 3/15/2018 Dishonorable Conduct

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Cai, Yun 2837

Park City, IL

Censure 3/14/2013 Permitting Aiding & Abetting

Civil Penalty 3/14/2014

Probation 3/24/2013 9/24/2013

Cameron, Bree E. 3146

Omaha, NE

Probation 3/5/2014 9/5/2014 Failure to Disclose Convictions

Carter, Saderia Alesha 2738

Bellevue, NE

Probation 1/23/2017 7/23/2017 Practice in Unlicensed Premises

Cederdahl, Erika Jo 2624

Lincoln, NE

Probation 10/1/2010 4/1/2011 Failure to Disclose Convictions

xCourt Conviction

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Page 197 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Massage Therapist

Church, Britta Dennise 2557

Lincoln, NE

Probation 5/20/2010 5/20/2011 xCourt Conviction

Cusatis, Tres Anthony 2616

Hastings, NE

Temporary Suspension 8/11/2011 7/26/2012 Dishonorable Conduct

Immoral Conduct

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Daugherty, Kristin E 2878

Omaha, NE

Probation 6/6/2012 12/6/2012 Misdemeanor Conviction(s)

Dawdy, Katherine E. 3027

Omaha, NE

Probation 5/16/2013 11/16/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Dine, Stephanie Jean 2418

Omaha, NE

Probation 3/29/2013 Alcohol Dependency

Controlled Substance Dependence

Misdemeanor Conviction(s)

xMind-Altering Substance Abuse

Eastwood, Alicia Ann 2623

Fremont, NE

Probation 10/1/2010 10/1/2011 Alcohol Abuse

Failure to Disclose Convictions

xCriminal Conviction(s)

Edgerton, Sarah M 2475

Omaha, NE

Censure 2/11/2010 Probation Violation

Civil Penalty 8/11/2010

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Massage Therapist

Furlong, Amy Jo 3389

Bertrand, NE

Probation 3/1/2016 Misdemeanor Conviction(s)

Other State Action

Violation of UCA

xAlcohol Use Disorder - Severe

Glasgow, Kellye L 2583

Omaha, NE

Probation 7/27/2010 7/27/2011 Failure to Disclose Convictions

xCriminal Conviction(s)

Glick, Hazel Cecile 2774

Omaha, NE

Censure 9/14/2017 Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Grace, Hannah Leigh 3025

Blair, NE

Probation 5/15/2013 11/15/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Graydobbs, Ariel 3097

Bellevue, NE

Probation 11/4/2013 4/25/2016 Felony Conviction(s)

Greenwood, Sarah Renee 3101

Lincoln, NE

Probation 11/19/2013 Misdemeanor Conviction(s)

xMind-Altering Substance Abuse

Handy, Tracy M 3117

Omaha, NE

Probation 12/24/2013 6/24/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Harrison, Carla June 2898

Omaha, NE

Probation 11/29/2014 5/29/2015 Practice in Unlicensed Premises

Violation of UCA

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Page 199 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Massage Therapist

Hatcher, Ethan Alan 3417

Lincoln, NE

Probation 4/22/2019 4/22/2021 Alcohol Use Disorder, Moderate

Failed to Report Conviction in 30 days

5/20/2016 11/20/2016 Failure to Disclose Convictions

4/22/2019 4/22/2021 Felony Conviction(s)

5/20/2016 11/20/2016 Misdemeanor Conviction(s)

4/22/2019 4/22/2021

Substance Use Disorder, Moderate

Havlat, Dawn Marie 2366

Dorchester, NE

Probation 11/2/2017 5/2/2018 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Hicken, Nathaniel Flemming 2793

Lincoln, NE

Probation 10/25/2011 4/25/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Hicks, Jessey Jayne 3256

Omaha, NE

Probation 1/20/2015 7/20/2015 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Hilger, Amy J. 3443

Omaha, NE

Probation 9/13/2016 3/13/2017 Felony Conviction(s)

Hillman, Dana R 2941

Omaha, NE

Probation 8/22/2014 2/22/2015 Unlicensed Practice

Hinton, Shelah A 2821

Omaha, NE

Probation 1/19/2012 1/19/2014 Misdemeanor Conviction(s)

xMind-Altering Substance Dependence

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Page 200 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Massage Therapist

Hobson, Anay Marie 3748

Omaha, NE

Probation 2/14/2019 9/4/2019 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Probation Violation

Suspension 6/27/2019 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Probation Violation

Holcombe, William J. 2895

Omaha, NE

Petition for Disp Action & Temp Susp 4/12/2013 Dishonorable Conduct

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Use of Sexual Stimulation as Mass Therpy

Revocation 5/24/2013 Dishonorable Conduct

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Use of Sexual Stimulation as Mass Therpy

Temporary Suspension 4/18/2013 5/23/2013 Dishonorable Conduct

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Use of Sexual Stimulation as Mass Therpy

Hollimon, Shana Frances 3313

Omaha, NE

Probation 7/21/2015 1/21/2016 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Honig, Elizabeth C 1562

Omaha, NE

Probation 12/30/2015 12/30/2019 Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

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Page 201 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Massage Therapist

Huang, Rui 3278

OMAHA, NE

Civil Penalty 6/14/2016 12/14/2016 Permitting Aiding & Abetting

Practice in Unlicensed Premises

Probation 6/24/2016 6/24/2017 Permitting Aiding & Abetting

Practice in Unlicensed Premises

Humlicek, Robert Jason 3148

Omaha, NE

Probation 3/6/2014 9/6/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Hunt, Roderick L 808

Gretna, NE

Censure 6/1/2017 Misdemeanor Conviction(s)

Jacob, Charla A. 3368

Omaha, NE

Probation 12/24/2015 6/24/2016 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Johnson, Brandi N. 3460

York, NE

Probation 11/1/2016 5/1/2017 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Jones II, Laveal 3521

Omaha, NE

Probation 4/24/2017 10/24/2017 Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Kardell, Chelsea Breanne 2402

Gretna, NE

Civil Penalty 11/15/2010 5/15/2011 Misrepresentation of Material Facts

Permitting Aiding & Abetting

Violation of UCA

Kennedy, Tia Leigh 2900

Bellevue, NE

Probation 7/20/2012 7/20/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Massage Therapist

Knapp, Travis B 3094

Omaha, NE

Probation 10/25/2013 4/25/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Li, Sharon 2879

Brooklyn, NY

Censure 6/5/2013 Practice in Unlicensed Premises

Civil Penalty 12/5/2013

Li, Yun 2699

Hacienda Heights, CA

Civil Penalty 3/12/2015 9/12/2015 Permitting Aiding & Abetting

Probation 3/22/2015 9/22/2015

Li, Zeng Dong 3181

Omaha, NE

Censure 1/28/2016 Permitting Aiding & Abetting

Practice in Unlicensed Premises

Previous Violations Resumed

Violation of UCA

Civil Penalty 1/28/2017 Permitting Aiding & Abetting

Practice in Unlicensed Premises

Previous Violations Resumed

Violation of UCA

Revocation 9/5/2016 Permitting Aiding & Abetting

Practice in Unlicensed Premises

Previous Violations Resumed

Violation of UCA

Libby, Wyatt Austin 2449

Bellevue, NE

Censure 10/23/2009 Probation Violation

4/28/2011

10/23/2009 xCourt Conviction

4/28/2011

Civil Penalty 10/23/2009 4/23/2010 Probation Violation

xCourt Conviction

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Massage Therapist

Liggins, Tranesa M. 2856

Omaha, NE

Probation 3/6/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Lin, Jenny 3257

Bellevue, NE

Revocation 12/8/2016 Permitting Aiding & Abetting

Violation of Dept Order

Liston, Wendy LeAnn 2937

Valley, NE

Civil Penalty 12/12/2013 12/1/2014 Misdemeanor Conviction(s)

Practice in Unlicensed Premises

Violation of UCA

Probation 10/9/2012 10/9/2013 Misdemeanor Conviction(s)

12/22/2013 6/22/2014

10/9/2012 10/9/2013 Practice in Unlicensed Premises

12/22/2013 6/22/2014

10/9/2012 10/9/2013 Violation of UCA

12/22/2013 6/22/2014

Liu, Wen Yan 3092

Sacramento, CA

Civil Penalty 10/7/2014 10/7/2015 Permitting Aiding & Abetting

Probation Violation

Probation 10/17/2014 10/17/2015 Permitting Aiding & Abetting

Probation Violation

Revocation 10/3/2015 Permitting Aiding & Abetting

Probation Violation

Stipulation 11/25/2014 5/25/2015 Permitting Aiding & Abetting

Probation Violation

Lord, Sophia Louise 3419

Omaha, NE

Probation 10/20/2018 10/20/2021 Alcohol Use Disorder, Severe

Misdemeanor Conviction(s)

Substance Use Disorder, Severe

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Massage Therapist

Lovitt, Latisha Lea 3138

North Platte, NE

Civil Penalty 4/28/2016 10/28/2016 Practice in Unlicensed Premises

Probation 5/8/2016 2/14/2017

Mackey, Terrell A 3432

Omaha, NE

Probation 7/1/2016 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Suspension 2/15/2017 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Malcom, Hanna Marie 3274

Rossville, GA

Probation 3/17/2015 3/17/2016 Misdemeanor Conviction(s)

xCont Substance Use Disorder - Moderate

Maricle, Sharon R 566

Lincoln, NE

Civil Penalty 8/28/2013 8/28/2014 Practice in Unlicensed Premises

Violation of UCA

Probation 9/7/2013 3/7/2014 Practice in Unlicensed Premises

Violation of UCA

Mitchell, Jamie Lynn 3309

OMAHA, NE

Probation 7/14/2015 5/2/2016 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Suspension 4/15/2016 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Moore, Angela M 3240

Brownsville, TX

Probation 11/3/2014 5/3/2015 Failure to Disclose Convictions

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Massage Therapist

Mullin, Mary Katherine 3624

Lincoln, NE

Probation 8/1/2019 8/1/2022 Alcohol Use Disorder, Severe

Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

Ndebele, Sikelela T 2505

Bellevue, NE

Suspension 2/22/2010 5/6/2010 Dishonorable Conduct

Unprofessional Conduct

Nolan, Chancee Nora 3191

Lincoln, NE

Probation 7/21/2014 1/21/2015 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Nuno, Reanna Pamela 2656

Council Bluffs, IA

Probation 12/19/2012 6/19/2013 Unlicensed Practice

Paff, Christina Nicole 2819

Lincoln, NE

Probation 1/9/2012 1/9/2013 Alcohol Abuse

Controlled Substance Dependence

Misdemeanor Conviction(s)

Unlicensed Practice

Peck, Jeffrey E 2585

Omaha, NE

Probation 7/30/2010 8/21/2011 Alcohol Dependency

Probation Violation

xCriminal Conviction(s)

Revocation 8/21/2011 Alcohol Dependency

Probation Violation

xCriminal Conviction(s)

Pfeiffer, Carly Jean 3735

Omaha, NE

Probation 1/2/2019 7/2/2019 Failure to Disclose Convictions

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Massage Therapist

Phillips, Lisa A 2711

Omaha, NE

Probation 4/26/2011 12/26/2011 Alcohol Abuse

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Pinkelman, Michelle L 3049

Hartington, NE

Probation 7/19/2013 1/19/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Quirk, Breanna M 3115

Omaha, NE

Probation 12/19/2013 6/19/2014 Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Rein, Kyle M. 2919

Lincoln, NE

Probation 9/12/2012 3/12/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Robbins, Douglas Lowell 2646

Kila, MT

Probation 11/9/2010 11/9/2011 Failure to Disclose Convictions

xCriminal Conviction(s)

Sampson, Christopher Dwayne 2441

Omaha, NE

Revocation 3/3/2019 Dishonorable Conduct

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Use of Sexual Stimulation as Mass Therpy

Violation of AOC

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Massage Therapist

Schubauer, Danielle Ranae 2753

Valentine, NE

Censure 1/26/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 7/26/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Probation 7/12/2011 1/12/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Suspension 4/2/2012 12/13/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Schumacher, Natasha Nicole 2920

Hemingford, NE

Probation 9/6/2012 Alcohol Abuse

Misdemeanor Conviction(s)

xMind-Altering Substance Dependence

Scott, Sunday Lynn 2544

Omaha, NE

Probation 4/6/2010 10/6/2010 xCourt Conviction

Shelton, Jack O 2120

Omaha, NE

Revocation 5/27/2012 Dishonorable Conduct

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Skibinski, Kimberly Jo 2682

Lincoln, NE

Probation 11/10/2012 11/10/2013 Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Massage Therapist

Smart, Jeffrey Lynn 1017

Lincoln, NE

Probation 11/13/2009 5/31/2010 Controlled Substance Dependence

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation Violation

Revocation 5/31/2010 Controlled Substance Dependence

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation Violation

Snyder, Danielle Alyce 2942

Omaha, NE

Probation 8/18/2019 8/18/2021 Alcohol Use Disorder, Moderate

Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

Unprofessional Conduct

Spencer, Daniel M 2545

Omaha, NE

Petition for Disp Action & Temp Susp 7/19/2012 9/6/2012 Dishonorable Conduct

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Probation 4/6/2010 10/6/2010 xCourt Conviction

Revocation 9/6/2012 Dishonorable Conduct

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Temporary Suspension 7/26/2012 9/5/2012 Dishonorable Conduct

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Massage Therapist

Spies, April A 2890

Lincoln, NE

Probation 7/5/2012 1/5/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Suspension 3/1/2013 3/14/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Sundquist, Marvin Doug 2970

Fremont, NE

Probation 12/7/2012 12/7/2013 Alcohol Dependency

Misdemeanor Conviction(s)

Thoman, Holly A. 3363

Dwight, NE

Probation 12/9/2015 5/19/2016 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Tufts, Gabriel J 3150

Lincoln, NE

Probation 3/18/2014 9/18/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Vogel, Robert Mitchell 3271

Omaha, NE

Petition for Disp Action & Temp Susp 6/14/2016 7/22/2016 Dishonorable Conduct

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Temporary Suspension 6/24/2016 Dishonorable Conduct

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Wamsley, Andrea Virginia 2581

Falls City, NE

Probation 7/23/2010 7/23/2011 Failure to Disclose Convictions

xCriminal Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Massage Therapist

Wassenberg, Jennifer Ann 3620

Omaha, NE

Probation 12/18/2017 6/18/2018 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Watkins, Katie Jo 3763

Kearney, NE

Probation 4/18/2019 10/18/2019 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Weber, Eva Mae 1012

Omaha, NE

Probation 8/5/2012 8/5/2013 Practice in Unlicensed Premises

West, Sarah J 2078

Omaha, NE

Censure 7/26/2012 Probation Violation

Probation 12/8/2011 12/8/2013 Alcohol Dependency

Failure to File Report-38-1,124,38-1,125

Misrepresentation of Material Facts

Williams, Anissa Lee 2893

La Vista, NE

Censure 2/12/2014 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

xMind-Altering Substance Abuse

Probation 7/12/2012 2/12/2014 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

xMind-Altering Substance Abuse

Wilson, Kirstin Grace 2621

Omaha, NE

Probation 9/30/2010 9/30/2011 Alcohol Dependency

xCriminal Conviction(s)

Wruble, Malisa Jade 3043

Lincoln, NE

Probation 7/2/2013 1/2/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Massage Therapist

Wu, Shuangyou 2838

CHICAGO, IL

Censure 3/14/2013 Permitting Aiding & Abetting

Civil Penalty 3/14/2014

Probation 3/24/2013 9/24/2013

Xu, Xiao Jun 2756

Omaha, NE

Civil Penalty 1/31/2013 1/31/2014 Permitting Aiding & Abetting

Unprofessional Conduct

Yoder, Jessica Ann 2542

Lincoln, NE

Probation 4/2/2010 10/2/2010 Failure to Disclose Convictions

xCriminal Conviction(s)

Zhao, Xiangju 3551

Omaha, NE

Revocation 1/27/2019 Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Temporary Massage Therapist

Brown, Tawni Lynn 1712

Bellevue, NE

Probation 11/17/2010 xCriminal Conviction(s)

Mills, Justin L 1668

Peoria, IL

Probation 11/24/2009 xCourt Conviction

Sifuentez, Alicia Marie 1716

Elkhorn, NE

Probation 1/28/2011 Alcohol Abuse

xCriminal Conviction(s)

Thoman, Holly A. 1805

Dwight, NE

Probation 11/19/2015 12/9/2015 Failure to Disclose Convictions

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Temporary Massage Therapist

White, Brandis C 1837

Omaha, NE

Probation 3/21/2018 5/20/2018 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Medicine

Osteopathic Physician & Surgeon

Bowland, Terri Allison, DO 917

Commerce City, CO

Probation 5/11/2012 5/11/2014 Misrepresentation of Material Facts

Unprofessional Conduct

Carroll, Edward Scott, DO 288

North Platte, NE

Censure 5/6/2010 Misdemeanor Conviction(s)

Unprofessional Conduct

Civil Penalty 5/6/2012 Misdemeanor Conviction(s)

Unprofessional Conduct

Murphy Jr DO, James Francis 241

Omaha, NE

Censure 10/12/2011 Felony Conviction(s)

Other State Action

Unprofessional Conduct

Civil Penalty 4/12/2012 Felony Conviction(s)

Other State Action

Unprofessional Conduct

Revocation 3/11/2018 Felony Conviction(s)

Other State Action

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Osteopathic Physician & Surgeon

Patterson, Tiffany Nichole, DO 528

UPR Marlboro, MD

Censure 3/17/2011 Failure to Keep Adequate Records

Prescribing CS to Oneself

Unprofessional Conduct

Civil Penalty 9/17/2011 Failure to Keep Adequate Records

Prescribing CS to Oneself

Unprofessional Conduct

Rigler, Donald Edward, DO 86

Columbus, NE

Limitation-Disciplinary 3/27/2014 10/28/2016 Unprofessional Conduct

Violation of UCSA

Probation 3/27/2019 Unprofessional Conduct

Violation of UCSA

Suspension 8/1/2013 2/1/2014 Unprofessional Conduct

Violation of UCSA

Schmidt, Scott Eric, DO 350

Lincoln, NE

Probation 8/3/2014 8/3/2019 Alcohol Dependency

Failure to Comply With Aftercare

Practice while Impaired

Suspension 5/5/2014 8/2/2014 Alcohol Dependency

Failure to Comply With Aftercare

Practice while Impaired

Shnurman, Benjamin Ziskin, DO 1023

Moline, IL

Revocation 2/23/2018 Other State Action

Symonds, John Terrill, DO 77

Maryville, MO

Limitation-Disciplinary 8/24/2010 Gross Incompetence

Gross Negligence

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Osteopathic Physician & Surgeon

Wilkinson, Heather Lee, DO 425

Johns Island, SC

Suspension 8/6/2010 11/15/2010 Misrepresentation of Material Facts

11/15/2010 1/3/2011

8/6/2010 11/15/2010 Unprofessional Conduct

11/15/2010 1/3/2011

8/6/2010 11/15/2010 xControlled Substance Addiction/Depndncy

11/15/2010 1/3/2011

8/6/2010 11/15/2010 xFailure To File Mandatory Report

11/15/2010 1/3/2011

Physician

Agarwal, Anil Kumar, MD 13501

Omaha, NE

Civil Penalty 10/23/2009 4/23/2010 Other State Action

Pattern of Incompentence

Permitting Aiding & Abetting

Agrawal MBBS, Narendrakumar Tejmal 13235

Galion, OH

Revocation 12/1/2011 Felony Conviction(s)

Unprofessional Conduct

Aguirre, Roberto Enrique, MD 13810

Enka, NC

Suspension 9/16/2010 11/2/2010 Alcohol Dependency

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician

Anit, Leandro Sapanlay, Jr. MD 26852

Omaha, NE

Civil Penalty 7/25/2017 7/25/2019 Dishonorable Conduct

Immoral Conduct

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Violation of Dept Order

Suspension 8/4/2017 9/2/2017 Dishonorable Conduct

5/30/2018 7/20/2018

8/14/2019

8/4/2017 9/2/2017 Immoral Conduct

5/30/2018 7/20/2018

8/14/2019

8/4/2017 9/2/2017 Sexual Abuse,Miscnduct,Exploit

5/30/2018 7/20/2018

8/14/2019

8/4/2017 9/2/2017 Unprofessional Conduct

5/30/2018 7/20/2018

8/14/2019

8/4/2017 9/2/2017 Violation of Dept Order

5/30/2018 7/20/2018

8/14/2019

Balter, Kevin Scott, MD 24699

Omaha, NE

Limitation-Disciplinary 6/24/2013 6/24/2014 Misdemeanor Conviction(s)

Prescribing CS to Oneself

Unprofessional Conduct

Violation of UCA

Violation of UCSA

Probation 8/23/2014 Misdemeanor Conviction(s)

Prescribing CS to Oneself

Unprofessional Conduct

Violation of UCA

Violation of UCSA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician

Bauhard, Marlin Roy, MD 13817

Hebron, NE

Limitation-Disciplinary 10/11/2013 Alcohol Dependency

Controlled Substance Dependence

Probation Alcohol Dependency

Controlled Substance Dependence

Baus, Joseph Edward, MD 28631

Omaha, NE

Probation 6/18/2015 6/18/2019 Controlled Substance Dependence

Other State Action

Bespalec, Jason Lane, MD 20208

Geneva, NE

Probation 6/17/2016 6/17/2017 Pattern of Negligence

Unprofessional Conduct

Bottlinger MD, Bruce Jay 15311

Grand Island, NE

Probation 5/29/2013 12/6/2016 Alcohol Dependency

Misdemeanor Conviction(s)

Practice while Impaired

Probation Violation

Sexual Abuse,Miscnduct,Exploit

Revocation 3/31/2010 Alcohol Addiction

12/6/2016

3/31/2010 Practice while Impaired

12/6/2016

3/31/2010 Probation Violation

12/6/2016

3/31/2010 Unprofessional Conduct

12/6/2016

Boyd, Scott Thomas, MD 27056

Elkhorn, NE

Probation 11/8/2012 12/28/2015 Other State Action

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician

Burton, Reginald Arthur, MD 22202

Omaha, NE

Petition for Disp Action & Temp Susp 8/3/2017 10/4/2017 Dishonorable Conduct

Failure to Keep Adequate Records

Pattern of Negligence

Unprofessional Conduct

Suspension 1/19/2017 9/19/2018 Dishonorable Conduct

Failure to Keep Adequate Records

Pattern of Negligence

Unprofessional Conduct

Temporary Suspension 8/7/2017 10/4/2017 Dishonorable Conduct

Failure to Keep Adequate Records

Pattern of Negligence

Unprofessional Conduct

Cabiling, Louis Charles, MD 18693

Pueblo, CO

Probation 12/16/2014 10/2/2019 Other State Action

Chaturvedi, Rajeev, MBBS 24205

LINCOLN, NE

Civil Penalty 12/21/2009 6/19/2010 Permitting Aiding & Abetting

Chavez, David Anthony, MD 28972

Broomfield, CO

Probation 12/21/2015 1/17/2018 Other State Action

Christiansen, Sara Lynn 19590

Lincoln, NE

Probation 10/6/2010 12/14/2010 Alcohol Dependency

Clark, Jason Christopher, MD 24024

Leavenworth, KS

Limitation-Disciplinary 3/14/2013 Practice while Impaired

Unprofessional Conduct

Probation 3/24/2013 3/24/2015 Practice while Impaired

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician

Clauson, Ryan Miles, MD 26229

Bismarck, ND

Probation 4/28/2011 7/28/2011 Failure to Keep Adequate Records

Prescribing CS to Spouse

Unprofessional Conduct

xFailure to Conform-Stndrds of Practice

Collazo, Gilberto, MD 18689

Wausa, NE

Censure 11/20/2018 Failure to Keep Adequate Records

Pattern of Negligence

Unprofessional Conduct

Civil Penalty 11/20/2019 Failure to Keep Adequate Records

Pattern of Negligence

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician

Costello, Joseph Kennedy, IV, MD 25900

Boulder, CO

Censure 4/21/2014 Prescribing CS to Oneself

Probation Violation

Unprofessional Conduct

Violation of UCSA

Civil Penalty 10/21/2014 Prescribing CS to Oneself

Probation Violation

Unprofessional Conduct

Violation of UCSA

Limitation-Disciplinary 12/19/2013 Prescribing CS to Oneself

Probation Violation

Unprofessional Conduct

Violation of UCSA

Probation 12/29/2013 Prescribing CS to Oneself

Probation Violation

Unprofessional Conduct

Violation of UCSA

Suspension 6/12/2014 Prescribing CS to Oneself

Probation Violation

Unprofessional Conduct

Violation of UCSA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician

Damme, Jeffrey Alan, MD 22565

Cook, NE

Censure 11/20/2018 Probation Violation

Civil Penalty 5/25/2011 5/25/2012 Alcohol Dependency

Other State Action

Practice while Impaired

Probation Violation

11/20/2018 11/20/2019

Probation 6/4/2011 3/31/2017 Alcohol Dependency

5/31/2018 5/31/2023

6/4/2011 3/31/2017 Other State Action

5/31/2018 5/31/2023

6/4/2011 3/31/2017 Practice while Impaired

5/31/2018 5/31/2023

6/4/2011 3/31/2017 Probation Violation

5/31/2018 5/31/2023

Suspension 3/31/2017 5/31/2018 Alcohol Dependency

Other State Action

Practice while Impaired

Probation Violation

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician

De Los Angeles, Reynaldo Adrilliana, MD 18636

Kearney, NE

Civil Penalty 7/13/2010 1/13/2011 Unprofessional Conduct

Limitation-Disciplinary 5/2/2012

Petition for Disp Action & Temp Susp 4/30/2012 6/26/2012 Dishonorable Conduct

Excessive Treatment

Felony Conviction(s)

Unprofessional Conduct

Suspension 5/2/2012 Dishonorable Conduct

Excessive Treatment

Felony Conviction(s)

Unprofessional Conduct

Temporary Suspension 7/12/2012 Dishonorable Conduct

Excessive Treatment

Felony Conviction(s)

Unprofessional Conduct

Dymek, Maksym Stefan, MD 28519

West Lafayette, IN

Probation 3/7/2019 3/7/2024 Controlled Substance Dependence

Other State Action

Substance Use Disorder, Mild

Ehlers, Erik Tierney, MD 24954

Elkhorn, NE

Censure 3/17/2011 Alcohol Dependency

Probation Violation

xCourt Conviction

Civil Penalty 9/17/2011 Alcohol Dependency

Probation Violation

xCourt Conviction

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician

Fasse, Scott Jonathan, MD 16872

Omaha, NE

Censure 7/13/2011 Negligent Conduct

10/9/2013

7/13/2011 Pattern of Negligence

10/9/2013

7/13/2011 Unprofessional Conduct

10/9/2013

Civil Penalty 3/20/2012 9/20/2012 Negligent Conduct

10/9/2013 4/9/2014

3/20/2012 9/20/2012 Pattern of Negligence

10/9/2013 4/9/2014

3/20/2012 9/20/2012 Unprofessional Conduct

10/9/2013 4/9/2014

Ferris, Cynthia Ann, MD 19777

Onawa, IA

Probation 10/21/2019 10/21/2022 Alcohol Use Disorder, Moderate

Practice while Impaired

Fleming MD, Richard Max 17502

Reno, NV

Revocation 5/21/2010 Felony Conviction(s)

Unprofessional Conduct

Fleming, Alfred David, MD 17601

Omaha, NE

Probation 2/21/2011 2/21/2016 Alcohol Dependency

Folchert, Kevin John, MD 20197

Sioux City, IA

Censure 4/5/2019 Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician

Fox MD, Robert Scott 12440

Lincoln, NE

Censure 12/2/2013 Alcohol Dependency

Controlled Substance Dependence

Probation Violation

Civil Penalty 6/2/2014 Alcohol Dependency

Controlled Substance Dependence

Probation Violation

Limitation-Disciplinary 12/13/2012 Alcohol Dependency

Controlled Substance Dependence

Probation Violation

Probation 12/13/2017 Alcohol Dependency

Controlled Substance Dependence

Probation Violation

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician

Fraser, Jeffrey Loren, MD 19664

Lincoln, NE

Censure 3/2/2017 Controlled Substance Abuse

Failure to Keep Adequate Records

Immoral Conduct

Pattern of Negligence

Practice while Impaired

Unprofessional Conduct

Violation of Dept Order

Violation of UCSA

Civil Penalty 9/2/2018 Controlled Substance Abuse

Failure to Keep Adequate Records

Immoral Conduct

Pattern of Negligence

Practice while Impaired

Unprofessional Conduct

Violation of Dept Order

Violation of UCSA

Probation 3/12/2017 5/18/2018 Controlled Substance Abuse

7/25/2019 7/25/2024

3/12/2017 5/18/2018 Failure to Keep Adequate Records

7/25/2019 7/25/2024

3/12/2017 5/18/2018 Immoral Conduct

7/25/2019 7/25/2024

3/12/2017 5/18/2018 Pattern of Negligence

7/25/2019 7/25/2024

3/12/2017 5/18/2018 Practice while Impaired

7/25/2019 7/25/2024

3/12/2017 5/18/2018 Unprofessional Conduct

7/25/2019 7/25/2024

3/12/2017 5/18/2018 Violation of Dept Order

7/25/2019 7/25/2024

3/12/2017 5/18/2018 Violation of UCSA

7/25/2019 7/25/2024

Suspension 5/18/2018 Controlled Substance Abuse

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician

Suspension 5/18/2018 Failure to Keep Adequate Records

Immoral Conduct

Pattern of Negligence

Practice while Impaired

Unprofessional Conduct

Violation of Dept Order

Violation of UCSA

Garg, Mukesh, MBBS 27641

South Bend, IN

Probation 11/6/2013 11/6/2018 Alcohol Dependency

Misdemeanor Conviction(s)

Other State Action

Glenn, Matthew Michael, MD 20176

Lincoln, NE

Censure 7/31/2012 Failure to File Report-38-1,124,38-1,125

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Violation of AOC

Civil Penalty 8/24/2010 2/24/2011 Unprofessional Conduct

Gobbo, Paul Nelson, MD 18104

Lincoln, NE

Probation 10/2/2011 11/29/2012 Failure to Keep Adequate Records

Pattern of Negligence

Unprofessional Conduct

Suspension 10/22/2011 11/5/2011 Failure to Keep Adequate Records

Pattern of Negligence

Unprofessional Conduct

Golnick, Jan Jerzy, MD 14661

Omaha, NE

Censure 5/10/2012 Failure to Comply w Federal or State Law

Unprofessional Conduct

Civil Penalty 11/10/2012 Failure to Comply w Federal or State Law

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician

Gomez-Cordero, Rodrigo, MD 15892

Norfolk, NE

Censure 12/23/2014 Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Civil Penalty 6/23/2015 Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Probation 1/2/2015 7/2/2015 Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Graves, Robert Fisher, MD 21510

Sidney, NE

Censure 12/27/2012 Emotional Disability

Failure to File Report-38-1,124,38-1,125

Other State Action

Unprofessional Conduct

Civil Penalty 6/27/2013 Emotional Disability

Failure to File Report-38-1,124,38-1,125

Other State Action

Unprofessional Conduct

Gruba, Stephen Brian, MD 15105

Corning, IA

Limitation-Disciplinary 5/2/2011 8/25/2014 Failure to File Report-38-1,124,38-1,125

Other State Action

Hajj, Kathryn Marie, MD 20252

Lincoln, NE

Censure 2/23/2018 Failure to Keep Adequate Records

Pattern of Negligence

Unprofessional Conduct

Violation of UCA

Civil Penalty 2/23/2020 Failure to Keep Adequate Records

Pattern of Negligence

Unprofessional Conduct

Violation of UCA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician

Harkins, Daniel Thomas, MD 17710

Scottsbluff, NE

Censure 6/20/2011 Failure to File Report-38-1,124,38-1,125

10/30/2013

6/20/2011 Pattern of Negligence

10/30/2013

6/20/2011 Probation Violation

10/30/2013

6/20/2011 Unprofessional Conduct

10/30/2013

6/20/2011 Violation of UCSA

10/30/2013

Civil Penalty 4/30/2014 Failure to File Report-38-1,124,38-1,125

Pattern of Negligence

Probation Violation

Unprofessional Conduct

Violation of UCSA

Limitation-Disciplinary 8/3/2011 8/3/2016 Failure to File Report-38-1,124,38-1,125

Pattern of Negligence

Probation Violation

Unprofessional Conduct

Violation of UCSA

Probation 1/28/2014 Failure to File Report-38-1,124,38-1,125

Pattern of Negligence

Probation Violation

Unprofessional Conduct

Violation of UCSA

Suspension 7/8/2010 7/8/2011 Failure to File Report-38-1,124,38-1,125

1/29/2014

7/8/2010 7/8/2011 Pattern of Negligence

1/29/2014

7/8/2010 7/8/2011 Probation Violation

1/29/2014

7/8/2010 7/8/2011 Unprofessional Conduct

1/29/2014

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician

Suspension 7/8/2010 7/8/2011 Violation of UCSA

1/29/2014

Harrington, Alfred Randolph, MD-MPH-MBA 18926

Omaha, NE

Revocation 7/1/2010 Gross Incompetence

Gross Negligence

Practice Beyond Scope

Unprofessional Conduct

xFailure to Conform-Stndrds of Practice

xFraudulent Practice

Hart, Steven John, MD 25402

Omaha, NE

Probation 10/15/2009 10/15/2012 Misdemeanor Conviction(s)

Other State Action

xHabitual Intoxication

Hayes, Paul Lawrence, MD 19535

Omaha, NE

Limitation-Disciplinary 5/11/2017 Failure to Keep Adequate Records

Pattern of Negligence

Unprofessional Conduct

Heller, Raymond Dwayne, MD 21937

Omaha, NE

Probation 3/25/2012 7/30/2015 Felony Conviction(s)

Unprofessional Conduct

Herink, Rebecca L, MD 20410

Lincoln, NE

Censure 10/10/2018 Alcohol Abuse

Misdemeanor Conviction(s)

Civil Penalty 4/10/2020 Alcohol Abuse

Misdemeanor Conviction(s)

Probation 10/20/2018 10/20/2022 Alcohol Abuse

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician

Hinners Tiojanco, Cheryl Kay, MD 21560

Omaha, NE

Civil Penalty 10/1/2019 10/1/2020 Prescribing CS to Oneself

Substance Use Disorder, Mild

Unprofessional Conduct

Violation of UCSA

Probation 10/11/2019 10/11/2020 Prescribing CS to Oneself

Substance Use Disorder, Mild

Unprofessional Conduct

Violation of UCSA

Suspension 12/9/2019 Prescribing CS to Oneself

Substance Use Disorder, Mild

Unprofessional Conduct

Violation of UCSA

Hirz, Gregory Alan, MD 19538

Omaha, NE

Probation 12/21/2009 12/21/2014 Controlled Substance Dependence

xFraud,Forgery,Misrep Material Facts

Hlavaty, Tamara Sue, MD 20038

Grand Island, NE

Probation 11/15/2014 11/15/2018 Alcohol Dependency

Hubbell, Richard LeMaster, MD 28412

Drums, PA

Probation 2/27/2015 2/27/2020 Other State Action

Unprofessional Conduct

Jensen, Ric Edee, MD 20821

Omaha, NE

Censure 6/22/2011 Unprofessional Conduct

xFailure to Conform-Stndrds of Practice

Probation 11/20/2012 Unprofessional Conduct

xFailure to Conform-Stndrds of Practice

Johnson, Christine M, MD 20202

Rosebud, SD

Probation 10/27/2011 2/28/2013 Lack of Continued Competency

Other State Action

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician

Kasselman, Jeffrey Paul, MD 22259

Papillion, NE

Censure 8/6/2010 Failure to Keep Adequate Records

Unprofessional Conduct

Limitation-Disciplinary 12/3/2012 4/6/2016

Petition for Disp Action & Temp Susp 5/16/2012 11/29/2012

Probation 12/3/2012 4/6/2016

Temporary Suspension 5/16/2012 11/29/2012

Khan, Kulsoom Alvi, MBBS 21700

Cupertino, CA

Suspension 10/27/2011 1/24/2012 Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Kim, Jasung, MD 21811

Lincoln, NE

Probation 11/3/2014 11/14/2017 Negligent Conduct

Unprofessional Conduct

xFailure to Conform-Stndrds of Practice

xSexual Misconduct

Suspension 2/4/2010 Negligent Conduct

Unprofessional Conduct

xFailure to Conform-Stndrds of Practice

xSexual Misconduct

Kreshel, Charles Ladd, MD 16450

Lincoln, NE

Censure 5/9/2013 Failure to Keep Adequate Records

Pattern of Negligence

Unprofessional Conduct

Civil Penalty 11/9/2013 Failure to Keep Adequate Records

Pattern of Negligence

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician

Lanspa, Thomas John, MD 16808

Kearney, NE

Limitation-Disciplinary 11/19/2014 12/2/2015 Unprofessional Conduct

Violation of UCSA

xCont Substance Use Disorder - Severe

Probation 11/29/2014 11/29/2019 Unprofessional Conduct

Violation of UCSA

xCont Substance Use Disorder - Severe

Lawton, Richard Lawrence, MD 31558

Dakota Dunes, SD

Probation 2/28/2019 2/28/2021 Other State Action

Magnino, Matthew John, MD 21554

Fremont, NE

Censure 3/3/2010 Other State Action

Unprofessional Conduct

xFailure to Conform-Stndrds of Practice

Probation 3/3/2011 Other State Action

Unprofessional Conduct

xFailure to Conform-Stndrds of Practice

Massih, Nosrat Allan 12585

Omaha, NE

Petition for Disp Action & Temp Susp 6/25/2013 8/28/2013 Dishonorable Conduct

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Temporary Suspension 6/26/2013 6/26/2013 Dishonorable Conduct

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Matthews, Michael Lee, MD 18889

Sidney, NE

Probation 8/17/2013 8/17/2014 Pattern of Negligence

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician

Mazour, Daniel Edward, MD 17878

Franklin, NE

Probation 1/10/2016 12/14/2016 Failure to Keep Adequate Records

Pattern of Negligence

Unprofessional Conduct

McFadden, Sean, MD 21774

Papillion, NE

Censure 5/8/2018 Dishonorable Conduct

Failed to Report Conviction in 30 days

Unprofessional Conduct

Civil Penalty 6/8/2018 Dishonorable Conduct

Failed to Report Conviction in 30 days

Unprofessional Conduct

McGill, Lorrie Lyn, MD 20633

Papillion, NE

Censure 2/25/2019 Permitting Aiding & Abetting

Violation of AOC

Civil Penalty 2/25/2021 Permitting Aiding & Abetting

Violation of AOC

McGowan, Daniel Joseph, MD 19175

Kearney, NE

Probation 8/5/2013 8/5/2015 Failure to Keep Adequate Records

Practice while Impaired

Unprofessional Conduct

McGowan, Dennis Patrick, MD 20293

Kearney, NE

Censure 6/10/2015 Unprofessional Conduct

Violation of AOC

Civil Penalty 12/10/2015 Unprofessional Conduct

Violation of AOC

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician

Misko, Justin Dean, MD 24755

Lincoln, NE

Censure 5/24/2013 Failed to Report Conviction in 30 days

Failure to Disclose Convictions

Unprofessional Conduct

Limitation-Disciplinary Failed to Report Conviction in 30 days

Failure to Disclose Convictions

Unprofessional Conduct

Probation 9/5/2016 9/5/2017 Failed to Report Conviction in 30 days

Failure to Disclose Convictions

Unprofessional Conduct

Montanez, Edward P, MD 17355

Elkhorn, NE

Censure 1/7/2013 Negligent Conduct

Unprofessional Conduct

Morin, Douglas John, MD 25466

Omaha, NE

Limitation-Disciplinary 6/21/2017 Pattern of Negligence

Unprofessional Conduct

Petition for Disp Action & Temp Susp 11/16/2016 6/21/2017 Pattern of Negligence

Unprofessional Conduct

Temporary Suspension 12/19/2016 Pattern of Negligence

Unprofessional Conduct

Mwebe, David, MBChB 23791

Osmond, NE

Revocation 10/10/2018 Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

History of Disciplinary Action

Pattern of Incompentence

Practice Fraudulently

Prescribing CS to Oneself

Unprofessional Conduct

Violation of UCSA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician

Navrkal, Harvey Joseph, MD 20054

Denver, CO

Probation 11/16/2009 11/16/2010 Dishonorable Conduct

Probation Violation

Unprofessional Conduct

Okosun, Stanley Eromonsele, MD 25144

Lincoln, NE

Probation 7/24/2014 1/24/2015 Unprofessional Conduct

Omar, Mark David, MD 17837

omaha, NE

Civil Penalty 10/18/2019 1/1/2020 Dishonorable Conduct

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Limitation-Disciplinary 10/2/2019 Dishonorable Conduct

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Suspension 10/12/2019 12/10/2019 Dishonorable Conduct

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Oxford, Stuart Gordon, MD 15157

Omaha, NE

Censure 8/26/2015 Failure to Keep Adequate Records

Unprofessional Conduct

Padron, Ernesto Rogelio, MD 27859

Park Ridge, IL

Probation 3/21/2019 3/21/2022 Other State Action

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician

Parde, Andrea K, MD 23032

Union, NE

Probation 7/26/2019 7/26/2024 Alcohol Use Disorder, Moderate

Substance Use Disorder

Substance Use Disorder, Severe

Violation of UCSA

Suspension 10/20/2018 Alcohol Use Disorder, Moderate

Substance Use Disorder

Substance Use Disorder, Severe

Violation of UCSA

Parr, Sharidan Kristen, MD 26289

NASHVILLE, TN

Probation 5/31/2011 5/31/2013 Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Probation Violation

xHabitual Intoxication

xPrevious Discipline

Paskewitz, George Irvin, MD 18851

Crete, NE

Censure 11/3/2009 Negligent Conduct

Unprofessional Conduct

Civil Penalty 5/3/2010 Negligent Conduct

Unprofessional Conduct

Patel, Manish Jagdishchandra, MD 30254

Paradise Valley, AZ

Censure 9/10/2019 Alcohol Dependency

Probation Violation

Probation 8/3/2017 10/22/2022 Alcohol Dependency

Probation Violation

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician

Peterson, Stephanie Michelle, MD 23461

Lincoln, NE

Censure 11/3/2009 Alcohol Dependency

Other State Action

Probation Violation

Unprofessional Conduct

xHabitual Intoxication

Prescher, Michael Charles, MD 27634

Bettendorf, IA

Limitation-Disciplinary 11/14/2013 5/31/2018 Other State Action

Probation

Puetz, Jill Frances, MD 26758

Elkhorn, NE

Censure 4/12/2013 Failure to Keep Adequate Records

Prescribing CS to Oneself

Unprofessional Conduct

Raines, Edward Paul, MD 18481

Kearney, NE

Censure 3/28/2013 Unprofessional Conduct

Civil Penalty 9/28/2013

Suspension 11/8/2013 11/12/2013

Rapp, Jeffrey R, Jr MD 19525

Omaha, NE

Censure 7/22/2016 Failure to Keep Adequate Records

Unprofessional Conduct

Rothenberg, Lawrence, MD 23130

Rolla, ND

Limitation-Disciplinary 6/30/2015 1/3/2019 Other State Action

Probation 6/30/2017

Suspension 12/29/2014 6/29/2015

Rutz, David George, MD 14942

Lincoln, NE

Censure 6/1/2012 Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician

Shoiab, Mohammad, MBBS 20931

Omaha, NE

Petition for Disp Action & Temp Susp 2/26/2016 3/23/2016 Unprofessional Conduct

Temporary Suspension 3/4/2016

Sidhu, Sardev S, MBBS 19600

Casa Grande, AZ

Probation 9/7/2014 Failure to File Report-38-1,124,38-1,125

Other State Action

Silverberg, David A, MD 16000

Omaha, NE

Censure 2/25/2019 Dishonorable Conduct

Prescribing CS to Child

Unprofessional Conduct

Violation of UCSA

Civil Penalty 2/25/2021 Dishonorable Conduct

Prescribing CS to Child

Unprofessional Conduct

Violation of UCSA

Stone MD, Rodney Edmund 14877

Dayton, OH

Suspension 3/3/2010 Other State Action

Practice while Impaired

Stottle, Matthew James, MD 26359

Omaha, NE

Probation 7/15/2011 8/16/2012 Alcohol Abuse

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician

Straka, Scott Daniel, MD 21821

Tecumseh, NE

Probation 10/7/2013 8/7/2014 Controlled Substance Dependence

Failure to Comply With Aftercare

Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Probation Violation

Unprofessional Conduct

Suspension 8/7/2014 Controlled Substance Dependence

Failure to Comply With Aftercare

Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Probation Violation

Unprofessional Conduct

Strasburger, Scott Edwin, MD 20145

Lincoln, NE

Probation 10/28/2016 10/28/2021 History of Disciplinary Action

Misdemeanor Conviction(s)

Suspension 11/26/2014 10/28/2016 Controlled Substance Abuse

Practice while Impaired

Stuckey MD, Charles Edward 11785

Overland Park, KS

Limitation-Disciplinary 5/17/2010 4/15/2014 Other State Action

Sullivan, James Leahy, MD 23377

Fremont, NE

Censure 10/23/2009 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 4/23/2010 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Swerczek, Michael Joseph, MD 29113

Lincoln, NE

Probation 4/5/2019 4/5/2021 Alcohol Use Disorder, Severe

Practice while Impaired

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician

Tages, Joseph Manuel, MD 18302

Aurora, IL

Censure 11/25/2014 Felony Conviction(s)

Other State Action

Civil Penalty 11/25/2016 Felony Conviction(s)

Other State Action

Suspension 12/5/2014 6/5/2015 Felony Conviction(s)

Other State Action

Taghavi, Seyyed Vahid, MD 24330

Lincoln, NE

Petition for Disp Action & Temp Susp 1/29/2013 5/1/2013 Prescribing CS to Oneself

Unprofessional Conduct

Violation of UCSA

Probation 5/13/2013 5/13/2018 Prescribing CS to Oneself

Unprofessional Conduct

Violation of UCSA

Temporary Suspension 1/31/2013 5/12/2013 Prescribing CS to Oneself

Unprofessional Conduct

Violation of UCSA

Thornton, Steven Leroy, MD 24541

Elkhart, IL

Suspension 5/8/2016 Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Tiemann, William Elmore, MD 24266

New Orleans, LA

Probation 5/6/2010 5/6/2013 Unprofessional Conduct

xControlled Substance Addiction/Depndncy

Tobin, Gregg Moran, MD 18734

Winner, SD

Probation 6/20/2011 3/6/2014 Alcohol Abuse

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician

Tobin, Robert Francis, MD 12232

Falls City, NE

Civil Penalty 6/20/2011 12/20/2011 Other State Action

2/7/2013 8/7/2013

6/20/2011 12/20/2011 Probation Violation

2/7/2013 8/7/2013

6/20/2011 12/20/2011 Unprofessional Conduct

2/7/2013 8/7/2013

6/20/2011 12/20/2011 Violation of AOC

2/7/2013 8/7/2013

Probation 6/20/2011 2/6/2013 Other State Action

Probation Violation

Unprofessional Conduct

Violation of AOC

Suspension 2/7/2013 8/7/2013 Other State Action

Probation Violation

Unprofessional Conduct

Violation of AOC

Tribulato, Martina Marie, MD 22117

Omaha, NE

Revocation 4/28/2014 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Trierweiler, Michael William, MD 18908

Maricopa, AZ

Civil Penalty 6/25/2012 12/25/2012 Felony Conviction(s)

Suspension 8/1/2012 9/29/2012

Utecht, Theodore Donald, MD 21672

Eureka, CA

Probation 6/20/2011 6/20/2015 Negligent Conduct

Other State Action

Unprofessional Conduct

xFailure to Conform-Stndrds of Practice

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician

Waddell, Julie L, MD 23224

Lincoln, NE

Censure 11/15/2010 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Civil Penalty 5/15/2011 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Wang, Ming Rung, MD 18650

Reinholds, PA

Probation 5/7/2010 Unprofessional Conduct

Violation of UCSA

xControlled Substance Addiction

xReinstatement - Previous Discipline

Ward, Richard Kim, MD 16675

Elkhorn, NE

Probation 9/17/2012 Alcohol Dependency

Practice while Impaired

Weaver, Deborah Renee, MD 20676

North Platte, NE

Civil Penalty 6/25/2012 12/25/2012 Felony Conviction(s)

Suspension 7/1/2012 8/29/2012

Weaver, Walter Robert, MD 18842

North Platte, NE

Civil Penalty 6/25/2012 12/25/2012 Felony Conviction(s)

Suspension 7/1/2012 8/29/2012

Wenzl, Joseph Andrew, MD 17621

Bellevue, NE

Censure 1/12/2010 Unprofessional Conduct

Whittle, Thomas Barton, MD 22586

Lincoln, NE

Suspension 10/3/2019 Failure to Comply w Federal or State Law

Failure to Keep Adequate Records

Pattern of Negligence

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician

Williams, Stephen Hodges, MD 16482

Omaha, NE

Limitation-Disciplinary 9/15/2010 6/22/2011 Pattern of Negligence

Unprofessional Conduct

Yazdi, Navid Darius, MD 19029

Hillsboro, OR

Censure 7/7/2010 Unprofessional Conduct

xSexual Misconduct

Civil Penalty 7/7/2011 Unprofessional Conduct

xSexual Misconduct

Probation 9/14/2010 Unprofessional Conduct

xSexual Misconduct

Suspension 7/17/2010 9/14/2010 Unprofessional Conduct

xSexual Misconduct

Young, Mark Ridder, MD 21253

Omaha, NE

Probation 2/7/2015 2/7/2018 Alcohol Dependency

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician

Zoucha, Kenneth Allen, MD 17958

Omaha, NE

Censure 11/15/2010 Dishonorable Conduct

Probation Violation

Unprofessional Conduct

Violation of UCSA

Limitation-Disciplinary 12/2/2015 Dishonorable Conduct

Probation Violation

Unprofessional Conduct

Violation of UCSA

Probation 11/15/2015 Dishonorable Conduct

Probation Violation

Unprofessional Conduct

Violation of UCSA

Suspension 2/12/2011 Dishonorable Conduct

Probation Violation

Unprofessional Conduct

Violation of UCSA

Physician Assistant

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician Assistant

Anderson, Grant A, PA 592

Falls City, NE

Limitation-Disciplinary 2/23/2012 10/6/2014 Controlled Substance Dependence

Failure to Keep Adequate Records

Prescribing CS to Oneself

Prescribing CS to Spouse

Unprofessional Conduct

Violation of UCSA

Petition for Disp Action & Temp Susp 4/22/2011 2/14/2012 Controlled Substance Dependence

Failure to Keep Adequate Records

Prescribing CS to Oneself

Prescribing CS to Spouse

Unprofessional Conduct

Violation of UCSA

Probation 2/23/2012 2/23/2014 Controlled Substance Dependence

Failure to Keep Adequate Records

Prescribing CS to Oneself

Prescribing CS to Spouse

Unprofessional Conduct

Violation of UCSA

Temporary Suspension 4/28/2011 2/22/2012 Controlled Substance Dependence

Failure to Keep Adequate Records

Prescribing CS to Oneself

Prescribing CS to Spouse

Unprofessional Conduct

Violation of UCSA

Flinn, Cheryl Ruth, PA 435

Lincoln, NE

Censure 5/29/2014 Unprofessional Conduct

Civil Penalty 11/29/2014

Fowler, Rita L 1448

Omaha, NE

Civil Penalty 4/19/2012 10/19/2013 Failure to Keep Adequate Records

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician Assistant

Hays, Lisa Renae, PA 1460

Kearney, NE

Probation 8/19/2012 8/19/2017 Alcohol Dependency

Misdemeanor Conviction(s)

Krueger, Lance, PA 493

Marion, IA

Probation 8/5/2013 11/27/2017 Alcohol Abuse

Misdemeanor Conviction(s)

Kudron, Christopher Scott, PA-C 991

Bellwood, NE

Probation 3/7/2019 Alcohol Dependency

Controlled Substance Abuse

Failure to Comply With Aftercare

Misdemeanor Conviction(s)

Practice while Impaired

Substance Use Disorder, Severe

Violation of AOC

xAlcohol Use Disorder - Severe

Suspension 3/23/2013 1/28/2016 Alcohol Dependency

Controlled Substance Abuse

Failure to Comply With Aftercare

Misdemeanor Conviction(s)

Practice while Impaired

Substance Use Disorder, Severe

Violation of AOC

xAlcohol Use Disorder - Severe

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician Assistant

McAdam, Jillenne S, PA 626

Seward, NE

Censure 7/22/2016 Failed to Report Conviction in 30 days

Unprofessional Conduct

Violation of Dept Order

Civil Penalty 1/14/2015 7/14/2015 Failed to Report Conviction in 30 days

7/22/2016 7/22/2017

1/14/2015 7/14/2015 Unprofessional Conduct

7/22/2016 7/22/2017

1/14/2015 7/14/2015 Violation of Dept Order

7/22/2016 7/22/2017

Suspension 9/14/2017 10/3/2017 Failed to Report Conviction in 30 days

Unprofessional Conduct

Violation of Dept Order

Moore, Anne Marie, PA-C 977

Lincoln, NE

Limitation-Disciplinary 6/1/2012 9/1/2012 Unprofessional Conduct

Probation 9/2/2012 6/23/2014

Morgan, Christopher Paul, PA 1514

Cheyenne, WY

Censure 1/31/2013 Felony Conviction(s)

Civil Penalty 7/31/2013

Probation 2/10/2013 2/28/2014

Nice, Brian Barry, PA 1486

Omaha, NE

Probation 12/27/2014 3/11/2021 Alcohol Abuse

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician Assistant

O'Keefe, Maura Catherine, PA 1511

Omaha, NE

Censure 6/10/2015 Prescribing CS to Oneself

Probation Violation

Unprofessional Conduct

Violation of UCSA

Civil Penalty 12/10/2015 Prescribing CS to Oneself

Probation Violation

Unprofessional Conduct

Violation of UCSA

Probation 12/22/2014 Prescribing CS to Oneself

Probation Violation

Unprofessional Conduct

Violation of UCSA

Ourada, Cameron Jay, PA-C 1060

Burwell, NE

Probation 12/21/2009 12/21/2012 Alcohol Dependency

Misdemeanor Conviction(s)

Palmer PA-C, Teresa Jo 958

East Moline, IL

Civil Penalty 6/8/2015 12/8/2015 Lacks Good Character

Other State Action

Plog, Paula Speelmon, PA-C 973

Oshkosh, NE

Censure 3/14/2013 Failure to Comply w Federal or State Law

Failure to Keep Adequate Records

Unprofessional Conduct

Violation of AOC

Civil Penalty 9/14/2013 Failure to Comply w Federal or State Law

Failure to Keep Adequate Records

Unprofessional Conduct

Violation of AOC

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician Assistant

Ray, Tracy Duane, PA 1095

Kearney, NE

Probation 10/23/2009 10/23/2013 Alcohol Addiction

Misdemeanor Conviction(s)

Rosfeld, Timothy Aaron, PA-C 998

Syracuse, NE

Censure 11/16/2009 Probation Violation

Unprofessional Conduct

Siefers, Julie Grammer, PA 1850

Plainville, KS

Censure 9/10/2014 Lacks Good Character

Misrepresentation of Material Facts

Other State Action

Civil Penalty 10/9/2014 Lacks Good Character

Misrepresentation of Material Facts

Other State Action

Stangl PA, Scot A 375

Papillion, NE

Limitation-Disciplinary 6/13/2012 7/25/2013 Dishonorable Conduct

Failure to Keep Adequate Records

Negligent Conduct

Unprofessional Conduct

xReinstatement - Previous Discipline

Probation Dishonorable Conduct

Failure to Keep Adequate Records

Negligent Conduct

Unprofessional Conduct

xReinstatement - Previous Discipline

Taylor, Debra J, PA 161

Lincoln, NE

Petition for Disp Action & Temp Susp 6/18/2012 1/24/2013 Unprofessional Conduct

Temporary Suspension 6/19/2012

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physician Assistant

Van Noy, Stephen Eugene, PA 875

Alliance, NE

Censure 7/26/2012 Controlled Substance Abuse

Probation Violation

Civil Penalty 1/26/2013 Controlled Substance Abuse

Probation Violation

Probation 10/13/2011 10/13/2016 Controlled Substance Abuse

Probation Violation

Suspension 3/30/2010 6/24/2011 Practice while Impaired

Unprofessional Conduct

xControlled Substance Addiction/Depndncy

Woofter, Carl L, PA 982

Colby, KS

Probation 5/21/2010 5/21/2011 Failure to Keep Adequate Records

Other State Action

Unprofessional Conduct

Temporary Educational Permit

Baus, Joseph Edward, MD 7341

Omaha, NE

Probation 7/1/2014 6/18/2015 Controlled Substance Dependence

Other State Action

Clauson, Ryan Miles, MD 5816

Bismarck, ND

Probation 3/31/2010 Failure to Keep Adequate Records

Prescribing CS to Spouse

Unprofessional Conduct

xFailure to Conform-Stndrds of Practice

Dammann, Gregory Gordon, MD 7104

Winnebago, IL

Probation 7/1/2013 11/5/2015 Controlled Substance Dependence

Other State Action

Mental Health Practice

Independent Mental Health Practitioner

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Independent Mental Health Practitioner

Blankenship, Jennifer Suzanne 1769

Omaha, NE

Suspension 10/28/2019 Dishonorable Conduct

Exploitation of Another Person

Unprofessional Conduct

Bruckner, Daniel J 304

Omaha, NE

Probation 1/20/2014 1/20/2015 Alcohol Dependency

Burns, Holly M. 1205

Lincoln, NE

Censure 11/16/2016 Unprofessional Conduct

Violation of the UCA

Limitation-Disciplinary 3/6/2017 Unprofessional Conduct

Violation of the UCA

Carde, Lori Lynn 1369

Lincoln, NE

Civil Penalty 1/19/2016 7/19/2016 Obtaining Fee by Fraud

Unprofessional Conduct

Probation 1/29/2016 7/29/2016 Obtaining Fee by Fraud

Unprofessional Conduct

Chartier, Angela Marie 1681

Omaha, NE

Probation 12/13/2016 10/5/2017 Alcohol Abuse

Misdemeanor Conviction(s)

Unprofessional Conduct

Circo, Deborah Kay 12

Omaha, NE

Censure 4/28/2016 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Probation 5/8/2016 11/8/2016 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Independent Mental Health Practitioner

Clinton, DiAnn M 1016

Lincoln, NE

Probation 7/16/2012 7/16/2014 Alcohol Abuse

Failure to Keep Adequate Records

10/28/2016

7/16/2012 7/16/2014 Misdemeanor Conviction(s)

Other State Action

Practice while Impaired

10/28/2016

7/16/2012 7/16/2014 Unprofessional Conduct

10/28/2016

DeNeui, Angela 372

Grand Island, NE

Petition for Disp Action & Temp Susp 12/8/2011 3/23/2012 Alcohol Dependency

Failure to Comply With Aftercare

Practice while Impaired

Unprofessional Conduct

Temporary Suspension 12/9/2011 12/9/2011 Alcohol Dependency

Failure to Comply With Aftercare

Practice while Impaired

Unprofessional Conduct

Dowden, Linda Denise 121

Round Rock, TX

Probation 4/7/2013 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Unprofessional Conduct

Fritz, Maria Christine 225

Lincoln, NE

Censure 12/16/2015 Unprofessional Conduct

Limitation-Disciplinary

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Independent Mental Health Practitioner

Frost, Carol Ann Lanham 346

Omaha, NE

Censure 10/4/2013 Failure to Comply w Federal or State Law

Probation Violation

Unprofessional Conduct

Civil Penalty 4/4/2014 Failure to Comply w Federal or State Law

5/20/2016 11/20/2016

10/4/2013 4/4/2014 Probation Violation

5/20/2016 11/20/2016

10/4/2013 4/4/2014 Unprofessional Conduct

5/20/2016 11/20/2016

Probation 7/1/2013 7/1/2016 Failure to Comply w Federal or State Law

Probation Violation

Unprofessional Conduct

Suspension 5/30/2016 Failure to Comply w Federal or State Law

Probation Violation

Unprofessional Conduct

Gobel, Barbara Ann 1244

Fremont, NE

Censure 6/2/2017 Failure to File Report-38-1,124,38-1,125

Other State Action

Gustoff, Brandy Kay 905

Omaha, NE

Censure 1/17/2014 Failure to Keep Adequate Records

Obtaining Fee by Fraud

Unprofessional Conduct

Civil Penalty 9/15/2014 Failure to Keep Adequate Records

Obtaining Fee by Fraud

Unprofessional Conduct

Probation 1/27/2014 1/27/2015 Failure to Keep Adequate Records

Obtaining Fee by Fraud

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Independent Mental Health Practitioner

Holmes, Jennifer L. 1084

Columbus, NE

Revocation 5/2/2018 Dishonorable Conduct

Failure to Safeguard Clients Diginity

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Holt, James Leonard 467

Omaha, NE

Probation 6/8/2017 11/28/2017 Failure to File Report-38-1,124,38-1,125

12/11/2017 6/8/2020

6/8/2017 11/28/2017 Felony Conviction(s)

12/11/2017 6/8/2020

6/8/2017 11/28/2017 Misdemeanor Conviction(s)

12/11/2017 6/8/2020

6/8/2017 11/28/2017 Probation Violation

12/11/2017 6/8/2020

Suspension 11/28/2017 12/11/2017 Failure to File Report-38-1,124,38-1,125

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

Jackson, Heather A 1652

Lincoln, NE

Censure 10/18/2019 Dishonorable Conduct

Unprofessional Conduct

Probation 8/16/2017 8/16/2020 Dishonorable Conduct

Unprofessional Conduct

Martin, Jane Dodson 816

Omaha, NE

Probation 11/9/2013 11/9/2014 Failure to Keep Adequate Records

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Independent Mental Health Practitioner

Mickles, Justin M, Sr 57

Nashville, TN

Probation 9/9/2015 Obtaining Fee by Fraud

Unprofessional Conduct

Revocation 11/7/2012 Obtaining Fee by Fraud

Unprofessional Conduct

Myers, Suzanne Marie 1884

Omaha, NE

Revocation 10/2/2019 Dishonorable Conduct

Felony Conviction(s)

Nelson, Trever J 1222

Fremont, NE

Revocation 5/20/2016 Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Nelson, William Joseph 1038

Omaha, NE

Censure 5/7/2015 Unprofessional Conduct

Novak, Lindsay J 93

Omaha, NE

Revocation 1/12/2013 Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Prentice Erickson, Melissa D 596

Aurora, NE

Revocation 4/7/2016 Failure to File Report-38-1,124,38-1,125

Obtaining Fee by Fraud

Unprofessional Conduct

Rodriguez, Kimberly L 1247

La Vista, NE

Revocation 10/10/2018 Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Falsify Patient Records

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Independent Mental Health Practitioner

Sammet, Frank D. 1252

Lincoln, NE

Suspension 7/20/2018 Alcohol Use Disorder, Moderate

Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

Shum McAlpin, Rachel Hope 1246

Red Oak, IA

Suspension 7/1/2015 4/1/2016 Other State Action

Unprofessional Conduct

Spence, Carl George 568

Papillion, NE

Civil Penalty 6/20/2011 12/20/2011 Failure to File Report-38-1,124,38-1,125

Permitting Aiding & Abetting

Unprofessional Conduct

Probation 6/30/2011 Failure to File Report-38-1,124,38-1,125

Permitting Aiding & Abetting

Unprofessional Conduct

Steeb, Kelly Ann 509

Omaha, NE

Censure 8/2/2018 Misdemeanor Conviction(s)

Probation Violation

Unprofessional Conduct

Probation 12/4/2014 1/27/2015 Misdemeanor Conviction(s)

11/13/2015 7/13/2018

12/4/2014 1/27/2015 Probation Violation

11/13/2015 7/13/2018

12/4/2014 1/27/2015 Unprofessional Conduct

11/13/2015 7/13/2018

Suspension 1/27/2015 11/13/2015 Misdemeanor Conviction(s)

Probation Violation

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Independent Mental Health Practitioner

Swenson, Deborah Sue 902

Omaha, NE

Censure 3/12/2015 Exploitation of Another Person

Negligent Conduct

Unprofessional Conduct

Civil Penalty 9/12/2015 Exploitation of Another Person

Negligent Conduct

Unprofessional Conduct

Probation 3/22/2015 3/22/2018 Exploitation of Another Person

Negligent Conduct

Unprofessional Conduct

Thompson, Bridget Ann 1365

Lincoln, NE

Probation 4/11/2019 4/11/2021 History of Disciplinary Action

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Revocation 10/28/2016 4/11/2019 History of Disciplinary Action

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Witt, Ryan Gerald 95

Grand Island, NE

Probation 8/31/2013 8/31/2015 Failure to Comply w Federal or State Law

Unprofessional Conduct

Zlomke, Lise Anne 447

Brighton, CO

Probation 1/27/2013 7/27/2014 Failure to Keep Adequate Records

Obtaining Fee by Fraud

Unprofessional Conduct

Master Social Worker

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Master Social Worker

Circo, Deborah Kay 695

Omaha, NE

Censure 4/28/2016 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Probation 5/8/2016 11/8/2016 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Claeys, Molly Erin 1805

Omaha, NE

Probation 1/7/2019 5/8/2020 Dishonorable Conduct

Substance Use Disorder

DeNeui, Angela 1154

Grand Island, NE

Petition for Disp Action & Temp Susp 12/8/2011 3/23/2012 Alcohol Dependency

Failure to Comply With Aftercare

Practice while Impaired

Unprofessional Conduct

Temporary Suspension 12/9/2011 12/9/2011 Alcohol Dependency

Failure to Comply With Aftercare

Practice while Impaired

Unprofessional Conduct

Gobel, Barbara Ann 632

Fremont, NE

Censure 6/2/2017 Failure to File Report-38-1,124,38-1,125

Other State Action

Holmes, Jennifer L. 1465

Columbus, NE

Revocation 5/2/2018 Dishonorable Conduct

Failure to Safeguard Clients Diginity

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Master Social Worker

Holt, James Leonard 908

Omaha, NE

Probation 6/8/2017 11/28/2017 Failure to File Report-38-1,124,38-1,125

12/11/2017 6/8/2020

6/8/2017 11/28/2017 Felony Conviction(s)

12/11/2017 6/8/2020

6/8/2017 11/28/2017 Misdemeanor Conviction(s)

12/11/2017 6/8/2020

6/8/2017 11/28/2017 Probation Violation

12/11/2017 6/8/2020

Suspension 11/28/2017 12/11/2017 Failure to File Report-38-1,124,38-1,125

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

Kyster, Theodore L 747

Omaha, NE

Probation 11/20/2011 Failure to Keep Adequate Records

Unprofessional Conduct

Lebow, Nancy Jo 878

Lincoln, NE

Probation 2/3/2014 Unprofessional Conduct

Myers, Suzanne Marie 541

Omaha, NE

Revocation 10/2/2019 Dishonorable Conduct

Felony Conviction(s)

Sammet, Frank D. 1534

Lincoln, NE

Suspension 7/20/2018 Alcohol Use Disorder, Moderate

Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Master Social Worker

Schroeder, Ramona J 445

Kearney, NE

Censure 3/31/2010 Dishonorable Conduct

Unprofessional Conduct

Civil Penalty 10/1/2010 Dishonorable Conduct

Unprofessional Conduct

Probation 4/11/2010 4/11/2011 Dishonorable Conduct

Unprofessional Conduct

Schwartz, Marsha L 1332

Stanton, NE

Probation 7/8/2012 7/8/2015 Alcohol Dependency

Misdemeanor Conviction(s)

Steeb, Kelly Ann 1006

Omaha, NE

Censure 8/2/2018 Misdemeanor Conviction(s)

Probation Violation

Unprofessional Conduct

Probation 12/4/2014 1/27/2015 Misdemeanor Conviction(s)

11/13/2015 7/13/2018

12/4/2014 1/27/2015 Probation Violation

11/13/2015 7/13/2018

12/4/2014 1/27/2015 Unprofessional Conduct

11/13/2015 7/13/2018

Suspension 1/27/2015 11/13/2015 Misdemeanor Conviction(s)

Probation Violation

Unprofessional Conduct

Mental Health Practitioner

Bailey, Frank Louis, III 4528

Omaha, NE

Censure 12/27/2017 Exploitation of Another Person

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Mental Health Practitioner

Bailey, Ted E 2234

Dwight, NE

Probation 8/1/2015 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

xAlcohol Use Disorder - Severe

Battreall, Lynette C 3324

Omaha, NE

Censure 5/2/2017 Probation Violation

Civil Penalty 11/2/2017

Probation 9/9/2015 9/9/2017 Controlled Substance Dependence

Felony Conviction(s)

Probation Violation

Sexual Abuse,Miscnduct,Exploit

Blankenship, Jennifer Suzanne 4901

Omaha, NE

Suspension 10/28/2019 Dishonorable Conduct

Exploitation of Another Person

Unprofessional Conduct

Bridgford-Oliveto, Lisa Anne 2204

Omaha, NE

Censure 3/14/2013 Failure to File Report-38-1,124,38-1,125

Violation of AOC

Civil Penalty 8/15/2014 Failure to File Report-38-1,124,38-1,125

Violation of AOC

Burns, Holly M. 4354

Lincoln, NE

Censure 11/16/2016 Unprofessional Conduct

Violation of the UCA

Limitation-Disciplinary 3/6/2017 Unprofessional Conduct

Violation of the UCA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Mental Health Practitioner

Carde, Lori Lynn 3849

Lincoln, NE

Civil Penalty 1/19/2016 7/19/2016 Obtaining Fee by Fraud

Unprofessional Conduct

Probation 1/29/2016 7/29/2016 Obtaining Fee by Fraud

Unprofessional Conduct

Chartier, Angela Marie 4150

Omaha, NE

Probation 10/5/2016 10/5/2017 Alcohol Abuse

Misdemeanor Conviction(s)

Unprofessional Conduct

Circo, Deborah Kay 742

Omaha, NE

Censure 4/28/2016 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Probation 5/8/2016 11/8/2016 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Claeys, Molly Erin 5251

Omaha, NE

Probation 1/7/2019 5/8/2020 Dishonorable Conduct

Substance Use Disorder

Clinton, DiAnn M 3019

Lincoln, NE

Probation 7/5/2012 7/5/2014 Alcohol Abuse

10/28/2016

7/5/2012 7/5/2014 Failure to Keep Adequate Records

10/28/2016

7/5/2012 7/5/2014 Misdemeanor Conviction(s)

10/28/2016

7/5/2012 7/5/2014 Other State Action

10/28/2016

7/5/2012 7/5/2014 Practice while Impaired

10/28/2016

7/5/2012 7/5/2014 Unprofessional Conduct

10/28/2016

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Mental Health Practitioner

Cook, Count F 3199

Omaha, NE

Censure 9/22/2011 Misrepresentation of Material Facts

Civil Penalty 3/22/2012

Cook, Jill C 2655

Kearney, NE

Censure 8/10/2017 Misdemeanor Conviction(s)

Cook, LaWanda Ferell 3903

Omaha, NE

Revocation 11/20/2018 Failed to Report Conviction in 30 days

Failure to Comply w Federal or State Law

Misdemeanor Conviction(s)

Unprofessional Conduct

DeNeui, Angela 2865

Grand Island, NE

Petition for Disp Action & Temp Susp 12/8/2011 3/23/2012 Alcohol Dependency

Failure to Comply With Aftercare

Practice while Impaired

Unprofessional Conduct

Temporary Suspension 12/9/2011 12/9/2011 Alcohol Dependency

Failure to Comply With Aftercare

Practice while Impaired

Unprofessional Conduct

Dowden, Linda Denise 3034

Round Rock, TX

Probation 4/7/2013 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Mental Health Practitioner

Engelbart, Aaron Joel 4148

Omaha, NE

Censure 4/30/2014 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 10/30/2014 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Probation 10/26/2012 9/30/2017 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Fritz, Maria Christine 2059

Lincoln, NE

Censure 12/16/2015 Unprofessional Conduct

Limitation-Disciplinary

Frost, Carol Ann Lanham 1557

Omaha, NE

Censure 10/4/2013 Failure to Comply w Federal or State Law

Probation Violation

Unprofessional Conduct

Civil Penalty 4/4/2014 Failure to Comply w Federal or State Law

5/20/2016 11/20/2016

10/4/2013 4/4/2014 Probation Violation

5/20/2016 11/20/2016

10/4/2013 4/4/2014 Unprofessional Conduct

5/20/2016 11/20/2016

Probation 7/1/2013 7/1/2016 Failure to Comply w Federal or State Law

Probation Violation

Unprofessional Conduct

Suspension 5/30/2016 Failure to Comply w Federal or State Law

Probation Violation

Unprofessional Conduct

Garrison, Dennis Eugene 4314

Council Bluffs, IA

Censure 10/24/2017 Failure to File Report-38-1,124,38-1,125

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Mental Health Practitioner

Goodwin, Lori M. 4133

Omaha, NE

Censure 9/23/2015 Unprofessional Conduct

Civil Penalty 3/23/2016

Gustoff, Brandy Kay 2712

Omaha, NE

Censure 1/17/2014 Failure to Keep Adequate Records

Obtaining Fee by Fraud

Unprofessional Conduct

Civil Penalty 9/15/2014 Failure to Keep Adequate Records

Obtaining Fee by Fraud

Unprofessional Conduct

Probation 1/27/2014 1/27/2015 Failure to Keep Adequate Records

Obtaining Fee by Fraud

Unprofessional Conduct

Henry, LaVonne C 1844

Piedmont, SD

Censure 7/12/2012 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Hilbert, Kerri Jean 4102

Lincoln, NE

Censure 8/7/2013 Dishonorable Conduct

Unprofessional Conduct

Holmes, Jennifer L. 4127

Columbus, NE

Revocation 5/2/2018 Dishonorable Conduct

Failure to Safeguard Clients Diginity

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Mental Health Practitioner

Holt, James Leonard 1923

Omaha, NE

Probation 6/8/2017 11/28/2017 Failure to File Report-38-1,124,38-1,125

12/11/2017 6/8/2020

6/8/2017 11/28/2017 Felony Conviction(s)

12/11/2017 6/8/2020

6/8/2017 11/28/2017 Misdemeanor Conviction(s)

12/11/2017 6/8/2020

6/8/2017 11/28/2017 Probation Violation

12/11/2017 6/8/2020

Suspension 11/28/2017 12/11/2017 Failure to File Report-38-1,124,38-1,125

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

Hughes, Kristi L 2948

Wasilla, AK

Probation 4/7/2011 4/7/2014 Dishonorable Conduct

Unprofessional Conduct

xFailure to Conform-Stndrds of Practice

xFraud,Forgery,Misrep Material Facts

Jackson, Heather A 4653

Lincoln, NE

Censure 10/18/2019 Dishonorable Conduct

Unprofessional Conduct

Probation 8/16/2017 8/16/2020 Dishonorable Conduct

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Mental Health Practitioner

Jorden, Carole Anne 1131

Omaha, NE

Censure 6/5/2013 Failure to File Report-38-1,124,38-1,125

Probation Violation

Unprofessional Conduct

Limitation-Disciplinary 3/12/2014 Failure to File Report-38-1,124,38-1,125

Probation Violation

Unprofessional Conduct

Probation 6/30/2011 3/11/2014 Failure to File Report-38-1,124,38-1,125

Probation Violation

Unprofessional Conduct

Keck, William Charles, Jr 608

Omaha, NE

Censure 12/4/2009 Unprofessional Conduct

Civil Penalty 6/4/2010

Kyster, Theodore L 1267

Omaha, NE

Probation 11/20/2011 Failure to Keep Adequate Records

Unprofessional Conduct

Lau, Joel Craig 2675

Manhattan, KS

Revocation 3/16/2011 Emotional Disability

Mental Disability

Unprofessional Conduct

Lebow, Nancy Jo 1797

Lincoln, NE

Probation 2/3/2014 Unprofessional Conduct

Letheby, Katrina Anne 3085

Grand Island, NE

Revocation 11/22/2009 Controlled Substance Dependence

Dishonorable Conduct

Unprofessional Conduct

Luhring, Ina Sivits 3774

Lincoln, NE

Limitation-Disciplinary 9/23/2015 8/3/2016 Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Mental Health Practitioner

Lyons-Meyer, Kathleen Ross 443

Omaha, NE

Revocation 10/28/2010 Dishonorable Conduct

Exploitation of Another Person

Failure to Safeguard Clients Diginity

Negligent Conduct

Unprofessional Conduct

Violation of AOC

xFailure to Conform-Stndrds of Practice

Martin, Jane Dodson 618

Omaha, NE

Probation 11/9/2013 11/9/2014 Failure to Keep Adequate Records

Unprofessional Conduct

McDougle, Eric Scott 2993

Omaha, NE

Revocation 6/18/2012 6/19/2012 Dishonorable Conduct

12/7/2012

6/18/2012 6/19/2012 Unprofessional Conduct

12/7/2012

Stayed Revocation 6/19/2012 12/7/2012 Dishonorable Conduct

Unprofessional Conduct

Meyer, Christy J 2423

Des Moines, IA

Probation 2/19/2012 2/28/2013 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Probation Violation

Unprofessional Conduct

Mickles, Justin M, Sr 2816

Nashville, TN

Revocation 11/7/2012 Obtaining Fee by Fraud

Unprofessional Conduct

Myers, Suzanne Marie 726

Omaha, NE

Revocation 10/2/2019 Dishonorable Conduct

Felony Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Mental Health Practitioner

Nelson, William Joseph 2951

Omaha, NE

Censure 5/7/2015 Unprofessional Conduct

Nelum, Betty Jane 981

Omaha, NE

Probation 4/11/2010 4/11/2011 Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Niedermeyer, Catherine Marie 4573

Cook, NE

Censure 4/5/2019 Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Falsify Patient Records

Unprofessional Conduct

Civil Penalty 4/5/2020 Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Falsify Patient Records

Unprofessional Conduct

Novak, Lindsay J 2870

Omaha, NE

Revocation 1/12/2013 Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Offordirinwa, Stella Adachi 4436

Lincoln, NE

Probation 6/12/2014 1/9/2017 Felony Conviction(s)

Oltman, Pamela Jo 3016

Lincoln, NE

Censure 9/21/2015 Unprofessional Conduct

Civil Penalty 3/21/2016

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Page 269 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Mental Health Practitioner

Pedersen, Brandon Michael 5291

Omaha, NE

Probation 3/18/2019 7/13/2019 Failure to Disclose Convictions

Misdemeanor Conviction(s)

xAlcohol Use Disorder - Moderate

xCont Substance Use Disorder - Mild

Polk, Donna L 544

Omaha, NE

Censure 11/19/2014 Permitting Aiding & Abetting

Civil Penalty 5/19/2015

Rech, Kim Kenyon 3496

Norfolk, NE

Probation 11/27/2016 11/27/2019 Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Rodriguez, Kimberly L 3003

La Vista, NE

Revocation 10/10/2018 Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Falsify Patient Records

Unprofessional Conduct

Roper, Laren A 1132

Gering, NE

Censure 2/11/2010 Dishonorable Conduct

Unprofessional Conduct

Sammet, Frank D. 4390

Lincoln, NE

Suspension 7/20/2018 Alcohol Use Disorder, Moderate

Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Mental Health Practitioner

Schroeder, Ramona J 875

Kearney, NE

Censure 3/31/2010 Dishonorable Conduct

Unprofessional Conduct

Civil Penalty 10/1/2010 Dishonorable Conduct

Unprofessional Conduct

Probation 4/11/2010 4/11/2011 Dishonorable Conduct

Unprofessional Conduct

Schwartz, Marsha L 3591

Stanton, NE

Probation 7/8/2012 7/8/2015 Alcohol Dependency

Misdemeanor Conviction(s)

Sexton, Patricia Ann 2783

Omaha, NE

Probation 5/22/2011 5/22/2016 Practice while Impaired

Shum McAlpin, Rachel Hope 4238

Red Oak, IA

Suspension 7/1/2015 4/1/2016 Other State Action

Unprofessional Conduct

Spence, Carl George 1307

Papillion, NE

Civil Penalty 6/20/2011 12/20/2011 Failure to File Report-38-1,124,38-1,125

Permitting Aiding & Abetting

Unprofessional Conduct

Probation 6/30/2011 Failure to File Report-38-1,124,38-1,125

Permitting Aiding & Abetting

Unprofessional Conduct

Stalzer, Brandi Richelle 4559

Greenville, SC

Limitation-Disciplinary 5/8/2019 Unprofessional Conduct

Violation of UCA

Stark, Cole Lee 4089

Waverly, NE

Probation 7/13/2012 7/13/2014 Alcohol Abuse

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Mental Health Practitioner

Steeb, Kelly Ann 2240

Omaha, NE

Censure 8/2/2018 Misdemeanor Conviction(s)

Probation Violation

Unprofessional Conduct

Probation 12/4/2014 1/27/2015 Misdemeanor Conviction(s)

11/13/2015 7/13/2018

12/4/2014 1/27/2015 Probation Violation

11/13/2015 7/13/2018

12/4/2014 1/27/2015 Unprofessional Conduct

11/13/2015 7/13/2018

Suspension 1/27/2015 11/13/2015 Misdemeanor Conviction(s)

Probation Violation

Unprofessional Conduct

Stranathan, Mildred Jean 2145

Omaha, NE

Civil Penalty 4/28/2011 10/28/2011 Dishonorable Conduct

Unprofessional Conduct

Probation 5/8/2011 5/8/2012 Dishonorable Conduct

Unprofessional Conduct

Swenson, Deborah Sue 2350

Omaha, NE

Censure 3/12/2015 Exploitation of Another Person

Negligent Conduct

Unprofessional Conduct

Civil Penalty 9/12/2015 Exploitation of Another Person

Negligent Conduct

Unprofessional Conduct

Probation 3/22/2015 3/22/2018 Exploitation of Another Person

Negligent Conduct

Unprofessional Conduct

Tessmer, Mark Warren 3652

Omaha, NE

Probation 11/24/2009 11/24/2011 Failure to File Report-38-1,124,38-1,125

Unlicensed Practice

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Page 272 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Mental Health Practitioner

Thompson, Bridget Ann 3563

Lincoln, NE

Probation 6/10/2019 4/11/2021 History of Disciplinary Action

Revocation 10/28/2016

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Wilson, Larry Dwight 3523

Columbus, NE

Probation 1/27/2014 1/27/2018 Alcohol Dependency

Practice while Impaired

Witt, Ryan Gerald 2562

Grand Island, NE

Probation 8/31/2013 8/31/2015 Failure to Comply w Federal or State Law

Unprofessional Conduct

Zlomke, Lise Anne 2639

Brighton, CO

Probation 1/27/2013 7/27/2014 Failure to Keep Adequate Records

Obtaining Fee by Fraud

Unprofessional Conduct

Zupancic, Katherine Lynne 401

Lincoln, NE

Probation 5/22/2011 7/2/2013 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Professional Counselor

Bailey, Frank Louis, III 2202

Omaha, NE

Censure 12/27/2017 Exploitation of Another Person

Unprofessional Conduct

Bailey, Ted E 1246

Dwight, NE

Probation 8/1/2015 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

xAlcohol Use Disorder - Severe

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Professional Counselor

Blankenship, Jennifer Suzanne 2341

Omaha, NE

Suspension 10/28/2019 Dishonorable Conduct

Exploitation of Another Person

Unprofessional Conduct

Carde, Lori Lynn 1909

Lincoln, NE

Civil Penalty 1/19/2016 7/19/2016 Obtaining Fee by Fraud

Unprofessional Conduct

Probation 1/29/2016 7/29/2016 Obtaining Fee by Fraud

Unprofessional Conduct

Chartier, Angela Marie 2036

Omaha, NE

Probation 10/5/2016 10/5/2017 Alcohol Abuse

Misdemeanor Conviction(s)

Unprofessional Conduct

Clinton, DiAnn M 1946

Lincoln, NE

Probation 7/5/2012 7/5/2014 Alcohol Abuse

10/28/2016

7/5/2012 7/5/2014 Failure to Keep Adequate Records

10/28/2016

7/5/2012 7/5/2014 Misdemeanor Conviction(s)

10/28/2016

7/5/2012 7/5/2014 Other State Action

10/28/2016

7/5/2012 7/5/2014 Practice while Impaired

10/28/2016

7/5/2012 7/5/2014 Unprofessional Conduct

10/28/2016

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Page 274 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Professional Counselor

Cook, LaWanda Ferell 1935

Omaha, NE

Revocation 11/20/2018 Failed to Report Conviction in 30 days

Failure to Comply w Federal or State Law

Misdemeanor Conviction(s)

Unprofessional Conduct

Dowden, Linda Denise 1569

Round Rock, TX

Probation 4/7/2013 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Unprofessional Conduct

Fritz, Maria Christine 1179

Lincoln, NE

Censure 12/16/2015 Unprofessional Conduct

Limitation-Disciplinary

Frost, Carol Ann Lanham 963

Omaha, NE

Censure 10/4/2013 Failure to Comply w Federal or State Law

Probation Violation

Unprofessional Conduct

Civil Penalty 4/4/2014 Failure to Comply w Federal or State Law

5/20/2016 11/20/2016

10/4/2013 4/4/2014 Probation Violation

5/20/2016 11/20/2016

10/4/2013 4/4/2014 Unprofessional Conduct

5/20/2016 11/20/2016

Probation 7/1/2013 7/1/2016 Failure to Comply w Federal or State Law

Probation Violation

Unprofessional Conduct

Suspension 5/30/2016 Failure to Comply w Federal or State Law

Probation Violation

Unprofessional Conduct

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Page 275 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Professional Counselor

Goodwin, Lori M. 2030

Omaha, NE

Censure 9/23/2015 Unprofessional Conduct

Civil Penalty 3/23/2016

Henry, LaVonne C 1092

Piedmont, SD

Censure 7/12/2012 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Jackson, Heather A 2249

Lincoln, NE

Censure 10/18/2019 Dishonorable Conduct

Unprofessional Conduct

Probation 8/16/2017 8/16/2020 Dishonorable Conduct

Unprofessional Conduct

Jorden, Carole Anne 274

Omaha, NE

Censure 6/5/2013 Failure to File Report-38-1,124,38-1,125

Probation Violation

Unprofessional Conduct

Limitation-Disciplinary 6/30/2016 Failure to File Report-38-1,124,38-1,125

Probation Violation

Unprofessional Conduct

Probation 6/30/2011 Failure to File Report-38-1,124,38-1,125

Probation Violation

Unprofessional Conduct

Lau, Joel Craig 1431

Manhattan, KS

Revocation 3/16/2011 Emotional Disability

Mental Disability

Unprofessional Conduct

Letheby, Katrina Anne 1604

Grand Island, NE

Revocation 11/22/2009 Controlled Substance Dependence

Dishonorable Conduct

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Professional Counselor

Luhring, Ina Sivits 1877

Lincoln, NE

Limitation-Disciplinary 9/23/2015 8/3/2016 Unprofessional Conduct

Lyons-Meyer, Kathleen Ross 321

Omaha, NE

Revocation 10/28/2010 Dishonorable Conduct

Exploitation of Another Person

Failure to Safeguard Clients Diginity

Negligent Conduct

Unprofessional Conduct

Violation of AOC

xFailure to Conform-Stndrds of Practice

Martin, Jane Dodson 205

Omaha, NE

Probation 11/9/2013 11/9/2014 Failure to Keep Adequate Records

Unprofessional Conduct

Meyer, Christy J 1325

Des Moines, IA

Probation 2/19/2012 2/28/2013 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Probation Violation

Unprofessional Conduct

Mickles, Justin M, Sr 1485

Nashville, TN

Probation 9/9/2015 Obtaining Fee by Fraud

Unprofessional Conduct

Revocation 11/7/2012 Obtaining Fee by Fraud

Unprofessional Conduct

Nelson, Trever J 2190

Fremont, NE

Revocation 5/20/2016 Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Nelson, William Joseph 1532

Omaha, NE

Censure 5/7/2015 Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Professional Counselor

Nelum, Betty Jane 801

Omaha, NE

Probation 4/11/2010 4/11/2011 Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Niedermeyer, Catherine Marie 2349

Cook, NE

Censure 4/5/2019 Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Falsify Patient Records

Unprofessional Conduct

Novak, Lindsay J 1500

Omaha, NE

Revocation 1/12/2013 Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Offordirinwa, Stella Adachi 2159

Lincoln, NE

Probation 6/12/2014 1/9/2017 Felony Conviction(s)

Pedersen, Brandon Michael 2509

Omaha, NE

Probation 3/18/2019 7/13/2019 Failure to Disclose Convictions

Misdemeanor Conviction(s)

xAlcohol Use Disorder - Moderate

xCont Substance Use Disorder - Mild

Shum McAlpin, Rachel Hope 2071

Red Oak, IA

Suspension 7/1/2015 4/1/2016 Other State Action

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Professional Counselor

Spence, Carl George 716

Papillion, NE

Civil Penalty 6/20/2011 12/20/2011 Failure to File Report-38-1,124,38-1,125

Permitting Aiding & Abetting

Unprofessional Conduct

Probation 6/30/2011 Failure to File Report-38-1,124,38-1,125

Permitting Aiding & Abetting

Unprofessional Conduct

Stalzer, Brandi Richelle 2216

Greenville, SC

Limitation-Disciplinary 5/8/2019 Unprofessional Conduct

Violation of UCA

Stranathan, Mildred Jean 1213

Omaha, NE

Civil Penalty 4/28/2011 10/28/2011 Dishonorable Conduct

Unprofessional Conduct

Probation 5/8/2011 5/8/2012 Dishonorable Conduct

Unprofessional Conduct

Swenson, Deborah Sue 1299

Omaha, NE

Censure 3/12/2015 Exploitation of Another Person

Negligent Conduct

Unprofessional Conduct

Civil Penalty 9/12/2015 Exploitation of Another Person

Negligent Conduct

Unprofessional Conduct

Probation 3/22/2015 3/22/2018 Exploitation of Another Person

Negligent Conduct

Unprofessional Conduct

Tessmer, Mark Warren 1823

Omaha, NE

Probation 11/24/2009 11/24/2011 Failure to File Report-38-1,124,38-1,125

Unlicensed Practice

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Professional Counselor

Thompson, Bridget Ann 1786

Lincoln, NE

Probation 4/11/2019 4/11/2021 History of Disciplinary Action

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Revocation 10/28/2016 4/11/2019 History of Disciplinary Action

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Wilson, Larry Dwight 1770

Columbus, NE

Probation 1/27/2014 1/27/2018 Alcohol Dependency

Practice while Impaired

Witt, Ryan Gerald 1385

Grand Island, NE

Probation 8/31/2013 8/31/2015 Failure to Comply w Federal or State Law

Unprofessional Conduct

Zlomke, Lise Anne 1413

Brighton, CO

Probation 1/27/2013 7/27/2014 Failure to Keep Adequate Records

Obtaining Fee by Fraud

Unprofessional Conduct

Provisional Master Social Worker

Cheatams, Tanesha Shirlon 7053

Omaha, NE

Probation 3/22/2016 3/18/2018 Failure to Disclose Convictions

Misdemeanor Conviction(s)

xAlcohol Use Disorder - Severe

xCont Substance Use Disorder - Mild

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Provisional Master Social Worker

Claeys, Molly Erin 6896

Omaha, NE

Probation 5/8/2018 1/7/2019 Dishonorable Conduct

5/8/2020

1/7/2019 Substance Use Disorder

5/8/2020

1/7/2019 Substance Use Disorder, Mild

5/8/2020

Edwards, Samuel Levi, Jr. 6973

Omaha, NE

Limitation-Disciplinary 2/11/2015 Felony Conviction(s)

Lacks Good Character

Misdemeanor Conviction(s)

Probation 2/7/2017 Felony Conviction(s)

Lacks Good Character

Misdemeanor Conviction(s)

McArthur, Lori Lee 6704

Kearney, NE

Probation 1/25/2010 1/25/2011 Unlicensed Practice

Provisional Mental Health Practitioner

Apthorpe, Mary Angela 9551

Cottonwood, AZ

Probation 12/6/2011 12/6/2013 Alcohol Dependency

Controlled Substance Dependence

Misdemeanor Conviction(s)

Probation Violation

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Provisional Mental Health Practitioner

Augustin, Joshua Adam 9542

Hastings, NE

Censure 4/19/2012 Alcohol Dependency

4/6/2017

4/19/2012 Misdemeanor Conviction(s)

4/6/2017

4/19/2012 Probation Violation

4/6/2017

Civil Penalty 4/19/2012 10/19/2012 Alcohol Dependency

4/6/2017 5/17/2018

4/19/2012 10/19/2012 Misdemeanor Conviction(s)

4/6/2017 5/17/2018

4/19/2012 10/19/2012 Probation Violation

4/6/2017 5/17/2018

Probation 4/13/2016 4/13/2018 Alcohol Dependency

11/21/2011

4/13/2016 4/13/2018 Misdemeanor Conviction(s)

11/21/2011

4/13/2016 4/13/2018 Probation Violation

11/21/2011

Revocation 2/25/2019 Alcohol Use Disorder, Mild

Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

Practice while Impaired

Substance Use Disorder

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Provisional Mental Health Practitioner

Brandt, Nicole M. 10183

Omaha, NE

Censure 9/25/2014 Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

xAlcohol Use Disorder - Severe

Civil Penalty 3/25/2015 Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

xAlcohol Use Disorder - Severe

Probation 2/4/2014 12/9/2014 Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

xAlcohol Use Disorder - Severe

Suspension 12/9/2014 Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

xAlcohol Use Disorder - Severe

Castro, Edna A 10239

Omaha, NE

Probation 11/30/2018 Failure to Comply w Federal or State Law

Failure to Keep Adequate Records

Practice Beyond Scope

Unprofessional Conduct

Cheatams, Tanesha Shirlon 10825

Omaha, NE

Probation 3/20/2016 3/18/2018 Failure to Disclose Convictions

Misdemeanor Conviction(s)

xAlcohol Use Disorder - Severe

xCont Substance Use Disorder - Mild

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Provisional Mental Health Practitioner

Claeys, Molly Erin 10109

Omaha, NE

Probation 5/8/2018 1/7/2019 Dishonorable Conduct

5/8/2020

1/7/2019 Substance Use Disorder

5/8/2020

1/7/2019 Substance Use Disorder, Mild

5/8/2020

Deleon, Julio Cesar 9675

Allentown, PA

Probation 6/6/2012 6/6/2014 Alcohol Abuse

Misdemeanor Conviction(s)

Dirks, Tamara Jo 8651

Sterling, NE

Probation 6/4/2011 6/4/2013 Dishonorable Conduct

Unprofessional Conduct

Duncan, Lori Kay 9660

Omaha, NE

Probation 7/12/2014 Unprofessional Conduct

Edwards, Samuel Levi, Jr. 10484

Omaha, NE

Limitation-Disciplinary 2/11/2015 Felony Conviction(s)

Lacks Good Character

Misdemeanor Conviction(s)

Probation 2/7/2017 Felony Conviction(s)

Lacks Good Character

Misdemeanor Conviction(s)

Engelbart, Aaron Joel 9268

Omaha, NE

Probation 9/30/2012 10/26/2012 Alcohol Dependency

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Provisional Mental Health Practitioner

Flynn, Julie A 10850

Omaha, NE

Probation 4/26/2016 4/26/2018 Alcohol Dependency

Misdemeanor Conviction(s)

xAlcohol Use Disorder - Severe

Revocation 5/2/2017 Probation Violation

Foresman, Cynthia Ann 9850

Kearney, NE

Censure 7/19/2017 Unprofessional Conduct

Violation of UCA

Halstead, Samantha Marie 10371

Pleasanton, NE

Revocation 11/28/2017 Dishonorable Conduct

Felony Conviction(s)

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Hammer, Brenda Jo 9966

Auburn, NE

Revocation 9/14/2017 Dishonorable Conduct

Unprofessional Conduct

Violation of UCA

Kriesch, Shirley Marie 8779

Norfolk, NE

Censure 12/4/2009 Probation Violation

2/11/2011

12/4/2009 xCourt Conviction

2/11/2011

Civil Penalty 12/4/2009 6/4/2010 Probation Violation

2/11/2011 8/11/2011

12/4/2009 6/4/2010 xCourt Conviction

2/11/2011 8/11/2011

Kucera, Emma D 10165

Lincoln, NE

Probation 1/21/2014 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Mild

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Provisional Mental Health Practitioner

Lange, Joseph Dale 9157

Omaha, NE

Probation 7/24/2014 12/21/2014 Alcohol Dependency

Controlled Substance Dependence

Failure to Comply With Aftercare

Misdemeanor Conviction(s)

Unprofessional Conduct

Lipker, Myra Jeanne 'Jeannie' 8145

Superior, NE

Civil Penalty 11/2/2010 5/2/2011 Failure to Pay Fees

Unprofessional Conduct

xFraudulent Practice

Probation 11/12/2010 5/22/2011 Failure to Pay Fees

Unprofessional Conduct

xFraudulent Practice

Suspension 5/23/2011 Failure to Pay Fees

Unprofessional Conduct

xFraudulent Practice

McArthur, Lori Lee 9075

Kearney, NE

Probation 1/25/2010 1/25/2011 Unlicensed Practice

Oakland, Paul Arthur Gordon/A.G. 9549

Lincoln, NE

Revocation 4/6/2018 Dishonorable Conduct

Felony Conviction(s)

Offordirinwa, Stella Adachi 9574

Lincoln, NE

Probation 1/9/2012 1/9/2017 Felony Conviction(s)

Pedersen, Brandon Michael 10935

Omaha, NE

Probation 7/13/2016 3/18/2019 Failure to Disclose Convictions

Misdemeanor Conviction(s)

xAlcohol Use Disorder - Moderate

xCont Substance Use Disorder - Mild

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Provisional Mental Health Practitioner

Rogers, Randall Joel 9808

Omaha, NE

Censure 5/5/2014 Alcohol Abuse

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

xMind-Altering Substance Abuse

Civil Penalty 11/5/2014 Alcohol Abuse

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

xMind-Altering Substance Abuse

Probation 10/19/2012 10/19/2015 Alcohol Abuse

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

xMind-Altering Substance Abuse

Suspension 1/27/2015 2/20/2015 Alcohol Abuse

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

xMind-Altering Substance Abuse

Roney, Marissa Ann 10026

Omaha, NE

Probation 7/24/2013 7/24/2014 Alcohol Dependency

Misdemeanor Conviction(s)

xMind-Altering Substance Dependence

Sewell, James D 9961

Omaha, NE

Probation 5/20/2013 Alcohol Dependency

Misdemeanor Conviction(s)

Smith, Tyler Edward 10460

Columbia, MO

Probation 3/12/2016 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Moderate

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Provisional Mental Health Practitioner

Stark, Cole Lee 9018

Waverly, NE

Probation 10/19/2009 10/19/2010 Alcohol Abuse

Misdemeanor Conviction(s)

Stephens, Johna Rachael 9624

Lincoln, NE

Probation 3/7/2012 3/7/2015 Alcohol Dependency

Controlled Substance Dependence

Misdemeanor Conviction(s)

Sully, Wendy Gagnon, PhD 9121

Omaha, NE

Probation 4/6/2010 4/6/2011 Unlicensed Practice

Ziemba, Thomas Charles 8048

Omaha, NE

Revocation 5/7/2010 Dishonorable Conduct

Unprofessional Conduct

Social Worker

O'Meara, Kristi Lou 624

Lexington, NE

Probation 2/24/2010 2/24/2011 Unlicensed Practice

Papousek, Nina Rae 1949

Fremont, NE

Probation 3/3/2010 3/3/2011 Probation Violation

Unlicensed Practice

Revocation 5/22/2011 Probation Violation

Unlicensed Practice

Saunders, Kelsey Fay 3104

Lincoln, NE

Probation 8/8/2019 8/8/2022 Misdemeanor Conviction(s)

Substance Use Disorders-Multiple

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Social Worker

Sazama, Cami Nicole 3009

Lincoln, NE

Probation 5/8/2018 5/8/2020 Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

Substance Use Disorders-Multiple

Revocation 2/21/2019 Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

Substance Use Disorders-Multiple

West, Nicole Marie 3086

Omaha, NE

Probation 6/4/2019 6/4/2022 Misdemeanor Conviction(s)

Substance Use Disorders-Multiple

Supervised Marriage & Family Therapist

Shum McAlpin, Rachel Hope 49

Red Oak, IA

Suspension 7/1/2015 4/1/2016 Other State Action

Unprofessional Conduct

Nail Technology

Nail Technician

Collins, Ashley Ann 2564

Omaha, NE

Censure 1/29/2010 Probation Violation

xCourt Conviction

Croushorn, Danielle Christine 2909

Omaha, NE

Probation 10/5/2017 10/5/2018 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Fish, Markee Tee 2712

Gordon, NE

Probation 12/7/2010 6/7/2011 Failure to Disclose Convictions

xCriminal Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Nail Technician

Gentleman, Susie Ann 2248

Omaha, NE

Probation 4/2/2013 10/2/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Unlicensed Practice

Gillispie, Teresa Jean 290

Lincoln, NE

Probation 9/5/2016 Dishonorable Conduct

Felony Conviction(s)

Greenwood, Kerrin Denise 2888

North Platte, NE

Civil Penalty 10/30/2013 4/30/2014 Practice Beyond Scope

Unlicensed Practice

Probation 11/9/2013 Practice Beyond Scope

Unlicensed Practice

Hill, Jimmy Lee 3368

Lincoln, NE

Probation 4/30/2018 10/30/2018 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Ho, Brian 1322

Omaha, NE

Censure 12/2/2010 Practice in Unlicensed Premises

Violation of UCA

Civil Penalty 5/2/2011 Practice in Unlicensed Premises

Violation of UCA

Hoffman, Jamie Dee 3326

Omaha, NE

Probation 10/5/2017 4/5/2018 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Huynh, Chuong Van 2511

Columbus, NE

Civil Penalty 6/1/2012 12/1/2013 Permitting Aiding & Abetting

Probation 6/10/2012 6/10/2013

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Nail Technician

Huynh, Thuy Thi Thanh 2897

South Sioux City, NE

Probation 5/23/2012 8/23/2012 Unprofessional Conduct

Kellogg, JaMeka Shanai 2358

Omaha, NE

Censure 3/3/2010 Misdemeanor Conviction(s)

Probation Violation

Kim, Tan 431

Omaha, NE

Probation 3/3/2011 9/3/2011 Permitting Aiding & Abetting

Kreitler, Mina Ton 2916

Omaha, NE

Censure 4/5/2019 Delinquent Child Support Payment

Permitting Aiding & Abetting

Practice in Unlicensed Premises

Unprofessional Conduct

Suspension 8/14/2019 Delinquent Child Support Payment

Permitting Aiding & Abetting

Practice in Unlicensed Premises

Unprofessional Conduct

Larsen, Dianne 123

North Platte, NE

Censure 9/6/2013 Alcohol Dependency

Failure to Disclose Convictions

Probation Violation

xCriminal Conviction(s)

Probation 10/25/2010 5/29/2014 Alcohol Dependency

Failure to Disclose Convictions

Probation Violation

xCriminal Conviction(s)

Le, Quy 2789

Lincoln, NE

Probation 4/30/2018 10/30/2018 Failure to Disclose Convictions

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Nail Technician

Le, Thu Thi Bich 1564

Lincoln, NE

Probation 3/18/2013 9/18/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Le, Tien Manh 519

Lincoln, NE

Probation 5/20/2012 11/20/2012 Failure to File Report-38-1,124,38-1,125

Leapaldt, Antoinette 532

Omaha, NE

Probation 9/20/2018 3/20/2019 Unlicensed Practice

Manchester, Jody Lynn 2480

Ord, NE

Censure 2/11/2010 Probation Violation

xCourt Conviction

Civil Penalty 8/11/2010 Probation Violation

xCourt Conviction

McConnell, Stenisha Shada 2507

Kansas City, MO

Revocation 7/4/2010 Probation Violation

xCourt Conviction

Murry, Jovan Tay 2542

Omaha, NE

Censure 11/15/2010 Misrepresentation of Material Facts

Nguyen, Dave 667

Hastings, NE

Probation 10/22/2013 4/22/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Nguyen, Jasmine Vy 2855

Lincoln, NE

Probation 2/23/2017 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Suspension 7/5/2017 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Nail Technician

Nguyen, Jimmy Quang 2736

Council Bluffs, IA

Censure 3/8/2012 Failure to Disclose Convictions

Failure to File Report-38-1,124,38-1,125

Failure to Pay Fees

Probation Violation

xCriminal Conviction(s)

Civil Penalty 9/8/2012 Failure to Disclose Convictions

Failure to File Report-38-1,124,38-1,125

Failure to Pay Fees

Probation Violation

xCriminal Conviction(s)

Probation 3/14/2011 3/14/2012 Failure to Disclose Convictions

Failure to File Report-38-1,124,38-1,125

Failure to Pay Fees

Probation Violation

xCriminal Conviction(s)

Suspension 10/17/2012 11/17/2014 Failure to Disclose Convictions

Failure to File Report-38-1,124,38-1,125

Failure to Pay Fees

Probation Violation

xCriminal Conviction(s)

Nguyen, Khoa 711

Elkhorn, NE

Probation 9/7/2013 3/7/2014 Failure to File Report-38-1,124,38-1,125

Nguyen, Kim 2223

Columbus, NE

Civil Penalty 4/25/2013 4/25/2014 Practice Beyond Scope

Practice in Unlicensed Premises

Probation 5/5/2013 11/5/2013 Practice Beyond Scope

Practice in Unlicensed Premises

Nguyen, Lieu Thi 3475

Columbus, NE

Probation 8/26/2019 2/26/2020 Unlicensed Practice

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Nail Technician

Nguyen, Minh Cong 747

Omaha, NE

Censure 4/14/2011 Permitting Aiding & Abetting

Nguyen, Ngoc 760

Omaha, NE

Probation 7/26/2013 1/26/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Nguyen, Tam Trung 2271

Lincoln, NE

Civil Penalty 4/19/2012 10/19/2012 Failure to Comply w Federal or State Law

Unprofessional Conduct

Probation 4/29/2012 4/29/2013 Failure to Comply w Federal or State Law

Unprofessional Conduct

Nguyen, Thuy A 801

Omaha, NE

Censure 11/25/2014 Alcohol Abuse

Failure to File Report-38-1,124,38-1,125

Probation Violation

Civil Penalty 5/25/2015 Alcohol Abuse

Failure to File Report-38-1,124,38-1,125

Probation Violation

Probation 7/4/2014 7/4/2015 Alcohol Abuse

Failure to File Report-38-1,124,38-1,125

Probation Violation

Nguyen, Tuyen Thi Ngoc 3053

Omaha, NE

Probation 12/18/2013 6/18/2014 Failure to Disclose Convictions

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Nail Technician

Pham, Hung Thuc 3367

Grand Island, NE

Probation 4/26/2018 Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

Substance Use Disorder

Suspension 12/24/2018 Failure to Disclose Convictions

Felony Conviction(s)

Misdemeanor Conviction(s)

Probation Violation

Substance Use Disorder

Pham, Trung Quoc 3011

Lincoln, NE

Probation 6/18/2013 12/18/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Pham, Wes Van 3004

Lincoln, NE

Probation 5/20/2013 11/20/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Phan, Thuy Thanh 2277

Omaha, NE

Probation 9/16/2010 5/29/2011 Unlicensed Practice

Renteria, Emily Deana 3142

Gering, NE

Probation 10/18/2016 Misdemeanor Conviction(s)

Sanchez-Sullivan, Monica Rene 2328

Omaha, NE

Probation 7/23/2012 9/16/2013 Failure to Disclose Convictions

Lacks Good Character

Misdemeanor Conviction(s)

Sims, Harold Francis 2933

Omaha, NE

Probation 9/26/2012 3/26/2013 Failure to Disclose Convictions

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Nail Technician

Starks, Leah Shiffon 3225

Omaha, NE

Probation 5/16/2016 11/16/2016 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Thai, Huy Tuan Anh 2249

Aurora, CO

Censure 7/17/2013 Alcohol Abuse

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 1/17/2014 Alcohol Abuse

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Probation 7/25/2012 6/4/2015 Alcohol Abuse

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Probation Violation

Tran, Thuy Thi 2568

Columbus, NE

Revocation 2/28/2013 Practice in Unlicensed Premises

Unlicensed Practice

Trauernicht-Sedam, Lana Marice 1338

Lincoln, NE

Censure 7/23/2014 Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Vasquez, Angela Ann 2050

Hickman, NE

Probation 10/6/2011 4/6/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Vo, Andy Duy 2576

Houston, TX

Probation 8/29/2014 8/29/2015 Failure to File Report-38-1,124,38-1,125

Felony Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Nail Technician

Vo, Cindy Nga 1164

Kearney, NE

Civil Penalty 4/19/2012 10/19/2012 Permitting Aiding & Abetting

Practice in Unlicensed Premises

Vo, Duy Quang 3267

Carroll, IA

Probation 12/27/2016 6/27/2017 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Vo, Tu Anh Thi 2944

Elkhorn, NE

Probation 10/17/2012 4/17/2013 Other State Action

Vuong, Mike 2688

Lincoln, NE

Censure 8/25/2011 Failure to Disclose Convictions

Probation Violation

xCourt Conviction

Probation 9/24/2010 8/25/2011 Failure to Disclose Convictions

Probation Violation

xCourt Conviction

Wickwire, Candice Lynn 3106

Bellevue, NE

Probation 9/23/2014 3/23/2015 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Winters, Kristine E 1058

Cordova, NE

Probation 7/15/2014 Unlicensed Practice

Violation of Dept Order

Suspension 11/7/2014 Unlicensed Practice

Violation of Dept Order

Woodard, Barbara Marlene 2829

Beatrice, NE

Probation 12/11/2011 6/11/2012 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Nursing

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

APRN-CRNA

Behrens, Corrine Gayle 100836

Fort Calhoun, NE

Censure 11/21/2017 Misrepresentation of Material Facts

Unprofessional Conduct

Brugger, Cynthia Marie 100583

Omaha, NE

Revocation 4/8/2010 Alcohol Abuse

Failure to Comply With Aftercare

Failure to File Report-38-1,124,38-1,125

Practice while Impaired

Unprofessional Conduct

Violation of UCSA

Henschke, Sandra Sue 100993

Saint Cloud, MN

Revocation 11/16/2009 Failure to File Report-38-1,124,38-1,125

Practice while Impaired

Unprofessional Conduct

Lyman, Suzanne Rene 101263

Dakota Dunes, SD

Probation 7/14/2014 Controlled Substance Dependence

Other State Action

Reifschneider, Janelle Denise 100740

Gering, NE

Revocation 12/2/2010 5/29/2018 Alcohol Dependency

Controlled Substance Dependence

Unprofessional Conduct

Violation of UCSA

xPractice Impaired by CS

Suspension 10/19/2010 12/2/2010 Alcohol Dependency

Controlled Substance Dependence

Unprofessional Conduct

Violation of UCSA

xPractice Impaired by CS

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

APRN-CRNA

Troshynski, Larry James 100724

Overland Park, KS

Suspension 8/25/2011 9/24/2011 Failure to File Report-38-1,124,38-1,125

Other State Action

Unprofessional Conduct

Young, Jeremy Rexford 101435

Lincoln, NE

Petition for Disp Action & Temp Susp 5/17/2018 11/20/2018 Controlled Substance Abuse

Failure to Comply With Aftercare

Practice while Impaired

Unprofessional Conduct

Violation of UCSA

Suspension Controlled Substance Abuse

Failure to Comply With Aftercare

Practice while Impaired

Unprofessional Conduct

Violation of UCSA

Temporary Suspension 5/22/2018 11/20/2018 Controlled Substance Abuse

Failure to Comply With Aftercare

Practice while Impaired

Unprofessional Conduct

Violation of UCSA

APRN-Nurse Practitioner

Anderson, Ann Marie 110544

Windsor, CO

Civil Penalty 5/29/2014 11/29/2014 Misrepresentation of Material Facts

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

APRN-Nurse Practitioner

Anderson, Kimberly Kay 110373

Elkhorn, NE

Censure 3/31/2011 Misrepresentation of Material Facts

Practice Beyond Scope

Unprofessional Conduct

xFailure to Conform-Stndrds of Practice

Civil Penalty 3/31/2013 Misrepresentation of Material Facts

Practice Beyond Scope

Unprofessional Conduct

xFailure to Conform-Stndrds of Practice

Blome-Weibel, Stephanie Lynn 110914

Abilene, KS

Suspension 10/19/2010 Alcohol Addiction

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

xControlled Substance Addiction

xFailure to Conform-Stndrds of Practice

Carl, Annika Lynn 111425

Omaha, NE

Probation 5/7/2015 5/7/2020 Alcohol Dependency

Practice while Impaired

xAlcohol Use Disorder - Severe

Effle-Meyer, Kathy Jo 110523

Tilden, NE

Probation 6/28/2010 6/28/2015 Unprofessional Conduct

xAlcohol & Chemical Dependence/Addiction

Keller, Gayle Lynette 110530

Falls City, NE

Civil Penalty 5/29/2014 11/29/2014 Misrepresentation of Material Facts

Likness, Sheila M 111103

Omaha, NE

Limitation-Disciplinary 12/1/2009 Controlled Substance Dependence

xPrevious Discipline

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Page 300 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

APRN-Nurse Practitioner

Loftus, Keri Ann 110602

Omaha, NE

Probation 9/21/2015 9/21/2020 Alcohol Dependency

Unprofessional Conduct

Loshonkohl, Jill JoAnn 111428

Kearney, NE

Censure 5/23/2019 Negligent Conduct

Unprofessional Conduct

Middleton, Monte Ronald 111116

Norfolk, NE

Probation 2/18/2010 2/18/2013 Controlled Substance Dependence

Unprofessional Conduct

Violation of UCSA

xReinstatement - Previous Discipline

Miller, Timothy Dutch 111076

Valparaiso, NE

Petition for Disp Action & Temp Susp 10/26/2011 7/26/2012 Failure to Keep Adequate Records

Prescribing CS to Spouse

Unprofessional Conduct

Violation of UCSA

xCont Substance Use Disorder - Mild

Probation 2/23/2015 3/20/2018 Controlled Substance Dependence

Unprofessional Conduct

Violation of UCSA

Suspension 10/27/2011 10/27/2012 Failure to Keep Adequate Records

Prescribing CS to Spouse

Unprofessional Conduct

Violation of UCSA

xCont Substance Use Disorder - Mild

Temporary Suspension 10/26/2011 7/26/2012 Failure to Keep Adequate Records

Prescribing CS to Spouse

Unprofessional Conduct

Violation of UCSA

xCont Substance Use Disorder - Mild

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

APRN-Nurse Practitioner

Reed, Sabrina Dawn Burton 111014

Dacono, CO

Censure 6/20/2011 Failure to Keep Adequate Records

Unprofessional Conduct

Saldi, Sarah Ann 111563

Omaha, NE

Probation 8/6/2013 10/4/2013 Misdemeanor Conviction(s)

Stutzman, Victoria Louise 110031

Cairo, NE

Probation 3/26/2012 Alcohol Dependency

Practice while Impaired

Unprofessional Conduct

Suspension 3/4/2012 3/17/2012 Alcohol Dependency

4/1/2012 4/14/2012

4/29/2012 5/12/2012

5/27/2012 7/14/2012

3/4/2012 3/17/2012 Practice while Impaired

4/1/2012 4/14/2012

4/29/2012 5/12/2012

5/27/2012 7/14/2012

3/4/2012 3/17/2012 Unprofessional Conduct

4/1/2012 4/14/2012

4/29/2012 5/12/2012

5/27/2012 7/14/2012

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

APRN-Nurse Practitioner

Tegels, Amy Jill 110895

Plattsmouth, NE

Censure 11/15/2010 Misrepresentation of Material Facts

7/9/2014

11/15/2010 Unprofessional Conduct

7/9/2014

11/15/2010 Violation of Dept Order

7/9/2014

Limitation-Disciplinary 11/15/2010 Misrepresentation of Material Facts

Unprofessional Conduct

Violation of Dept Order

Suspension 2/15/2015 3/1/2015 Misrepresentation of Material Facts

Unprofessional Conduct

Violation of Dept Order

Weber, Kristi Marie 110909

Hampton, NE

Suspension 6/22/2014 7/21/2014 Failure to Keep Adequate Records

Unprofessional Conduct

Weddingfeld, Megan Marie 112185

Yankton, SD

Probation 2/21/2017 Controlled Substance Dependence

Misdemeanor Conviction(s)

APRN-Nurse Practitioner/Practice

Likness, Sheila M

Omaha, NE

Limitation-Disciplinary 12/1/2009 Controlled Substance Dependence

xPrevious Discipline

Certified Licensed Practical Nurse

Albrecht, Sheri L 672

Magnet, NE

Probation 11/25/2010 Emotional Disability

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Certified Licensed Practical Nurse

Buhlmann, Rosemarie 1132

Albion, NE

Suspension 9/4/2011 10/4/2011 Falsify Patient Records

Unprofessional Conduct

Cearley, Angela Yvette 1255

Bellevue, NE

Revocation 12/7/2012 Failure to Keep Adequate Records

Unprofessional Conduct

Clinger, Patricia Ruth 1391

North Platte, NE

Censure 1/13/2017 Failure to Keep Adequate Records

Practice Beyond Scope

Unprofessional Conduct

Collins, Jennifer Lynn 1315

Beatrice, NE

Suspension 12/12/2010 6/12/2011 Dishonorable Conduct

Unprofessional Conduct

xControlled Substance Addiction

Dale, Laurie Kenney 393

Chappell, NE

Censure 12/1/2011 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Civil Penalty 12/1/2012 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Daro, Lori Ann 1063

Lincoln, NE

Probation 11/30/2016 10/31/2017 Alcohol Use Disorder, Severe

Misappropriation of Resident Property

Unprofessional Conduct

xCont Substance Use Disorder - Severe

Suspension 9/9/2015 11/30/2016 Alcohol Use Disorder, Severe

Misappropriation of Resident Property

Unprofessional Conduct

xCont Substance Use Disorder - Severe

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Certified Licensed Practical Nurse

Dzodzomenyo, Ken Kofi 863

Omaha, NE

Probation 1/7/2010 1/7/2011 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Violation of AOC

Entsminger, Brenda Sue 592

Lincoln, NE

Revocation 3/16/2011 xControlled Substance Addiction

Suspension 12/20/2010

Heilbrun, Mary Jean 929

Kimball, NE

Censure 6/28/2010 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Hessheimer, Madeline Ann 775

Lincoln, NE

Censure 8/28/2012 Failure to Keep Adequate Records

Unprofessional Conduct

Violation of UCSA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Certified Licensed Practical Nurse

Hurlburt, Brandi S 1213

Arcadia, NE

Petition for Disp Action & Temp Susp 4/23/2012 6/25/2012 Controlled Substance Dependence

Dishonorable Conduct

Obtained Drug Unlawfully

Practice Fraudulently

Violation of UCSA

Petition for Temporary Suspension 4/23/2012 Controlled Substance Dependence

Dishonorable Conduct

Obtained Drug Unlawfully

Practice Fraudulently

Violation of UCSA

Probation 6/3/2013 Controlled Substance Dependence

Dishonorable Conduct

Obtained Drug Unlawfully

Practice Fraudulently

Violation of UCSA

Suspension 4/23/2012 4/23/2013 Controlled Substance Dependence

Dishonorable Conduct

Obtained Drug Unlawfully

Practice Fraudulently

Violation of UCSA

Temporary Suspension 4/25/2012 6/25/2012 Controlled Substance Dependence

Dishonorable Conduct

Obtained Drug Unlawfully

Practice Fraudulently

Violation of UCSA

Huxoll, Sarah L 1280

Omaha, NE

Probation 6/8/2014 6/8/2017 Alcohol Abuse

Practice while Impaired

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Certified Licensed Practical Nurse

Kapke, Darcy Kay 1250

Fairbury, NE

Probation 2/12/2014 5/12/2015 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Unprofessional Conduct

Revocation 3/31/2010 8/7/2012 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Negligent Conduct

Unprofessional Conduct

Kuck, Lori Jeanne 736

Smithfield, NE

Censure 11/29/2012 Failure to File Report-38-1,124,38-1,125

Stayed Suspension 1/3/2013 3/18/2013

Suspension 11/29/2012 12/29/2012

Marshall, Ann Marie 848

Sparks, NE

Censure 5/21/2010 Misrepresentation of Material Facts

Civil Penalty 11/21/2010

Moore, William Thomas 1261

Grand Island, NE

Probation 2/9/2014 2/9/2015 Misdemeanor Conviction(s)

5/17/2015 10/31/2015

2/9/2014 2/9/2015 Practice while Impaired

5/17/2015 10/31/2015

2/9/2014 2/9/2015 Probation Violation

5/17/2015 10/31/2015

Nesladek, Jill Adele 1282

West Point, NE

Revocation 12/6/2012 5/12/2016 Failure to Safeguard Clients Diginity

Falsify Patient Records

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Practice Beyond Scope

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Certified Licensed Practical Nurse

Pitner, Dawn Renae 1042

North Platte, NE

Probation 10/14/2010 10/14/2011 Unprofessional Conduct

Violation of UCSA

Purintun, Dawn Lynn 1455

BAYARD, NE

Suspension 6/20/2015 Failure to Keep Adequate Records

Negligent Conduct

Unprofessional Conduct

Slizoski, Heather LeAnn 1222

Columbus, NE

Probation 2/21/2015 10/31/2015 Failure to Keep Adequate Records

Unprofessional Conduct

Swearengin, Jennie Mae 200

Nebraska City, NE

Censure 8/26/2016 Failure to Keep Adequate Records

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Certified Licensed Practical Nurse

Tiemeyer, Ryan Jacob 1202

Omaha, NE

Censure 5/1/2015 Alcohol Dependency

10/18/2017

12/19/2017

5/1/2015 Failure to File Report-38-1,124,38-1,125

10/18/2017

12/19/2017

5/1/2015 Misdemeanor Conviction(s)

10/18/2017

12/19/2017

5/1/2015 Misrepresentation of Material Facts

10/18/2017

12/19/2017

5/1/2015 Probation Violation

10/18/2017

12/19/2017

5/1/2015 Violation of Dept Order

10/18/2017

12/19/2017

Civil Penalty 5/1/2015 11/1/2015 Alcohol Dependency

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Probation Violation

Violation of Dept Order

Probation 1/7/2015 Alcohol Dependency

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Probation Violation

Violation of Dept Order

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Page 309 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Certified Licensed Practical Nurse

Trimm, Keith Ray 1031

Fairbury, NE

Censure 3/3/2011 Unprofessional Conduct

Violation of AOC

VanDeWalle, Sheila Rae 558

Doniphan, NE

Censure 2/21/2011 Controlled Substance Dependence

Unprofessional Conduct

Wallace, Lorri Ann 1204

Omaha, NE

Suspension 9/25/2010 Alcohol Dependency

Controlled Substance Dependence

Failure to Comply With Aftercare

Waltemath, Stephanie Lynn 683

Holdrege, NE

Censure 6/20/2011 Unprofessional Conduct

xFailure to Conform-Stndrds of Practice

Walters, Andrea Lynn 1176

Lincoln, NE

Civil Penalty 7/1/2015 1/1/2016 Violation of UCA

Young, Ellen Marie 944

Pender, NE

Censure 12/21/2009 Unprofessional Conduct

LPN - Refresher Temporary

Adekunle, Paul Oluseyi LPNTREF349

Omaha, NE

Probation 12/3/2018 12/18/2018 Felony Conviction(s)

Misdemeanor Conviction(s)

Substance Use Disorder

Unprofessional Conduct

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Page 310 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

LPN - Refresher Temporary

Bardales, Vanessa Marie LPNTREF295

Grand Island, NE

Probation 7/29/2013 8/13/2013 Alcohol Dependency

Controlled Substance Dependence

Failure to File Report-38-1,124,38-1,125

xUnlawful Possession of CS

Chappell, Susan Mary LPNTREF322

Omaha, NE

Probation 11/23/2015 12/22/2015 Dishonorable Conduct

Misrepresentation of Material Facts

Ferraguti, Donna Jo LPNTREF334

Omaha, NE

Probation 4/18/2017 5/3/2017 Violation of UCSA

xAlcohol Use Disorder - Severe

Oxtal, Karen Sue LPNTREF296

North Las Vegas, NV

Probation 8/5/2013 9/24/2013 Felony Conviction(s)

Urbano, Suzana Pilar LPNTREF321

Omaha, NE

Probation 11/23/2015 12/22/2015 Unprofessional Conduct

LPN-Compact Privilege

Burroughs, Elizabeth Ann IA-P38301

Council Bluffs, IA

Censure 4/1/2015 Unlicensed Practice

Unprofessional Conduct

Civil Penalty 4/1/2016 Unlicensed Practice

Unprofessional Conduct

Pet for Adv Act: Nurse Lic Compact filed 3/27/2015 4/1/2015 Unlicensed Practice

Unprofessional Conduct

Suspension 7/14/2016 Unlicensed Practice

Unprofessional Conduct

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Page 311 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

LPN-Compact Privilege

Fritz, Shelly Lynn AZ-050499

Globe, AZ

Pet for Adv Act: Nurse Lic Compact filed 9/16/2016 11/16/2016 Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

Revocation of Practice Privilege 11/26/2016 Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

Gurule, Desiree Vanessa CO-0040324

Antonito, CO

Pet for Adv Act: Nurse Lic Compact filed 8/22/2016 9/28/2016 Dishonorable Conduct

Failure to Keep Adequate Records

Unprofessional Conduct

Revocation of Practice Privilege 10/20/2016 Dishonorable Conduct

Failure to Keep Adequate Records

Unprofessional Conduct

Heaton, Jackie Ann IA-P45848

South Sioux City, NE

Pet for Adv Act: Nurse Lic Compact filed 10/26/2010 Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

Revocation 3/10/2011 Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

Johnson, Aislinn Renee MO-2008032172

Kansas City, MO

Censure 6/21/2017 Misappropriation of Resident Property

Unprofessional Conduct

Civil Penalty 12/21/2017 Misappropriation of Resident Property

Unprofessional Conduct

Pet for Adv Act: Nurse Lic Compact filed 6/15/2017 6/21/2017 Misappropriation of Resident Property

Unprofessional Conduct

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Page 312 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

LPN-Compact Privilege

Karis, Karen IA-P-53274

Council Bluffs, IA

Pet for Adv Act: Nurse Lic Compact filed 9/6/2012 9/20/2012 Practice while Impaired

Violation of UCSA

Rivers, James Francis IA-P32363

Crescent, IA

Censure 12/2/2010 Unprofessional Conduct

Civil Penalty 10/21/2019 11/20/2019 Failure to Keep Adequate Records

Unprofessional Conduct

Pet for Adv Act: Nurse Lic Compact filed 4/2/2019 10/21/2019 Failure to Keep Adequate Records

11/19/2010 12/2/2010 Unprofessional Conduct

4/2/2019 10/21/2019

Suspension 10/21/2019 Failure to Keep Adequate Records

Unprofessional Conduct

Robinson, Charisma Theniqeka NC-066080

Omaha, NE

Pet for Adv Act: Nurse Lic Compact filed 6/27/2019 10/18/2019 Unlicensed Practice

Revocation 10/21/2019

Stinehart, Penny IA-P48694

Council Bluffs, IA

Pet for Adv Act: Nurse Lic Compact filed 1/26/2010 Unprofessional Conduct

Revocation 1/29/2010

Strey, Mark David PN-48105

Lodgepole, NE

Censure 12/1/2011 Unprofessional Conduct

Violation of Dept Order

Civil Penalty 2/11/2013 Unprofessional Conduct

Violation of Dept Order

Pet for Adv Act: Nurse Lic Compact filed 7/25/2011 12/1/2011 Unprofessional Conduct

6/14/2012 12/13/2012

7/25/2011 12/1/2011 Violation of Dept Order

6/14/2012 12/13/2012

Revocation 3/11/2013 Unprofessional Conduct

Violation of Dept Order

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Page 313 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

LPN-Compact Privilege

Willits, Leann Renee TX-219290

San Antonio, TX

Pet for Adv Act: Nurse Lic Compact filed 12/5/2014 2/4/2015 Unprofessional Conduct

Suspension 2/14/2015 5/14/2015

Licensed Practical Nurse

Adams, Akemi 21922

Omaha, NE

Probation 4/22/2013 10/2/2015 Negligent Conduct

Unprofessional Conduct

Adams, Alexandria Shada 23210

Kearney, NE

Petition for Disp Action & Temp Susp 8/9/2013 11/14/2013 Controlled Substance Dependence

Practice while Impaired

Suspension 2/9/2014 Controlled Substance Dependence

Practice while Impaired

Temporary Suspension 8/12/2013 11/13/2013 Controlled Substance Dependence

Practice while Impaired

Adams, Melissa 23331

Lincoln, NE

Petition for Disp Action & Temp Susp 2/28/2013 3/14/2013 Controlled Substance Dependence

Dishonorable Conduct

Failure to Comply With Aftercare

Misappropriation of Resident Property

Unprofessional Conduct

Suspension 3/14/2013 3/14/2014 Controlled Substance Dependence

Dishonorable Conduct

Failure to Comply With Aftercare

Misappropriation of Resident Property

Unprofessional Conduct

Temporary Suspension 3/4/2013 3/14/2013 Controlled Substance Dependence

Dishonorable Conduct

Failure to Comply With Aftercare

Misappropriation of Resident Property

Unprofessional Conduct

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Page 314 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Adekunle, Paul Oluseyi 19767

Omaha, NE

Suspension 4/27/2011 9/1/2012 Alcohol Dependency

Failure to Comply With Aftercare

Felony Conviction(s)

Misdemeanor Conviction(s)

Practice while Impaired

Substance Use Disorder

Unprofessional Conduct

Albrecht, Sheri L 13218

Magnet, NE

Probation 11/25/2010 Emotional Disability

Unprofessional Conduct

Aldrich, Elizabeth Ann 19752

Plainview, NE

Probation 12/23/2009 xCourt Conviction

xCriminal Conviction(s)

Allen, Ellen Dawn 11600

Cairo, NE

Revocation 5/10/2012 Failure to Keep Adequate Records

Unprofessional Conduct

Allen, Judy Kay 11859

Omaha, NE

Censure 12/14/2017 Unlicensed Practice

Violation of UCA

Civil Penalty 6/14/2018 Unlicensed Practice

Violation of UCA

Amberson, Heidi 16863

Omaha, NE

Probation 2/12/2015 2/12/2016 Controlled Substance Dependence

Violation of UCSA

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Page 315 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Anderson, Lisa Michelle 21573

Gering, NE

Censure 11/10/2011 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Civil Penalty 11/10/2012 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Anderson, Stephanie Jo 25555

Lincoln, NE

Probation 3/2/2017 3/2/2018 Felony Conviction(s)

Misdemeanor Conviction(s)

Archuleta, Ronda Jean 20398

Omaha, NE

Probation 1/22/2018 1/22/2019 Misdemeanor Conviction(s)

Arias, Jonathan Emmual 21084

Omaha, NE

Censure 3/11/2016 Controlled Substance Abuse

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Civil Penalty 9/11/2016 Controlled Substance Abuse

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation 11/2/2014 11/14/2017 Controlled Substance Abuse

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

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Page 316 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Baker, Tanya Lanette 13820

Omaha, NE

Censure 4/25/2013 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Unprofessional Conduct

Violation of Dept Order

Civil Penalty 10/25/2013 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Unprofessional Conduct

Violation of Dept Order

Suspension 3/31/2012 4/30/2012 Failure to File Report-38-1,124,38-1,125

5/5/2013 7/3/2013

3/31/2012 4/30/2012 Failure to Keep Adequate Records

5/5/2013 7/3/2013

3/31/2012 4/30/2012 Unprofessional Conduct

5/5/2013 7/3/2013

3/31/2012 4/30/2012 Violation of Dept Order

5/5/2013 7/3/2013

Barba, Mark Damian 11563

Omaha, NE

Civil Penalty 11/15/2010 5/15/2011 Misrepresentation of Material Facts

Unlicensed Practice

Violation of UCA

Suspension 3/30/2014 4/29/2014 Misrepresentation of Material Facts

Unlicensed Practice

Violation of UCA

Bardales, Vanessa Marie 16695

Grand Island, NE

Probation 8/13/2013 8/13/2018 Alcohol Dependency

Controlled Substance Dependence

Unprofessional Conduct

Violation of UCSA

Bateman, Stephanie Jeanne 15132

Battle Creek, NE

Probation 5/18/2018 Emotional Disability

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Page 317 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Batiste, Anthony James 22084

Omaha, NE

Probation 10/28/2019 10/28/2023 Alcohol Use Disorder, Moderate

Misdemeanor Conviction(s)

Beaman, Stacie Ren'ee 21671

Gretna, NE

Probation 11/2/2009 6/28/2010 Controlled Substance Dependence

Dishonorable Conduct

Probation Violation

Unprofessional Conduct

Violation of UCSA

Suspension 1/31/2010 Controlled Substance Dependence

Dishonorable Conduct

Probation Violation

Unprofessional Conduct

Violation of UCSA

Beatty, Kristen Pauline 15593

Omaha, NE

Censure 11/28/2017 Failure to Keep Adequate Records

Unprofessional Conduct

Bebout, Elizabeth Elaine 20782

Omaha, NE

Censure 6/28/2012 Failure to Keep Adequate Records

Falsify Patient Records

Practice Beyond Scope

Unprofessional Conduct

Civil Penalty 10/1/2013 Failure to Keep Adequate Records

Falsify Patient Records

Practice Beyond Scope

Unprofessional Conduct

Suspension 6/6/2012 7/6/2012 Failure to Keep Adequate Records

Falsify Patient Records

Practice Beyond Scope

Unprofessional Conduct

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Page 318 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Beekman, Amber F 22558

Beatrice, NE

Probation 9/30/2013 9/30/2014 Alcohol Abuse

1/28/2010 4/24/2011 Alcohol Dependency

Misdemeanor Conviction(s)

9/30/2013 9/30/2014

1/28/2010 4/24/2011 Probation Violation

xFailure To File Mandatory Report

Revocation 4/24/2011 9/30/2013 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

xFailure To File Mandatory Report

Revocation of Practice Privilege Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

xFailure To File Mandatory Report

Benshoof, Keriane 18306

Plainview, NE

Censure 9/25/2014 Misappropriation of Resident Property

Unprofessional Conduct

Civil Penalty 3/25/2015 Misappropriation of Resident Property

Unprofessional Conduct

Bertrand, Tami A 16231

Seward, NE

Probation 12/27/2016 12/27/2018 Alcohol Dependency

Misdemeanor Conviction(s)

Suspension 3/18/2012 3/18/2013 Alcohol Dependency

Failure to Comply With Aftercare

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Bertschinger, Ajay Joseph 24380

Lincoln, NE

Probation 1/24/2014 11/14/2014 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Suspension 11/14/2014 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Blundell, Jenee Maxine 22542

Geneva, NE

Probation 5/5/2014 5/4/2018 Alcohol Dependency

Misdemeanor Conviction(s)

Blythe, Linda Kay 19770

Ogallala, NE

Suspension 7/3/2013 Failure to File Report-38-1,124,38-1,125

Falsify Patient Records

Unprofessional Conduct

Violation of UCSA

Boeding, Charisse Lee 20997

Tipton, IA

Censure 2/11/2011 Alcohol Dependency

Failure to Comply With Aftercare

Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Severe

Civil Penalty 10/15/2011 Alcohol Dependency

Failure to Comply With Aftercare

Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Severe

Probation 10/5/2014 10/5/2019 Alcohol Dependency

Failure to Comply With Aftercare

Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Severe

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Boman, Tanya Rose 20201

Sidney, NE

Revocation 10/6/2009 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Bonar, Breanna Leigh 24013

Hebron, NE

Censure 11/18/2015 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 5/18/2016 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Probation 3/1/2013 3/1/2016 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Booth, Ronda Lovell 13819

Nebraska City, NE

Suspension 8/6/2012 9/4/2012 Failure to Keep Adequate Records

Falsify Patient Records

Unprofessional Conduct

Borzekofski, Jacqueline Denise 16963

Wymore, NE

Civil Penalty 11/2/2010 5/2/2011 Misrepresentation of Material Facts

Bouwens, Brianna Ashley 25834

Lincoln, NE

Probation 12/19/2017 Misdemeanor Conviction(s)

Boyes, Judi Lynn 17501

Lincoln, NE

Suspension 7/9/2014 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Falsify Patient Records

Unprofessional Conduct

Brogren, Tanya Jean 18618

Wayne, NE

Censure 12/21/2009 Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Brown, Deanna Sue 20550

Norfolk, NE

Probation 3/12/2012 1/7/2013 Alcohol Dependency

5/13/2011 9/24/2014

3/12/2012 1/7/2013 Unprofessional Conduct

5/13/2011 9/24/2014

3/12/2012 1/7/2013 xAlcohol & Controlled Substance Dependen

5/13/2011 9/24/2014

3/12/2012 1/7/2013 xHabitual Intoxication

5/13/2011 9/24/2014

Brown, Karen Sue 18073

Benkelman, NE

Revocation 4/20/2010 Unprofessional Conduct

Violation of UCSA

xReinstatement - Previous Discipline

Brown, Samantha Rose 20066

Columbus, NE

Probation 2/20/2019 2/20/2022 Alcohol Use Disorder, Moderate

Probation Violation

Substance Use Disorder, Mild

Unprofessional Conduct

Violation of Work Policies & Procedures

Brunious, Ja'Nean Nicole 22787

Omaha, NE

Probation 7/12/2010 7/12/2011 Alcohol Abuse

xCourt Conviction

Brunkhorst, Ashley Gwen 22591

COLUMBUS, NE

Censure 5/29/2014 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Civil Penalty 5/29/2015 Failure to Safeguard Clients Diginity

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Buhlmann, Rosemarie 19353

Albion, NE

Suspension 9/4/2011 10/4/2011 Falsify Patient Records

Unprofessional Conduct

Burger, Rhonda Hammond 11548

Alliance, NE

Civil Penalty 11/2/2010 5/2/2011 Misrepresentation of Material Facts

Burns, Larissa Marie 25215

Humboldt, NE

Censure 12/27/2017 Failure to Keep Adequate Records

Unprofessional Conduct

Busch, Linda Lu 6114

Omaha, NE

Probation 2/1/2010 2/11/2011 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

xReinstatement - Previous Discipline

Suspension 10/5/2009 2/1/2010 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

xReinstatement - Previous Discipline

Butler, Lola Fern 19276

Omaha, NE

Censure 8/8/2014 Unprofessional Conduct

Cadwallader, Karri Marie 18250

Pender, NE

Civil Penalty 11/2/2010 5/2/2011 Misrepresentation of Material Facts

Cain, Alicia Michelle 20258

Omaha, NE

Revocation 3/17/2010 Dishonorable Conduct

Carda, Jennifer Jo 24908

Lincoln, NE

Probation 6/9/2015 6/9/2016 Dishonorable Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Carlson, Angela Christine 18788

Omaha, NE

Revocation 3/31/2010 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Carroll, Sheila Ann 16603

Lincoln, NE

Censure 8/11/2011 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Castonguay, Amber Diane 24909

Bellevue, NE

Probation 4/16/2018 4/16/2021 Alcohol Use Disorder, Severe

Substance Use Disorder

Cearley, Angela Yvette 20237

Bellevue, NE

Revocation 12/7/2012 Failure to Keep Adequate Records

Unprofessional Conduct

Chandler, Dawn Lee 21815

Bellevue, NE

Censure 10/27/2011 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Civil Penalty 10/27/2012 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Chappell, Susan Mary 24985

Omaha, NE

Probation 7/28/2015 2/26/2016 Dishonorable Conduct

Immoral Conduct

Misrepresentation of Material Facts

Chipps, Carol Marie 21915

Lincoln, NE

Revocation 8/30/2018 Failed to Report Conviction in 30 days

Failure to File Report-38-1,124,38-1,125

Violation of UCA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Clark, Alta Marie 19957

Scottsbluff, NE

Censure 8/6/2010 Unprofessional Conduct

Suspension 8/16/2010 9/16/2010

Clinger, Patricia Ruth 21232

North Platte, NE

Censure 1/13/2017 Failure to Keep Adequate Records

Practice Beyond Scope

Unprofessional Conduct

Clyne, Susan Barbara 12206

Lincoln, NE

Censure 3/30/2017 Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Collins, Jennifer Lynn 21726

Beatrice, NE

Suspension 12/12/2010 6/12/2011 Dishonorable Conduct

Unprofessional Conduct

xControlled Substance Addiction

Collins, Sara F 21874

Omaha, NE

Probation 2/19/2012 Misrepresentation of Material Facts

Probation Violation

12/14/2009 12/14/2011 Unprofessional Conduct

Suspension 4/18/2010 5/17/2010 Misrepresentation of Material Facts

Probation Violation

Condy, Billie Ann 22735

Grand Island, NE

Suspension 10/13/2019 Dishonorable Conduct

Misdemeanor Conviction(s)

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Coonce, Teresa Lynne 19555

Omaha, NE

Suspension 9/5/2016 Unprofessional Conduct

Violation of UCSA

xCont Substance Use Disorder - Mild

Covrig, Kelly K 20770

Lincoln, NE

Censure 4/8/2010 Unprofessional Conduct

Limitation-Disciplinary

Coy, Teresa Ann 9682

Omaha, NE

Censure 8/16/2017 Unprofessional Conduct

Craig, Amber Allyn 22618

Lincoln, NE

Probation 12/2/2013 Controlled Substance Dependence

Failure to Comply With Aftercare

Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Violation of UCSA

Craven, Brian Scott 18693

Ponca, NE

Civil Penalty 11/2/2010 5/2/2011 Misrepresentation of Material Facts

Crawford, Lynn Marie 15158

West Point, NE

Probation 1/24/2017 Violation of UCSA

xCont Substance Use Disorder - Severe

Suspension 11/2/2014 Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

xCont Substance Use Disorder - Severe

Creps, Shirley Kay 21596

North Bend, NE

Censure 9/20/2012 Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Crosby, Trisha Lyn 19483

Pawnee City, NE

Probation 7/28/2018 Dishonorable Conduct

Substance Use Disorder, Severe

Dale, Laurie Kenney 14018

Chappell, NE

Censure 12/1/2011 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Civil Penalty 12/1/2012 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Dally, Diana Michelle 17949

Lincoln, NE

Probation 6/27/2011 Failure to File Report-38-1,124,38-1,125

Pattern of Negligence

Unprofessional Conduct

Daro, Lori Ann 18850

Lincoln, NE

Probation 11/30/2016 11/30/2021 Alcohol Use Disorder, Severe

Misappropriation of Resident Property

Unprofessional Conduct

xCont Substance Use Disorder - Severe

Suspension 9/9/2015 11/30/2016 Alcohol Use Disorder, Severe

Misappropriation of Resident Property

Unprofessional Conduct

xCont Substance Use Disorder - Severe

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Davis, Alicia Marie 20126

Waxhaw, NC

Censure 8/26/2016 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Violation of AOC

Violation of Dept Order

Civil Penalty 8/26/2017 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Violation of AOC

Violation of Dept Order

Suspension 2/15/2017 2/24/2017 Failure to File Report-38-1,124,38-1,125

10/6/2017

2/15/2017 2/24/2017 Unprofessional Conduct

10/6/2017

2/15/2017 2/24/2017 Violation of AOC

10/6/2017

2/15/2017 2/24/2017 Violation of Dept Order

10/6/2017

Dejonge, Nicole Lee 18396

Holdrege, NE

Censure 3/3/2011 Unprofessional Conduct

xFailure To File Mandatory Report

Dellutri, Debora Ann 19462

Omaha, NE

Censure 10/10/2018 Unprofessional Conduct

Violation of Work Policies & Procedures

Dennis, Taylor Renae 23859

Syracuse, NE

Revocation 7/10/2015 Alcohol Dependency

Controlled Substance Abuse

Failure to Comply With Aftercare

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Devney, Jill Christine 19943

Fremont, NE

Censure 1/24/2017 Practice Beyond Scope

Dickson, Clarissa Jo 22976

Chadron, NE

Probation 10/12/2010 10/26/2010 Alcohol Abuse

Misdemeanor Conviction(s)

Dietz, Loretta Ann 17044

Humboldt, NE

Suspension 9/7/2014 10/7/2014 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Ditter, Mary Lou 6030

Scottsbluff, NE

Suspension 9/4/2017 10/3/2017 Failure to File Report-38-1,124,38-1,125

Practice Beyond Scope

Unprofessional Conduct

Doherty, Jewel Ann-Marie 24444

Omaha, NE

Probation 4/22/2014 4/22/2015 Misdemeanor Conviction(s)

Donley, Steven Shane 19682

Lincoln, NE

Censure 5/10/2012 Unprofessional Conduct

Dunn, Chantell Marie 21511

Omaha, NE

Censure 3/3/2010 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Probation 8/25/2011 4/11/2014 Alcohol Abuse

Failure to Comply With Aftercare

Dunne, Ashley Marie 21785

Morrill, NE

Suspension 2/10/2013 3/11/2013 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Dutra, Jeannie Elvamarie 19511

chadron, NE

Suspension 10/22/2012 1/18/2013 Practice while Impaired

Dutra, Scott Richard 14299

Glenwood Springs, CO

Censure 3/4/2015 Failure to Keep Adequate Records

Falsify Patient Records

Unprofessional Conduct

Suspension 8/5/2012 9/3/2012 Failure to Keep Adequate Records

Falsify Patient Records

Unprofessional Conduct

Dyer, Shannon Ethel 19363

Bellevue, NE

Probation 10/3/2015 7/19/2018 Alcohol Dependency

Unprofessional Conduct

Dzodzomenyo, Ken Kofi 11895

Omaha, NE

Probation 1/7/2010 1/7/2011 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Violation of AOC

Ebert, Susan Elaine 19520

Elwood, NE

Revocation 5/21/2010 9/13/2012 Unprofessional Conduct

Edwards, Patricia Elaine 11072

Superior, NE

Suspension 11/25/2010 11/25/2011 Probation Violation

xReinstatement - Previous Discipline

Emery, Rhonda Jean 17439

Tecumseh, NE

Revocation 11/3/2009 Unprofessional Conduct

Emory, Amy Jo 16712

Beatrice, NE

Revocation 12/4/2009 Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

English, Jamie Marie 23664

Lincoln, NE

Censure 3/25/2015 Failure to File Report-38-1,124,38-1,125

Falsify Patient Records

Unprofessional Conduct

Suspension 4/4/2015 5/4/2015 Failure to File Report-38-1,124,38-1,125

Falsify Patient Records

Unprofessional Conduct

Entsminger, Brenda Sue 11604

Lincoln, NE

Revocation 3/16/2011 xControlled Substance Addiction

Suspension 12/20/2010

Erb, Crystal Renee 24791

Beatrice, NE

Censure 5/2/2018 Failure to File Report-38-1,124,38-1,125

Failure to Safeguard Clients Diginity

Misappropriation of Resident Property

Unprofessional Conduct

Civil Penalty Failure to File Report-38-1,124,38-1,125

Failure to Safeguard Clients Diginity

Misappropriation of Resident Property

Unprofessional Conduct

Escalante, Wendy Louise 18242

Winside, NE

Civil Penalty 9/21/2015 9/21/2016 Failed to Report Conviction in 30 days

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Everett, Crystal Nicole 23283

Omaha, NE

Probation 7/27/2011 7/27/2013 Lacks Good Character

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Farr-Eastman, Linda Dale 18261

York, NE

Censure 3/3/2010 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Farrens, Miranda Elizabeth 22541

Decatur, NE

Probation 2/12/2014 Controlled Substance Dependence

Practice while Impaired

Faulk, Kimberley Anne 14600

North Loup, NE

Censure 8/6/2010 Misrepresentation of Material Facts

Unlicensed Practice

Ferraguti, Donna Jo 11375

Omaha, NE

Probation 5/3/2017 4/18/2019 xReinstatement - Previous Discipline

Fine, Tami RettaBette 22871

Valparaiso, NE

Probation 8/10/2010 8/10/2015 Misrepresentation of Material Facts

xAlcohol & Chemical Dependence/Addiction

xCriminal Conviction(s)

Fischer, Crista Lynne 22189

North Bend, NE

Civil Penalty 7/1/2015 1/1/2016 Misrepresentation of Material Facts

Fitting, Grace Anne 25094

Honolulu, HI

Probation 10/21/2015 Alcohol Abuse

Controlled Substance Abuse

Controlled Substance Dependence

Fitzgerald, Krystalynn Tamarra Dion 22316

Alda, NE

Censure 12/14/2016 Failed to Report Conviction in 30 days

Failure to Keep Adequate Records

Misdemeanor Conviction(s)

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Florentine, Gary Thomas 22102

Lincoln, NE

Suspension 10/25/2018 12/20/2018 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Unprofessional Conduct

Violation of Work Policies & Procedures

Flores, Keri Lynne 18923

Council Bluffs, IA

Censure 6/28/2010 Unprofessional Conduct

Civil Penalty 12/28/2010

Suspension 7/7/2010 8/6/2010

Ford, Sheri Nicole 19317

Arlington, TX

Civil Penalty 11/2/2010 5/2/2011 Failed to Report Conviction in 30 days

Misrepresentation of Material Facts

Fraka, Tara Lei 23484

Lincoln, NE

Censure 6/2/2017 Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Practice Beyond Scope

Practice while Impaired

Substance Use Disorder, Severe

Unprofessional Conduct

Violation of UCSA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Friesen, Jamie Michele 23585

De Witt, NE

Probation 7/11/2015 10/31/2015 Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Misappropriation of Resident Property

Misrepresentation of Material Facts

Unprofessional Conduct

Violation of AOC

Violation of UCSA

Revocation 3/14/2017 Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Misappropriation of Resident Property

Misrepresentation of Material Facts

Unprofessional Conduct

Violation of AOC

Violation of UCSA

Suspension 9/27/2014 10/27/2014 Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Misappropriation of Resident Property

Misrepresentation of Material Facts

Unprofessional Conduct

Violation of AOC

Violation of UCSA

Fritz, Shelly Lynn 15973

Globe, AZ

Censure 2/19/2013 Failure to File Report-38-1,124,38-1,125

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Fuh, Gerard 25893

Omaha, NE

Censure 3/7/2018 Failure to File Report-38-1,124,38-1,125

Misrepresentation of Material Facts

Unlicensed Practice

Unprofessional Conduct

Probation 5/6/2018 Failure to File Report-38-1,124,38-1,125

Misrepresentation of Material Facts

Unlicensed Practice

Unprofessional Conduct

Funk, Amber D 20814

Amarillo, TX

Censure 5/29/2014 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Violation of Dept Order

Suspension 8/26/2014 1/31/2016 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Violation of Dept Order

Gaber, Rhonda Sue 12757

Lincoln, NE

Limitation-Disciplinary 11/16/2009 Practice while Impaired

Garlick, Robin Ann 20512

Marysville, KS

Suspension 5/10/2014 Controlled Substance Abuse

Dishonorable Conduct

Misappropriation of Resident Property

Unprofessional Conduct

Violation of UCSA

Garrett, Sherry Kay 4624

Omaha, NE

Censure 10/1/2019 Unprofessional Conduct

Violation of Work Policies & Procedures

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Genoways, Heidi L 17436

Omaha, NE

Censure 8/24/2010 Practice Beyond Scope

Unprofessional Conduct

Girard, Tami Sue 24763

Lincoln, NE

Probation 12/9/2014 12/9/2019 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Moderate

xMind-Altering Substance Abuse

Goings, Peggy Leah 17564

Wauneta, NE

Censure 7/20/2018 Failed to Report Conviction in 30 days

Misrepresentation of Material Facts

Gollyhorn, Tammy Lee 22479

Wayne, NE

Revocation 2/8/2013 Failure to File Report-38-1,124,38-1,125

Other State Action

Goodwin, Camille M 16047

Omaha, NE

Censure 10/23/2009 Unprofessional Conduct

Graf, Jennifer Lynn 16071

Orleans, NE

Censure 2/9/2012 Failure to Keep Adequate Records

Falsify Patient Records

Unprofessional Conduct

Suspension 2/19/2012 3/19/2012 Failure to Keep Adequate Records

Falsify Patient Records

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Graham, Katherine Suzanne 25135

Beatrice, NE

Censure 4/14/2016 Controlled Substance Dependence

Probation Violation

Violation of Dept Order

Civil Penalty 10/14/2016 Controlled Substance Dependence

Probation Violation

Violation of Dept Order

Probation 12/16/2015 3/30/2017 Controlled Substance Dependence

Probation Violation

Violation of Dept Order

Suspension 11/24/2016 Controlled Substance Dependence

Probation Violation

Violation of Dept Order

Graham, Lana Danielle 19865

Springfield, NE

Censure 5/10/2010 Failure to File Report-38-1,124,38-1,125

Misrepresentation of Material Facts

Grant, Barbara Jean 11364

Scottsbluff, NE

Censure 2/25/2019 Failed to Report Conviction in 30 days

Failure to Disclose Convictions

Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Grashorn, Jill Elaine 21238

Omaha, NE

Censure 12/14/2016 Failed to Report Conviction in 30 days

Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Misdemeanor Conviction(s)

Unprofessional Conduct

Greenwood, Sarah Renee 26186

Lincoln, NE

Probation 12/17/2018 7/17/2019 Misdemeanor Conviction(s)

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Page 337 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Grell, Dawn Benson 16909

Grand Island, NE

Suspension 4/4/2015 5/4/2015 Failure to Keep Adequate Records

Unprofessional Conduct

Griger, Carolyn Leigh 17991

Omaha, NE

Probation 3/11/2011 3/11/2016 Alcohol Abuse

Controlled Substance Dependence

Failure to Keep Adequate Records

Practice Beyond Scope

Probation Violation

Unprofessional Conduct

Violation of UCSA

Suspension 12/12/2010 3/11/2011 Alcohol Abuse

Controlled Substance Dependence

Failure to Keep Adequate Records

Practice Beyond Scope

Probation Violation

Unprofessional Conduct

Violation of UCSA

Groeling, Kathleen Ann 19664

Malcolm, NE

Censure 8/11/2011 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 2/11/2012 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Probation 6/28/2010 6/28/2013 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Gronewold, Dorcas M 20517

McKinney, TX

Censure 11/10/2011 Failure to Keep Adequate Records

Falsify Patient Records

Unprofessional Conduct

Suspension 11/20/2011 12/20/2011 Failure to Keep Adequate Records

Falsify Patient Records

Unprofessional Conduct

Guenther, Meri L 21262

Lincoln, NE

Revocation 2/16/2018 Dishonorable Conduct

Unprofessional Conduct

Guerrero, Joseph James 16232

Bellevue, NE

Censure 11/10/2011 Failure to Keep Adequate Records

Unprofessional Conduct

Gumm, Tamara Marie 19093

Dassel, MN

Censure 6/9/2011 Unprofessional Conduct

xFailure To File Mandatory Report

xFailure to Conform-Stndrds of Practice

Suspension 6/30/2011 7/29/2011 Unprofessional Conduct

xFailure To File Mandatory Report

xFailure to Conform-Stndrds of Practice

Hall, Barbara Anne 23473

Junction City, KS

Suspension 11/24/2017 Controlled Substance Abuse

Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Violation of UCSA

Hamnett, Michelle Jean 10651

Lincoln, NE

Censure 3/5/2014 Violation of UCSA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Hansen, Amber Rae 23389

Omaha, NE

Probation 9/1/2011 9/1/2016 Alcohol Dependency

Hanway, Linda May 8643

Merriman, NE

Censure 6/20/2011 Unprofessional Conduct

xFailure to Conform-Stndrds of Practice

Suspension 6/30/2011 7/30/2011 Unprofessional Conduct

xFailure to Conform-Stndrds of Practice

Hardies, Mandy Ellen 22034

Gretna, NE

Probation 5/12/2017 5/12/2020 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Mild

Harrington, Savitri Dai' 19966

Omaha, NE

Probation 6/10/2010 3/27/2012 Misdemeanor Conviction(s)

Probation Violation

xCourt Conviction

Harris, Christopher Eugene 22555

Fort Collins, CO

Probation 1/26/2010 1/26/2011 Misdemeanor Conviction(s)

Hayes, Breezn' Olivia 19252

Omaha, NE

Civil Penalty 10/21/2015 4/21/2016 Violation of UCA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Heidrick, Chelsea Anne 23002

Manhatten, KS

Censure 5/29/2014 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Practice Beyond Scope

Unprofessional Conduct

Violation of Dept Order

Suspension 6/8/2014 7/8/2014 Failure to File Report-38-1,124,38-1,125

8/26/2014 10/2/2014

6/8/2014 7/8/2014 Failure to Keep Adequate Records

8/26/2014 10/2/2014

6/8/2014 7/8/2014 Practice Beyond Scope

8/26/2014 10/2/2014

6/8/2014 7/8/2014 Unprofessional Conduct

8/26/2014 10/2/2014

6/8/2014 7/8/2014 Violation of Dept Order

8/26/2014 10/2/2014

Heidzig, Nicol R 20680

Plattsmouth, NE

Censure 8/20/2015 Failure to File Report-38-1,124,38-1,125

Violation of UCSA

Heilbrun, Mary Jean 18093

Kimball, NE

Censure 6/28/2010 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Civil Penalty 12/28/2010 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Helleberg, Ashley Lynn 24074

Grand Island, NE

Censure 10/15/2018 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Violation of Work Policies & Procedures

Civil Penalty 10/15/2019 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Violation of Work Policies & Procedures

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Page 341 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Hendrickson, Timothy Allen 16249

Hamburg, IA

Probation 8/5/2010 Other State Action

xAlcohol & Controlled Substance Dependen

Hensley, Gloria A 16869

Elmwood, NE

Probation 10/2/2011 Failure to Keep Adequate Records

Unprofessional Conduct

Hensley, Jennie Rae 20610

Waverly, NE

Censure 1/25/2018 Failure to Keep Adequate Records

Unprofessional Conduct

Herring, Katie Marie 20145

Lincoln, NE

Civil Penalty 11/2/2010 5/2/2011 Misrepresentation of Material Facts

Herring, Sondra Lee 19203

Seward, NE

Censure 3/22/2012 Failure to Keep Adequate Records

Practice Beyond Scope

Unprofessional Conduct

Hessheimer, Madeline Ann 14842

Lincoln, NE

Censure 8/28/2012 Failure to Keep Adequate Records

Unprofessional Conduct

Violation of UCSA

Hettinger, Marlene Rose 19445

Bellevue, NE

Censure 2/9/2012 Failure to Keep Adequate Records

Unprofessional Conduct

Suspension 2/19/2012 3/20/2012 Failure to Keep Adequate Records

6/22/2012

2/19/2012 3/20/2012 Unprofessional Conduct

6/22/2012

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Page 342 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Heydon, Michelle Gothier 14972

Laurel, NE

Censure 3/3/2010 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 9/3/2010 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Probation 12/31/2009 12/31/2010 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Hildenstein, Robert John 16855

Carter Lake, IA

Probation 4/27/2017 4/27/2019 Failure to Disclose Convictions

History of Disciplinary Action

Hintz, Jeannette Jones 11942

Norfolk, NE

Limitation-Disciplinary 6/28/2010 Practice while Impaired

Suspension 12/14/2009

Hixon, Rachael Jean 21114

Auburn, NE

Censure 7/12/2017 Failed to Report Conviction in 30 days

Hodge, Jami Sue 21143

Hiawatha, KS

Civil Penalty 12/2/2010 5/2/2011 Misrepresentation of Material Facts

Suspension 7/1/2011 10/16/2014

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Hoeft, Michelle Patricia 16029

Omaha, NE

Censure 2/9/2012 Failure to Pay Fees

1/12/2010 Probation Violation

10/7/2010

1/12/2010 Unprofessional Conduct

10/7/2010

Civil Penalty 10/7/2011 Probation Violation

Unprofessional Conduct

Probation 1/12/2010 1/12/2012 Probation Violation

Unprofessional Conduct

Howery, Cassandra Ann 16321

Seward, NE

Suspension 11/26/2009 8/31/2010 Violation of Dept Order

Hummel, Alma Jeanette 22608

Lincoln, NE

Suspension 3/31/2012 4/30/2012 Failure to Keep Adequate Records

Misrepresentation of Material Facts

Unprofessional Conduct

Violation of UCSA

Hunt, Lisa Ann 22554

Filley, NE

Suspension 11/9/2013 5/9/2014 Controlled Substance Dependence

Emotional Disability

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Page 344 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Hurlburt, Brandi S 17117

Arcadia, NE

Petition for Disp Action & Temp Susp 4/23/2012 6/25/2012 Controlled Substance Dependence

Dishonorable Conduct

Obtained Drug Unlawfully

Practice Fraudulently

Violation of UCSA

Probation 6/3/2013 Controlled Substance Dependence

Dishonorable Conduct

Obtained Drug Unlawfully

Practice Fraudulently

Violation of UCSA

Suspension 4/23/2012 4/23/2013 Controlled Substance Dependence

Dishonorable Conduct

Obtained Drug Unlawfully

Practice Fraudulently

Violation of UCSA

Temporary Suspension 4/25/2012 6/25/2012 Controlled Substance Dependence

Dishonorable Conduct

Obtained Drug Unlawfully

Practice Fraudulently

Violation of UCSA

Huxoll, Sarah L 21293

Omaha, NE

Probation 6/8/2014 6/8/2017 Alcohol Abuse

Practice while Impaired

Unprofessional Conduct

Ion, Sha Marie 19513

Cooperstown, PA

Civil Penalty 3/3/2011 5/2/2011 Misrepresentation of Material Facts

xFailure to Conform-Stndrds of Practice

xFalsified Application

Suspension 7/1/2011 Misrepresentation of Material Facts

xFailure to Conform-Stndrds of Practice

xFalsified Application

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Page 345 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Irving, Kierstin Jeanette 25380

Lincoln, NE

Probation 8/2/2016 8/2/2017 Misdemeanor Conviction(s)

Jacobs, Gertrude Marie 13387

Omaha, NE

Probation 1/17/2013 7/17/2014 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Jaeger, Clayton King 22659

Lincoln, NE

Probation 3/1/2014 3/1/2017 Misdemeanor Conviction(s)

Jarrett, Jennifer Michelle 19786

Gretna, NE

Censure 1/17/2019 Unlicensed Practice

Unprofessional Conduct

Jarzynka, Erin Marie 23752

Hastings, NE

Censure 2/19/2019 Failed to Report Conviction in 30 days

Jensen, Danielle Renee 24704

Nebraska City, NE

Censure 2/25/2019 Failure to Keep Adequate Records

Violation of UCA

Jisa, Hollie Anne 24115

Neligh, NE

Censure 1/28/2015 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Civil Penalty 1/28/2016 Failure to Safeguard Clients Diginity

Unprofessional Conduct

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Page 346 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Johnson, Mandie Michelle 20886

Lincoln, NE

Censure 8/6/2010 Misdemeanor Conviction(s)

Probation Violation

3/14/2017

8/6/2010 Unprofessional Conduct

Civil Penalty 5/6/2011 Misdemeanor Conviction(s)

Probation Violation

3/14/2017 9/14/2017

8/6/2010 5/6/2011 Unprofessional Conduct

Probation 11/20/2012 11/20/2018 Misdemeanor Conviction(s)

Probation Violation

Unprofessional Conduct

Suspension 7/23/2011 11/20/2012 Misdemeanor Conviction(s)

Probation Violation

Unprofessional Conduct

Jones, Brandy Ann 21464

Papillion, NE

Probation 4/19/2016 4/19/2017 Misdemeanor Conviction(s)

Jones, Kylie Suzanne 21333

Kearney, NE

Censure 10/23/2014 Alcohol Abuse

Misdemeanor Conviction(s)

Suspension 11/2/2014 Alcohol Abuse

Misdemeanor Conviction(s)

Jones, Lindsey Marie 24918

Plattsmouth, NE

Probation 6/8/2015 5/4/2018 Alcohol Abuse

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Jorges, Sarah Marie 22210

Omaha, NE

Probation 1/20/2014 9/7/2014 Alcohol Abuse

Controlled Substance Abuse

Probation Violation

Unprofessional Conduct

Suspension 9/7/2014 Alcohol Abuse

Controlled Substance Abuse

Probation Violation

Unprofessional Conduct

Jurgensen, Matthew Lee 22611

Wayne, NE

Probation 2/24/2010 11/1/2011 Controlled Substance Dependence

Misdemeanor Conviction(s)

Kaluza-Law, Debra R 11429

Union, NE

Censure 9/25/2014 Unprofessional Conduct

Kapke, Darcy Kay 20187

Fairbury, NE

Probation 8/7/2012 5/12/2015 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Negligent Conduct

Unprofessional Conduct

Revocation 3/31/2010 8/7/2012 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Negligent Conduct

Unprofessional Conduct

Katelman, Julie Beth 23139

Cook, NE

Civil Penalty 5/1/2015 11/1/2015 Violation of UCA

Kauk, Heidi Catherine 24547

Alma, NE

Probation 7/23/2014 7/23/2016 Alcohol Abuse

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Kaylor, Annessa Marie 21340

Lincoln, NE

Revocation 10/21/2014 Unprofessional Conduct

Keller, Sheri Eileen 19934

Torrington, WY

Civil Penalty 11/2/2010 Misrepresentation of Material Facts

Kelly, Nakia Lee 21013

Bennington, NE

Probation 6/10/2012 1/6/2016 Alcohol Dependency

Misdemeanor Conviction(s)

Kendall, Samantha Jay 25238

Falls City, NE

Probation 4/7/2016 10/7/2016 Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Kirby, Kerry Lee 16109

David City, NE

Censure 4/30/2014 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 10/30/2014 Alcohol Abuse

Misdemeanor Conviction(s)

2/19/2019 8/19/2019

4/30/2014 10/30/2014 Probation Violation

2/19/2019 8/19/2019

Substance Use Disorder

Probation 2/26/2014 2/26/2016 Alcohol Abuse

Misdemeanor Conviction(s)

3/5/2018 3/5/2023

10/2/2019 10/2/2024

2/26/2014 2/26/2016 Probation Violation

3/5/2018 3/5/2023

10/2/2019 10/2/2024

3/5/2018 3/5/2023 Substance Use Disorder

10/2/2019 10/2/2024

Revocation 8/30/2015 3/4/2018 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Suspension 4/4/2015 5/4/2015 Alcohol Abuse

Misdemeanor Conviction(s)

3/1/2019 10/1/2019

4/4/2015 5/4/2015 Probation Violation

3/1/2019 10/1/2019

Substance Use Disorder

Klotz, LeAnne Marie 21001

Seward, NE

Revocation 3/31/2010 Controlled Substance Dependence

Misdemeanor Conviction(s)

Probation Violation

Violation of UCSA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Knighten, April Christine 21894

Omaha, NE

Censure 6/24/2014 Failure to Disclose Convictions

Knorr Matthews, Tracy D 14515

Trezevant, TN

Censure 3/14/2013 Failure to Keep Adequate Records

Unprofessional Conduct

Violation of Dept Order

Civil Penalty 9/14/2013 Failure to Keep Adequate Records

Unprofessional Conduct

Violation of Dept Order

Suspension 10/2/2011 11/1/2011 Failure to Keep Adequate Records

Unprofessional Conduct

Violation of Dept Order

Koffree, Joseph 21510

Lincoln, NE

Revocation 12/17/2014 Felony Conviction(s)

Kolasky, James Andrew 23355

Omaha, NE

Censure 8/30/2018 Failure to File Report-38-1,124,38-1,125

Kothe, Billie Jo 21317

LaVista, NE

Civil Penalty 11/2/2010 5/2/2011 Misrepresentation of Material Facts

Kuck, Lori Jeanne 13406

Smithfield, NE

Censure 11/29/2012 Failure to File Report-38-1,124,38-1,125

Stayed Suspension 1/3/2013 3/18/2013

Suspension 11/29/2012 12/29/2012

Kumm, Sara Jo 21819

Norfolk, NE

Censure 8/11/2011 Unprofessional Conduct

LaPesh, John Joseph, Jr 22662

Omaha, NE

Censure 10/27/2011 Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Lachner, Haley Elizabeth 26130

Lincoln, NE

Probation 9/26/2018 9/26/2023 Misdemeanor Conviction(s)

Substance Use Disorders-Multiple

Lammle, Ashley Ann 23685

Lincoln, NE

Probation 6/18/2012 6/23/2017 Alcohol Dependency

Misdemeanor Conviction(s)

Lang, Jolene Annette 13954

Papillion, NE

Probation 4/16/2018 2/19/2019 Alcohol Use Disorder, Severe

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation Violation

Revocation 2/19/2019 Alcohol Use Disorder, Severe

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation Violation

Leary, Ebony LaVonda 25433

Houston, TX

Probation 9/9/2016 2/21/2019 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Revocation 2/21/2019 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Lee, Mary Ann 14861

Omaha, NE

Censure 6/28/2010 Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Civil Penalty 12/28/2010 Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Leeling, JoAnne 16519

Rapid City, SD

Suspension 9/4/2017 10/3/2017 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Linner, Tara Louise 24448

Beaver City, NE

Probation 4/28/2014 6/24/2015 Misdemeanor Conviction(s)

Love, Karen Marie 6674

Omaha, NE

Censure 5/23/2019 Misrepresentation of Material Facts

Unprofessional Conduct

Civil Penalty 5/23/2020 Misrepresentation of Material Facts

Unprofessional Conduct

Lovely, Anne Marie 21296

Omaha, NE

Civil Penalty 11/2/2010 5/2/2011 Misrepresentation of Material Facts

Luikens, Julie Irene 8847

Blair, NE

Revocation 10/23/2014 Alcohol Abuse

Controlled Substance Dependence

Misdemeanor Conviction(s)

Violation of Dept Order

Violation of UCSA

Suspension 7/22/2013 10/23/2014 Alcohol Abuse

Controlled Substance Dependence

Misdemeanor Conviction(s)

Violation of Dept Order

Violation of UCSA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Lutzow, Linda J 12116

Omaha, NE

Probation 6/3/2013 Controlled Substance Dependence

xCriminal Conviction(s)

Suspension 7/23/2010 Controlled Substance Dependence

Probation Violation

Violation of UCSA

xHabitual Intoxication

Mackenzie, Stacy Ann 16198

Lincoln, NE

Suspension 7/24/2010 8/24/2010 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Mackeprang, Sarah Jane 21066

Tyler, TX

Suspension 11/28/2015 Failure to File Report-38-1,124,38-1,125

Misappropriation of Resident Property

Markut, Kay Lynn 17607

McCook, NE

Civil Penalty 11/2/2010 5/2/2011 Misrepresentation of Material Facts

Marsh, Grant Alan 22811

Hastings, NE

Revocation 5/2/2017 Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Pattern of Negligence

Unprofessional Conduct

Marsh, Tiffany Lynn 22943

Hastings, NE

Civil Penalty 5/1/2015 11/1/2015 Violation of Dept Order

Violation of UCA

Marshall, Ann Marie 18035

Sparks, NE

Censure 5/21/2010 Misrepresentation of Material Facts

Civil Penalty 11/21/2010

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Martin, Gina Maria 13312

Norfolk, NE

Censure 12/29/2011 Practice Beyond Scope

Civil Penalty 6/29/2012

Mascher, Lisa Renee 21790

Lincoln, NE

Revocation 12/4/2009 Probation Violation

Unprofessional Conduct

Mauger, Dana Rexine 22308

Clatonia, NE

Censure 3/17/2010 Other State Action

Probation Violation

Civil Penalty 9/17/2010 Other State Action

Probation Violation

Revocation 1/26/2012 1/26/2014 Other State Action

Probation Violation

Mauseth, Andrea Lee 25222

Omaha, NE

Probation 3/29/2016 3/29/2017 Misdemeanor Conviction(s)

McCoy, Diane Lynn 18128

Gothenburg, NE

Revocation 10/3/2019 Failed to Report Conviction in 30 days

Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Misrepresentation of Material Facts

Unprofessional Conduct

Violation of Work Policies & Procedures

Menning, Dora Lea 6023

Orchard, NE

Censure 3/17/2011 Unprofessional Conduct

xFailure To File Mandatory Report

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Meredith, Mary Alice 8375

Lincoln, NE

Censure 4/25/2013 Failure to Pay Fees

Felony Conviction(s)

Violation of Dept Order

Civil Penalty 10/25/2013 Failure to Pay Fees

Felony Conviction(s)

Violation of Dept Order

Suspension 1/31/2014 Failure to Pay Fees

Felony Conviction(s)

Violation of Dept Order

Mertz, Sarah Jane 22895

Omaha, NE

Probation 2/18/2015 2/18/2020 Controlled Substance Dependence

Failure to Comply With Aftercare

Misdemeanor Conviction(s)

Suspension 6/8/2014 12/8/2014 Alcohol Dependency

Controlled Substance Dependence

Failure to Comply With Aftercare

Misdemeanor Conviction(s)

Messick, Carmen Zoe 21248

Omaha, NE

Probation 10/28/2017 10/28/2020 Alcohol Abuse

Misdemeanor Conviction(s)

Meyer, Melissa Dawn 20328

Greenwood, NE

Suspension 6/23/2019 Failed to Report Conviction in 30 days

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Unprofessional Conduct

Meyer, Thomas Patrick, Jr 23185

Omaha, NE

Censure 7/29/2014 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Miller, Amber Marie 23036

Council Bluffs, IA

Petition for Disp Action & Temp Susp 3/28/2013 8/7/2013 Controlled Substance Dependence

Failure to Comply With Aftercare

Suspension Controlled Substance Dependence

Failure to Comply With Aftercare

Temporary Suspension 3/29/2013 8/7/2013 Controlled Substance Dependence

Failure to Comply With Aftercare

Miller, Ronda Lea 15761

Hyannis, NE

Probation 1/12/2010 1/12/2012 Unprofessional Conduct

Mills, Anita Lynn 20274

Omaha, NE

Censure 6/10/2015 Failure to File Report-38-1,124,38-1,125

Misrepresentation of Material Facts

Mitchell, Jeanette Lynn 26116

Glenwood, IA

Probation 8/28/2018 Alcohol Dependency

Misdemeanor Conviction(s)

Montang, Heidi Diane 20196

Sutherland, NE

Censure 1/13/2013 Failure to File Report-38-1,124,38-1,125

Misappropriation of Resident Property

Probation Violation

Unprofessional Conduct

Probation 2/10/2013 11/2/2013 Failure to File Report-38-1,124,38-1,125

Misappropriation of Resident Property

Probation Violation

Unprofessional Conduct

Suspension 11/2/2013 Failure to File Report-38-1,124,38-1,125

Misappropriation of Resident Property

Probation Violation

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Montelongo, Dixie Ivy 18868

Kannapolis, NC

Censure 6/28/2010 Unprofessional Conduct

Suspension 7/8/2010 8/8/2010

Montgomery, Sharon Louise 22269

Laramie, WY

Civil Penalty 11/2/2010 5/2/2011 Misrepresentation of Material Facts

Moore, William Thomas 21039

Grand Island, NE

Probation 2/9/2014 2/9/2015 Misdemeanor Conviction(s)

5/17/2015 10/31/2015

2/9/2014 2/9/2015 Practice while Impaired

5/17/2015 10/31/2015

2/9/2014 2/9/2015 Probation Violation

5/17/2015 10/31/2015

Morris, Pamela M 11388

Firestone, CO

Censure 9/22/2011 Failure to Pay Fees

Misrepresentation of Material Facts

Civil Penalty 3/31/2011 6/29/2011 Failure to Pay Fees

Misrepresentation of Material Facts

Mumm, Bethany Annette 22258

Gering, NE

Censure 8/25/2015 Practice Beyond Scope

Ndedi, Jennifer Lynn 18308

Omaha, NE

Revocation 6/10/2012 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Neben, Cindy Marie 15989

Dunning, NE

Censure 9/5/2014 Failed to Report Conviction in 30 days

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Unprofessional Conduct

Civil Penalty 11/4/2014 Failed to Report Conviction in 30 days

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Unprofessional Conduct

Revocation 7/22/2017 Failed to Report Conviction in 30 days

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Unprofessional Conduct

Nesladek, Jill Adele 18279

West Point, NE

Revocation 12/6/2012 3/5/2016 Failure to Safeguard Clients Diginity

Falsify Patient Records

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Practice Beyond Scope

Unprofessional Conduct

Newill, Erika Christale 26175

Fremont, NE

Probation 11/27/2018 11/27/2023 Felony Conviction(s)

Misdemeanor Conviction(s)

Substance Use Disorder

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Newton, Sara A.E. 23966

Bradshaw, NE

Civil Penalty 2/17/2017 2/17/2018 Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Moderate

xCont Substance Use Disorder - Severe

Probation 7/10/2016 7/10/2021 Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Moderate

xCont Substance Use Disorder - Severe

Suspension 2/27/2017 4/28/2017 Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Moderate

xCont Substance Use Disorder - Severe

Nhete, Johannes Alvin 18810

La Vista, NE

Censure 10/5/2016 Misdemeanor Conviction(s)

Nicholls, David Patrick 23805

Lincoln, NE

Revocation 3/15/2018 Controlled Substance Dependence

Failure to Comply With Aftercare

Misdemeanor Conviction(s)

Nordhues, Marcy Kae 21302

Greeley, NE

Censure 12/4/2009 Immoral Conduct

Misdemeanor Conviction(s)

Probation Violation

Norrid, Tanya Lynn 14359

Cortland, NE

Probation 2/1/2012 2/1/2017 Controlled Substance Dependence

Violation of UCSA

Nutz, Joan Lee 11730

Osceola, NE

Censure 10/18/2019 Permitting Aiding & Abetting

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Ohnoutka, Kelli Jo 17814

Wahoo, NE

Probation 11/12/2010 11/12/2015 xControlled Substance Addiction/Depndncy

Onyeuku, Josephine C 18720

Houston, TX

Censure 12/27/2017 Failure to Keep Adequate Records

Unprofessional Conduct

Orozco, Carla I 11155

Scottsbluff, NE

Suspension 1/8/2012 2/6/2012 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Falsify Patient Records

Owen, Karen Lynn 21274

Omaha, NE

Censure 3/31/2010 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Civil Penalty 3/31/2011 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Oxtal, Karen Sue 17622

North Las Vegas, NV

Probation 9/24/2013 12/6/2016 Felony Conviction(s)

Pacheco, Michael Gilbert 25390

Omaha, NE

Censure 2/1/2017 Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Mild

Civil Penalty 8/1/2017 Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Mild

Probation 8/8/2016 8/8/2017 Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Mild

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Pagel, Angela Kay 22935

Lincoln, NE

Suspension 9/7/2018 Alcohol Dependency

Controlled Substance Abuse

Controlled Substance Dependence

Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Failure to Safeguard Clients Diginity

Misappropriation of Resident Property

Unprofessional Conduct

Violation of UCSA

Pagnano, Elsie Kim 17791

Omaha, NE

Censure 1/25/2018 Failure to Keep Adequate Records

Misappropriation of Resident Property

Unprofessional Conduct

Parker, Mary Jo 22319

Omaha, NE

Probation 2/13/2014 Controlled Substance Dependence

Misdemeanor Conviction(s)

Unprofessional Conduct

Suspension 7/8/2010 8/7/2010 Controlled Substance Dependence

Misdemeanor Conviction(s)

Unprofessional Conduct

Pebley, Debora Lee 7681

Scottsbluff, NE

Probation 10/17/2010 5/8/2011 Probation Violation

11/20/2012 11/20/2015

10/17/2010 5/8/2011 xControlled Substance Addiction/Depndncy

Suspension 5/8/2011 5/8/2012 Probation Violation

xControlled Substance Addiction/Depndncy

Peden, Amber Renee 24014

Cozad, NE

Probation 2/28/2013 2/28/2016 Alcohol Abuse

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Pena, Pepper Ann 8874

Omaha, NE

Censure 9/29/2014 Failure to Safeguard Clients Diginity

Misappropriation of Resident Property

Unprofessional Conduct

Civil Penalty 3/29/2015 Failure to Safeguard Clients Diginity

Misappropriation of Resident Property

Unprofessional Conduct

Perkins, Nicole Elizabeth 19250

Omaha, NE

Censure 5/15/2013 Misdemeanor Conviction(s)

Civil Penalty 11/15/2013

Perry, Jennifer Lynn 22546

Omaha, NE

Suspension 7/9/2012 10/7/2012 Alcohol Dependency

Controlled Substance Abuse

Misdemeanor Conviction(s)

Petersen, Kathleen Ellen 22473

Fremont, NE

Censure 11/17/2017 Unprofessional Conduct

Phillips, Carolyn Tiffany Dawn 20744

Lincoln, NE

Censure 4/20/2010 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Suspension 4/30/2010 5/30/2010 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Phipps, Gordon Donald, II 24624

Papillion, NE

Probation 2/20/2019 2/20/2024 Substance Use Disorder, Severe

Piontkowski, Shirley Joan 10964

Phillips, NE

Probation 7/12/2012 4/10/2013 Felony Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Pitner, Dawn Renae 16399

North Platte, NE

Censure 1/28/2016 Unprofessional Conduct

Violation of UCA

Civil Penalty 3/28/2016 Unprofessional Conduct

Violation of UCA

Probation 10/14/2010 10/14/2011 Unprofessional Conduct

Violation of UCSA

Polenske, Stacy Lynette 18643

North Platte, NE

Probation 4/5/2010 4/5/2015 Failure to File Report-38-1,124,38-1,125

xHabitual Intoxication

Revocation 4/10/2011 Probation Violation

Porter, Essie Mae 3359

Lithonia, GA

Suspension 3/22/2014 4/20/2014 Failure to Keep Adequate Records

Falsify Patient Records

Unprofessional Conduct

Prettyman, Catherine Grace 20416

Council Bluffs, IA

Censure 9/22/2011 Unprofessional Conduct

Civil Penalty 3/22/2012

Prindle, Angela Dawn 24176

Glenwood, IA

Probation 7/22/2013 Alcohol Dependency

Controlled Substance Dependence

Purintun, Dawn Lynn 21049

BAYARD, NE

Suspension 6/20/2015 11/2/2015 Failure to Keep Adequate Records

Negligent Conduct

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Queen, Kinley Joy 23171

Windsor, CO

Probation 3/6/2016 Controlled Substance Dependence

Felony Conviction(s)

Misdemeanor Conviction(s)

Suspension 1/22/2012 1/22/2013 Controlled Substance Dependence

Dishonorable Conduct

Misappropriation of Resident Property

Unprofessional Conduct

Violation of UCSA

Quinlan, Sharon Jean 19620

Omaha, NE

Suspension 9/16/2013 12/14/2013 Unprofessional Conduct

Ralls, Cynthia Dawn 19055

Taylor, NE

Censure 10/12/2018 Alcohol Dependency

6/14/2019

10/12/2018 Misdemeanor Conviction(s)

6/14/2019

10/12/2018 Probation Violation

6/14/2019

Civil Penalty 10/12/2018 4/12/2019 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Probation 5/21/2017 5/21/2022 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Ramirez Acuna, Fernando D 26201

Grand Island, NE

Probation 1/14/2019 1/14/2024 Misdemeanor Conviction(s)

Substance Use Disorder

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Ramsdell, Kelli Joan 15529

Broken Bow, NE

Censure 5/17/2018 Failure to File Report-38-1,124,38-1,125

Failure to Safeguard Clients Diginity

Civil Penalty 5/17/2019 Failure to File Report-38-1,124,38-1,125

Failure to Safeguard Clients Diginity

Ramsey, Elena Marie 19687

Omaha, NE

Censure 4/20/2010 Unprofessional Conduct

Rasco, Queendolyn Lashell 24484

Omaha, NE

Censure 10/29/2019 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Violation of Work Policies & Procedures

Reis, Bridget Ann 19996

Genoa, NE

Censure 1/25/2018 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Civil Penalty 1/25/2019 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Reisig, Mary Jane 12288

Mitchell, NE

Suspension 3/27/2011 Unprofessional Conduct

xFailure To File Mandatory Report

Renz, LeAnna Dawn 22152

HEBRON, NE

Censure 12/4/2009 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 6/4/2010 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Rhoads, Debra Jean 7552

Louisville, NE

Civil Penalty 10/7/2010 4/7/2011 Misrepresentation of Material Facts

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Rhynalds, Heidi Johnson 12290

Pleasanton, CA

Censure 5/24/2013 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Violation of AOC

Roberson, Dawn Marie 23947

Omaha, NE

Probation 7/18/2018 7/18/2021 Failure to Keep Adequate Records

Misappropriation of Resident Property

Unprofessional Conduct

Violation of UCSA

Suspension 8/17/2018 Failure to Keep Adequate Records

Misappropriation of Resident Property

Unprofessional Conduct

Violation of UCSA

Robinson, Rachel Cummings 20609

Bellevue, NE

Probation 10/17/2010 Alcohol Dependency

Controlled Substance Dependence

Unprofessional Conduct

Violation of UCSA

Robinson, Tameka Arlene 21026

Omaha, NE

Probation 10/28/2013 Practice while Impaired

Robles, Laurie Jean 14933

Gering, NE

Suspension 4/21/2017 Alcohol Dependency

Dishonorable Conduct

Unprofessional Conduct

Rockwell, Lorena Belle 24089

North Platte, NE

Probation 9/7/2018 9/7/2019 Alcohol Use Disorder, Mild

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Roebuck, Rose Ann 10107

Milford, NE

Limitation-Disciplinary 11/2/2010 Negligent Conduct

Unprofessional Conduct

Rohloff, Daresa DeeAnn 22458

Lincoln, NE

Revocation 4/24/2011 Unprofessional Conduct

xFailure To File Mandatory Report

Revocation of Practice Privilege Unprofessional Conduct

xFailure To File Mandatory Report

Rosane, Elaine Ann 14304

Alma, NE

Probation 9/23/2010 9/23/2011 Violation of AOC

Rosenberg, Jonathan Wayne 25111

Canon City, CO

Censure 5/11/2017 Failure to File Report-38-1,124,38-1,125

Practice Beyond Scope

Ross, Passion Kadija 23673

Converse, TX

Probation 6/13/2012 Other State Action

Rutan, Heather 14137

Kearney, NE

Revocation 6/20/2011 6/20/2013 Dishonorable Conduct

Violation of UCSA

Saltzman, Laura Kathleen 22476

Lincoln, NE

Revocation 10/28/2016 Failed to Report Conviction in 30 days

Failure to File Report-38-1,124,38-1,125

Felony Conviction(s)

Misdemeanor Conviction(s)

xAlcohol Use Disorder - Mild

xCont Substance Use Disorder - Moderate

Scanlon, Maureen Alicia 18882

Scottsbluff, NE

Civil Penalty 5/7/2015 11/7/2015 Violation of UCA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Scaturro, Emma Jolene 25904

LINCOLN, NE

Censure 4/3/2018 Violation of UCSA

Schincke, Rebecca Timmerman 12451

Wakefield, NE

Censure 6/28/2010 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Civil Penalty 12/28/2010 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Suspension 11/12/2010 11/16/2011 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Schlager, Kimberly Ann 23742

Scottsbluff, NE

Censure 7/14/2014 Practice Beyond Scope

Unprofessional Conduct

Civil Penalty 1/14/2015 Practice Beyond Scope

Unprofessional Conduct

Schlegel, MaryLee Lorraine 21042

Omaha, NE

Suspension 5/17/2015 7/15/2015 Abuse of Resident

9/3/2015

5/17/2015 7/15/2015 Failure to File Report-38-1,124,38-1,125

9/3/2015

5/17/2015 7/15/2015 Failure to Keep Adequate Records

9/3/2015

5/17/2015 7/15/2015 Falsify Patient Records

9/3/2015

5/17/2015 7/15/2015 Neglect of Resident

9/3/2015

5/17/2015 7/15/2015 Unprofessional Conduct

9/3/2015

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Schmidt, Audra Jan 15430

Friend, NE

Civil Penalty 9/23/2010 3/23/2011 Misrepresentation of Material Facts

Unprofessional Conduct

Suspension 10/3/2010 11/2/2010 Misrepresentation of Material Facts

Unprofessional Conduct

Schroeder, Michelle Lynn 18164

Homer, NE

Probation 6/13/2012 Alcohol Dependency

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Schumacher, Diane Elaine 19311

Saint Edward, NE

Civil Penalty 11/2/2010 5/2/2011 Misrepresentation of Material Facts

Scott, Ashley Ann 23799

Lincoln, NE

Censure 5/1/2015 Controlled Substance Abuse

Probation Violation

Civil Penalty 11/1/2015 Controlled Substance Abuse

Probation Violation

Probation 2/7/2015 2/7/2016 Controlled Substance Abuse

Probation Violation

Sedlacek, Angela Lynn 15354

Adams, NE

Civil Penalty 4/9/2015 10/9/2015 Violation of UCA

Shaffer, Debra Ann 7069

Bellwood, NE

Censure 7/12/2016 Failure to Keep Adequate Records

Unprofessional Conduct

Shaffer, Delores Gubbels 5280

Ashland, NE

Censure 9/22/2011 Practice Beyond Scope

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Shaw, Thomas Raymond 24064

Lincoln, NE

Probation 4/25/2013 4/25/2018 Alcohol Dependency

Failure to Comply With Aftercare

Sibbernsen, Amanda Michelle 25036

Omaha, NE

Probation 6/23/2019 6/23/2023 Alcohol Use Disorder, Severe

Misdemeanor Conviction(s)

Sims, Regan Marie 23807

Kearney, NE

Probation 4/22/2019 4/22/2021 Misdemeanor Conviction(s)

Substance Use Disorder

Slayton, Cassaundra Marysue 25252

Omaha, NE

Probation 5/4/2016 11/4/2016 Misdemeanor Conviction(s)

Slizoski, Heather LeAnn 21142

Columbus, NE

Probation 2/21/2015 10/31/2015 Failure to Keep Adequate Records

Unprofessional Conduct

Sloter, Julie Lynn 17636

Omaha, NE

Censure 3/4/2015 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Probation 7/3/2013 7/3/2017 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Smith, Anna Marie 7419

North Platte, NE

Civil Penalty 6/30/2016 12/30/2016 Violation of UCA

Smith, Nicole Kathrine 20109

Lincoln, NE

Revocation 10/2/2011 Failure to Pay Fees

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Smith, Patrick Scott, Jr 20467

Omaha, NE

Probation 7/8/2010 Unprofessional Conduct

Snyder, Jennifer Marie 20805

Lincoln, NE

Revocation 8/6/2010 Dishonorable Conduct

Felony Conviction(s)

Probation Violation

Unprofessional Conduct

Violation of UCSA

xAlcohol & Chemical Dependence/Addiction

Sokolik, Joyce A 9822

Papillion, NE

Revocation 7/4/2010 Failure to Comply With Aftercare

Unprofessional Conduct

Sollars, Joanna Jo 20722

Ash Grove, MO

Censure 1/12/2012 Failure to Keep Adequate Records

Misrepresentation of Material Facts

Unprofessional Conduct

Suspension 1/22/2012 2/20/2012 Failure to Keep Adequate Records

Misrepresentation of Material Facts

Unprofessional Conduct

Song, Jeannie 22673

Omaha, NE

Suspension 2/21/2011 12/6/2011 Practice while Impaired

Unprofessional Conduct

xFailure To File Mandatory Report

xFailure to Conform-Stndrds of Practice

Souder, Michael Anthony 21921

Omaha, NE

Revocation 4/20/2010 Misdemeanor Conviction(s)

Probation Violation

xHabitual Intoxication

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Soule, Judy Jean 14822

Oshkosh, NE

Censure 7/26/2012 Unprofessional Conduct

Stahl, Kassandra Rose 24700

North Platte, NE

Censure 2/8/2019 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Violation of Work Policies & Procedures

Civil Penalty 8/8/2019 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Violation of Work Policies & Procedures

Starman, Christine Marie 24161

Elgin, NE

Probation 8/26/2017 8/26/2019 Misdemeanor Conviction(s)

Stawniak, Jacob Anthony 26477

Omaha, NE

Probation 9/20/2019 9/20/2021 Misdemeanor Conviction(s)

Steinbach, Sandra Lorraine 19619

Fremont, NE

Limitation-Disciplinary 9/23/2010 Negligent Conduct

Unprofessional Conduct

xFailure To File Mandatory Report

Stirn, Robin Leigh 16392

Grand Island, NE

Probation 10/12/2011 10/12/2016 Alcohol Dependency

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Stodieck, Lorah Lynn 21170

David City, NE

Censure 12/16/2015 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 6/16/2016 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Probation 4/30/2014 4/30/2016 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Stutzman, Ashley Ann 24153

Lincoln, NE

Probation 3/30/2017 2/22/2019 Alcohol Dependency

Failed to Report Conviction in 30 days

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Probation Violation

Unprofessional Conduct

Revocation 2/22/2019 Alcohol Dependency

Failed to Report Conviction in 30 days

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Probation Violation

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Svoboda, Melissa McKee 20743

Lincoln, NE

Censure 6/12/2014 Probation Violation

6/21/2017

Civil Penalty 6/12/2014 12/12/2014

6/21/2017 12/21/2017

Probation 4/9/2012 4/9/2017 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

xHabitual Intoxication

Swanson, Kathryn Ann 21299

Nebraska City, NE

Suspension 7/7/2010 12/28/2010 Unprofessional Conduct

xControlled Substance Addiction/Depndncy

xPractice Impaired by CS

Swearengin, Jennie Mae 16083

Nebraska City, NE

Censure 8/26/2016 Failure to Keep Adequate Records

Unprofessional Conduct

Talton, Erin Nicole 23352

Bayard, NE

Censure 6/24/2014 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Civil Penalty 6/24/2015 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Tarman, Shereamore Ann 24174

Pender, NE

Suspension 10/11/2019 Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Falsify Patient Records

Misappropriation of Resident Property

Substance Use Disorder, Mild

Unprofessional Conduct

Violation of UCSA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Tast, Sarah Lessley 19593

Lincoln, NE

Censure 1/26/2012 Abuse of Resident

Unprofessional Conduct

Taylor, Lorena Kay 21571

Omaha, NE

Revocation 1/12/2012 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Taylor, Patricia Ann 22417

Bellevue, NE

Suspension 5/27/2018 6/26/2018 Unprofessional Conduct

Tetschner, Benjamin James 25038

Barlett, NE

Suspension 1/21/2018 2/19/2018 Failure to File Report-38-1,124,38-1,125

Falsify Patient Records

Unprofessional Conduct

Thelen, Laura June 13952

Denton, NE

Revocation 10/3/2015 2/5/2018 Misrepresentation of Material Facts

Violation of UCA

Thomas, Linda Anne 16522

Lincoln, NE

Suspension 9/13/2010 10/13/2010 Failure to Keep Adequate Records

Unprofessional Conduct

Thompson, Chelsea Lynn 23672

Alliance, NE

Suspension 7/28/2018 Dishonorable Conduct

Failed to Report Conviction in 30 days

Failure to File Report-38-1,124,38-1,125

Misappropriation of Resident Property

Misdemeanor Conviction(s)

Unprofessional Conduct

Violation of UCSA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Thompson, Karen Lynn 15683

Lincoln, NE

Probation 5/13/2010 Mental Disability

Misdemeanor Conviction(s)

xReinstatement - Previous Discipline

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Tiemeyer, Ryan Jacob 17589

Omaha, NE

Censure 5/1/2015 Alcohol Dependency

10/18/2017

12/19/2017

5/1/2015 Failure to File Report-38-1,124,38-1,125

10/18/2017

12/19/2017

5/1/2015 Misdemeanor Conviction(s)

10/18/2017

12/19/2017

5/1/2015 Misrepresentation of Material Facts

10/18/2017

12/19/2017

5/1/2015 Probation Violation

10/18/2017

12/19/2017

5/1/2015 Violation of Dept Order

10/18/2017

12/19/2017

Civil Penalty 5/1/2015 11/1/2015 Alcohol Dependency

4/6/2017 10/6/2017

10/18/2017 4/18/2018

12/19/2017 12/19/2018

5/1/2015 11/1/2015 Failure to File Report-38-1,124,38-1,125

4/6/2017 10/6/2017

10/18/2017 4/18/2018

12/19/2017 12/19/2018

5/1/2015 11/1/2015 Misdemeanor Conviction(s)

4/6/2017 10/6/2017

10/18/2017 4/18/2018

12/19/2017 12/19/2018

5/1/2015 11/1/2015 Misrepresentation of Material Facts

4/6/2017 10/6/2017

10/18/2017 4/18/2018

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Civil Penalty 12/19/2017 12/19/2018 Misrepresentation of Material Facts

5/1/2015 11/1/2015 Probation Violation

4/6/2017 10/6/2017

10/18/2017 4/18/2018

12/19/2017 12/19/2018

5/1/2015 11/1/2015 Violation of Dept Order

4/6/2017 10/6/2017

10/18/2017 4/18/2018

12/19/2017 12/19/2018

Probation 1/7/2015 Alcohol Dependency

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Probation Violation

Violation of Dept Order

Timothy, Deanna L 17172

Mc Cool Junction, NE

Probation 3/8/2010 5/23/2012 Felony Conviction(s)

xReinstatement - Previous Discipline

Tindall, Jennifer Lee 21825

Omaha, NE

Censure 11/14/2017 Failure to Safeguard Clients Diginity

8/28/2018

11/14/2017 Unprofessional Conduct

8/28/2018

11/14/2017 Violation of Dept Order

8/28/2018

Civil Penalty 11/14/2017 11/14/2018 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Violation of Dept Order

Revocation 4/22/2019 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Violation of Dept Order

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Tobiassen, Mary Catherine 19789

Lincoln, NE

Revocation 12/29/2011 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Suspension 5/8/2011 10/17/2011 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Tostenson, Amy Michelle 20632

Omaha, NE

Probation 6/24/2010 4/7/2015 Alcohol Abuse

Misdemeanor Conviction(s)

Trimm, Keith Ray 18731

Fairbury, NE

Censure 3/3/2011 Unprofessional Conduct

Violation of AOC

Turrentine-Sims, Dinah Faye 17079

Lincoln, NE

Revocation 6/20/2011 6/20/2013 xCourt Conviction

Tweedy, Traci Marie 19334

Fremont, NE

Civil Penalty 4/1/2016 10/1/2016 Violation of UCA

Ulrich, Virginia Marie 11839

Omaha, NE

Probation 10/28/2017 10/28/2022 Alcohol Abuse

Misdemeanor Conviction(s)

Unprofessional Conduct

Urbano, Suzana Pilar 18921

Omaha, NE

Probation 12/30/2015 11/30/2017 Misdemeanor Conviction(s)

Violation of UCA

xMind-Altering Substance Abuse

Van Loggerenberg, Malissa Michelle 23567

Beatrice, NE

Censure 2/12/2019 Misappropriation of Resident Property

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

VanDeWalle, Sheila Rae 17523

Doniphan, NE

Censure 2/21/2011 Controlled Substance Dependence

Unprofessional Conduct

VandenBroek, Megan Joy 22033

Omaha, NE

Suspension 2/8/2010 2/8/2011 Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

Vlieger, Tia Irene 21552

Hazard, NE

Censure 10/12/2012 Unprofessional Conduct

Wagoner, Megan Kathleen 21058

Omaha, NE

Probation 4/15/2019 4/15/2023 Alcohol Use Disorder, Severe

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Walker, DeVant Marquis 20963

Omaha, NE

Censure 12/31/2015 Failed to Report Conviction in 30 days

Failure to File Report-38-1,124,38-1,125

Misrepresentation of Material Facts

Violation of AOC

Violation of Dept Order

Civil Penalty 12/31/2016 Failed to Report Conviction in 30 days

Failure to File Report-38-1,124,38-1,125

Misrepresentation of Material Facts

Violation of AOC

Violation of Dept Order

Suspension 6/16/2017 Failed to Report Conviction in 30 days

Failure to File Report-38-1,124,38-1,125

Misrepresentation of Material Facts

Violation of AOC

Violation of Dept Order

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Wallace, Lorri Ann 20148

Omaha, NE

Suspension 9/25/2010 Alcohol Dependency

Controlled Substance Dependence

Failure to Comply With Aftercare

Waltemath, Stephanie Lynn 17784

Holdrege, NE

Censure 6/20/2011 Unprofessional Conduct

xFailure to Conform-Stndrds of Practice

Walters, Andrea Lynn 19299

Lincoln, NE

Civil Penalty 7/1/2015 1/1/2016 Violation of UCA

Walters, Carla Kay 10346

Beatrice, NE

Censure 12/14/2010 Practice Beyond Scope

Unprofessional Conduct

Civil Penalty 6/14/2011 Practice Beyond Scope

Unprofessional Conduct

Ward, Debra Kay 14560

Norfolk, NE

Censure 8/25/2011 Dishonorable Conduct

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Civil Penalty 2/25/2012 Dishonorable Conduct

Failure to Disclose Convictions

Misdemeanor Conviction(s)

Watson, Gena Leigh 22815

ROCA, NE

Probation 5/12/2011 5/12/2016 Alcohol Abuse

Controlled Substance Dependence

Unprofessional Conduct

xFailure to Conform-Stndrds of Practice

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Weise, Jacqueline Dawn 22495

Lincoln, NE

Probation 12/2/2009 12/2/2011 Alcohol Abuse

Misdemeanor Conviction(s)

West, Frances Evelyn 18381

Omaha, NE

Civil Penalty 11/2/2010 5/2/2011 Failure to Keep Adequate Records

Misrepresentation of Material Facts

Unprofessional Conduct

West, Samantha Marie 25915

Beatrice, NE

Probation 4/18/2018 4/18/2020 Misdemeanor Conviction(s)

Substance Use Disorders-Multiple

Whitten, Lynn Ann 6331

Minden, NE

Suspension 12/16/2012 3/15/2013 Failure to File Report-38-1,124,38-1,125

Practice while Impaired

Unprofessional Conduct

Wilcox, Lisa Dawn 20259

Holdrege, NE

Revocation 3/17/2010 Alcohol Abuse

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Probation Violation

Wilhelm, Melissa Jane 16340

Lincoln, NE

Censure 5/9/2014 Failure to File Report-38-1,124,38-1,125

Williams, Deanna Rae 20234

Omaha, NE

Probation 10/7/2014 10/31/2015 Misdemeanor Conviction(s)

4/18/2018 9/25/2018

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Williams, Elizabeth Amber 22079

Omaha, NE

Suspension 2/3/2017 Failure to Comply With Aftercare

Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

xAlcohol Use Disorder - Severe

xCont Substance Use Disorder - Severe

Williams, Pamela Michelle 19187

Omaha, NE

Probation 6/25/2012 2/19/2013 Alcohol Abuse

Controlled Substance Dependence

Misdemeanor Conviction(s)

Probation Violation

Revocation 2/19/2013 Alcohol Abuse

Controlled Substance Dependence

Misdemeanor Conviction(s)

Probation Violation

Williams, Wesley Allan 23440

Omaha, NE

Censure 10/24/2017 Failed to Report Conviction in 30 days

Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Unprofessional Conduct

Violation of Dept Order

Suspension 3/1/2018 3/5/2018 Failed to Report Conviction in 30 days

Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Unprofessional Conduct

Violation of Dept Order

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Willis, LaQuita Marie 22604

Omaha, NE

Censure 7/7/2011 Failure to Pay Fees

1/21/2014

7/7/2011 Probation Violation

1/21/2014

7/7/2011 Unprofessional Conduct

1/21/2014

7/7/2011 Violation of Dept Order

1/21/2014

Civil Penalty 7/7/2011 8/12/2013 Failure to Pay Fees

Probation Violation

Unprofessional Conduct

Violation of Dept Order

Probation 10/22/2012 10/22/2013 Failure to Pay Fees

Probation Violation

Unprofessional Conduct

Violation of Dept Order

Willits, Rebecca Lynne 25323

Omaha, NE

Probation 6/23/2016 6/23/2021 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Severe

Wilson, Jacqueline 16674

Omaha, NE

Censure 8/4/2017 Failed to Report Conviction in 30 days

Failure to File Report-38-1,124,38-1,125

Misrepresentation of Material Facts

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Wood, Pamela Ann 11852

Peetz, CO

Censure 12/1/2011 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Civil Penalty 12/1/2012 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Pet for Adv Act: Nurse Lic Compact filed 11/17/2011 12/1/2011 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Woodard, Joni Michelle 17823

Fairbury, NE

Censure 5/23/2019 Failure to Keep Adequate Records

Unprofessional Conduct

Woodworth, Donna Kastrup 2675

Omaha, NE

Censure 6/20/2011 Failure to Keep Adequate Records

Unprofessional Conduct

xFailure to Conform-Stndrds of Practice

Wright, Patressa Lee 23782

Omaha, NE

Censure 10/31/2014 Unprofessional Conduct

Yearling, Mandy Kay 18397

Alliance, NE

Probation 10/23/2014 10/23/2015 Misdemeanor Conviction(s)

Yoder, Beverli Elizabeth Solterbeck 14446

Lyman, NE

Civil Penalty 11/2/2010 5/2/2011 Misrepresentation of Material Facts

Young, Angela Jean 10293

North Platte, NE

Civil Penalty 11/2/2010 5/2/2011 Misrepresentation of Material Facts

Young, Ellen Marie 6531

Pender, NE

Censure 12/21/2009 Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Licensed Practical Nurse

Zajic, Jessica Lee 18666

Omaha, NE

Probation 10/12/2011 10/12/2016 Alcohol Addiction

Alcohol Dependency

Misdemeanor Conviction(s)

Zegar, Nikki LaRon 16718

Aurora, NE

Revocation 5/12/2011 Dishonorable Conduct

Misdemeanor Conviction(s)

Probation Violation

Unprofessional Conduct

Violation of UCSA

xControlled Substance Addiction/Depndncy

Revocation of Practice Privilege Dishonorable Conduct

Misdemeanor Conviction(s)

Probation Violation

Unprofessional Conduct

Violation of UCSA

xControlled Substance Addiction/Depndncy

RN - Refresher Temporary

Bashara, Karla Lea RNTREF726

Bennington, NE

Probation 12/4/2017 12/22/2017 Alcohol Dependency

Felony Conviction(s)

Misdemeanor Conviction(s)

Violation of Dept Order

Violation of UCSA

Boyer, Teri Marie RNTREF756

Omaha, NE

Probation 12/3/2018 12/18/2018 Violation of UCA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

RN - Refresher Temporary

Brown, Dezeree Lenea RNTREF626

Omaha, NE

Probation 11/18/2013 12/10/2013 Alcohol Dependency

Controlled Substance Dependence

Violation of UCSA

Cornell, Linda Eleanor RNTREF486

Omaha, NE

Probation 4/5/2010 4/30/2010 Probation Violation

Dedic, Anna S RNTREF511

Auburn, NE

Probation 7/26/2010 8/16/2010 Dishonorable Conduct

Unprofessional Conduct

xAlcohol & Chemical Dependence/Addiction

xControlled Substance Addiction

xPractice Impaired by CS

Drelicharz, Alison Jill RNTREF670

Omaha, NE

Probation 11/23/2015 12/22/2015 Unprofessional Conduct

Hartley, Jody Lou RNTREF692

Lincoln, NE

Probation 11/15/2016 1/30/2017 Alcohol Dependency

Misdemeanor Conviction(s)

Johnson, Mandy Jo RNTREF755

Spalding, NE

Probation 12/14/2018 12/16/2018 Misdemeanor Conviction(s)

Substance Use Disorders-Multiple

Violation of UCSA

Lepant, Jane Ellen RNTREF640

Lincoln, NE

Probation 5/23/2014 8/15/2014 Controlled Substance Dependence

Other State Action

Loecker, Jodi Lea RNTREF649

Oneill, NE

Probation 1/2/2015 3/2/2015 Controlled Substance Dependence

Violation of UCSA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

RN - Refresher Temporary

Marcano, Jami Lyn RNTREF580

Lincoln, NE

Probation 6/11/2012 9/7/2012 Dishonorable Conduct

Misrepresentation of Material Facts

Practice while Impaired

Probation Violation

1/9/2013 6/11/2013

6/11/2012 9/7/2012 Unprofessional Conduct

Violation of UCSA

xFailure To File Mandatory Report

Partridge, Roxanna Marie RNTREF735

Fremont, NE

Probation 4/20/2018 4/22/2018 Misdemeanor Conviction(s)

Substance Use Disorders-Multiple

Pollard, Julie Ann RNTREF560

La Vista, NE

Probation 12/7/2011 12/21/2011 Controlled Substance Dependence

Unprofessional Conduct

Violation of UCSA

Salsbury, Julie Marie RNTREF724

Omaha, NE

Probation 12/8/2017 12/10/2017 Misdemeanor Conviction(s)

Substance Use Disorder

Violation of UCSA

Standish, Susan Kay RNTREF779

La Vista, NE

Probation 8/2/2019 8/4/2019 History of Disciplinary Action

Substance Use Disorders-Multiple

Sweeney-Pakiz, Patricia Margaret RNTREF484

Omaha, NE

Limitation-Disciplinary 4/5/2010 4/22/2010 Unprofessional Conduct

RN-Compact Privilege

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

RN-Compact Privilege

Beckstead, Lynne Renee IA-118543

West Des Moines, IA

Pet for Adv Act: Nurse Lic Compact filed 10/2/2014 10/7/2014 Alcohol Abuse

Alcohol Dependency

Emotional Disability

Misappropriation of Resident Property

Unprofessional Conduct

Suspension 10/17/2014 Alcohol Abuse

Alcohol Dependency

Emotional Disability

Misappropriation of Resident Property

Unprofessional Conduct

Breeman, Leah Annette IA-136768

Estherville, IA

Censure 11/14/2017 Unprofessional Conduct

Pet for Adv Act: Nurse Lic Compact filed 10/4/2017 11/14/2017

Carder, Andrea Ellen MO-2003016052

Rock Port, MO

Pet for Adv Act: Nurse Lic Compact filed 10/23/2019 10/29/2019 Failure to File Report-38-1,124,38-1,125

Misappropriation of Resident Property

Misdemeanor Conviction(s)

Unprofessional Conduct

Revocation 10/29/2019 Failure to File Report-38-1,124,38-1,125

Misappropriation of Resident Property

Misdemeanor Conviction(s)

Unprofessional Conduct

Chadwick-Kermeen, Donella Raye IA-099298

Crescent, IA

Censure 9/10/2019 Unprofessional Conduct

Violation of Work Policies & Procedures

Civil Penalty 9/10/2020 Unprofessional Conduct

Violation of Work Policies & Procedures

Pet for Adv Act: Nurse Lic Compact filed 8/19/2019 9/10/2019 Unprofessional Conduct

Violation of Work Policies & Procedures

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

RN-Compact Privilege

Cogdill, Billy Eugene, Jr 144541

Saint Joseph, MO

Censure 4/29/2013 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Violation of Dept Order

Violation of UCSA

Civil Penalty 10/29/2013 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Violation of Dept Order

Violation of UCSA

Pet for Adv Act: Nurse Lic Compact filed 1/17/2013 4/29/2013 Failure to File Report-38-1,124,38-1,125

12/5/2013 3/12/2014

1/17/2013 4/29/2013 Unprofessional Conduct

12/5/2013 3/12/2014

1/17/2013 4/29/2013 Violation of Dept Order

12/5/2013 3/12/2014

1/17/2013 4/29/2013 Violation of UCSA

12/5/2013 3/12/2014

Revocation of Practice Privilege 3/12/2014 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Violation of Dept Order

Violation of UCSA

Dubois, William S IA-088318

Sioux City, IA

Censure 3/7/2017 Unprofessional Conduct

Violation of Dept Order

Pet for Adv Act: Nurse Lic Compact filed 2/23/2017 3/7/2017 Unprofessional Conduct

Violation of Dept Order

Suspension 5/25/2017 7/6/2017 Unprofessional Conduct

Violation of Dept Order

Duncan, Ashly Nicole IA-139374

Council Bluffs, IA

Censure 8/16/2017 Unprofessional Conduct

Pet for Adv Act: Nurse Lic Compact filed 8/14/2017 8/16/2017

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

RN-Compact Privilege

EVEZIC, SUSANNE INGEBORG IA-104207

Council Bluffs, IA

Censure 4/21/2014 Unprofessional Conduct

Pet for Adv Act: Nurse Lic Compact filed 12/20/2013 4/17/2014

Gakou, Hannah J TX-912885

Roanoke, TX

Censure 7/12/2017 Violation of Dept Order

Pet for Adv Act: Nurse Lic Compact filed 7/5/2017 7/12/2017

Suspension 11/14/2017 12/13/2017

Garren, Frankie Jo IA-113019

Cottage Grove, OR

Pet for Adv Act: Nurse Lic Compact filed 2/18/2010 Dishonorable Conduct

Unprofessional Conduct

Revocation 3/3/2010 Dishonorable Conduct

Unprofessional Conduct

Gordon, Robin IA-115618

Sioux City, IA

Pet for Adv Act: Nurse Lic Compact filed 6/7/2010 3/17/2011 Unprofessional Conduct

Revocation 3/17/2011

Hagan, Patricia Kay CO-129248

Grant, NE

Pet for Adv Act: Nurse Lic Compact filed 1/26/2015 1/28/2015 Failure to Keep Adequate Records

Falsify Patient Records

Unprofessional Conduct

Hamill, Vanessa Marie 111603

McClelland, IA

Pet for Adv Act: Nurse Lic Compact filed 5/10/2013 Dishonorable Conduct

Misappropriation of Resident Property

Unprofessional Conduct

Violation of UCSA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

RN-Compact Privilege

Hill, Breanna Marie IA-128312

Omaha, NE

Pet for Adv Act: Nurse Lic Compact filed 8/24/2016 10/5/2016 Failure to File Report-38-1,124,38-1,125

Practice while Impaired

Substance Use Disorder, Severe

Unprofessional Conduct

Revocation 10/5/2016 Failure to File Report-38-1,124,38-1,125

Practice while Impaired

Substance Use Disorder, Severe

Unprofessional Conduct

Kindvall, Carol Ann VA-0001142137

Sioux Falls, SD

Pet for Adv Act: Nurse Lic Compact filed 6/29/2015 7/22/2015 Dishonorable Conduct

Misappropriation of Resident Property

Practice while Impaired

Unprofessional Conduct

Violation of UCSA

Revocation 7/22/2015 Dishonorable Conduct

Misappropriation of Resident Property

Practice while Impaired

Unprofessional Conduct

Violation of UCSA

Suspension 6/30/2015 7/22/2015 Dishonorable Conduct

Misappropriation of Resident Property

Practice while Impaired

Unprofessional Conduct

Violation of UCSA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

RN-Compact Privilege

Kollbaum, James IA-122414

Sioux City, IA

Pet for Adv Act: Nurse Lic Compact filed 4/5/2017 4/26/2017 Dishonorable Conduct

Practice while Impaired

Unprofessional Conduct

Violation of UCSA

Revocation 5/2/2017 Dishonorable Conduct

Practice while Impaired

Unprofessional Conduct

Violation of UCSA

Lanham, Rachelle Renee KY-1094678

Owensboro, KY

Pet for Adv Act: Nurse Lic Compact filed 7/28/2017 8/10/2017 Unprofessional Conduct

Revocation 8/10/2017

Larsen, Bradley Scot IA-110862

Sioux City, IA

Suspension 4/4/2015 Alcohol Dependency

Controlled Substance Dependence

Dishonorable Conduct

Misappropriation of Resident Property

Unprofessional Conduct

Mattes, Andrew John IA-137299

Council Bluffs, IA

Pet for Adv Act: Nurse Lic Compact filed 5/12/2017 5/29/2017 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Severe

Probation 6/8/2017 1/30/2019 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Severe

McNeil, Dawn Marie IA-118745

Council Bluffs, IA

Pet for Adv Act: Nurse Lic Compact filed 5/20/2013 10/18/2013 Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

Probation 10/24/2013 10/24/2015 Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

RN-Compact Privilege

Reese, Jenny Rena IA-100658

Council Bluffs, IA

Revocation 1/24/2014 Alcohol Dependency

Saunders, Joann WI-83482

Scottsbluff, NE

Censure 1/31/2013 Unprofessional Conduct

Violation of UCSA

Pet for Adv Act: Nurse Lic Compact filed 6/6/2012 1/31/2013 Unprofessional Conduct

Violation of UCSA

Schneider, Erin 117608

Omaha, NE

Revocation 11/5/2013 11/5/2015 Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

Sims, Amber Jo IA-118634

Council Bluffs, IA

Censure 5/26/2011 Failure to Keep Adequate Records

Unprofessional Conduct

Pet for Adv Act: Nurse Lic Compact filed 8/26/2010 5/26/2011 Failure to Keep Adequate Records

Unprofessional Conduct

Sockrider, Amanda Leann IA-098847

Council Bluffs, IA

Censure 12/31/2015 Practice Beyond Scope

Unprofessional Conduct

Pet for Adv Act: Nurse Lic Compact filed 11/20/2015 12/31/2015 Practice Beyond Scope

Unprofessional Conduct

White, Heather Elizabeth IA-117505

Hamburg, IA

Censure 3/14/2017 Unprofessional Conduct

Pet for Adv Act: Nurse Lic Compact filed 3/13/2017 3/14/2017

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Page 395 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

RN-Compact Privilege

Wood, Patricia IA-083134

Sioux City, IA

Censure 5/29/2014 Practice Beyond Scope

Unprofessional Conduct

Pet for Adv Act: Nurse Lic Compact filed 5/16/2014 5/29/2014 Practice Beyond Scope

Unprofessional Conduct

Registered Nurse

Aherns, Nancy Anne 55397

Elkhorn, NE

Censure 4/5/2019 Failure to Keep Adequate Records

Unprofessional Conduct

Allen, Lisa Kay 69180

Wayne, NE

Censure 12/4/2009 Unprofessional Conduct

Allison, Kelly Kay 51384

Hay Springs, NE

Censure 3/3/2011 Failure to Keep Adequate Records

Misappropriation of Resident Property

Probation Violation

Unprofessional Conduct

Probation 3/13/2011 9/22/2011 Failure to Keep Adequate Records

Misappropriation of Resident Property

Probation Violation

Unprofessional Conduct

Suspension 9/22/2011 6/13/2014 Failure to Keep Adequate Records

Misappropriation of Resident Property

Probation Violation

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Alm, Shelly Lynn 65499

Beatrice, NE

Probation 12/14/2010 12/14/2015 Alcohol Dependency

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Unprofessional Conduct

Suspension 4/11/2010 12/14/2010 Alcohol Dependency

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Unprofessional Conduct

Alred, Roxie Idell 34151

Omaha, NE

Censure 10/27/2011 Unprofessional Conduct

Althaus, Margaret Sara 60116

Omaha, NE

Probation 9/13/2010 9/13/2014 Other State Action

xAlcohol & Controlled Substance Dependen

Amenta, Michael A 60132

Omaha, NE

Probation 9/17/2010 9/17/2014 Controlled Substance Dependence

Dishonorable Conduct

Practice while Impaired

Unprofessional Conduct

Violation of UCSA

Amouzou, Koffi 77254

Omaha, NE

Censure 6/2/2017 Failure to Keep Adequate Records

Falsify Patient Records

Unprofessional Conduct

Andrews, Crystal Anne 69478

Fremont, NE

Civil Penalty 5/12/2016 11/12/2016 Violation of UCA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Antillon, Kristine Dawn 67474

Grand Island, NE

Probation 3/12/2017 3/15/2017 Dishonorable Conduct

Failure to Keep Adequate Records

Unprofessional Conduct

Violation of UCSA

xCont Substance Use Disorder - Severe

Suspension Dishonorable Conduct

Failure to Keep Adequate Records

Unprofessional Conduct

Violation of UCSA

xCont Substance Use Disorder - Severe

Aragon, Emily Marie 80934

Fountain, CO

Probation 12/11/2015 12/11/2016 Misdemeanor Conviction(s)

Arehart, Janitta Marie 52705

Franklin, NE

Probation 2/21/2010 4/12/2010 Negligent Conduct

Unprofessional Conduct

Arkfeld, Stacy Lynn 53753

Lincoln, NE

Probation 11/28/2015 11/28/2020 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Severe

Awalt, Robin Lynn 47024

Omaha, NE

Probation 6/20/2011 6/20/2012 Alcohol Abuse

Misdemeanor Conviction(s)

Ayala, Melissa Marie 61206

Omaha, NE

Suspension 10/5/2014 11/3/2014 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Falsify Patient Records

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Bagby, Alan Dale 81261

Hyde Park, VT

Probation 1/19/2016 8/5/2019 Other State Action

Bagley, JoAnn Frazier 62146

Omaha, NE

Censure 4/8/2014 Practice Beyond Scope

Unprofessional Conduct

Baker, Jay Kevin 68592

Plattsmouth, NE

Revocation 8/11/2011 Controlled Substance Dependence

Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

Baker, Kevin Wayne 52284

Elkhorn, NE

Probation 10/4/2017 10/4/2018 Alcohol Abuse

Controlled Substance Abuse

Misdemeanor Conviction(s)

Bare, Bret Allen 47981

Lincoln, NE

Suspension 5/5/2013 5/5/2014 Controlled Substance Dependence

Dishonorable Conduct

Misappropriation of Resident Property

Unprofessional Conduct

Violation of UCSA

Bashara, Karla Lea 52668

Bennington, NE

Probation 12/27/2017 12/8/2022 Alcohol Dependency

Felony Conviction(s)

Misdemeanor Conviction(s)

Violation of Dept Order

Violation of UCSA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Baxa, Michelle Renae 52839

Nebraska City, NE

Probation 10/14/2017 10/14/2022 Controlled Substance Abuse

Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

Bayless, James Lawrence 63858

Lincoln, NE

Civil Penalty 10/23/2014 4/23/2015 Misrepresentation of Material Facts

Unprofessional Conduct

Bean, Nicholette Kay 57100

Gothenburg, NE

Censure 4/11/2017 Failure to Keep Adequate Records

Falsify Patient Records

Unprofessional Conduct

Beatty, Kristen Pauline 69962

Omaha, NE

Censure 11/28/2017 Failure to Keep Adequate Records

Unprofessional Conduct

Becker, Malissa Marie 74122

norfolk, NE

Probation 6/4/2012 6/4/2014 Alcohol Abuse

Misdemeanor Conviction(s)

Behrens, Corrine Gayle 53604

Fort Calhoun, NE

Censure 11/21/2017 Misrepresentation of Material Facts

Unprofessional Conduct

Bengier, Julia Ann 44220

Omaha, NE

Limitation-Disciplinary 4/4/2019 Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Suspension 11/30/2018 4/4/2019 Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Benson, Christin Lyn 56940

Wahoo, NE

Censure 12/4/2009 Misdemeanor Conviction(s)

Probation Violation

Violation of UCSA

xHabitual Intoxication

Civil Penalty 6/4/2010 Misdemeanor Conviction(s)

Probation Violation

Violation of UCSA

xHabitual Intoxication

Probation 12/4/2018 12/4/2023 Felony Conviction(s)

Misdemeanor Conviction(s)

Substance Use Disorder

Suspension 7/22/2017 Alcohol Abuse

Felony Conviction(s)

Misdemeanor Conviction(s)

Benstead, Joslyn Jill 60664

Concord, NE

Probation 11/19/2014 11/6/2015 Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Betts, Audra Lynn 63213

Omaha, NE

Probation 11/2/2010 12/18/2011 Alcohol Dependency

Misdemeanor Conviction(s)

Practice while Impaired

Probation Violation

Unprofessional Conduct

Suspension 9/3/2010 11/2/2010 Alcohol Dependency

Misdemeanor Conviction(s)

Practice while Impaired

Probation Violation

Unprofessional Conduct

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Page 401 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Biel, Lauren Christine 68816

Omaha, NE

Probation 7/24/2014 7/24/2019 Controlled Substance Dependence

Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

Suspension 1/27/2013 1/27/2014 Controlled Substance Dependence

Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

Bigsby, Shanna Leigh 49117

Eagle, NE

Civil Penalty 3/24/2016 9/24/2016 Violation of UCA

Binder, Jessica Elizabeth 76675

Falls City, NE

Probation 8/15/2013 8/15/2018 Alcohol Dependency

Misdemeanor Conviction(s)

Blanchard, LaTisha Michelle 62433

Saint Augustine, FL

Suspension 12/31/2009 8/31/2010 Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Violation of UCSA

Blankenau, Cynthia S 58802

Lincoln, NE

Probation 10/19/2009 10/19/2012 xReinstatement - Previous Discipline

Blaylock, Maureen E 53798

Omaha, NE

Censure 10/23/2009 Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Blome-Weibel, Stephanie Lynn 65744

Abilene, KS

Probation 5/10/2012 5/10/2017 Alcohol Addiction

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

xControlled Substance Addiction

xFailure to Conform-Stndrds of Practice

Suspension 10/19/2010 5/10/2012 Alcohol Addiction

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

xControlled Substance Addiction

xFailure to Conform-Stndrds of Practice

Boltinghouse, Brianne Lee 77409

Ankeny, IA

Probation 2/13/2014 2/13/2015 Alcohol Abuse

Misdemeanor Conviction(s)

Bopp, Nancy Elizabeth 29894

Ogallala, NE

Censure 2/11/2010 Unprofessional Conduct

Borman, Melissa Renae 51861

Lincoln, NE

Censure 5/31/2018 Unprofessional Conduct

Boswell, Heather Michelle 76846

Leon, IA

Probation 11/29/2014 10/31/2016 Controlled Substance Abuse

Boyer, Teri Marie 55108

Omaha, NE

Probation 12/18/2018 12/18/2020 Violation of UCSA

Boyles, Kelley Dawn 50288

Friend, NE

Censure 3/3/2010 Failure to File Report-38-1,124,38-1,125

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Brandt, Melissa Jo 73268

Goodland, KS

Petition for Disp Action & Temp Susp 9/21/2012 1/3/2013 Controlled Substance Dependence

Suspension 1/3/2013 1/3/2014

Temporary Suspension 10/4/2012 1/2/2013

Bratetic, Cash Gene 83210

South Sioux City, NE

Probation 12/2/2016 12/2/2018 Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

xAlcohol Use Disorder - Mild

Brenneman, Thomas Dean 48425

Norfolk, NE

Probation 11/20/2013 11/20/2018 Controlled Substance Dependence

Practice while Impaired

Unprofessional Conduct

Violation of UCSA

Brewer, Brent Daniel 82865

Denver, CO

Censure 6/5/2018 Unprofessional Conduct

Brewer, Kallie Jean 66405

Lincoln, NE

Probation 10/2/2017 3/4/2019 Controlled Substance Abuse

Misdemeanor Conviction(s)

Brewer-McAfee, Nicole Marie 57488

Falls City, NE

Limitation-Disciplinary 11/2/2010 Negligent Conduct

Unprofessional Conduct

Bridges, Kimberly Sue 62437

Burwell, NE

Suspension 3/5/2018 Misdemeanor Conviction(s)

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Bronson, Tiffany Marvin 54226

Gretna, NE

Censure 8/7/2013 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Civil Penalty 8/7/2014 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Brown, Dezeree Lenea 58417

Omaha, NE

Probation 12/10/2013 12/10/2018 Alcohol Dependency

Controlled Substance Dependence

Dishonorable Conduct

Practice while Impaired

Unprofessional Conduct

Violation of UCSA

xAlcohol & Chemical Dependence/Addiction

Bruckner, Kenneth Claude 38823

Gering, NE

Censure 4/28/2011 Practice Beyond Scope

Unprofessional Conduct

Brugger, Cynthia Marie 39671

Omaha, NE

Probation 3/20/2013 3/20/2018 Alcohol Abuse

Controlled Substance Dependence

Failure to File Report-38-1,124,38-1,125

Practice while Impaired

Unprofessional Conduct

Violation of UCSA

Suspension 4/18/2010 3/20/2013 Alcohol Abuse

Failure to Comply With Aftercare

Failure to File Report-38-1,124,38-1,125

Practice while Impaired

Unprofessional Conduct

Violation of UCSA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Bruhn, Nicholle Shalene 65301

Elkhorn, NE

Censure 6/28/2010 Practice Beyond Scope

Unprofessional Conduct

Civil Penalty 12/28/2010 Practice Beyond Scope

Unprofessional Conduct

Buchholtz, Vicki Beth 48433

Fremont, NE

Censure 1/26/2012 Unprofessional Conduct

Budke, Meagan Kristine 74055

Lincoln, NE

Probation 4/26/2014 6/26/2015 Failure to File Report-38-1,124,38-1,125

Pattern of Negligence

Unprofessional Conduct

Bullington, Lena Jean 63172

Omaha, NE

Suspension 10/15/2011 10/15/2012 Alcohol Addiction

Alcohol Dependency

Practice while Impaired

Unprofessional Conduct

Burival, Janel Danette 74689

Norfolk, NE

Revocation 2/4/2018 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Falsify Patient Records

Misrepresentation of Material Facts

Pattern of Incompentence

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Burns, Angela Jo 63280

Bellevue, NE

Probation 10/12/2011 2/7/2013 Controlled Substance Abuse

Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Felony Conviction(s)

Obtained Drug Unlawfully

Prescribing CS to Oneself

Probation Violation

Violation of UCSA

Revocation 2/7/2013 Controlled Substance Abuse

Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Felony Conviction(s)

Obtained Drug Unlawfully

Prescribing CS to Oneself

Probation Violation

Violation of UCSA

Suspension 10/12/2011 11/11/2011 Controlled Substance Abuse

Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Felony Conviction(s)

Obtained Drug Unlawfully

Prescribing CS to Oneself

Probation Violation

Violation of UCSA

Burris, Karla Sue 52617

Omaha, NE

Suspension 10/1/2015 10/30/2015 Unprofessional Conduct

Burrus, Bennett Todd 30946

Omaha, NE

Censure 7/27/2012 Practice Beyond Scope

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Burton, Douglas Dean 46971

Hallam, NE

Censure 7/26/2012 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Civil Penalty 7/26/2013 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Buttner, Kristin Jean 73489

Waterloo, NE

Probation 10/31/2015 7/4/2019 Alcohol Dependency

Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation Violation

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Violation of UCA

Revocation 7/4/2019 Alcohol Dependency

Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation Violation

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Violation of UCA

Buxton, Crystal Nicole 55025

Lincoln, NE

Censure 8/28/2018 Unprofessional Conduct

Civil Penalty 2/28/2019

Camp, Meghan Marie 67873

Bellevue, NE

Probation 3/13/2010 4/5/2012 Negligent Conduct

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Carey, Michele Marie 48440

Grand Island, NE

Censure 5/1/2015 Failure to File Report-38-1,124,38-1,125

Practice Beyond Scope

Unprofessional Conduct

Civil Penalty 11/1/2015 Failure to File Report-38-1,124,38-1,125

Practice Beyond Scope

Unprofessional Conduct

Carl, Annika Lynn 68145

Omaha, NE

Probation 5/7/2015 5/7/2020 Alcohol Dependency

Practice while Impaired

xAlcohol Use Disorder - Severe

Carroll, Michael Scott 68727

Cheyenne, WY

Revocation 8/24/2010 Felony Conviction(s)

xCriminal Conviction(s)

Carstens, Brenda Lynn 49171

Kearney, NE

Suspension 7/13/2014 10/13/2014 Failure to Keep Adequate Records

Unprofessional Conduct

Casperson, Angela Mae 75149

Norfolk, NE

Revocation 11/24/2017 Controlled Substance Abuse

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Unprofessional Conduct

Caverzagie, Joseph Adam 73186

COLUMBUS, OH

Probation 8/26/2017 Controlled Substance Dependence

Misdemeanor Conviction(s)

Violation of UCSA

Chadwick, Tiffany Susan 77935

La Vista, NE

Probation 6/20/2014 6/20/2015 Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Chandler, Tracy Lyn 67233

Gansevoort, NY

Revocation 4/20/2010 Failure to File Report-38-1,124,38-1,125

Chase, Raymond Russell 71760

Papillion, NE

Censure 2/28/2013 Alcohol Abuse

Failure to Keep Adequate Records

Falsify Patient Records

Misdemeanor Conviction(s)

Unprofessional Conduct

Probation 6/1/2012 6/1/2015 Alcohol Abuse

3/7/2017 3/7/2022 Alcohol Dependency

6/1/2012 6/1/2015 Failure to Keep Adequate Records

Falsify Patient Records

3/7/2017 3/7/2022 Felony Conviction(s)

6/1/2012 6/1/2015 Misdemeanor Conviction(s)

3/7/2017 3/7/2022

6/1/2012 6/1/2015 Unprofessional Conduct

Revocation 12/16/2013 3/6/2017 Alcohol Abuse

Failure to Keep Adequate Records

Falsify Patient Records

Misdemeanor Conviction(s)

Unprofessional Conduct

Suspension 3/10/2013 4/8/2013 Alcohol Abuse

Failure to Keep Adequate Records

Falsify Patient Records

Misdemeanor Conviction(s)

Unprofessional Conduct

Childe, Nancy Lea 66688

Bennet, NE

Censure 9/22/2011 Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Christensen, Kari Kay 56249

Hoskins, NE

Probation 3/3/2011 Practice while Impaired

Suspension 1/30/2010 3/3/2011

Christensen, Rosemarie Theresa 43975

Bennington, NE

Censure 12/21/2009 Practice Beyond Scope

Unprofessional Conduct

Civil Penalty 6/19/2010 Practice Beyond Scope

Unprofessional Conduct

Chunn, Deborah D 34160

Omaha, NE

Censure 9/22/2011 Unprofessional Conduct

Church, Robin Michelle 77365

York, NE

Probation 2/6/2014 4/19/2016 Alcohol Abuse

Misrepresentation of Material Facts

Clary, James Marshall 89563

Lincoln, NE

Probation 7/19/2019 7/19/2020 Other State Action

Clawson, Julie Karass 69586

Hastings, NE

Probation 6/8/2019 6/8/2023 Dishonorable Conduct

Misappropriation of Resident Property

Substance Use Disorder, Severe

Unprofessional Conduct

Violation of UCSA

Clay, Sundae Dawn 68307

Cheyenne, WY

Suspension 5/15/2014 10/9/2014 Failure to Keep Adequate Records

7/29/2014

5/15/2014 10/9/2014 Unprofessional Conduct

7/29/2014

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Clouatre, Kimberly Jan 40196

North Platte, NE

Probation 7/12/2012 7/12/2017 Alcohol Dependency

Controlled Substance Dependence

Dishonorable Conduct

Immoral Conduct

Practice Fraudulently

xUnlawful Invasion of Medical Practice

xWillful ULL Violation

Suspension 7/23/2010 Practice while Impaired

Unprofessional Conduct

xAlcohol & Chemical Dependence/Addiction

Coen, Shawna Lea 79428

North Platte, NE

Censure 3/5/2018 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Cogdill, Billy Eugene, Jr 69232

Saint Joseph, MO

Censure 11/10/2011 Failure to Keep Adequate Records

Unprofessional Conduct

Collins, Laura Louise 49268

Odessa, TX

Revocation 7/22/2017 Failed to Report Conviction in 30 days

Failure to File Report-38-1,124,38-1,125

Misrepresentation of Material Facts

Other State Action

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Conner, Bonnie Lou 63815

Amherst, NE

Censure 3/30/2017 Probation Violation

Unprofessional Conduct

xCont Substance Use Disorder - Moderate

Civil Penalty 9/30/2017 Probation Violation

Unprofessional Conduct

xCont Substance Use Disorder - Moderate

Probation 11/28/2015 11/28/2021 Probation Violation

Unprofessional Conduct

xCont Substance Use Disorder - Moderate

Revocation 7/1/2018 Probation Violation

Unprofessional Conduct

xCont Substance Use Disorder - Moderate

Cook, Elizabeth Kay 60804

Brady, NE

Probation 9/20/2019 9/20/2021 Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Misrepresentation of Material Facts

Practice while Impaired

Unprofessional Conduct

Violation of Work Policies & Procedures

Cool, Jeanne Anne 50071

Omaha, NE

Civil Penalty 12/12/2013 6/12/2014 Misrepresentation of Material Facts

Coop, Courtney Rachel 78354

Oak Creek, CO

Revocation 4/15/2019 Dishonorable Conduct

Failed to Report Conviction in 30 days

Failure to File Report-38-1,124,38-1,125

Misappropriation of Resident Property

Unprofessional Conduct

Violation of UCSA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Corlett, Chelsey Gail 72507

Lincoln, NE

Censure 7/12/2016 Misappropriation of Resident Property

Practice Beyond Scope

Unprofessional Conduct

Cornell, Linda Eleanor 37848

Omaha, NE

Probation 9/30/2013 Alcohol Dependency

Controlled Substance Dependence

5/4/2010 2/20/2011 Probation Violation

Suspension 2/21/2011 2/21/2012

Courson, Steven Ray 72288

Omaha, NE

Probation 5/3/2011 Controlled Substance Dependence

Probation Violation

Unprofessional Conduct

Violation of UCSA

xHabitual Intoxication

Cox, Ashlee Lynn 72567

Grand Island, NE

Censure 9/14/2017 Dishonorable Conduct

Unprofessional Conduct

Cramer, Cynthia Denise 69149

Scottsbluff, NE

Probation 1/24/2013 6/18/2014 Dishonorable Conduct

Felony Conviction(s)

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Creekmore, Lindsey Rochelle 69665

Council Bluffs, IA

Probation 7/24/2014 7/24/2016 Failure to Keep Adequate Records

Falsify Patient Records

Negligent Conduct

Permitting Aiding & Abetting

Unprofessional Conduct

Violation of UCA

Suspension 9/21/2014 Failure to Keep Adequate Records

Falsify Patient Records

Negligent Conduct

Permitting Aiding & Abetting

Unprofessional Conduct

Violation of UCA

Cully, Julie Kaye 50165

Columbus, NE

Probation 3/14/2015 3/14/2016 Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Cunningham, Samantha Marie 67319

Omaha, NE

Censure 9/15/2010 Unprofessional Conduct

Daniels, Cynthia Renee 60111

Council Bluffs, IA

Censure 7/7/2011 Alcohol Dependency

Failure to Comply With Aftercare

Probation Violation

Civil Penalty 7/7/2012 Alcohol Dependency

Failure to Comply With Aftercare

Probation Violation

Probation 9/3/2010 5/10/2012 Alcohol Dependency

Failure to Comply With Aftercare

Probation Violation

Suspension 5/20/2012 8/18/2012 Alcohol Dependency

Failure to Comply With Aftercare

Probation Violation

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Daniels, Kathy Elizabeth 50151

Leshara, NE

Censure 1/4/2011 Unprofessional Conduct

Violation of UCSA

xFailure To File Mandatory Report

Probation 1/4/2012 Unprofessional Conduct

Violation of UCSA

xFailure To File Mandatory Report

Davidson, Cynthia Elaine 69227

Omaha, NE

Censure 3/31/2011 Failure to Keep Adequate Records

Negligent Conduct

Unprofessional Conduct

xFailure to Conform-Stndrds of Practice

Limitation-Disciplinary Failure to Keep Adequate Records

Negligent Conduct

Unprofessional Conduct

xFailure to Conform-Stndrds of Practice

Revocation 7/5/2012 Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Immoral Conduct

Davis, Ashley Jean 76159

Grand Island, NE

Probation 5/11/2017 8/22/2019 Controlled Substance Dependence

Violation of UCSA

Suspension 10/20/2015 5/11/2017 Dishonorable Conduct

Unprofessional Conduct

Davis, Marilois R 61854

Lincoln, NE

Suspension 6/23/2013 9/20/2013 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Practice while Impaired

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

De Velasco, Teresa Lynne 80809

Omaha, NE

Revocation 7/22/2016 Dishonorable Conduct

Practice while Impaired

Unprofessional Conduct

Violation of UCSA

xCont Substance Use Disorder - Severe

DeWitt, Ellen Kathryn 79535

Papillion, NE

Probation 5/12/2018 5/12/2022 Dishonorable Conduct

Misappropriation of Resident Property

Substance Use Disorder, Severe

Unprofessional Conduct

Violation of UCSA

Dedic, Anna S 53905

Auburn, NE

Censure 2/9/2012 Probation Violation

xAlcohol & Chemical Dependence/Addiction

Civil Penalty 8/9/2012 Probation Violation

xAlcohol & Chemical Dependence/Addiction

Probation 8/16/2010 12/13/2016 Controlled Substance Dependence

Dengel, Kayla Lee 68137

Omaha, NE

Censure 10/14/2010 Unprofessional Conduct

Dentlinger, Jeri Lynn 58304

Omaha, NE

Probation 10/14/2010 10/14/2011 Alcohol Abuse

xCourt Conviction

xFailure To File Mandatory Report

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Denton, Patrick Dean 58721

Omaha, NE

Censure 8/28/2012 Failure to Keep Adequate Records

Falsify Patient Records

Practice Beyond Scope

Civil Penalty 8/28/2013 Failure to Keep Adequate Records

Falsify Patient Records

Practice Beyond Scope

Dewing, Kelly Michelle 64296

Eagle, NE

Censure 3/11/2019 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Violation of Work Policies & Procedures

Civil Penalty 9/11/2019 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Violation of Work Policies & Procedures

Dickmeyer, Heidi Ann 50980

Omaha, NE

Censure 8/10/2017 Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Dillenburg, Corri Sue 63528

Nickerson, NE

Censure 12/19/2013 Alcohol Dependency

12/17/2014

12/19/2013 Misdemeanor Conviction(s)

12/17/2014

12/19/2013 Probation Violation

12/17/2014

Civil Penalty 12/19/2013 6/19/2014 Alcohol Dependency

12/17/2014 6/17/2015

12/19/2013 6/19/2014 Misdemeanor Conviction(s)

12/17/2014 6/17/2015

12/19/2013 6/19/2014 Probation Violation

12/17/2014 6/17/2015

Probation 6/13/2013 6/13/2018 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Dilley, Laura Marie 62134

Giltner, NE

Revocation 1/13/2017 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Practice Beyond Scope

Unprofessional Conduct

Violation of AOC

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Dilocker, Lori Jane 41935

Omaha, NE

Suspension 10/2/2011 11/1/2011 Failure to File Report-38-1,124,38-1,125

1/10/2012 3/16/2012

6/17/2013

10/2/2011 11/1/2011 Failure to Keep Adequate Records

1/10/2012 3/16/2012

6/17/2013

10/2/2011 11/1/2011 Unprofessional Conduct

1/10/2012 3/16/2012

6/17/2013

10/2/2011 11/1/2011 Violation of Dept Order

1/10/2012 3/16/2012

6/17/2013

Distefano, Jennifer Grace 62082

Omaha, NE

Civil Penalty 1/10/2014 7/10/2014 Misrepresentation of Material Facts

Ditzler, Cheila Marie 64412

Lincoln, NE

Censure 1/4/2011 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Civil Penalty 7/4/2011 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Probation 1/14/2011 1/14/2013 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Dolezal, Joan Eileen 47429

Omaha, NE

Censure 6/28/2010 Probation Violation

Unprofessional Conduct

Civil Penalty 6/28/2011 Probation Violation

Unprofessional Conduct

Donovan, Patricia Annette 45272

Omaha, NE

Censure 4/6/2018 Practice Beyond Scope

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Dorn, Suzanne Marie 50227

Cortland, NE

Suspension 6/8/2014 6/8/2015 Controlled Substance Dependence

Dishonorable Conduct

Misappropriation of Resident Property

Violation of UCSA

Douglas, Dallas Lee 73248

Hastings, NE

Revocation 3/11/2018 Dishonorable Conduct

Felony Conviction(s)

Misappropriation of Resident Property

Substance Use Disorder

Unprofessional Conduct

Violation of UCSA

Drelicharz, Alison Jill 69371

Omaha, NE

Probation 7/28/2014 8/26/2020 Unprofessional Conduct

xMind-Altering Substance Dependence

Revocation 12/14/2010 Unprofessional Conduct

Dull, Judith Carol 37820

Omaha, NE

Suspension 7/23/2010 2/21/2011 Dishonorable Conduct

Misdemeanor Conviction(s)

Unprofessional Conduct

Dumond, Dorinda Rose 61965

Bellevue, NE

Suspension 12/12/2013 Controlled Substance Abuse

Dishonorable Conduct

Practice while Impaired

Unprofessional Conduct

Violation of UCSA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Duncan, Haley Marie 70685

Stromsburg, NE

Censure 8/10/2017 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Violation of Dept Order

Civil Penalty 8/10/2018 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Violation of Dept Order

Suspension 12/5/2017 12/19/2017 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Violation of Dept Order

Dunning, Abigail F 63580

Omaha, NE

Probation 1/6/2017 1/6/2022 Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

xAlcohol Use Disorder - Severe

Durre, Donley Allison 75755

Lincoln, NE

Censure 8/21/2013 Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation Violation

Unprofessional Conduct

xAlcohol & Chemical Dependence/Addiction

Civil Penalty 2/21/2014 Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation Violation

Unprofessional Conduct

xAlcohol & Chemical Dependence/Addiction

Probation 4/2/2013 4/2/2018 Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation Violation

Unprofessional Conduct

xAlcohol & Chemical Dependence/Addiction

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Dyer, Pamela Kay 71614

Lincoln, NE

Probation 5/25/2013 Failure to Keep Adequate Records

Pattern of Negligence

Unprofessional Conduct

Suspension 6/23/2013 Failure to Keep Adequate Records

Pattern of Negligence

Unprofessional Conduct

Ebsen, Jessica Ann 70835

Papillion, NE

Probation 5/21/2017 5/21/2022 Dishonorable Conduct

Practice while Impaired

Violation of UCSA

xCont Substance Use Disorder - Moderate

Effle-Meyer, Kathy Jo 51815

Tilden, NE

Probation 6/28/2010 6/28/2015 Unprofessional Conduct

xAlcohol & Chemical Dependence/Addiction

Eisenmann, Leslie Jean 53479

Madison, NE

Censure 3/31/2010 Unprofessional Conduct

Elliott, Sheryl Ann 32343

Omaha, NE

Probation 12/19/2013 12/19/2018 Controlled Substance Dependence

Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

Suspension 2/17/2014 Controlled Substance Dependence

Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Ellis, Cristina Lynn 69789

Kearney, NE

Probation 3/13/2014 3/13/2017 Controlled Substance Dependence

Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

Suspension 2/21/2011 2/21/2012 Controlled Substance Dependence

Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

xFailure to Conform-Stndrds of Practice

Emken, Trina JoAnn 54104

Grand Island, NE

Probation 7/12/2017 Substance Use Disorders-Multiple

Violation of UCSA

Suspension 9/5/2016 7/12/2017 Unprofessional Conduct

Violation of UCSA

xAlcohol Use Disorder - Severe

xCont Substance Use Disorder - Moderate

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Esch, Nancy Ann 60825

Spalding, NE

Censure 7/22/2015 Controlled Substance Dependence

Dishonorable Conduct

Probation Violation

Violation of UCA

Civil Penalty 1/22/2016 Controlled Substance Dependence

Dishonorable Conduct

Probation Violation

Violation of UCA

Probation 4/30/2013 6/8/2018 Controlled Substance Dependence

Dishonorable Conduct

Probation Violation

Violation of UCA

Suspension 9/28/2011 9/28/2012 Controlled Substance Dependence

Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

Espinoza, Nicole Juree 73724

Lincoln, NE

Censure 6/8/2015 Misdemeanor Conviction(s)

Falter, Todd Alan 67109

Omaha, NE

Censure 3/5/2018 Misdemeanor Conviction(s)

Civil Penalty 9/5/2018

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Feddeler, Samantha Morgan 66412

Plattsmouth, NE

Censure 5/21/2010 Dishonorable Conduct

Misappropriation of Resident Property

Unprofessional Conduct

Violation of UCSA

xAlcohol Use Disorder - Severe

xCont Substance Use Disorder - Mild

Probation 2/6/2018 2/6/2023 Misdemeanor Conviction(s)

Substance Use Disorder

Violation of UCSA

Suspension 10/15/2016 2/5/2018 Dishonorable Conduct

Misappropriation of Resident Property

Unprofessional Conduct

Violation of UCSA

xAlcohol Use Disorder - Severe

xCont Substance Use Disorder - Mild

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Finch, Mary Elizabeth 42171

Fremont, NE

Censure 10/21/2015 Alcohol Dependency

2/19/2019

10/21/2015 Failure to Comply With Aftercare

2/19/2019

10/21/2015 Misdemeanor Conviction(s)

2/19/2019

10/21/2015 Probation Violation

2/19/2019

Civil Penalty 10/21/2015 4/21/2016 Alcohol Dependency

2/19/2019 2/19/2020

10/21/2015 4/21/2016 Failure to Comply With Aftercare

2/19/2019 2/19/2020

10/21/2015 4/21/2016 Misdemeanor Conviction(s)

2/19/2019 2/19/2020

10/21/2015 4/21/2016 Probation Violation

2/19/2019 2/19/2020

Probation 4/9/2015 4/9/2021 Alcohol Dependency

Failure to Comply With Aftercare

Misdemeanor Conviction(s)

Probation Violation

Fischer, Jennifer Kay 52686

Omaha, NE

Probation 6/30/2015 Alcohol Dependency

Misdemeanor Conviction(s)

Violation of UCA

Violation of UCSA

Suspension 2/22/2014 2/22/2015 Alcohol Dependency

Misdemeanor Conviction(s)

Violation of UCA

Violation of UCSA

Fischer, Jolene Marie 55103

Grand Island, NE

Civil Penalty 3/24/2016 9/24/2016 Violation of UCA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Fitzgerald, Sandra Lea 47000

Crete, NE

Censure 1/31/2013 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Civil Penalty 1/31/2014 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Fleischhacker, Bethany Ruth 69354

Lincoln, NE

Suspension 9/10/2017 Alcohol Abuse

Dishonorable Conduct

Failed to Report Conviction in 30 days

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Unprofessional Conduct

Violation of UCSA

Fleissner, Judith Ann 38787

Clearwater, NE

Civil Penalty 4/7/2016 10/7/2016 Violation of UCA

Flessner, Laura Marie 61940

Lincoln, NE

Censure 5/29/2014 Unprofessional Conduct

Floyd, Amy Lynn 61305

Syracuse, NE

Censure 3/6/2013 Failure to Keep Adequate Records

Falsify Patient Records

Unprofessional Conduct

Suspension 3/16/2013 4/15/2013 Failure to Keep Adequate Records

Falsify Patient Records

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Flynn, Lisa Dawne 55198

Blue Hill, NE

Censure 9/13/2013 Abuse of Resident

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Unprofessional Conduct

Suspension 9/23/2013 10/22/2013 Abuse of Resident

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Unprofessional Conduct

Fowler, Heather Louise 67973

Omaha, NE

Censure 8/6/2010 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 8/6/2011 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Revocation 3/3/2012 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Suspension 4/26/2011 3/3/2012 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Fox, Jaime Nicole 68652

Omaha, NE

Censure 7/26/2012 Failure to Keep Adequate Records

9/29/2014

7/26/2012 Falsify Patient Records

9/29/2014

7/26/2012 Unlicensed Practice

9/29/2014

7/26/2012 Unprofessional Conduct

9/29/2014

7/26/2012 Violation of Dept Order

9/29/2014

Civil Penalty 7/26/2012 1/26/2013 Failure to Keep Adequate Records

9/29/2014 11/28/2014

7/26/2012 1/26/2013 Falsify Patient Records

9/29/2014 11/28/2014

7/26/2012 1/26/2013 Unlicensed Practice

9/29/2014 11/28/2014

7/26/2012 1/26/2013 Unprofessional Conduct

9/29/2014 11/28/2014

7/26/2012 1/26/2013 Violation of Dept Order

9/29/2014 11/28/2014

Suspension 8/5/2012 9/3/2012 Failure to Keep Adequate Records

3/11/2013 6/23/2014

8/5/2012 9/3/2012 Falsify Patient Records

3/11/2013 6/23/2014

8/5/2012 9/3/2012 Unlicensed Practice

3/11/2013 6/23/2014

8/5/2012 9/3/2012 Unprofessional Conduct

3/11/2013 6/23/2014

8/5/2012 9/3/2012 Violation of Dept Order

3/11/2013 6/23/2014

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Foyt, Merry Ellen 35400

Omaha, NE

Censure 2/1/2017 Probation Violation

Civil Penalty 8/1/2017

Probation 3/19/2012 3/19/2017 Controlled Substance Dependence

Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

xFailure to Conform-Stndrds of Practice

xReinstatement - Previous Discipline

Suspension 2/21/2011 3/19/2012 Controlled Substance Dependence

Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

xFailure to Conform-Stndrds of Practice

xReinstatement - Previous Discipline

Freel, Jolene Marie 62725

Plattsmouth, NE

Probation 11/21/2016 Misdemeanor Conviction(s)

Violation of UCSA

xCont Substance Use Disorder - Severe

Freitag, Alyssa Marie 75506

Lincoln, NE

Censure 5/23/2019 Unprofessional Conduct

Violation of Work Policies & Procedures

Friesner, Bryanna Jo 81110

Grapevine, TX

Suspension 10/20/2018 11/18/2018 Failure to Keep Adequate Records

Practice Beyond Scope

Unprofessional Conduct

Violation of Work Policies & Procedures

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Furlong, Amy Jo 63133

Bertrand, NE

Probation 12/13/2012 9/6/2013 Alcohol Dependency

Failure to Keep Adequate Records

Misdemeanor Conviction(s)

Pattern of Negligence

Practice while Impaired

Probation Violation

Unprofessional Conduct

Gagne, Terry Lynne 70053

Omaha, NE

Probation 11/12/2014 Alcohol Dependency

Controlled Substance Dependence

Dishonorable Conduct

Misappropriation of Resident Property

Unprofessional Conduct

Violation of UCSA

Suspension 12/12/2014 Alcohol Dependency

Controlled Substance Dependence

Dishonorable Conduct

Misappropriation of Resident Property

Unprofessional Conduct

Violation of UCSA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Gaona, Nicole Lynn 56324

Brady, NE

Censure 3/7/2017 Controlled Substance Dependence

Dishonorable Conduct

Felony Conviction(s)

Probation Violation

Unprofessional Conduct

Violation of UCSA

Civil Penalty 9/7/2017 Controlled Substance Dependence

Dishonorable Conduct

Felony Conviction(s)

Probation Violation

Unprofessional Conduct

Violation of UCSA

Probation 2/23/2012 2/23/2017 Controlled Substance Dependence

Dishonorable Conduct

Felony Conviction(s)

Probation Violation

Unprofessional Conduct

Violation of UCSA

Revocation 11/16/2009 2/27/2012 Controlled Substance Dependence

Dishonorable Conduct

Misdemeanor Conviction(s)

Probation Violation

Unprofessional Conduct

Violation of UCSA

Garges, Kristin Susan 66811

Omaha, NE

Probation 10/12/2012 10/12/2014 Alcohol Abuse

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Garrelts, Carla Elizabeth 66217

Kearney, NE

Censure 9/22/2011 Unprofessional Conduct

Civil Penalty 9/22/2012

Limitation-Disciplinary 6/30/2016

Gentleman, Debra Sue 34631

Omaha, NE

Suspension 10/22/2011 10/22/2012 Controlled Substance Dependence

Dishonorable Conduct

Practice Fraudulently

Violation of UCSA

Ginkens, Amanda Lynne 67861

Omaha, NE

Probation 10/17/2014 10/17/2017 Alcohol Dependency

Misdemeanor Conviction(s)

Givens, Kylee Marie 70164

Gretna, NE

Suspension 11/7/2016 1/5/2017 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Falsify Patient Records

Unprofessional Conduct

Glandt, Linda Elaine 45527

Scottsbluff, NE

Censure 11/19/2014 Abuse of Resident

Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Violation of Dept Order

Suspension 11/29/2014 12/29/2014 Abuse of Resident

3/23/2015

11/29/2014 12/29/2014 Failure to File Report-38-1,124,38-1,125

3/23/2015

11/29/2014 12/29/2014 Unprofessional Conduct

3/23/2015

11/29/2014 12/29/2014 Violation of Dept Order

3/23/2015

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Glenn, Cassidy Anne 69062

Lincoln, NE

Probation 11/28/2015 11/28/2016 Misdemeanor Conviction(s)

Gloe, Janet Lynne 69109

Council Bluffs, IA

Probation 9/17/2014 9/17/2015 Misdemeanor Conviction(s)

Gloyne, Alice Schultz 38462

Grand Island, NE

Censure 2/25/2019 Misdemeanor Conviction(s)

Golden, Kristin Jo 71362

Omaha, NE

Probation 8/24/2010 8/24/2012 Alcohol Abuse

Misdemeanor Conviction(s)

Golden, Michelle Marie 71038

Kearney, NE

Civil Penalty 3/24/2016 9/24/2016 Violation of UCA

Goul, Jennifer Nicole 78756

Saint Robert, MO

Probation 3/6/2017 Alcohol Dependency

Controlled Substance Dependence

Dishonorable Conduct

Misappropriation of Resident Property

Practice while Impaired

Unprofessional Conduct

Violation of UCSA

Suspension 9/5/2016 3/5/2017 Alcohol Dependency

Controlled Substance Dependence

Dishonorable Conduct

Misappropriation of Resident Property

Practice while Impaired

Unprofessional Conduct

Violation of UCSA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Grafel, Carol Ann 35364

North Platte, NE

Censure 10/1/2019 Alcohol Use Disorder, Severe

Probation Violation

Probation 11/25/2014 11/25/2019 Alcohol Use Disorder, Severe

Probation Violation

Grant, Rebecca Lynn 50108

Onawa, IA

Censure 8/6/2010 Violation of UCA

Graves, Rosalyn Marie 47236

Council Bluffs, IA

Censure 1/12/2012 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Civil Penalty 1/12/2013 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Pet for Adv Act: Nurse Lic Compact filed 1/5/2012 1/12/2012 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Green, Lisa Rae 69449

Louisville, NE

Censure 3/30/2017 Probation Violation

Violation of UCSA

xCont Substance Use Disorder - Severe

Civil Penalty 9/30/2017 Probation Violation

Violation of UCSA

xCont Substance Use Disorder - Severe

Probation 12/27/2016 Probation Violation

Violation of UCSA

xCont Substance Use Disorder - Severe

Suspension 8/11/2014 Controlled Substance Dependence

Dishonorable Conduct

Misappropriation of Resident Property

Unprofessional Conduct

Violation of UCSA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Griggs-Stewart, Donna Jean 23600

Omaha, NE

Limitation-Disciplinary 9/15/2010 Negligent Conduct

Unprofessional Conduct

Grim, Tanisha Shantell 60417

Grand Island, NE

Censure 12/2/2010 Controlled Substance Dependence

3/18/2013

12/2/2010 Failure to Comply With Aftercare

3/18/2013

12/2/2010 Probation Violation

3/18/2013

12/2/2010 Violation of UCSA

3/18/2013

Civil Penalty 12/2/2010 9/2/2011 Controlled Substance Dependence

3/18/2013 9/18/2013

12/2/2010 9/2/2011 Failure to Comply With Aftercare

3/18/2013 9/18/2013

12/2/2010 9/2/2011 Probation Violation

3/18/2013 9/18/2013

12/2/2010 9/2/2011 Violation of UCSA

3/18/2013 9/18/2013

Probation 9/15/2010 9/15/2015 Controlled Substance Dependence

Failure to Comply With Aftercare

Probation Violation

Violation of UCSA

Gross, Kathryn Louise 48336

Papillion, NE

Probation 12/16/2013 12/16/2018 Alcohol Dependency

Practice while Impaired

Hadenfeldt, Teresa Marie 72874

Columbus, NE

Suspension 9/7/2012 10/7/2012 Failure to Keep Adequate Records

Falsify Patient Records

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Hadley, Lisa Diane 57672

plattsmouth, NE

Suspension 10/22/2012 11/20/2012 Failure to Keep Adequate Records

Unprofessional Conduct

Hahn, Suzanne Louise 47491

Mesa, AZ

Limitation-Disciplinary 10/7/2010 Unprofessional Conduct

Pet for Adv Act: Nurse Lic Compact filed 8/23/2010

Hall, Ashlee Nicole 68768

Bennington, NE

Civil Penalty 11/14/2013 5/14/2014 Misrepresentation of Material Facts

Hall, Sarah Maria 59173

Papillion, NE

Censure 10/18/2017 Dishonorable Conduct

Misappropriation of Resident Property

Probation Violation

Unprofessional Conduct

Violation of UCSA

xAlcohol Use Disorder - Severe

Civil Penalty 4/18/2018 Dishonorable Conduct

Misappropriation of Resident Property

Probation Violation

Unprofessional Conduct

Violation of UCSA

xAlcohol Use Disorder - Severe

Probation 6/30/2016 6/30/2020 Dishonorable Conduct

Misappropriation of Resident Property

Probation Violation

Unprofessional Conduct

Violation of UCSA

xAlcohol Use Disorder - Severe

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Hamm, Elinor Rose 63319

Omaha, NE

Probation 3/7/2019 3/7/2024 Alcohol Use Disorder, Mild

Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Felony Conviction(s)

Misdemeanor Conviction(s)

Substance Use Disorder, Severe

Unprofessional Conduct

Violation of UCSA

Hamm, Johnna Michelle 84412

Papillion, NE

Censure 5/23/2019 Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Misrepresentation of Material Facts

Unprofessional Conduct

Civil Penalty 11/23/2019 Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Misrepresentation of Material Facts

Unprofessional Conduct

Hansen, Mitchell Craig 37874

Grand Island, NE

Censure 9/6/2013 Controlled Substance Dependence

Probation Violation

Unprofessional Conduct

Violation of UCSA

xHabitual Intoxication

Probation 5/10/2012 Controlled Substance Dependence

Probation Violation

Unprofessional Conduct

Violation of UCSA

xHabitual Intoxication

Harrington, Nicole JulieAnn 73735

LaVista, NE

Censure 2/12/2019 Violation of UCSA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Hart, Rita Rae 25764

Ogallala, NE

Suspension 7/8/2010 1/8/2011 Practice while Impaired

Unprofessional Conduct

Hartley, Jody Lou 45159

Lincoln, NE

Probation 1/31/2017 11/15/2021 Alcohol Dependency

Misdemeanor Conviction(s)

Hartman, Kassandra Rhea 67231

Chadron, NE

Censure 8/2/2018 Failure to File Report-38-1,124,38-1,125

Failure to Safeguard Clients Diginity

Unprofessional Conduct

Civil Penalty 2/2/2019 Failure to File Report-38-1,124,38-1,125

Failure to Safeguard Clients Diginity

Unprofessional Conduct

Hasselmann, Christina Kay 79031

Hastings, NE

Revocation 7/22/2019 Failed to Report Conviction in 30 days

Failure to File Report-38-1,124,38-1,125

Felony Conviction(s)

Misdemeanor Conviction(s)

Other State Action

Hawkins, Cheryl Margaret 63353

Johnson Lake, NE

Probation 11/2/2010 11/2/2015 Alcohol Dependency

Failure to Comply With Aftercare

Violation of UCSA

Haynes, Angela Marie 82667

Lincoln, NE

Probation 10/11/2019 10/11/2021 Alcohol Abuse

Controlled Substance Abuse

Dishonorable Conduct

Felony Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Heiden, Amanda Kay 60297

Omaha, NE

Censure 10/18/2019 Alcohol Use Disorder, Moderate

Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 4/18/2020 Alcohol Use Disorder, Moderate

Misdemeanor Conviction(s)

Probation Violation

Probation 1/21/2018 1/21/2023 Alcohol Use Disorder, Moderate

Misdemeanor Conviction(s)

Probation Violation

Provisional 10/8/2019 10/18/2019 Alcohol Use Disorder, Moderate

Misdemeanor Conviction(s)

Probation Violation

Henschke, Sandra Sue 25805

Saint Cloud, MN

Revocation 11/16/2009 Failure to File Report-38-1,124,38-1,125

Practice while Impaired

Unprofessional Conduct

Herbel, Patricia Anne 49556

Lincoln, NE

Probation 11/18/2015 Alcohol Dependency

Practice while Impaired

Unprofessional Conduct

Herr, Brittany May 71775

Omaha, NE

Censure 3/14/2013 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Civil Penalty 3/14/2014 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Hiatt, Jessica Juanita 75432

Omaha, NE

Probation 8/11/2019 8/11/2020 Alcohol Use Disorder, Mild

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Hieber, Janette Kay 70048

Imperial, NE

Civil Penalty 4/7/2016 10/7/2016 Violation of UCA

Stipulation 5/12/2016

Hill, Melinda Kay 49629

North Platte, NE

Suspension 7/19/2014 Controlled Substance Dependence

Failure to Comply With Aftercare

Violation of UCSA

Hilts, Tina M 58462

Logan, IA

Censure 9/10/2019 Alcohol Use Disorder, Severe

Practice while Impaired

Probation Violation

Substance Use Disorder

12/1/2011 Unprofessional Conduct

Civil Penalty 9/10/2019 3/10/2020 Alcohol Use Disorder, Severe

Practice while Impaired

Probation Violation

Substance Use Disorder

Probation 1/29/2018 1/29/2023 Alcohol Use Disorder, Severe

Practice while Impaired

Probation Violation

Substance Use Disorder

12/1/2011 12/1/2012 Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Hinrikus, Adam Daniel 59621

Grand Island, NE

Censure 5/12/2011 Practice while Impaired

5/29/2014

5/12/2011 Probation Violation

5/29/2014

5/12/2011 Unprofessional Conduct

5/29/2014

5/12/2011 Violation of UCSA

5/29/2014

5/12/2011 xReinstatement - Previous Discipline

5/29/2014

Probation 2/1/2010 2/1/2015 Practice while Impaired

Probation Violation

Unprofessional Conduct

Violation of UCSA

xReinstatement - Previous Discipline

Suspension 6/8/2014 7/8/2014 Practice while Impaired

Probation Violation

Unprofessional Conduct

Violation of UCSA

xReinstatement - Previous Discipline

Hinzmann, Zak Jared 68811

Minden, IA

Censure 9/15/2010 Dishonorable Conduct

Unprofessional Conduct

Hobbs, Cynthia Mae 45164

Red Cloud, NE

Censure 5/6/2010 Probation Violation

Violation of UCSA

xControlled Substance Addiction/Depndncy

xReinstatement - Previous Discipline

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Hobbs, Shawn Edward 56633

Bellevue, NE

Censure 4/9/2015 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 10/9/2015 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Probation 9/5/2014 9/5/2017 Alcohol Abuse

4/16/2018 4/16/2021 Alcohol Use Disorder, Severe

Failed to Report Conviction in 30 days

9/5/2014 9/5/2017 Misdemeanor Conviction(s)

4/16/2018 4/16/2021

Misrepresentation of Material Facts

9/5/2014 9/5/2017 Probation Violation

Suspension 4/16/2018 5/15/2018 Alcohol Use Disorder, Severe

Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Hoffmann, Kristina Marie 75596

OMAHA, NE

Suspension 3/1/2019 Dishonorable Conduct

Failure to Comply With Aftercare

Substance Use Disorder

Hogan, Elizabeth A 74608

Aurora, CO

Probation 11/21/2018 Substance Use Disorder

Violation of UCSA

Suspension 3/12/2017 Controlled Substance Dependence

Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Hoover, Michael Wayne 75165

Louisville, NE

Probation 11/10/2017 11/10/2020 Alcohol Abuse

Practice while Impaired

Unprofessional Conduct

Horacek, Sharon Ann 29736

Kearney, NE

Censure 2/19/2014 Unprofessional Conduct

Horner, Toni Nicole 63417

Omaha, NE

Suspension 11/29/2014 12/29/2014 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Falsify Patient Records

Unprofessional Conduct

Hoskins, Cassandra Marie 78694

Bayard, NE

Censure 8/25/2017 Failure to Keep Adequate Records

Unprofessional Conduct

Hountondji, Marie Reine 77480

Council Bluffs, IA

Censure 4/5/2019 Unprofessional Conduct

Violation of Work Policies & Procedures

Howard, Andrew Royce 74709

Grand Island, NE

Revocation 1/6/2017 Dishonorable Conduct

Misappropriation of Resident Property

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Hruska, Danielle Victoria 76841

Schuyler, NE

Suspension 12/23/2017 1/21/2018 Failure to File Report-38-1,124,38-1,125

3/19/2018 4/13/2018

12/23/2017 1/21/2018 Misrepresentation of Material Facts

3/19/2018 4/13/2018

12/23/2017 1/21/2018 Unprofessional Conduct

3/19/2018 4/13/2018

12/23/2017 1/21/2018 Violation of Dept Order

3/19/2018 4/13/2018

Hudgins, Misty Michelle 80924

Hastings, NE

Probation 12/8/2015 10/31/2016 Failure to File Report-38-1,124,38-1,125

Felony Conviction(s)

Other State Action

Substance Use Disorder, Severe

Unprofessional Conduct

Violation of UCSA

Revocation 10/10/2018 Failure to File Report-38-1,124,38-1,125

Felony Conviction(s)

Other State Action

Substance Use Disorder, Severe

Unprofessional Conduct

Violation of UCSA

Hughes, Sara Kay 59178

Lincoln, NE

Censure 8/11/2011 Felony Conviction(s)

Hullinger, Lisa Ann 46602

Gretna, NE

Probation 3/3/2010 3/3/2015 Controlled Substance Dependence

Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Humm, Emily Christine 72535

Omaha, NE

Probation 3/22/2015 Alcohol Abuse

Misdemeanor Conviction(s)

Hutcheson, Camilla Jean 27844

Lincoln, NE

Censure 5/29/2014 Practice Beyond Scope

Unprofessional Conduct

Huxoll, Sarah L 78068

Omaha, NE

Probation 6/27/2014 6/27/2017 Alcohol Abuse

Practice while Impaired

Unprofessional Conduct

Izokaitis, Jennifer Lynn 55160

Lavista, NE

Censure 3/25/2015 Misappropriation of Resident Property

Unprofessional Conduct

Violation of Dept Order

Probation 5/29/2014 5/29/2016 Misappropriation of Resident Property

Unprofessional Conduct

Violation of Dept Order

Jackman, Maureen Kay 54341

Ainsworth, NE

Probation 5/12/2018 5/12/2020 Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Jacobs, Sara Michelle 70702

Lincoln, NE

Probation 6/30/2016 6/30/2021 Dishonorable Conduct

Misappropriation of Resident Property

Unprofessional Conduct

Violation of UCSA

xCont Substance Use Disorder - Moderate

Suspension 7/30/2016 Dishonorable Conduct

Misappropriation of Resident Property

Unprofessional Conduct

Violation of UCSA

xCont Substance Use Disorder - Moderate

James, Shelly Linn 83840

Milton, TN

Censure 11/20/2018 Unprofessional Conduct

Violation of Work Policies & Procedures

Jenkins, Jamie Lynn 59878

Kearney, NE

Probation 5/21/2010 5/21/2013 Alcohol Dependency

Jensen, Marsha Kay 27739

Lincoln, NE

Suspension 11/29/2014 12/29/2014 Failure to Keep Adequate Records

Falsify Patient Records

Misrepresentation of Material Facts

Unprofessional Conduct

Jilek, Joan Marie 65067

Bennet, NE

Suspension 6/2/2019 Controlled Substance Dependence

Dishonorable Conduct

Falsify Patient Records

Felony Conviction(s)

Misappropriation of Resident Property

Unprofessional Conduct

Violation of UCSA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Johnson, Mandy Jo 63043

Spalding, NE

Probation 12/18/2018 12/18/2023 Misdemeanor Conviction(s)

Substance Use Disorders-Multiple

Violation of UCSA

Revocation 9/7/2012 12/18/2018 Controlled Substance Dependence

Dishonorable Conduct

Violation of UCSA

Johnson, Nancy Joy 55265

Lincoln, NE

Civil Penalty 4/9/2015 4/9/2016 Failure to Keep Adequate Records

Unprofessional Conduct

Johnson-Rhoten, Misty Jo Marietta 55123

Omaha, NE

Censure 7/22/2019 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Violation of Work Policies & Procedures

Civil Penalty 1/22/2020 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Violation of Work Policies & Procedures

Jonak, Rachel Lynn 72162

Neligh, NE

Censure 10/23/2014 Failure to Keep Adequate Records

Falsify Patient Records

Unprofessional Conduct

Civil Penalty 4/23/2015 Failure to Keep Adequate Records

Falsify Patient Records

Unprofessional Conduct

Limitation-Disciplinary 11/21/2018 Failure to Keep Adequate Records

Falsify Patient Records

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Jones, Alexander William 82154

Papillion, NE

Probation 10/11/2019 10/11/2024 Alcohol Use Disorder, Severe

Practice while Impaired

Unprofessional Conduct

Jones, Merrianne Ough 23951

Omaha, NE

Censure 4/19/2012 Unprofessional Conduct

Jones, Rebecca Owen 86221

Bellevue, NE

Probation 4/6/2018 5/23/2019 History of Disciplinary Action

Substance Use Disorder

Violation of UCSA

Jones, Tawni Rae 81297

Omaha, NE

Probation 9/7/2018 9/7/2019 Misdemeanor Conviction(s)

Judd, Heather Jo 63120

Central City, NE

Civil Penalty 1/21/2014 7/21/2014 Misrepresentation of Material Facts

Judt, Genevieve Erin 77075

Tekamah, NE

Suspension 7/28/2018 Alcohol Use Disorder, Severe

Dishonorable Conduct

Misdemeanor Conviction(s)

Substance Use Disorder, Severe

Violation of UCSA

Julian, Cynthia Kay 52483

Omaha, NE

Censure 6/20/2011 Unprofessional Conduct

xFailure to Conform-Stndrds of Practice

Jurgensen, Matthew Lee 71642

Wayne, NE

Probation 12/2/2010 2/24/2012 xAlcohol & Controlled Substance Dependen

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Kaczmarczyk, Christine Cora 49398

Lincoln, NE

Probation 9/1/2011 11/7/2012 Alcohol Dependency

Probation Violation

Suspension 3/13/2011 9/1/2011 Alcohol Dependency

Probation Violation

Kaiser, Yasmine Diana 65021

Bennington, NE

Censure 10/6/2009 Unprofessional Conduct

Kappel, Mindy Michaelle 73249

Waverly, NE

Probation 11/17/2017 11/17/2019 Felony Conviction(s)

Violation of UCSA

Suspension 7/22/2016 11/17/2017 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Felony Conviction(s)

Misappropriation of Resident Property

Unprofessional Conduct

Violation of AOC

Violation of UCSA

Karloff, Julie Lynn 60292

Omaha, NE

Revocation 7/17/2013 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Probation Violation

Unprofessional Conduct

Kelly, Timothy James 49193

LINCOLN, NE

Censure 1/12/2012 Unprofessional Conduct

Kennedy, Elena Katherine 72836

Omaha, NE

Probation 7/20/2011 7/20/2016 Alcohol Dependency

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Kerner, Diane Lynn 44480

Lincoln, NE

Probation 3/31/2011 Misdemeanor Conviction(s)

xHabitual Intoxication

Kettler, Kelly Renee 62735

Sidney, NE

Suspension 3/13/2011 4/12/2011 Failure to Keep Adequate Records

Unprofessional Conduct

Kieny, Donnis Ann 47539

Omaha, NE

Revocation 5/31/2010 Unprofessional Conduct

Kilpatrick, Heather Michelle 54154

Thurman, IA

Pet for Adv Act: Nurse Lic Compact filed 2/16/2011 3/3/2011 Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

Revocation 3/3/2011 3/3/2013 Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

Klassen, Rebecca Lynn 75322

Lincoln, NE

Probation 12/4/2018 12/4/2023 Felony Conviction(s)

Misdemeanor Conviction(s)

Substance Use Disorder

Suspension 4/4/2015 10/4/2015 Failure to Comply With Aftercare

Practice while Impaired

xAlcohol Use Disorder - Severe

Kleopfer, Judith Marie 44379

North Bend, NE

Civil Penalty 10/17/2013 4/17/2014 Misrepresentation of Material Facts

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Kohmetscher, Mallory D 69815

Lawrence, NE

Probation 10/26/2009 10/13/2011 Dishonorable Conduct

Failure to Keep Adequate Records

Falsify Patient Records

Misappropriation of Resident Property

Misdemeanor Conviction(s)

9/22/2017 9/22/2020

10/26/2009 10/13/2011 Unprofessional Conduct

Violation of UCSA

9/22/2017 9/22/2020

Suspension 5/30/2016 Dishonorable Conduct

Failure to Keep Adequate Records

Falsify Patient Records

Misappropriation of Resident Property

Misdemeanor Conviction(s)

Unprofessional Conduct

Violation of UCSA

Kopecky, Amy Christine 70904

Elkhorn, NE

Censure 12/29/2011 Failure to Safeguard Clients Diginity

Civil Penalty 12/29/2012

Kopsi, Andrea Denise 51479

Fremont, NE

Censure 8/24/2010 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Kothe, Rose Mary 49513

Juniata, NE

Censure 8/24/2010 Unprofessional Conduct

xSexual Misconduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Kraling, Eric Stephen 67992

Friend, NE

Probation 5/16/2010 1/4/2011 Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Other State Action

Probation Violation

Unprofessional Conduct

Revocation 1/4/2011 Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Other State Action

Probation Violation

Unprofessional Conduct

Kreikemeier, Bobbi Jo 67644

Omaha, NE

Censure 7/17/2013 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Civil Penalty 7/17/2014 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Krist, Jason Alvin 60105

Omaha, NE

Censure 6/5/2013 Failure to Safeguard Clients Diginity

Misdemeanor Conviction(s)

Practice while Impaired

Unprofessional Conduct

Probation 2/6/2014 2/6/2015 Failure to Safeguard Clients Diginity

2/6/2015 Misdemeanor Conviction(s)

2/6/2015 Practice while Impaired

2/6/2015 Unprofessional Conduct

Suspension 6/15/2013 12/15/2013 Failure to Safeguard Clients Diginity

Misdemeanor Conviction(s)

Practice while Impaired

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Kucera, Andrew Michael 82732

Omaha, NE

Probation 8/12/2016 7/19/2018 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Moderate

Kucera, Patti Kay 68155

Fremont, NE

Probation 3/20/2014 3/20/2016 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Falsify Patient Records

Negligent Conduct

Unprofessional Conduct

Kuntz, Julie Ann 59095

Lincoln, NE

Civil Penalty 7/12/2016 1/12/2017 Violation of UCA

Kurmel, Debra Louise 32342

Omaha, NE

Censure 6/1/2012 Unprofessional Conduct

Kyes, Tyler John 84113

Omaha, NE

Probation 5/23/2017 5/23/2022 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Moderate

xCont Substance Use Disorder - Moderate

Langan, Julia Jean 62097

Albion, NE

Probation 8/1/2019 8/1/2023 Dishonorable Conduct

Misappropriation of Resident Property

Substance Use Disorder, Severe

Violation of UCSA

Langin, Kerry Ann 41074

Omaha, NE

Probation 8/28/2012 8/28/2013 Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Lardy, Jolynn Dvorak 54138

Norfolk, NE

Censure 2/11/2011 Practice while Impaired

Unprofessional Conduct

Violation of UCSA

xReinstatement - Previous Discipline

Civil Penalty 8/11/2011 Practice while Impaired

Unprofessional Conduct

Violation of UCSA

xReinstatement - Previous Discipline

Probation 3/8/2010 9/8/2012 Practice while Impaired

Unprofessional Conduct

Violation of UCSA

xReinstatement - Previous Discipline

Larson, Anne Marie 32036

Blair, NE

Censure 3/4/2015 Unprofessional Conduct

Civil Penalty 9/4/2015

Larson-Pilloud, Catherine Ann 52214

Bennington, NE

Censure 6/13/2012 Controlled Substance Dependence

Probation Violation

Unprofessional Conduct

Civil Penalty 12/13/2012 Controlled Substance Dependence

Probation Violation

Unprofessional Conduct

Laughlin, Barbara Ann 37907

Nelson, NE

Revocation 5/31/2010 Failure to Comply With Aftercare

Misdemeanor Conviction(s)

Probation Violation

xFailure To File Mandatory Report

xHabitual Intoxication

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Lepant, Jane Ellen 78638

Lincoln, NE

Probation 9/2/2014 4/9/2018 Controlled Substance Dependence

Other State Action

Lim, Carol Marie 50445

Omaha, NE

Civil Penalty 10/23/2013 4/23/2014 Misrepresentation of Material Facts

Linder, Jeannie Renee 51089

York, NE

Revocation 8/25/2011 8/25/2013 Probation Violation

Unprofessional Conduct

Violation of UCSA

xControlled Substance Addiction

xReinstatement - Previous Discipline

Suspension 8/19/2011 8/19/2012 Probation Violation

Unprofessional Conduct

Violation of UCSA

xControlled Substance Addiction

xReinstatement - Previous Discipline

Linder, John Henry 50292

Minden, NE

Censure 4/14/2011 Unprofessional Conduct

xFailure To File Mandatory Report

Suspension 4/24/2011 5/24/2011 Unprofessional Conduct

xFailure To File Mandatory Report

Lingard, Steven Nash 56703

Carter Lake, IA

Censure 1/12/2010 Other State Action

Unprofessional Conduct

Pet for Adv Act: Nurse Lic Compact filed 12/18/2009 1/12/2010 Other State Action

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Linhart, Nicole Michelle 74905

Omaha, NE

Suspension 3/7/2019 Controlled Substance Abuse

Dishonorable Conduct

Misappropriation of Resident Property

Misrepresentation of Material Facts

Prescribing CS to Oneself

Substance Use Disorder, Moderate

Unprofessional Conduct

Violation of UCSA

Linsenmeyer, Sarah May 62962

Lincoln, NE

Petition for Disp Action & Temp Susp 11/13/2012 12/13/2012 Alcohol Dependency

Practice while Impaired

Unprofessional Conduct

Temporary Suspension 11/14/2012 12/12/2012 Alcohol Dependency

Practice while Impaired

Unprofessional Conduct

Loecker, Jodi Lea 56631

Oneill, NE

Censure 8/25/2015 Controlled Substance Dependence

Probation Violation

Violation of UCSA

Civil Penalty 2/25/2016 Controlled Substance Dependence

Probation Violation

Violation of UCSA

Probation 3/2/2015 3/2/2017 Controlled Substance Dependence

Probation Violation

Violation of UCSA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Lofgren, Philip John 49210

Omaha, NE

Censure 8/6/2010 Dishonorable Conduct

Misdemeanor Conviction(s)

Probation Violation

xHabitual Intoxication

Civil Penalty 8/6/2011 Dishonorable Conduct

Misdemeanor Conviction(s)

Probation Violation

xHabitual Intoxication

Loftus, Keri Ann 53339

Omaha, NE

Probation 9/21/2015 9/21/2020 Alcohol Dependency

Unprofessional Conduct

Lorenz, Joshua Richard 71581

North Platte, NE

Probation 6/8/2019 6/8/2024 Alcohol Use Disorder, Severe

Misdemeanor Conviction(s)

Lorimer, Michelle L 74385

Kearney, NE

Probation 5/8/2016 5/8/2021 Alcohol Dependency

Misdemeanor Conviction(s)

Lubben, Amber Dawn 72789

Gothenburg, NE

Probation 7/12/2011 10/15/2012 Alcohol Dependency

Luceri, Julia Gail 67883

Omaha, NE

Probation 6/13/2012 6/13/2017 Controlled Substance Dependence

Dishonorable Conduct

Violation of UCSA

Luchiari, Heather Anne 74351

Omaha, NE

Probation 11/28/2015 11/28/2018 Alcohol Abuse

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Ludwick, Carol Lynn 44855

Omaha, NE

Censure 3/31/2010 Alcohol Use Disorder, Severe

2/8/2019

3/31/2010 Failed to Report Conviction in 30 days

2/8/2019

3/31/2010 Misdemeanor Conviction(s)

2/8/2019

3/31/2010 Probation Violation

2/8/2019

3/31/2010 Unprofessional Conduct

2/8/2019

3/31/2010 Violation of Dept Order

2/8/2019

Civil Penalty 8/8/2019 Alcohol Use Disorder, Severe

Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

Probation Violation

Unprofessional Conduct

Violation of Dept Order

Probation 2/4/2018 9/23/2019 Alcohol Use Disorder, Severe

Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

Probation Violation

Unprofessional Conduct

Violation of Dept Order

Suspension 9/23/2019 Alcohol Use Disorder, Severe

Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

Probation Violation

Unprofessional Conduct

Violation of Dept Order

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Lueders, Jarod Jay 73878

Republic, MO

Probation 4/3/2012 4/3/2017 Alcohol Dependency

Misdemeanor Conviction(s)

Lyman, Suzanne Rene 78337

Dakota Dunes, SD

Probation 7/14/2014 Controlled Substance Dependence

Other State Action

Magnuson Larkins, Susan Kay 37968

Auburn, AL

Probation 12/14/2010 8/31/2016 Practice while Impaired

Unprofessional Conduct

xAlcohol & Chemical Dependence/Addiction

Suspension 4/8/2010 12/14/2010 Practice while Impaired

Unprofessional Conduct

xAlcohol & Chemical Dependence/Addiction

Mancuso, Michele Renee 78670

Bellevue, NE

Probation 8/1/2019 8/1/2022 Failure to File Report-38-1,124,38-1,125

Falsify Patient Records

Unprofessional Conduct

Violation of Work Policies & Procedures

Marcano, Jami Lyn 50119

Lincoln, NE

Probation 6/11/2013 11/16/2016 Probation Violation

Violation of Dept Order

Suspension 7/4/2010 1/1/2011 Probation Violation

xReinstatement - Previous Discipline

Mares, Sara Kristine 61103

Lincoln, NE

Censure 1/24/2017 Misdemeanor Conviction(s)

Unprofessional Conduct

Suspension 2/3/2017 3/4/2017 Misdemeanor Conviction(s)

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Marks, Jessica Jo 77611

Omaha, NE

Limitation-Disciplinary 4/6/2018 Failure to File Report-38-1,124,38-1,125

Practice while Impaired

Martin, Casandra Lynn 68891

Omaha, NE

Revocation 1/17/2014 1/17/2016 Controlled Substance Dependence

Dishonorable Conduct

Failure to Comply With Aftercare

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Unprofessional Conduct

Violation of UCSA

Martinez, Rhianon Rae 66035

Lincoln, NE

Civil Penalty 4/1/2016 10/1/2016 Violation of UCA

Martinez, Ricardo Roberto 70397

bellevue, NE

Censure 12/13/2012 Failure to File Report-38-1,124,38-1,125

Other State Action

Unprofessional Conduct

Marx, April Nicole 59902

Bellevue, NE

Censure 3/14/2017 Dishonorable Conduct

Misrepresentation of Material Facts

Unprofessional Conduct

Mascarello, Amber Nicole 72580

Papillion, NE

Probation 7/7/2019 7/7/2021 Alcohol Use Disorder, Moderate

Misdemeanor Conviction(s)

Masters, Misty Babin 76765

Omaha, NE

Censure 7/18/2018 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

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Page 462 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Mathews, Mary Esther 45597

Omaha, NE

Censure 7/19/2017 Unprofessional Conduct

Matsumura, Kathie Faith 31505

Omaha, NE

Civil Penalty 3/24/2016 9/24/2016 Violation of UCA

McCarthy, Megan Mary 47581

Omaha, NE

Censure 6/10/2015 Failure to File Report-38-1,124,38-1,125

Misrepresentation of Material Facts

Unprofessional Conduct

Civil Penalty 6/10/2016 Failure to File Report-38-1,124,38-1,125

Misrepresentation of Material Facts

Unprofessional Conduct

McDonald, Jason A 66220

Aurora, NE

Probation 5/5/2013 2/25/2014 Failure to Safeguard Clients Diginity

Probation Violation

Unprofessional Conduct

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Page 463 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

McGary, Dawn Philniece 53877

Omaha, NE

Civil Penalty 8/26/2015 2/26/2016 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Probation 11/2/2014 9/5/2015 Alcohol Dependency

10/5/2015

11/2/2014 9/5/2015 Misdemeanor Conviction(s)

10/5/2015

11/2/2014 9/5/2015 Probation Violation

10/5/2015

Revocation 4/24/2016 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Suspension 9/5/2015 10/4/2015 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

McGee, Mark Kovar, RN 36379

Omaha, NE

Civil Penalty 11/20/2013 5/20/2014 Misrepresentation of Material Facts

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Page 464 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

McKeon, Brentley LaVonne 73865

Ord, NE

Censure 4/12/2013 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 10/12/2013 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Probation 3/29/2012 8/16/2015 Alcohol Abuse

5/18/2019 5/18/2024

3/29/2012 8/16/2015 Misdemeanor Conviction(s)

5/18/2019 5/18/2024

Practice while Impaired

3/29/2012 8/16/2015 Probation Violation

5/18/2019 5/18/2024 Unprofessional Conduct

Violation of UCSA

McKinley, Courteney K 59219

Omaha, NE

Censure 7/13/2011 Misdemeanor Conviction(s)

Unprofessional Conduct

McLellan, Kathleen Sue 45603

Morrill, NE

Censure 5/5/2014 Controlled Substance Abuse

Unprofessional Conduct

McMillan, Kathryn Anne 68448

Omaha, NE

Probation 1/12/2012 1/12/2015 Alcohol Abuse

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

McNeal, Baxter Shane 65184

Atlantic, IA

Probation 12/14/2010 4/18/2014 Alcohol Dependency

8/25/2017 Felony Conviction(s)

12/14/2010 4/18/2014 Misdemeanor Conviction(s)

8/25/2017

12/14/2010 4/18/2014 Probation Violation

8/25/2017 Substance Use Disorder

Suspension 4/18/2014 8/24/2017 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Meier, Sarah Ann 89680

Lincoln, NE

Probation 8/14/2019 8/14/2022 Misdemeanor Conviction(s)

Substance Use Disorder

Meraz-Brown, Rose Marie 55412

Omaha, NE

Censure 1/26/2012 Alcohol Dependency

Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Civil Penalty 10/26/2012 Alcohol Dependency

Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Suspension 10/30/2012 4/30/2013 Alcohol Dependency

Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Meyer, Christina Elizabeth 59940

Ewing, NE

Civil Penalty 11/25/2014 5/25/2015 Violation of UCA

Miller, Amanda Kay 60073

Lincoln, NE

Censure 2/8/2019 Misrepresentation of Material Facts

Unprofessional Conduct

Civil Penalty 8/8/2019 Misrepresentation of Material Facts

Unprofessional Conduct

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Page 466 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Miller, Emily Ryan 65519

Norfolk, NE

Probation 2/7/2015 2/7/2016 Misdemeanor Conviction(s)

Miller, Gina Ann 68864

Colby, KS

Suspension 7/8/2010 7/8/2011 Dishonorable Conduct

Misdemeanor Conviction(s)

Violation of UCSA

xControlled Substance Addiction

Miller, Ramona Rae 63389

Herman, NE

Censure 5/10/2012 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Unprofessional Conduct

Civil Penalty 5/10/2013 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Unprofessional Conduct

Miller, Rebecca Anne 81114

Lincoln, NE

Censure 6/28/2019 Misappropriation of Resident Property

Practice Beyond Scope

Unprofessional Conduct

Civil Penalty 12/28/2019 Misappropriation of Resident Property

Practice Beyond Scope

Unprofessional Conduct

Miller, Stephanie Marie 60910

Omaha, NE

Censure 9/25/2014 Dishonorable Conduct

Violation of UCSA

Civil Penalty 3/25/2015 Dishonorable Conduct

Violation of UCSA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Miller, Timothy Dutch 61869

Valparaiso, NE

Censure 1/10/2014 Controlled Substance Dependence

Misdemeanor Conviction(s)

Probation Violation

Violation of UCSA

Civil Penalty 7/10/2014 Controlled Substance Dependence

Misdemeanor Conviction(s)

Probation Violation

Violation of UCSA

Petition for Disp Action & Temp Susp 10/26/2011 7/26/2012 Failure to Keep Adequate Records

Prescribing CS to Spouse

Unprofessional Conduct

Violation of UCSA

xCont Substance Use Disorder - Mild

Probation 3/20/2013 3/20/2018 Controlled Substance Dependence

Failure to Keep Adequate Records

Misdemeanor Conviction(s)

Prescribing CS to Spouse

Probation Violation

Unprofessional Conduct

Violation of UCSA

xCont Substance Use Disorder - Mild

Suspension 10/27/2011 10/27/2012 Failure to Keep Adequate Records

Prescribing CS to Spouse

Unprofessional Conduct

Violation of UCSA

xCont Substance Use Disorder - Mild

Temporary Suspension 7/26/2012 Failure to Keep Adequate Records

Prescribing CS to Spouse

Unprofessional Conduct

Violation of UCSA

xCont Substance Use Disorder - Mild

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Page 468 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Miller, Vanessa Joy 71102

Kearney, NE

Probation 7/23/2015 7/23/2020 Controlled Substance Dependence

Dishonorable Conduct

Probation Violation

Unprofessional Conduct

Million, Teresa Leanne 44800

Omaha, NE

Censure 2/11/2010 Dishonorable Conduct

Civil Penalty 8/11/2010

Suspension 2/21/2010 9/15/2010

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Page 469 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Mink, Jean Norma 45193

Lincoln, NE

Censure 7/13/2010 Practice while Impaired

Probation Violation

Unprofessional Conduct

Violation of UCSA

xHabitual Intoxication

Civil Penalty 1/13/2011 Practice while Impaired

Probation Violation

Unprofessional Conduct

Violation of UCSA

xHabitual Intoxication

Probation 12/8/2009 5/8/2011 Practice while Impaired

1/24/2013

12/8/2009 5/8/2011 Probation Violation

1/24/2013

12/8/2009 5/8/2011 Unprofessional Conduct

1/24/2013

12/8/2009 5/8/2011 Violation of UCSA

1/24/2013

12/8/2009 5/8/2011 xHabitual Intoxication

1/24/2013

Suspension 5/8/2011 11/8/2012 Practice while Impaired

Probation Violation

Unprofessional Conduct

Violation of UCSA

xHabitual Intoxication

Mitchell, Bridget R 64440

Kearney, NE

Civil Penalty 3/24/2016 9/24/2016 Violation of UCA

Mitchell, Debra 40414

Omaha, NE

Probation 7/8/2019 7/8/2020 Misdemeanor Conviction(s)

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Page 470 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Mohr, Sarah Lynne 62801

Haltom City, TX

Censure 7/13/2010 Unprofessional Conduct

Montange, Jaka M 64313

Omaha, NE

Civil Penalty 10/23/2013 4/23/2014 Misrepresentation of Material Facts

Moore, Jennifer Lynn 47260

La Habra, CA

Censure 2/9/2012 Failure to Keep Adequate Records

Falsify Patient Records

Pattern of Negligence

Unprofessional Conduct

Suspension 2/19/2012 3/19/2012 Failure to Keep Adequate Records

Falsify Patient Records

Pattern of Negligence

Unprofessional Conduct

Moore, Jody Lynn 63361

Omaha, NE

Suspension 8/16/2010 12/13/2010 Unprofessional Conduct

Morgan, Krista Lee 72846

Lincoln, NE

Probation 5/23/2019 5/23/2024 Felony Conviction(s)

Substance Use Disorder

Suspension 5/3/2018 5/23/2019 Alcohol Use Disorder, Severe

Dishonorable Conduct

Misappropriation of Resident Property

Substance Use Disorder, Severe

Unprofessional Conduct

Violation of UCSA

Morris, Joanne Marie 41199

Omaha, NE

Probation 7/12/2016 7/12/2021 Alcohol Dependency

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Page 471 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Morton, Amber Lynn 76293

Omaha, NE

Censure 2/12/2018 Failure to Keep Adequate Records

Unprofessional Conduct

Moss, Kristan Leigh 65689

Omaha, NE

Limitation-Disciplinary 10/7/2010 Failure to File Report-38-1,124,38-1,125

Negligent Conduct

Unprofessional Conduct

Probation 10/17/2010 10/17/2011 Failure to File Report-38-1,124,38-1,125

Negligent Conduct

Unprofessional Conduct

Mowery, Morgan Leigh 74727

Lincoln, NE

Censure 7/13/2018 Practice Beyond Scope

Murphy, McKenna Jo 71006

Kearney, NE

Suspension 12/24/2017 Controlled Substance Dependence

Dishonorable Conduct

Violation of UCSA

Myers, Stephanie Jo 65148

Lincoln, NE

Probation 10/5/2009 10/5/2011 Unprofessional Conduct

Neal, John Aaron 66620

Lincoln, NE

Censure 4/1/2015 Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Nekola, Kelly J 69616

Lincoln, NE

Probation 3/31/2010 8/1/2010 Controlled Substance Dependence

Failure to File Report-38-1,124,38-1,125

Practice while Impaired

Unprofessional Conduct

Violation of UCSA

Suspension 12/21/2009 3/31/2010 Controlled Substance Dependence

8/1/2010

12/21/2009 3/31/2010 Failure to File Report-38-1,124,38-1,125

8/1/2010

12/21/2009 3/31/2010 Practice while Impaired

8/1/2010

12/21/2009 3/31/2010 Unprofessional Conduct

8/1/2010

12/21/2009 3/31/2010 Violation of UCSA

8/1/2010

Nellor, Janice Hoyt 20757

Beemer, NE

Censure 5/10/2012 Unprofessional Conduct

Nelson, Angela Marie 67796

Fremont, NE

Suspension 4/13/2013 4/13/2014 Controlled Substance Dependence

Dishonorable Conduct

Violation of UCSA

Nelson, Jeanette Kay 72214

Deer Lodge, MT

Suspension 1/17/2015 2/15/2015 Unprofessional Conduct

Nelson, Katina Marie 54103

Lincoln, NE

Censure 9/22/2011 Misrepresentation of Material Facts

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Nelson, Pamela L 57183

Lincoln, NE

Civil Penalty 7/26/2012 7/26/2013 Dishonorable Conduct

Violation of UCSA

Suspension 8/5/2012 9/3/2012 Dishonorable Conduct

Violation of UCSA

Newton, Brittany Leah 80818

Omaha, NE

Probation 8/1/2019 8/1/2024 Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Misappropriation of Resident Property

Practice Fraudulently

Substance Use Disorder, Severe

Unprofessional Conduct

Violation of UCSA

Nickel, Edward Paul 62413

Wenatchee, WA

Probation 9/6/2013 Alcohol Abuse

Controlled Substance Dependence

Nielson, Erica Elizabeth 65675

Waverly, NE

Probation 11/14/2011 11/14/2016 Controlled Substance Dependence

Violation of UCSA

Suspension 3/27/2011 Controlled Substance Dependence

Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

Niles, Megan Nicole 71937

Omaha, NE

Censure 8/26/2016 Misdemeanor Conviction(s)

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Nolan, Stephanie Jo 67629

Columbus, NE

Censure 6/28/2019 Failure to File Report-38-1,124,38-1,125

Failure to Safeguard Clients Diginity

Unprofessional Conduct

Violation of Work Policies & Procedures

Civil Penalty 12/28/2019 Failure to File Report-38-1,124,38-1,125

Failure to Safeguard Clients Diginity

Unprofessional Conduct

Violation of Work Policies & Procedures

Norman, Thomas Charles 39444

San Francisco, CA

Revocation 3/3/2011 Other State Action

xFailure To File Mandatory Report

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Norstadt, Hope Rae 68759

Wahoo, NE

Censure 7/26/2012 Controlled Substance Abuse

Controlled Substance Dependence

Failure to Comply With Aftercare

Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Probation Violation

Unprofessional Conduct

Violation of UCSA

Petition for Disp Action & Temp Susp 9/21/2012 11/29/2012 Controlled Substance Abuse

Controlled Substance Dependence

Failure to Comply With Aftercare

Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Probation Violation

Unprofessional Conduct

Violation of UCSA

Probation 9/4/2012 9/27/2012 Controlled Substance Abuse

Controlled Substance Dependence

Failure to Comply With Aftercare

Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

11/14/2016 11/14/2021 Felony Conviction(s)

Misdemeanor Conviction(s)

9/4/2012 9/27/2012 Probation Violation

Unprofessional Conduct

Violation of UCSA

11/14/2016 11/14/2021 xCont Substance Use Disorder - Severe

Suspension 8/5/2012 9/3/2012 Controlled Substance Abuse

11/29/2012 11/29/2013

8/5/2012 9/3/2012 Controlled Substance Dependence

11/29/2012 11/29/2013

8/5/2012 9/3/2012 Failure to Comply With Aftercare

11/29/2012 11/29/2013

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Page 476 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Suspension 8/5/2012 9/3/2012 Failure to File Report-38-1,124,38-1,125

11/29/2012 11/29/2013

8/5/2012 9/3/2012 Failure to Keep Adequate Records

11/29/2012 11/29/2013

8/5/2012 9/3/2012 Probation Violation

11/29/2012 11/29/2013

8/5/2012 9/3/2012 Unprofessional Conduct

11/29/2012 11/29/2013

8/5/2012 9/3/2012 Violation of UCSA

11/29/2012 11/29/2013

Temporary Suspension 9/28/2012 11/28/2012 Controlled Substance Abuse

Controlled Substance Dependence

Failure to Comply With Aftercare

Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Probation Violation

Unprofessional Conduct

Violation of UCSA

Novakovic, Sofija 65998

Indian Head Park, IL

Civil Penalty 4/1/2016 10/1/2016 Violation of UCA

Nowden, Tiara Sade 73420

Merrillville, IN

Civil Penalty 7/12/2012 1/12/2013 Misrepresentation of Material Facts

Suspension 7/22/2012 8/21/2012

O'Connor, Cynthia Sue 38044

Lincoln, NE

Censure 2/9/2012 Abuse of Resident

Unprofessional Conduct

O'Connor, Elise Adel 84452

Omaha, NE

Censure 7/20/2018 Unprofessional Conduct

O'Neil, Dana Katherine 68260

Lincoln, NE

Civil Penalty 11/14/2013 5/14/2014 Misrepresentation of Material Facts

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Odvody, Dawn Marie 45202

Lincoln, NE

Probation 10/13/2009 5/14/2014 xReinstatement - Previous Discipline

Oliver-Petersen, Alicia Marie 54062

Omaha, NE

Censure 3/6/2013 Failure to Keep Adequate Records

Unprofessional Conduct

Paasch, Kerri Lynn 66788

Omaha, NE

Censure 10/12/2011 Failure to Keep Adequate Records

Unprofessional Conduct

Violation of Dept Order

Suspension 3/19/2018 4/5/2018 Failure to Keep Adequate Records

Unprofessional Conduct

Violation of Dept Order

Palik, Lori B 57406

David City, NE

Censure 3/30/2017 Failure to Keep Adequate Records

Unprofessional Conduct

Palser, Kristen Rae 50503

Scottsbluff, NE

Probation 9/22/2011 9/22/2016 Alcohol Dependency

Parde, Heather C 64157

Odell, NE

Censure 11/20/2015 Alcohol Abuse

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation Violation

Probation 6/4/2014 6/4/2016 Alcohol Abuse

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation Violation

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Page 478 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Parde, Skye Cherie 77631

Nebraska City, NE

Probation 8/19/2019 8/19/2024 Dishonorable Conduct

Misappropriation of Resident Property

Substance Use Disorder, Severe

Unprofessional Conduct

Violation of UCSA

Park, Hanna Lee 68108

Norcross, GA

Censure 6/28/2010 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Civil Penalty 6/28/2011 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Partridge, Roxanna Marie 52363

Fremont, NE

Probation 5/25/2018 5/22/2021 Misdemeanor Conviction(s)

Substance Use Disorders-Multiple

Revocation 9/3/2010 5/24/2018 Failure to Comply With Aftercare

Probation Violation

Paslawski, Adriann Marie 77596

Lincoln, NE

Censure 5/17/2018 Failure to Keep Adequate Records

Unprofessional Conduct

Peacock, Tara Lynn 55329

Lincoln, NE

Civil Penalty 3/24/2016 9/24/2016 Violation of UCA

Pearrow, Michele Lynn 70487

Omaha, NE

Probation 10/17/2010 4/17/2012 Unprofessional Conduct

Pearson, Ann Elizabeth 41985

Ralston, NE

Censure 4/28/2011 Practice Beyond Scope

Unprofessional Conduct

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Page 479 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Peers, Nicole Lorayne 73148

Omaha, NE

Probation 3/18/2015 9/6/2017 Controlled Substance Dependence

Unprofessional Conduct

Violation of UCSA

Suspension 10/19/2013 10/19/2014 Controlled Substance Dependence

Dishonorable Conduct

Misappropriation of Resident Property

Unprofessional Conduct

Violation of UCSA

Pelland, Tina Lynn 48103

North Platte, NE

Censure 1/8/2013 Failure to Keep Adequate Records

9/6/2013

1/8/2013 Permitting Aiding & Abetting

9/6/2013

1/8/2013 Violation of Dept Order

9/6/2013

Peppmuller, Ashley Jo 87297

Fremont, NE

Probation 7/27/2018 7/27/2021 Misdemeanor Conviction(s)

Substance Use Disorder

Peprah, Michael Yaw 64291

Omaha, NE

Civil Penalty 12/12/2013 6/12/2014 Misrepresentation of Material Facts

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Page 480 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Perez, Pamela Dianne 43873

Lincoln, NE

Censure 7/19/2019 Failed to Report Conviction in 30 days

Failure to Safeguard Clients Diginity

Unprofessional Conduct

Violation of Dept Order

Violation of Work Policies & Procedures

Civil Penalty 1/19/2020 Failed to Report Conviction in 30 days

Failure to Safeguard Clients Diginity

Unprofessional Conduct

Violation of Dept Order

Violation of Work Policies & Procedures

Suspension 10/15/2019 Failed to Report Conviction in 30 days

Failure to Safeguard Clients Diginity

Unprofessional Conduct

Violation of Dept Order

Violation of Work Policies & Procedures

Petersen, Jayme Lynne 75904

Lincoln, NE

Probation 5/16/2013 5/16/2014 Misdemeanor Conviction(s)

Peterson, Aaron Jay 63746

Boynton Beach, FL

Revocation 7/29/2019 Failed to Report Conviction in 30 days

Felony Conviction(s)

Peterson, Shon Rae 59281

Idaho Falls, ID

Censure 9/22/2011 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 3/22/2012 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

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Page 481 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Pettengill, Pamela Kay 54982

Taylor, TX

Censure 6/28/2010 Practice Beyond Scope

Unprofessional Conduct

Phelps, Megan Marie 61275

Elkhorn, NE

Censure 1/30/2014 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 10/31/2014 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Probation 10/27/2013 10/27/2017 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Revocation 8/30/2015 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Suspension 5/11/2015 6/9/2015 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Philips, Wendie Jean 63853

Omaha, NE

Civil Penalty 4/1/2016 10/1/2016 Violation of UCA

Phillips, Michelle Jenae 68340

Lincoln, NE

Probation 3/18/2014 8/7/2018 Unprofessional Conduct

Suspension 10/17/2010 3/18/2014 Negligent Conduct

Unprofessional Conduct

Pierce, Megan Katherine 55226

Papillion, NE

Censure 7/12/2017 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Civil Penalty 7/12/2018 Failure to Safeguard Clients Diginity

Unprofessional Conduct

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Page 482 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Pirraglia, Ryan Nicholas 70909

Omaha, NE

Probation 12/6/2016 12/6/2021 Dishonorable Conduct

Misappropriation of Resident Property

Unprofessional Conduct

Violation of UCSA

xAlcohol Use Disorder - Severe

xCont Substance Use Disorder - Severe

Pistillo, Katharine Rose 73987

Omaha, NE

Probation 2/7/2016 8/4/2017 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Moderate

Podkovich, Julie Ann 46705

Omaha, NE

Probation 11/2/2015 11/2/2020 Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Probation Violation

xAlcohol Use Disorder - Mild

Revocation 4/6/2017 Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Probation Violation

xAlcohol Use Disorder - Mild

Pollard, Julie Ann 61060

La Vista, NE

Probation 12/30/2011 12/30/2016 Alcohol Dependency

Controlled Substance Dependence

Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

xWillful ULL Violation

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Polzin, Theresa Lynn 67781

Alden, IA

Pet for Adv Act: Nurse Lic Compact filed 2/23/2012 3/8/2012 Felony Conviction(s)

Other State Action

Revocation 3/8/2012 Felony Conviction(s)

Other State Action

Pontti, Timothy John 67696

Papillion, NE

Censure 8/9/2010 Unprofessional Conduct

Poppe, Micayla Anne 56635

Lincoln, NE

Probation 1/7/2015 1/7/2020 Controlled Substance Dependence

Unprofessional Conduct

Violation of UCSA

Suspension 11/30/2013 11/30/2014 Controlled Substance Dependence

Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

Porter, Joyce Lavonne 49241

Lincoln, NE

Suspension 3/13/2010 4/12/2010 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Porto, David A 69785

Lincoln, NE

Censure 2/25/2019 Practice Beyond Scope

Unprofessional Conduct

Pruss, Michelene Patrice 53724

Martell, NE

Censure 3/22/2012 Unprofessional Conduct

Quinn, Susan Ann 66662

Bennington, NE

Civil Penalty 4/7/2016 10/7/2016 Violation of UCA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Ramig, Amber Donelle 55207

Scottsbluff, NE

Censure 10/23/2009 Probation Violation

xReinstatement - Previous Discipline

Rapier, Janie Faye 58919

Omaha, NE

Censure 9/23/2010 Unprofessional Conduct

Limitation-Disciplinary

Rath, Sandra Dee 53948

Norfolk, NE

Probation 10/9/2015 10/9/2020 Alcohol Addiction

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Practice while Impaired

Unprofessional Conduct

Suspension 12/7/2015 Alcohol Addiction

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Practice while Impaired

Unprofessional Conduct

Rea, Mark Jeffrey 41898

Las Vegas, NV

Revocation 9/23/2010 Felony Conviction(s)

Reichert, Kasey Lynne 69770

Trenton, NE

Censure 12/31/2015 Probation Violation

Unprofessional Conduct

Violation of UCSA

Civil Penalty 6/30/2016 Probation Violation

Unprofessional Conduct

Violation of UCSA

Probation 11/2/2014 11/2/2015 Probation Violation

Unprofessional Conduct

Violation of UCSA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Reifschneider, Janelle Denise 51087

Gering, NE

Probation 3/28/2013 3/28/2018 Alcohol Addiction

Controlled Substance Dependence

Practice while Impaired

Unprofessional Conduct

Violation of UCSA

Revocation 12/2/2010 3/28/2013 Alcohol Dependency

Controlled Substance Dependence

Unprofessional Conduct

Violation of UCSA

xPractice Impaired by CS

Suspension 10/19/2010 12/2/2010 Alcohol Dependency

Controlled Substance Dependence

Unprofessional Conduct

Violation of UCSA

xPractice Impaired by CS

Reinke, Karina Lynn 63753

Lincoln, NE

Revocation 12/14/2010 Unprofessional Conduct

Violation of UCSA

xControlled Substance Addiction

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Page 486 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Remmers-Hamner, LeAnn Marie 63723

Hickman, NE

Probation 7/26/2012 3/30/2018 Alcohol Abuse

Controlled Substance Dependence

Dishonorable Conduct

Obtained Drug Unlawfully

Unprofessional Conduct

Violation of UCSA

xControlled Substance Addiction/Depndncy

Suspension 5/15/2011 5/15/2012 Alcohol Abuse

Controlled Substance Dependence

Dishonorable Conduct

Obtained Drug Unlawfully

Unprofessional Conduct

Violation of UCSA

xControlled Substance Addiction/Depndncy

Reyes, Gayle Mary 60859

Omaha, NE

Censure 7/1/2019 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Unprofessional Conduct

Violation of Dept Order

Violation of Work Policies & Procedures

Suspension 10/15/2019 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Unprofessional Conduct

Violation of Dept Order

Violation of Work Policies & Procedures

Reynolds, Jennifer Elaine 62530

Omaha, NE

Civil Penalty 3/20/2015 9/20/2015 Violation of Competency Standard

Richards, Patricia Christine 63275

Fremont, NE

Suspension 2/9/2010 3/10/2010 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Richardson, Joelle M 66073

North Platte, NE

Censure 6/5/2018 Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 12/5/2018 Misdemeanor Conviction(s)

Probation Violation

Probation 11/1/2016 11/1/2019 Misdemeanor Conviction(s)

Probation Violation

Ridenoure Chastain, Lauren Brynn 78192

Omaha, NE

Probation 4/22/2019 4/22/2020 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Unprofessional Conduct

Roane, James Rice, III 48761

Lexington, KY

Censure 6/30/2016 Misrepresentation of Material Facts

Unprofessional Conduct

Suspension 4/1/2016 5/1/2016 Misrepresentation of Material Facts

Unprofessional Conduct

Roby, Angie Lynn 53240

Bennet, NE

Censure 6/28/2010 Unprofessional Conduct

Civil Penalty 8/11/2011 2/11/2012

Suspension 7/7/2010 8/6/2010

8/21/2011 10/19/2011

Rodriguez, Amy Elise 63252

Omaha, NE

Suspension 8/5/2012 9/3/2012 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Rodriguez, Brandi Marie 71174

Bloomfield, NE

Censure 7/19/2019 Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Civil Penalty 1/19/2020 Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Rohde, Jerome C 47804

Lincoln, NE

Censure 10/5/2016 Failure to Keep Adequate Records

Falsify Patient Records

Unprofessional Conduct

Suspension 10/15/2016 11/13/2016 Failure to Keep Adequate Records

Falsify Patient Records

Unprofessional Conduct

Romero, Adrian Frederick 74726

Kearney, NE

Probation 7/10/2014 3/30/2018 Controlled Substance Dependence

Practice while Impaired

Unprofessional Conduct

Ruble, Ashley Denae 69430

Grand Island, NE

Probation 10/27/2013 3/30/2018 Alcohol Dependency

Unprofessional Conduct

Rush, Yvette Quentella 80583

Omaha, NE

Limitation-Disciplinary 9/15/2015 10/28/2016 Misdemeanor Conviction(s)

Sadler, Martina Ann 66398

Elkhorn, NE

Probation 5/12/2017 5/12/2019 Misdemeanor Conviction(s)

Violation of UCSA

xAlcohol Use Disorder - Mild

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Salsbury, Julie Marie 67719

Omaha, NE

Probation 12/15/2017 12/12/2022 Misdemeanor Conviction(s)

Substance Use Disorder

Violation of UCSA

Suspension 6/10/2012 6/10/2013 Unprofessional Conduct

Sandin, Sandra Beth 75853

Omaha, NE

Censure 4/23/2018 Unprofessional Conduct

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Page 490 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Sausaman, Katie Elizabeth 76911

Lincoln, NE

Censure 3/1/2018 Misappropriation of Resident Property

Previous Violations Resumed

Probation Violation

Substance Use Disorder, Severe

Unprofessional Conduct

Violation of Dept Order

Violation of UCSA

Civil Penalty 9/1/2018 Misappropriation of Resident Property

Previous Violations Resumed

Probation Violation

Substance Use Disorder, Severe

Unprofessional Conduct

Violation of Dept Order

Violation of UCSA

Probation 2/11/2017 2/11/2022 Misappropriation of Resident Property

Previous Violations Resumed

Probation Violation

Substance Use Disorder, Severe

Unprofessional Conduct

Violation of Dept Order

Violation of UCSA

Suspension 10/29/2018 10/30/2018 Misappropriation of Resident Property

Previous Violations Resumed

Probation Violation

Substance Use Disorder, Severe

Unprofessional Conduct

Violation of Dept Order

Violation of UCSA

Schell, Bradley Hall 62919

Lincoln, NE

Probation 1/31/2013 1/31/2018 Alcohol Dependency

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Page 491 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Schinstock, Sean Daniel 68404

Lincoln, NE

Probation 11/5/2018 11/5/2023 Misdemeanor Conviction(s)

Substance Use Disorders-Multiple

Schlimgen, Lori L 69345

Omaha, NE

Probation 9/12/2014 9/12/2016 Alcohol Dependency

Misdemeanor Conviction(s)

Schmit, Sara Rose 40513

Fremont, NE

Suspension 9/22/2013 10/21/2013 Failure to Keep Adequate Records

Unprofessional Conduct

Schneider, Matthew Paul 76123

West Point, NE

Censure 5/31/2018 Failure to Keep Adequate Records

Falsify Patient Records

Civil Penalty 11/30/2018 Failure to Keep Adequate Records

Falsify Patient Records

Schreiber, Chad William 62449

Tucson, AZ

Civil Penalty 9/25/2014 3/25/2015 Misrepresentation of Material Facts

Violation of UCA

Schroeder, Brenda Lea 40683

Omaha, NE

Censure 5/5/2014 Unprofessional Conduct

Schroeder, Ceanna Lynn 79515

Lincoln, NE

Probation 4/15/2015 4/15/2017 Alcohol Dependency

Felony Conviction(s)

Misdemeanor Conviction(s)

Schroeder, Megan Lynn 78619

Wellfleet, NE

Censure 11/17/2017 Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Schuman, Tara Joy 61359

Bennington, NE

Censure 6/24/2014 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Civil Penalty 6/24/2015 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Schutz, Deborah Ann 47688

Omaha, NE

Civil Penalty 4/1/2016 10/1/2016 Violation of UCA

Scott, Mary Ellen 28108

Greeley, NE

Censure 5/5/2014 Unprofessional Conduct

Selig Polzien, Elaine 64220

Lincoln, NE

Censure 8/16/2010 Unprofessional Conduct

Civil Penalty 8/6/2010 2/5/2011

Shavlik, Traci Ann 53708

North Platte, NE

Probation 9/7/2018 9/7/2019 Alcohol Use Disorder, Severe

Misdemeanor Conviction(s)

Unprofessional Conduct

Shcherbiy, Bogdana 53862

Elkhorn, NE

Suspension 4/16/2018 Alcohol Use Disorder, Severe

Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Substance Use Disorder, Severe

Sheehan, Juliet Darlene 52709

Omaha, NE

Censure 2/26/2014 Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Civil Penalty 8/26/2014 Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

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Page 493 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Shelby, Emily C 64253

Omaha, NE

Censure 10/31/2017 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Civil Penalty 4/30/2018 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Siedenburg, Dena Rae 58846

Omaha, NE

Probation 11/2/2018 11/2/2021 Felony Conviction(s)

Misdemeanor Conviction(s)

Substance Use Disorders-Multiple

Silliman, Timothy 55986

Omaha, NE

Probation 8/1/2019 8/1/2020 Misdemeanor Conviction(s)

Skrdlant, Teresa Renee 61637

Hastings, NE

Probation 5/29/2014 5/29/2019 Alcohol Dependency

Sloan, Nicole Helen 68877

Lincoln, NE

Revocation 6/24/2010 Failure to File Report-38-1,124,38-1,125

Violation of UCSA

Smalley, Diana Louise 26991

Edmond, OK

Civil Penalty 5/29/2014 11/29/2014 Violation of UCA

Smith, Bernadette Susan 55186

North Platte, NE

Censure 8/25/2011 Failure to Keep Adequate Records

Unprofessional Conduct

Suspension 9/4/2011 10/4/2011 Failure to Keep Adequate Records

Unprofessional Conduct

Smith, Carol Ann 62158

Terlton, OK

Probation 7/6/2010 xPrevious Discipline

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Page 494 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Smith, Carrie Lynne 58264

Omaha, NE

Revocation 9/25/2010 Failure to File Report-38-1,124,38-1,125

Violation of UCSA

Smith, Shirleen Faye 49066

North Platte, NE

Censure 10/23/2009 Permitting Aiding & Abetting

Smith, Tammy Marie 77582

Omaha, NE

Censure 10/10/2018 Unprofessional Conduct

Violation of Work Policies & Procedures

Smyth, Heidi Jean 67526

Hershey, NE

Civil Penalty 10/30/2013 4/30/2014 Misrepresentation of Material Facts

Snell, David Adam 56974

Omaha, NE

Probation 12/18/2009 12/18/2014 Violation of UCSA

xReinstatement - Previous Discipline

xUnlawful Possession of CS

Snide, Jessica Lynn 75419

OMAHA, NE

Censure 5/29/2019 Misrepresentation of Material Facts

Civil Penalty 11/29/2019

Snyder, Benjamin Lawrence 79359

Grand Island, NE

Probation 4/16/2018 4/16/2023 Alcohol Use Disorder, Severe

Misdemeanor Conviction(s)

Sonntag, Grace Ann 67047

Nixa, MO

Censure 10/7/2010 Dishonorable Conduct

Unprofessional Conduct

Suspension 10/17/2010 11/16/2010 Dishonorable Conduct

Unprofessional Conduct

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Page 495 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Spilker, Jay Cecil 38150

Lincoln, NE

Censure 6/20/2011 Unprofessional Conduct

Stander, Rhonda Dee 48964

Holdrege, NE

Censure 8/21/2013 Alcohol Addiction

Dishonorable Conduct

Misdemeanor Conviction(s)

Other State Action

Probation Violation

xHabitual Intoxication

Civil Penalty 2/21/2014 Alcohol Addiction

Dishonorable Conduct

Misdemeanor Conviction(s)

Other State Action

Probation Violation

xHabitual Intoxication

Probation 7/31/2012 Alcohol Addiction

Dishonorable Conduct

Misdemeanor Conviction(s)

Other State Action

Probation Violation

xHabitual Intoxication

Standish, Susan Kay 40297

La Vista, NE

Probation 11/27/2018 6/21/2024 Other State Action

Substance Use Disorders-Multiple

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Page 496 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Stanton, Robert Lawrence 62284

Hooper, NE

Probation 7/26/2012 10/14/2017 Controlled Substance Dependence

Unprofessional Conduct

Violation of UCSA

xCourt Conviction

Revocation 4/8/2010 7/26/2012 Controlled Substance Dependence

Unprofessional Conduct

Violation of UCSA

xCourt Conviction

Steager, Chelsea Rae 65993

David City, NE

Probation 12/16/2014 12/16/2019 Controlled Substance Dependence

Dishonorable Conduct

Misappropriation of Resident Property

Unprofessional Conduct

Violation of UCSA

Suspension 8/31/2013 8/31/2014 Controlled Substance Dependence

Dishonorable Conduct

Misappropriation of Resident Property

Unprofessional Conduct

Violation of UCSA

Stear, KC Jo 74934

Cambridge, NE

Civil Penalty 7/22/2016 1/22/2017 Violation of Dept Order

Violation of UCA

Suspension 3/7/2017 3/17/2017 Violation of Dept Order

Violation of UCA

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Page 497 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Stegemann, Kayla Donna 77399

Lincoln, NE

Probation 12/27/2017 2/18/2019 Alcohol Use Disorder, Severe

Misdemeanor Conviction(s)

Probation Violation

Revocation 2/18/2019 Alcohol Use Disorder, Severe

Misdemeanor Conviction(s)

Probation Violation

Steinacher, Cortnie Marie 75857

Omaha, NE

Censure 12/19/2013 Alcohol Dependency

Probation Violation

xCriminal Conviction(s)

Civil Penalty 6/19/2014 Alcohol Dependency

Probation Violation

xCriminal Conviction(s)

Probation 4/25/2013 4/25/2018 Alcohol Dependency

Probation Violation

xCriminal Conviction(s)

Steiner, Abigail Courtney 71360

Omaha, NE

Probation 4/15/2019 4/15/2020 Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

Steinke, Kimberly Sue 58419

Lincoln, NE

Probation 10/17/2010 Unprofessional Conduct

Steinkraus, Lori Anne 42117

Omaha, NE

Censure 4/5/2012 Failure to Disclose Convictions

Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Probation 12/8/2015 12/8/2020 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Severe

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Stephens, Leah Kristine 68112

Carleton, NE

Probation 5/8/2016 5/8/2021 Alcohol Abuse

Controlled Substance Dependence

Failure to File Report-38-1,124,38-1,125

Falsify Patient Records

Unprofessional Conduct

Stevenson, Nicole Marie 77182

Greenfield, OH

Revocation 12/4/2014 Controlled Substance Dependence

Dishonorable Conduct

Practice while Impaired

Unprofessional Conduct

Violation of UCSA

Stutzman, Victoria Louise 30720

Cairo, NE

Probation 3/26/2012 Alcohol Dependency

Practice while Impaired

Unprofessional Conduct

Suspension 3/4/2012 3/17/2012 Alcohol Dependency

4/1/2012 4/14/2012

4/29/2012 5/12/2012

5/27/2012 7/14/2012

3/4/2012 3/17/2012 Practice while Impaired

4/1/2012 4/14/2012

4/29/2012 5/12/2012

5/27/2012 7/14/2012

3/4/2012 3/17/2012 Unprofessional Conduct

4/1/2012 4/14/2012

4/29/2012 5/12/2012

5/27/2012 7/14/2012

Sullivan, Jenilee Frances 71688

Gretna, NE

Probation 8/12/2018 8/12/2020 Alcohol Use Disorder, Mild

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Svoboda, Barbara Josephine 33259

Lincoln, NE

Probation 1/14/2015 4/22/2019 Practice while Impaired

xAlcohol Use Disorder - Severe

Swanda, Kathy Lynn 56679

Tecumseh, NE

Probation 4/16/2018 4/16/2019 Alcohol Use Disorder, Mild

Misdemeanor Conviction(s)

Swanson, Lacey BJ 76977

Gothenburg, NE

Probation 10/22/2013 10/22/2018 Alcohol Dependency

Misdemeanor Conviction(s)

Taylor, Rebecca Anne 65076

Gibbon, NE

Suspension 2/21/2010 Probation Violation

Unprofessional Conduct

Violation of UCSA

xHabitual Intoxication

Tegels, Amy Jill 59304

Plattsmouth, NE

Censure 11/15/2010 Misrepresentation of Material Facts

7/9/2014

11/15/2010 Unprofessional Conduct

7/9/2014

11/15/2010 Violation of Dept Order

7/9/2014

Civil Penalty 11/15/2010 5/15/2011 Misrepresentation of Material Facts

Unprofessional Conduct

Violation of Dept Order

Limitation-Disciplinary Misrepresentation of Material Facts

Unprofessional Conduct

Violation of Dept Order

Suspension 2/15/2015 3/1/2015 Misrepresentation of Material Facts

Unprofessional Conduct

Violation of Dept Order

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Theobald, Sara Ruth 58223

Seward, NE

Probation 12/24/2017 12/24/2022 Alcohol Use Disorder, Severe

Misappropriation of Resident Property

Unprofessional Conduct

Thibault, Laura Brandt 48173

Omaha, NE

Probation 2/19/2014 Alcohol Abuse

Misdemeanor Conviction(s)

Thiessen, Brooke Ann 59154

Papillion, NE

Probation 10/12/2012 10/12/2017 Controlled Substance Dependence

Dishonorable Conduct

Suspension 11/10/2012 Controlled Substance Dependence

Dishonorable Conduct

Thoene, Bridget Lynn 61684

Crofton, NE

Probation 12/3/2014 12/3/2016 Alcohol Abuse

Misdemeanor Conviction(s)

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Page 501 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Thomas, Heidi Irene 54909

Clermont, FL

Censure 12/8/2011 Failure to File Report-38-1,124,38-1,125

1/30/2014

3/12/2014

12/8/2011 Probation Violation

1/30/2014

3/12/2014

12/8/2011 Unprofessional Conduct

1/30/2014

3/12/2014

12/8/2011 xHabitual Intoxication

1/30/2014

3/12/2014

Civil Penalty 12/8/2011 6/8/2012 Failure to File Report-38-1,124,38-1,125

1/30/2014 7/30/2014

3/12/2014 9/12/2014

12/8/2011 6/8/2012 Probation Violation

1/30/2014 7/30/2014

3/12/2014 9/12/2014

12/8/2011 6/8/2012 Unprofessional Conduct

1/30/2014 7/30/2014

3/12/2014 9/12/2014

12/8/2011 6/8/2012 xHabitual Intoxication

1/30/2014 7/30/2014

3/12/2014 9/12/2014

Revocation 4/19/2015 Failure to File Report-38-1,124,38-1,125

Probation Violation

Unprofessional Conduct

xHabitual Intoxication

Suspension 3/22/2014 4/20/2014 Failure to File Report-38-1,124,38-1,125

Probation Violation

Unprofessional Conduct

xHabitual Intoxication

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Page 502 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Thomas, Verla Kaye 75283

Omaha, NE

Probation 9/15/2014 Dishonorable Conduct

Misappropriation of Resident Property

Violation of UCSA

xAlcohol Use Disorder - Mild

xCont Substance Use Disorder - Mild

Suspension 10/15/2014 Dishonorable Conduct

Misappropriation of Resident Property

Violation of UCSA

xAlcohol Use Disorder - Mild

xCont Substance Use Disorder - Mild

Tietz, Sandra Dee 66810

Omaha, NE

Civil Penalty 3/24/2016 9/24/2016 Violation of UCA

Tieu, Lisa Thanh 69724

Minnetonka, MN

Censure 7/26/2013 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Civil Penalty 7/26/2014 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Toelle, Sarah Denise 69242

Pender, NE

Probation 2/7/2016 6/27/2017 Controlled Substance Dependence

Probation Violation

Violation of UCSA

Revocation 6/27/2017 Controlled Substance Dependence

Probation Violation

Violation of UCSA

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Page 503 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Tolen, Andrea Nicole 82151

Omaha, NE

Probation 3/7/2019 10/11/2019 Alcohol Use Disorder, Mild

10/11/2019 10/11/2021

3/7/2019 10/11/2019 Misdemeanor Conviction(s)

10/11/2019 10/11/2021

3/7/2019 10/11/2019 Probation Violation

10/11/2019 10/11/2021

Trombino, Renae Marie 75230

Nebraska City, NE

Probation 8/4/2017 8/4/2022 Probation Violation

Substance Use Disorders-Multiple

Violation of UCSA

Suspension 3/12/2016 8/3/2017 Unprofessional Conduct

Violation of UCSA

xCont Substance Use Disorder - Moderate

Troshynski, Larry James 49830

Overland Park, KS

Suspension 8/25/2011 9/24/2011 Failure to File Report-38-1,124,38-1,125

Other State Action

Unprofessional Conduct

True, Julie Anne 70514

Scottsbluff, NE

Civil Penalty 11/20/2013 5/20/2014 Misrepresentation of Material Facts

Turner, Ann Marie 74409

Hastings, NE

Probation 2/11/2015 2/11/2020 Controlled Substance Dependence

Uglow, Shelley Ann 43715

Lincoln, NE

Probation 4/19/2012 Controlled Substance Dependence

Unprofessional Conduct

Suspension 9/3/2010 4/19/2012 Controlled Substance Dependence

Unprofessional Conduct

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Page 504 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

VanHorne, Suzanne 33753

Longmont, CO

Censure 12/4/2009 Dishonorable Conduct

Practice With Manifest Incapacity

Probation Violation

Unprofessional Conduct

Violation of UCSA

xControlled Substance Addiction

xPractice Impaired by CS

Veskerna, Letitia Jade 75742

Fremont, NE

Censure 11/28/2017 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Vieselmeyer, Judy Ann 64661

Beatrice, NE

Censure 6/28/2010 Failure to Keep Adequate Records

Vivian, Karen Lou 46650

Grand Island, NE

Probation 3/8/2010 Practice while Impaired

Unprofessional Conduct

xReinstatement - Previous Discipline

Vodicka, Stephanie Frances 70972

David City, NE

Suspension 10/3/2015 11/1/2015 Misrepresentation of Material Facts

Unprofessional Conduct

Vu, MaryClare Hong-Mai 55502

Lincoln, NE

Censure 8/6/2010 Unprofessional Conduct

Walsh, Julie Kay 30990

Fort Calhoun, NE

Suspension 4/26/2014 Controlled Substance Dependence

Dishonorable Conduct

Misappropriation of Resident Property

Violation of UCSA

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Page 505 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Waltke, Amanda Lea 75011

Elkhorn, NE

Censure 4/23/2018 Misrepresentation of Material Facts

Unprofessional Conduct

Civil Penalty 10/23/2018 Misrepresentation of Material Facts

Unprofessional Conduct

Watters, Cynthia L 58972

Lincoln, NE

Civil Penalty 4/9/2015 4/9/2016 Violation of UCA

Weaver, Lila Linette 52168

Papillion, NE

Censure 7/18/2018 Unprofessional Conduct

Weber, Kristi Marie 37491

Hampton, NE

Suspension 6/22/2014 7/21/2014 Failure to Keep Adequate Records

Unprofessional Conduct

Weckwerth, Holly Marie 67425

Montevideo, MN

Suspension 7/23/2010 Failure to Comply With Aftercare

Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Violation of UCSA

xControlled Substance Addiction

Weimer, Paula Anne 33293

Scottsbluff, NE

Probation 12/14/2010 6/14/2012 Felony Conviction(s)

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Page 506 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Wells, Rachel Christine 60748

Holdrege, NE

Probation 11/21/2015 Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

xCont Substance Use Disorder - Moderate

Suspension 11/20/2015 12/20/2015 Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

xCont Substance Use Disorder - Moderate

West, Jenna Beth 76607

Omaha, NE

Probation 5/27/2018 5/27/2023 Dishonorable Conduct

Misappropriation of Resident Property

Substance Use Disorder, Severe

Unprofessional Conduct

Violation of UCA

Violation of UCSA

White, Jennifer Sherwood 75621

Omaha, NE

Probation 11/21/2018 11/21/2023 Substance Use Disorders-Multiple

Violation of UCSA

Suspension 10/2/2017 Alcohol Abuse

Controlled Substance Abuse

Dishonorable Conduct

Misappropriation of Resident Property

Unprofessional Conduct

Violation of UCSA

Whitney, Melissa Kaye 52204

Omaha, NE

Censure 1/12/2012 Unprofessional Conduct

Civil Penalty 1/12/2013

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Page 507 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Wilken, Mary Ann 39709

Omaha, NE

Probation 5/31/2010 5/31/2015 Dishonorable Conduct

Violation of UCSA

Williams, Carla Dawn 49643

Omaha, NE

Censure 2/12/2014 Alcohol Dependency

2/25/2015

2/12/2014 Misdemeanor Conviction(s)

2/25/2015

2/12/2014 Probation Violation

2/25/2015

Civil Penalty 2/12/2014 8/12/2014 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Probation 9/3/2010 9/3/2016 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Suspension 3/7/2015 4/5/2015 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Willits, Rebecca Lynne 87841

Omaha, NE

Probation 11/29/2018 6/23/2021 Misdemeanor Conviction(s)

Substance Use Disorder

Wilson, Christine Ann 47503

Lincoln, NE

Probation 6/21/2011 6/21/2013 xCourt Conviction

Wilson, Thomasine Denise 56708

Omaha, NE

Probation 10/16/2009 1/25/2011 Failure to Keep Adequate Records

Unprofessional Conduct

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Page 508 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Wit, Alison Amelia 75010

Omaha, NE

Probation 3/30/2014 3/30/2017 Alcohol Dependency

Unprofessional Conduct

Wolfe, Laura K 65046

Hastings, NE

Probation 2/9/2012 2/9/2016 Alcohol Dependency

Misdemeanor Conviction(s)

Wolfe, Lynn M 56612

Omaha, NE

Probation 11/30/2018 11/30/2020 Alcohol Use Disorder, Severe

Misdemeanor Conviction(s)

Woods, Melissa Dawn 56884

Omaha, NE

Censure 9/22/2017 Failure to Safeguard Clients Diginity

Unprofessional Conduct

Civil Penalty 9/22/2018 Failure to Safeguard Clients Diginity

Unprofessional Conduct

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Page 509 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Woolley, Kathleen Elizabeth 78853

Omaha, NE

Censure 7/25/2017 Alcohol Use Disorder, Moderate

Failure to Disclose Convictions

Failure to File Report-38-1,124,38-1,125

Other State Action

Probation Violation

Substance Use Disorder, Severe

Unprofessional Conduct

Violation of Dept Order

Civil Penalty 1/25/2018 Alcohol Use Disorder, Moderate

Failure to Disclose Convictions

Failure to File Report-38-1,124,38-1,125

Other State Action

Probation Violation

Substance Use Disorder, Severe

Unprofessional Conduct

Violation of Dept Order

Probation 10/5/2016 10/10/2018 Alcohol Use Disorder, Moderate

Failure to Disclose Convictions

Failure to File Report-38-1,124,38-1,125

Other State Action

Probation Violation

Substance Use Disorder, Severe

Unprofessional Conduct

Violation of Dept Order

Revocation 10/10/2018 Alcohol Use Disorder, Moderate

Failure to Disclose Convictions

Failure to File Report-38-1,124,38-1,125

Other State Action

Probation Violation

Substance Use Disorder, Severe

Unprofessional Conduct

Violation of Dept Order

Suspension 3/1/2018 3/20/2018 Alcohol Use Disorder, Moderate

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Page 510 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Suspension 3/1/2018 3/20/2018 Failure to Disclose Convictions

Failure to File Report-38-1,124,38-1,125

Other State Action

Probation Violation

Substance Use Disorder, Severe

Unprofessional Conduct

Violation of Dept Order

Wulf, Kellie J 56434

Kearney, NE

Stipulation 9/15/2010 Dishonorable Conduct

Failure to File Report-38-1,124,38-1,125

Practice Beyond Scope

Unprofessional Conduct

Violation of UCSA

Yoachim, Collin David 74902

Lincoln, NE

Probation 8/3/2012 8/3/2014 Alcohol Abuse

Misdemeanor Conviction(s)

York, Karrie Jo 69129

Endicott, NE

Censure 10/1/2019 Alcohol Use Disorder, Severe

Failure to Comply With Aftercare

Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 4/1/2020 Alcohol Use Disorder, Severe

Failure to Comply With Aftercare

Misdemeanor Conviction(s)

Probation Violation

Probation 1/27/2019 1/27/2023 Alcohol Use Disorder, Severe

Failure to Comply With Aftercare

Misdemeanor Conviction(s)

Probation Violation

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Page 511 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Young, Carrie Anne 67972

Kimball, NE

Probation 6/16/2017 6/16/2022 Unprofessional Conduct

xAlcohol Use Disorder - Severe

Revocation 10/21/2019 Probation Violation

Suspension 6/16/2017 8/14/2017 Unprofessional Conduct

xAlcohol Use Disorder - Severe

Young, Jeremy Rexford 85394

Lincoln, NE

Petition for Disp Action & Temp Susp 5/17/2018 11/20/2018 Controlled Substance Abuse

Failure to Comply With Aftercare

Practice while Impaired

Unprofessional Conduct

Violation of UCSA

Suspension Controlled Substance Abuse

Failure to Comply With Aftercare

Practice while Impaired

Unprofessional Conduct

Violation of UCSA

Temporary Suspension 5/22/2018 11/20/2018 Controlled Substance Abuse

Failure to Comply With Aftercare

Practice while Impaired

Unprofessional Conduct

Violation of UCSA

Ziemer, Shauna Rae 53041

Bayard, NE

Censure 3/20/2013 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Other State Action

Unprofessional Conduct

Civil Penalty 9/20/2013 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Other State Action

Unprofessional Conduct

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Page 512 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Registered Nurse

Zuchegna, Anthony Wayne 66667

Lincoln, NE

Censure 4/24/2011 Probation Violation

Unprofessional Conduct

Probation 7/8/2010 7/8/2012 Probation Violation

Unprofessional Conduct

Zuroski, Angela Kay 48159

Blair, NE

Civil Penalty 1/31/2013 1/31/2014 Dishonorable Conduct

Misdemeanor Conviction(s)

Probation Violation

Unprofessional Conduct

xHabitual Intoxication

Probation 1/29/2010 1/29/2013 Dishonorable Conduct

Misdemeanor Conviction(s)

Probation Violation

Unprofessional Conduct

xHabitual Intoxication

Suspension 1/31/2013 3/1/2013 Dishonorable Conduct

Misdemeanor Conviction(s)

Probation Violation

Unprofessional Conduct

xHabitual Intoxication

Zywiec, Jennifer Jo 80261

Roseland, NE

Censure 4/6/2018 Failure to Keep Adequate Records

Unprofessional Conduct

Nursing Home Administration

NHA Administrator-in-Training

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Page 513 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

NHA Administrator-in-Training

Ardley, Mikel Margaret 199

South Sioux City, NE

Probation 4/17/2019 8/17/2019 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Substance Use Disorder

Beck, Adam Stephen 105

Lincoln, NE

Probation 7/13/2010 12/31/2010 Alcohol Abuse

xCourt Conviction

NHA Mentoring Trainee

Hale, Katelyn Jeanne 291

Lincoln, NE

Probation 12/10/2015 5/1/2016 Alcohol Dependency

Misdemeanor Conviction(s)

Saunsoci, Shannon E. 343

South Sioux City, NE

Probation 8/17/2017 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Nursing Home Administrator

Alderman, Kelly D. 2413

Hastings, NE

Civil Penalty 4/1/2016 5/31/2016 Misdemeanor Conviction(s)

Violation of UCA

Beck, Adam Stephen 2302

Lincoln, NE

Probation 3/1/2011 Alcohol Abuse

xCourt Conviction

Fuston, Andrew Rolland 1743

Lyons, NE

Probation 3/26/2012 3/26/2013 Unlicensed Practice

Leimer, Sandra J 1544

Mead, NE

Probation 7/30/2013 1/30/2014 Unlicensed Practice

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Nursing Home Administrator

Mason, Kimberly Leona 1933

Waukee, IA

Censure 3/31/2010 Unlicensed Practice

Spies, Dorene M 1768

Grand Island, NE

Probation 7/12/2017 9/12/2019 Negligent Conduct

Unprofessional Conduct

Nursing Support

Medication Aide

Austin, Jennifer Lynne 92722

Bellevue, NE

Civil Penalty 9/20/2018 3/20/2019 Unlicensed Practice

Barber, Brandon Leigh 83414

Omaha, NE

Suspension - Non-Child Support Payment 5/12/2017 Delinquent Child Support Payment

Berry, Theresa L 91110

La Vista, NE

Civil Penalty 3/16/2018 9/21/2018 Unlicensed Practice

Bonnell, Kathleen Veronica 43918

Kearney, NE

Competency Violation 3/14/2011 xFailure to Demonstrate Competency

Borreson, Whitney Ann 66512

Wahoo, NE

Competency Violation 4/23/2013 xFailure to Demonstrate Competency

Brehm, Donna M 62610

Hastings, NE

Competency Violation 3/30/2010 Violation of Competency Standard

Brockman, Amber Diane 90124

Council Bluffs, IA

Civil Penalty 11/28/2017 5/28/2018 Unlicensed Practice

Burlison, Levi A 71369

Rapid City, SD

Competency Violation 10/30/2012 xFailure to Demonstrate Competency

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Page 515 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Medication Aide

Campuzano, William Michael 67460

Kearney, NE

Competency Violation 3/14/2011 xFailure to Demonstrate Competency

Carman, Tyler John 91094

Kearney, NE

Civil Penalty 3/12/2018 9/12/2018 Unlicensed Practice

Carr, Jennifer Ann 92557

Oakdale, NE

Civil Penalty 8/23/2018 2/23/2019 Unlicensed Practice

Escobar, Iliana Elizabeth 89543

Omaha, NE

Civil Penalty 9/22/2017 3/22/2018 Unlicensed Practice

Fobie, Paul 53224

Lincoln, NE

Competency Violation 11/2/2010 Gross Incompetence

Gross Negligence

Gartner, Elizabeth M 69681

Lincoln, NE

Competency Violation 12/3/2012 xFailure to Demonstrate Competency

Glebe, Erica Preston 90286

Grand Island, NE

Civil Penalty 12/15/2017 6/15/2018 Unlicensed Practice

Goodwin, Susan Rae 71916

Kearney, NE

Competency Violation 12/31/2012 xFailure to Demonstrate Competency

Graham, David M 56035

Kearney, NE

Competency Violation 1/3/2011 Violation of Competency Standard

Groves, Dorla Imee 89678

Hastings, NE

Civil Penalty 10/6/2017 4/6/2018 Unlicensed Practice

Hanson, Donna Mae 92560

Oakdale, NE

Civil Penalty 8/23/2018 2/23/2019 Unlicensed Practice

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Medication Aide

Hoffman, Karmen L 92561

Brunswick, NE

Civil Penalty 8/23/2018 2/23/2019 Unlicensed Practice

Jacoby, Tiffany Rae 93179

Kearney, NE

Civil Penalty 11/2/2018 5/2/2019 Unlicensed Practice

Johnson, Anthony Dapree 90260

Omaha, NE

Civil Penalty 12/11/2017 6/11/2018 Unlicensed Practice

Kuwa, Mengistu Jousif 70610

Lincoln, NE

Competency Violation 12/3/2012 xFailure to Demonstrate Competency

Lindsay, Willetta K 92562

Oakdale, NE

Civil Penalty 8/23/2018 2/23/2019 Unlicensed Practice

Marick, Melissa Lynn 90455

David City, NE

Civil Penalty 1/4/2018 7/4/2018 Unlicensed Practice

Markvicka, Renae L 65957

Ord, NE

Competency Violation 4/14/2011 xFailure to Demonstrate Competency

Martinez, Monica 89523

Bellevue, NE

Civil Penalty 9/21/2017 3/21/2018 Unlicensed Practice

Maynard, Tammy Len 92469

Norfolk, NE

Civil Penalty 8/20/2018 2/20/2019 Unlicensed Practice

McGhee, Lisa Anita 90043

Omaha, NE

Civil Penalty 11/16/2017 5/16/2018 Unlicensed Practice

McSorley, Sarah E 89544

Council Bluffs, IA

Civil Penalty 9/25/2017 10/19/2017 Unlicensed Practice

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Medication Aide

Meyer, Debbie Sue 89881

Omaha, NE

Civil Penalty 11/1/2017 5/1/2018 Unlicensed Practice

Miller, Kristi Daniel 88227

Omaha, NE

Civil Penalty 3/30/2017 9/30/2017 Unlicensed Practice

Monroe, Shena Rae 61994

Grand Island, NE

Failure to pay Fees 11/12/2010 12/1/2010 Failure to Pay Fees

Newell-Robinson, Monica Regina 66449

Lincoln, NE

Failure to pay Fees 7/30/2010 Failure to Pay Fees

O'Connor, Delilah V 39251

Lyons, NE

Competency Violation 3/12/2010 Violation of Competency Standard

Ollendick, Katheryn Rebecca 92468

Tilden, NE

Civil Penalty 8/20/2018 2/20/2019 Unlicensed Practice

Page, Kristian Renee 89726

Omaha, NE

Civil Penalty 10/25/2017 4/25/2018 Unlicensed Practice

Payne, Rachel Ann 90180

Kenesaw, NE

Civil Penalty 12/4/2017 6/4/2018 Unlicensed Practice

Peters, Callie D 91108

Walton, NE

Civil Penalty 3/16/2018 9/21/2018 Unlicensed Practice

Ridge, Curtis A R 62631

La Vista, NE

Competency Violation 6/28/2010 Violation of Competency Standard

Samuels, Stephanie Nicole 89884

Bellevue, NE

Civil Penalty 11/1/2017 5/1/2018 Unlicensed Practice

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Medication Aide

Schilousky, Jolene Lynne 50129

Norfolk, NE

Competency Violation 3/1/2013 xFailure to Demonstrate Competency

Schmoldt, Coriann Marie 92470

Neligh, NE

Civil Penalty 8/20/2018 9/17/2018 Unlicensed Practice

Sichta, Elizabeth Nicole 89679

Omaha, NE

Civil Penalty 10/5/2017 4/5/2018 Unlicensed Practice

Spier, Kaylee JaneLynn 70309

Wymore, NE

Competency Violation 10/19/2012 xFailure to Demonstrate Competency

Stitt, Kelly Ann 56938

Fremont, NE

Competency Violation 1/18/2013 xFailure to Demonstrate Competency

Stoehr, Capricessia Marie Monet 69245

Lincoln, NE

Competency Violation 3/6/2013 xFailure to Demonstrate Competency

Strange, Heather Rae 90044

Plattsmouth, NE

Civil Penalty 11/16/2017 5/16/2018 Unlicensed Practice

Streit, Michaela Morgan 91109

Omaha, NE

Civil Penalty 3/16/2018 9/21/2018 Unlicensed Practice

Vanek, Michelle Lynn 90456

Prague, NE

Civil Penalty 1/4/2018 7/4/2018 Unlicensed Practice

Wilhite, Michelle Lynne 88985

Omaha, NE

Civil Penalty 7/13/2017 1/13/2018 Unlicensed Practice

Woodrich-Brooks, Betty Ann 93935

Papillion, NE

Civil Penalty 2/5/2019 8/5/2019 Unlicensed Practice

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Medication Aide

Younglove, Joseph Robert 90285

Lincoln, NE

Civil Penalty 12/15/2017 6/15/2018 Unlicensed Practice

Medication Aide - 40 Hour

Beitel, Joyce Louise 64337

Clarks, NE

Competency Violation 7/28/2010 Violation of Competency Standard

Borgeson, Michaella Ann 84687

Bennington, NE

Civil Penalty 3/23/2018 9/23/2018 Unlicensed Practice

Brown, Erika Shawn 84494

Benkelman, NE

Civil Penalty 3/1/2018 9/1/2018 Unlicensed Practice

Buirst, Kimberly Sonya 62175

Omaha, NE

Competency Violation 4/14/2011 Abuse of Resident

xFailure to Demonstrate Competency

Chessmore, Shakera Tah 83451

Elba, NE

Civil Penalty 9/25/2017 3/25/2018 Unlicensed Practice

Chism, Carey Mae 59907

Axtell, NE

Competency Violation 4/9/2012 Violation of Competency Standard

Creps, Angela Marie 46346

Prague, NE

Failure to pay Fees 2/25/2011 Failure to Pay Fees

Crewdson, Erica Jean 65199

North Platte, NE

Falsification of Application 2/11/2011 xFalsified Application

Davis, Sandra K 55648

Orleans, NE

Failure to pay Fees 3/30/2011 Failure to Pay Fees

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Medication Aide - 40 Hour

Desrosiers, Victoria Lee 84061

Burwell, NE

Civil Penalty 12/11/2017 6/11/2018 Unlicensed Practice

Dickson, Juliet Akunna 83707

Omaha, NE

Civil Penalty 11/1/2017 5/1/2018 Unlicensed Practice

Dittbenner, Rachael Noelle 61883

Mitchell, NE

Failure to pay Fees 2/24/2011 Failure to Pay Fees

Dofner, Angela Anita 86076

Council Bluffs, IA

Civil Penalty 9/12/2018 3/12/2019 Unlicensed Practice

Dutkanicz, Nicole Christina 83448

Seward, NE

Civil Penalty 9/22/2017 3/25/2018 Unlicensed Practice

Foglesong, Teresa Jane 84493

Lincoln, NE

Civil Penalty 2/12/2018 8/12/2018 Unlicensed Practice

Forsberg, Kimberly Jo 60319

Chadron, NE

Competency Violation 1/9/2013 xFailure to Demonstrate Competency

Frazier, Shirley Deloyce 5956

Omaha, NE

Competency Violation 8/1/2012 xFailure to Demonstrate Competency

Hall, David Warnen 61841

Beatrice, NE

Competency Violation 12/17/2011 xFailure to Demonstrate Competency

Hardin, Rosa 47552

Axtell, NE

Competency Violation 4/9/2010 Violation of Competency Standard

Harms, Michelle Lynn 54499

Beatrice, NE

Competency Violation 1/31/2013 xFailure to Demonstrate Competency

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Medication Aide - 40 Hour

Hartung, Heather Louise 62215

Table Rock, NE

Competency Violation 12/10/2009 Violation of Competency Standard

Hill, Justin Charles 66318

Beatrice, NE

Competency Violation 8/20/2012 xFailure to Demonstrate Competency

Hines, Chelsea Marie 68870

Nickerson, NE

Falsification of Application 1/13/2012 xFalsified Application

Hogancamp, Patricia Ann 45947

Lorton, NE

Competency Violation 6/24/2013 Violation of Competency Standard

Hope, Dorothea JoAnn 83450

Omaha, NE

Civil Penalty 9/22/2017 3/22/2018 Unlicensed Practice

Hughes, Courtney Sue 84669

Lincoln, NE

Civil Penalty 3/16/2018 9/21/2018 Unlicensed Practice

Jacobs, Jana Marie 56973

Orleans, NE

Competency Violation 8/4/2010 Violation of Competency Standard

Job, Jae Starr 65759

Lincoln, NE

Failure to pay Fees 11/12/2010 Failure to Pay Fees

Jones, Emily Ann 68061

Omaha, NE

Competency Violation 3/14/2013 xFailure to Demonstrate Competency

LaDue, Bobbi Jo 46325

Bellevue, NE

Competency Violation 3/14/2013 xFailure to Demonstrate Competency

Lampson, Alicia Ann 83547

Mitchell, NE

Civil Penalty 10/6/2017 4/6/2018 Unlicensed Practice

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Medication Aide - 40 Hour

Leal, Sandra Louise 62379

North Platte, NE

Competency Violation 8/12/2010 Violation of Competency Standard

Longoria, Veronica Leonidez 62604

Scottsbluff, NE

Competency Violation 4/14/2011 xFailure to Demonstrate Competency

Luebe, Hailey Justine 83600

Norfolk, NE

Civil Penalty 10/25/2017 4/25/2018 Unlicensed Practice

Mangelsen, Teri Lynn 83882

Saint Edward, NE

Civil Penalty 11/16/2017 5/16/2018 Unlicensed Practice

Mathison, Shayla Ree 60682

O'Neill, NE

Competency Violation 3/1/2010 Violation of Competency Standard

McCormack, Susan Virginia 58771

Omaha, NE

Competency Violation 2/25/2013 xFailure to Demonstrate Competency

McGaa, Loretta Rae 83706

Rushville, NE

Civil Penalty 11/1/2017 5/1/2018 Unlicensed Practice

Meyer, Diane 83881

Papillion, NE

Civil Penalty 11/16/2017 5/16/2018 Unlicensed Practice

Minnick, Stacy Marie 64037

Kearney, NE

Failure to pay Fees 1/25/2012 Failure to Pay Fees

Moninger, Erin Pamela 83548

Omaha, NE

Civil Penalty 10/6/2017 4/6/2018 Unlicensed Practice

Morrill, Libia Caye 84093

Royal, NE

Civil Penalty 12/15/2017 6/15/2018 Unlicensed Practice

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Medication Aide - 40 Hour

Novotny, Casey Lynn 83452

Clarkson, NE

Civil Penalty 9/21/2017 3/21/2018 Unlicensed Practice

Nyabuto, Brian Osindi 66568

Toledo, OH

Falsification of Application 1/1/2012 xFalsified Application

Owens, Melanie Dawn 84092

Omaha, NE

Civil Penalty 12/15/2017 6/15/2018 Unlicensed Practice

Payne, Marcie A 62414

Stanton, NE

Competency Violation 2/23/2011 Lacks Good Character

Pendell, Michael Lewis 60164

Beatrice, NE

Competency Violation 12/17/2011 xFailure to Demonstrate Competency

Perry-Hill, Natasha Shaire 84668

Omaha, NE

Civil Penalty 3/16/2018 9/21/2018 Unlicensed Practice

Pesek, Elizabeth Marie 53497

Sutherland, NE

Competency Violation 3/1/2010 Violation of Competency Standard

Petty, Jasmine D M 70128

Lincoln, NE

Competency Violation 2/6/2013 xFailure to Demonstrate Competency

Poortinga, Damien F 65717

Lincoln, NE

Competency Violation 4/20/2012 xFailure to Demonstrate Competency

Potter, Kindra Ann 83971

Broken Bow, NE

Civil Penalty 11/29/2017 5/29/2018 Unlicensed Practice

Quednau, Julie Ann 83445

Saint Libory, NE

Civil Penalty 9/22/2017 3/22/2018 Unlicensed Practice

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Medication Aide - 40 Hour

Rosenboom, Rebecca Jean 68523

Lincoln, NE

Failure to pay Fees 12/6/2011 Failure to Pay Fees

Schroeder, Anna Maxine 56988

Kearney, NE

Competency Violation 11/5/2010 Violation of Competency Standard

Sloan, Cedric Lamarr 83437

Omaha, NE

Civil Penalty 9/21/2017 3/21/2018 Unlicensed Practice

Smith, Phyllis Marie 84667

Omaha, NE

Civil Penalty 3/16/2018 9/21/2018 Unlicensed Practice

Smith, Tenee Elizabeth 84686

Creston, NE

Civil Penalty 3/23/2018 9/23/2018 Unlicensed Practice

Thompson, Amanda Leah 84186

Mitchell, NE

Civil Penalty 12/29/2017 6/29/2018 Unlicensed Practice

Usman, Terry Lee 55827

Omaha, NE

Competency Violation 4/24/2012 xFailure to Demonstrate Competency

Velder, Elizabeth S 83435

Lincoln, NE

Civil Penalty 9/21/2017 3/21/2018 Unlicensed Practice

Warren, Aileen Niem 84231

Lincoln, NE

Civil Penalty 1/4/2018 7/4/2018 Unlicensed Practice

Weis, Jessica Dawn 68186

Omaha, NE

Competency Violation 4/24/2012 xFailure to Demonstrate Competency

Wyatt, Michelle Lerine 57691

Omaha, NE

Competency Violation 3/15/2013 xFailure to Demonstrate Competency

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Medication Aide - 40 Hour

Young, Marcia Faye 84232

Lincoln, NE

Civil Penalty 1/4/2018 7/4/2018 Unlicensed Practice

Nurse Aide

Akakpo, Rejoice 98909

Omaha, NE

Finding of Abuse 7/25/2013 Abuse of Resident

Andreasen, Lucinda E 107175

West Point, NE

Finding of Abuse 8/26/2015 Abuse of Resident

Anoliefo, Chukwudi Ezenwa 122424

Scottsbluff, NE

Finding of Abuse 6/11/2019 Abuse of Resident

Baggerly, Tiffany L 88662

Omaha, NE

Finding of Neglect 7/11/2011 Neglect of Resident

Barker, Tiffany M 87952

Lincoln, NE

Finding of Misappropriation 6/11/2019 Misappropriation of Resident Property

Becker, Carol L 26839

Gering, NE

Finding of Neglect 10/27/2011 Neglect of Resident

Beller, Karin Leslie 36019

Lincoln, NE

Finding of Misappropriation 8/6/2010 Misappropriation of Resident Property

Berger, Matthew John 89758

Fremont, NE

Finding of Abuse 11/22/2013 Abuse of Resident

Crime of Moral Turpitude

Brouseau, Melanie 48440

Plattsmouth, NE

Finding of Abuse 8/12/2016 Abuse of Resident

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Nurse Aide

Buirst, Kimberly Sonya 87474

Omaha, NE

Finding of Abuse 2/14/2011 Abuse of Resident

xFailure to Demonstrate Competency

Burke, Celeste P 50502

Stromsburg, NE

Finding of Abuse 4/19/2012 Abuse of Resident

Carson, Anna D 90459

Mc Cook, NE

Finding of Misappropriation 2/11/2011 Misappropriation of Resident Property

Conant, Jennifer N 89239

Lincoln, NE

Finding of Neglect 1/6/2012 Neglect of Resident

Corley, Kathleen Ann 77793

Omaha, NE

Suspension - Non-Child Support Payment 7/9/2017 7/24/2018 Delinquent Child Support Payment

Dancy, Dana Annette 71046

Lincoln, NE

Finding of Abuse 11/29/2018 Abuse of Resident

Edgar, Danielle

Wallace, NE

Finding of Abuse 5/25/2011 Abuse of Resident

Edwards, Mia Janay 91153

Omaha, NE

Finding of Misappropriation 2/14/2011 Misappropriation of Resident Property

Erickson, Kimberly 75979

Tekamah, NE

Finding of Misappropriation 5/23/2011 Misappropriation of Resident Property

Fallon, Barbara G 57975

Lincoln, NE

Finding of Abuse 5/26/2016 Abuse of Resident

Geiger, Janelle Rene 91719

Wichita, KS

Finding of Neglect 5/7/2012 Neglect of Resident

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Nurse Aide

Gerdes, Audrey Jean 10216

Marquette, NE

Finding of Misappropriation 1/4/2013 Misappropriation of Resident Property

Ghumm, Hailey KyLeah 95670

York, NE

Finding of Misappropriation 1/4/2013 Crime of Moral Turpitude

Misappropriation of Resident Property

Gonzalez, Gabriella M 83212

Fairview, KS

Finding of Abuse 2/7/2019 Abuse of Resident

Hainowski, Brandi Paige 108120

Omaha, NE

Finding of Abuse 7/8/2014 Abuse of Resident

Hartung, Heather Louise 83895

Table Rock, NE

Finding of Misappropriation 3/16/2011 Violation of Competency Standard

Hein, Taylur Ann 99901

Stanton, NE

Finding of Abuse 8/12/2016 Abuse of Resident

Holmes, Princess Renee 92276

Omaha, NE

Finding of Abuse 8/11/2011 Abuse of Resident

Holt, Nikki Marie 40257

Gothenburg, NE

Finding of Misappropriation 11/29/2018 Misappropriation of Resident Property

Kepford, Chloe Elizabeth 61487

Hastings, NE

Finding of Abuse 3/31/2011 Abuse of Resident

King, Shiloh 39446

Emerson, NE

Finding of Misappropriation 12/12/2018 Misappropriation of Resident Property

Krcilek, Crystal Marie 56678

Saint Paul, NE

Finding of Misappropriation 7/14/2011 Misappropriation of Resident Property

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Nurse Aide

Leake, Peggy Lynne 72827

Killen, AL

Finding of Abuse 3/17/2014 Abuse of Resident

Lorenz, Robert B 111877

Lincoln, NE

Finding of Neglect 8/8/2014 Neglect of Resident

Mackins, Anita Jo 66690

Omaha, NE

Finding of Abuse 3/25/2010 Abuse of Resident

Lacks Good Character

Marion, Tamekia Daniell 87481

Omaha, NE

Finding of Neglect 6/22/2012 Neglect of Resident

Martin, Anna Maria 69275

Imperial, NE

Finding of Abuse 3/22/2012 Abuse of Resident

Masikini, Peter 84997

Omaha, NE

Finding of Misappropriation 12/3/2010 Misappropriation of Resident Property

McCafferty, Erin Kathleen 27295

Omaha, NE

Finding of Misappropriation 1/3/2013 Crime of Moral Turpitude

Misappropriation of Resident Property

McDowell, Sherry Mae 47370

Falls City, NE

Finding of Abuse 1/6/2012 Abuse of Resident

Medina Lara, Oscar Manuel 119817

Omaha, NE

Finding of Abuse 8/13/2019 Abuse of Resident

Mehringer, Christopher Lynn 49703

Mc Cook, NE

Finding of Abuse 8/16/2012 Abuse of Resident

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Nurse Aide

Mejia, Rosa Isela 70191

Norfolk, NE

Finding of Abuse 5/23/2011 Abuse of Resident

Morehead, Cathy L 89490

Burwell, NE

Finding of Abuse 1/5/2012 Abuse of Resident

Olson, Ashley Lynn 79275

Red Cloud, NE

Finding of Abuse 7/7/2011 Abuse of Resident

Page, Kristian Renee 76030

Omaha, NE

Finding of Neglect 7/11/2011 Neglect of Resident

Penny, Remmington D 61243

Elm Creek, NE

Finding of Neglect 3/28/2017 Neglect of Resident

Rappolt, Ian Durran 112436

Sioux City, IA

Finding of Neglect 8/12/2016 Neglect of Resident

Rash, Cheryl Marie 64851

Oneill, NE

Finding of Abuse 6/11/2019 Abuse of Resident

Robertson, Tameka Yvonne 93826

Omaha, NE

Finding of Abuse 12/12/2018 Abuse of Resident

Schneider, Francene Susan 76591

Fullerton, NE

Finding of Abuse 2/11/2011 Abuse of Resident

Seng, Shawnee B 82351

Wellfleet, NE

Finding of Abuse 7/7/2011 Abuse of Resident

Sloan, Cedric Lamarr 25473

Omaha, NE

Suspension 12/27/2013 3/10/2014 Delinquent Child Support Payment

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Nurse Aide

Smith, LaVisha Robin LaTrace 41606

Lincoln, NE

Finding of Abuse 6/14/2016 Abuse of Resident

Story, Kylee B 106162

Central City, NE

Finding of Neglect 11/10/2016 Neglect of Resident

Sykes, Justin N 93875

Omaha, NE

Finding of Abuse 5/20/2011 Abuse of Resident

Togbey, Kodjovi Mawuena 88180

Papillion, NE

Finding of Abuse 11/5/2010 Abuse of Resident

Neglect of Resident

Turco, Kristina Marie 53623

York, NE

Finding of Misappropriation 1/17/2013 Crime of Moral Turpitude

Lacks Good Character

Misappropriation of Resident Property

Vodvarka, Sharlene 63406

Stanton, NE

Finding of Neglect 11/2/2011 Neglect of Resident

Ward, Jon Andrew 16567

Omaha, NE

Finding of Abuse 12/3/2010 Abuse of Resident

Winchester, Jamie M 137400

Missouri Valley, IA

Finding of Abuse 8/28/2019 Abuse of Resident

Winston-Percy, Isis 91164

Omaha, NE

Finding of Abuse 5/24/2011 Abuse of Resident

Lacks Good Character

Yaunk, Mandy M 84092

Lincoln, NE

Finding of Neglect 6/22/2012 Neglect of Resident

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Nurse Aide

Young, Laurie J 21344

Salem, NE

Finding of Abuse 1/6/2012 Abuse of Resident

Znamenacek, Jennifer Ann 94879

Aurora, NE

Finding of Misappropriation 3/26/2016 Misappropriation of Resident Property

Occupational Therapy

Deep Thermal Agents

Albrecht, Bruce Allen DTA576

Kearney, NE

Probation 8/12/2015 8/12/2016 Unlicensed Practice

Alexander, Molly Ann DTA585

Kearney, NE

Probation 9/2/2015 9/2/2016 Unlicensed Practice

Bredemeier, Amanda S DTA583

Falls City, NE

Probation 8/28/2015 8/28/2016 Unlicensed Practice

Brinegar, Erin R DTA580

Kearney, NE

Probation 8/25/2015 8/25/2016 Unlicensed Practice

Conway, Michael Robert DTA315

Lincoln, NE

Probation 12/1/2009 12/8/2009 Unlicensed Practice

Dawson, Eva Louise DTA499

Grand Island, NE

Probation 3/10/2014 3/10/2015 Unlicensed Practice

Dinslage, Paige Christine DTA556

Omaha, NE

Probation 4/8/2015 4/8/2016 Unlicensed Practice

Erickson, Lauren Kay DTA588

Kearney, NE

Probation 9/10/2015 9/10/2016 Unlicensed Practice

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Deep Thermal Agents

Ervin, Deslie D DTA601

Lincoln, NE

Probation 1/27/2016 1/27/2017 Unlicensed Practice

Hauer, Megan Louise DTA559

Sherrard, IL

Probation 4/8/2015 4/8/2016 Unlicensed Practice

Huppert, Shelley Lynn DTA586

Falls City, NE

Probation 9/2/2015 9/2/2016 Unlicensed Practice

Krajewski, Sara Rachel DTA420

Mc Cook, NE

Probation 8/22/2012 8/22/2013 Unlicensed Practice

Krause, Mary Pedersen DTA577

Tekamah, NE

Probation 8/12/2015 8/12/2016 Unlicensed Practice

McDermott, Rosalyn M DTA587

Doniphan, NE

Probation 9/2/2015 9/2/2016 Unlicensed Practice

O'Neill, Sara Marie DTA341

Kearney, NE

Probation 8/5/2010 1/11/2011 Limited License

Pena, Susan K DTA595

Gering, NE

Probation 11/19/2015 11/19/2016 Unlicensed Practice

Provisional

Rath, Bridget Ann DTA557

Yutan, NE

Probation 4/8/2015 4/8/2016 Unlicensed Practice

Rimpley, Sarah L DTA582

Holdrege, NE

Probation 8/28/2015 8/28/2016 Unlicensed Practice

Rolls, Janelle Jo DTA591

Alliance, NE

Probation 10/1/2015 10/1/2016 Unlicensed Practice

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Deep Thermal Agents

Torrentez, Emily Pinkerton DTA581

Papillion, NE

Probation 8/25/2015 8/25/2016 Unlicensed Practice

Wragge, Nicole M DTA558

Omaha, NE

Probation 4/8/2015 4/8/2016 Unlicensed Practice

Electrotherapeutic Agents

Albrecht, Bruce Allen EA575

Kearney, NE

Probation 8/12/2015 8/12/2016 Unlicensed Practice

Alexander, Molly Ann EA584

Kearney, NE

Probation 9/2/2015 9/2/2016 Unlicensed Practice

Bredemeier, Amanda S EA582

Falls City, NE

Probation 8/28/2015 8/28/2016 Unlicensed Practice

Brinegar, Erin R EA579

Kearney, NE

Probation 8/25/2015 8/25/2016 Unlicensed Practice

Conway, Michael Robert EA313

Lincoln, NE

Probation 12/1/2009 12/8/2009 Unlicensed Practice

Dawson, Eva Louise EA500

Grand Island, NE

Probation 3/10/2014 3/10/2015 Unlicensed Practice

Dinslage, Paige Christine EA556

Omaha, NE

Probation 4/8/2015 4/8/2016 Unlicensed Practice

Erickson, Lauren Kay EA587

Kearney, NE

Probation 9/10/2015 9/10/2016 Unlicensed Practice

Ervin, Deslie D EA600

Lincoln, NE

Probation 1/27/2016 1/27/2017 Unlicensed Practice

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Electrotherapeutic Agents

Hauer, Megan Louise EA559

Sherrard, IL

Probation 4/8/2015 4/8/2016 Unlicensed Practice

Huppert, Shelley Lynn EA585

Falls City, NE

Probation 9/2/2015 9/2/2016 Unlicensed Practice

Krajewski, Sara Rachel EA421

Mc Cook, NE

Probation 8/22/2012 8/22/2013 Unlicensed Practice

Krause, Mary Pedersen EA576

Tekamah, NE

Probation 8/12/2015 8/12/2016 Unlicensed Practice

McDermott, Rosalyn M EA586

Doniphan, NE

Probation 9/2/2015 9/2/2016 Unlicensed Practice

O'Neill, Sara Marie EA340

Kearney, NE

Probation 8/5/2010 1/11/2011 Limited License

Pena, Susan K EA594

Gering, NE

Probation 11/19/2015 11/19/2016 Unlicensed Practice

Rath, Bridget Ann EA557

Yutan, NE

Probation 4/8/2015 4/8/2016 Unlicensed Practice

Rimpley, Sarah L EA581

Holdrege, NE

Probation 8/28/2015 8/28/2016 Unlicensed Practice

Rolls, Janelle Jo EA590

Alliance, NE

Probation 10/1/2015 10/1/2016 Unlicensed Practice

Torrentez, Emily Pinkerton EA580

Papillion, NE

Probation 8/25/2015 8/25/2016 Unlicensed Practice

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Electrotherapeutic Agents

Wragge, Nicole M EA558

Omaha, NE

Probation 4/8/2015 4/8/2016 Unlicensed Practice

Occupational Therapist

Blake, Kathryn Marie 1578

Omaha, NE

Probation 8/9/2011 11/29/2011 Alcohol Abuse

Misdemeanor Conviction(s)

Gesiriech-King, Diane 84

Lincoln, NE

Probation 1/24/2011 2/10/2011 Unlicensed Practice

Heldmann, Brian 1996

Omaha, NE

Censure 1/8/2019 Failure to File Report-38-1,124,38-1,125

Other State Action

Holt, Jenna Leigh 1980

Elkhorn, NE

Probation 2/26/2016 2/26/2017 Failure to Disclose Convictions

Misdemeanor Conviction(s)

Lehmann, Kelli Leann 2311

Lincoln, NE

Probation 3/15/2019 3/15/2022 History of Disciplinary Action

Other State Action

Substance Use Disorder

Meyer, Jessica Aaron 1248

Lincoln, NE

Probation 1/20/2011 2/10/2011 Unlicensed Practice

Talich, Debra Sue 790

Glenwood, IA

Probation 1/5/2017 1/5/2018 Unlicensed Practice

Occupational Therapy Assistant

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Occupational Therapy Assistant

Hamilton, Jennifer Dawn 775

Box Elder, SD

Probation 1/16/2017 1/16/2018 Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

Heard, Charles 746

Kearney, NE

Probation 11/14/2013 11/14/2015 Alcohol Dependency

Controlled Substance Dependence

Pohl, Megan LeRae 945

Shelton, NE

Probation 8/29/2014 1/16/2015 Misdemeanor Conviction(s)

Superficial Thermal Agents

Albrecht, Bruce Allen STA659

Kearney, NE

Probation 8/12/2015 8/12/2016 Unlicensed Practice

Alexander, Molly Ann STA670

Kearney, NE

Probation 9/2/2015 9/2/2016 Unlicensed Practice

Bredemeier, Amanda S STA668

Falls City, NE

Probation 8/28/2015 8/28/2016 Unlicensed Practice

Brinegar, Erin R STA664

Kearney, NE

Probation 8/25/2015 8/25/2016 Unlicensed Practice

Conway, Michael Robert STA377

Lincoln, NE

Probation 12/1/2009 12/8/2009 Unlicensed Practice

Dawson, Eva Louise STA578

Grand Island, NE

Probation 3/10/2014 3/10/2015 Unlicensed Practice

Dinslage, Paige Christine STA639

Omaha, NE

Probation 4/8/2015 4/8/2016 Unlicensed Practice

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Superficial Thermal Agents

Erickson, Lauren Kay STA673

Kearney, NE

Probation 9/10/2015 9/10/2016 Unlicensed Practice

Ervin, Deslie D STA691

Lincoln, NE

Probation 1/27/2016 1/27/2017 Unlicensed Practice

Hauer, Megan Louise STA642

Sherrard, IL

Probation 4/8/2015 4/8/2016 Unlicensed Practice

Huppert, Shelley Lynn STA671

Falls City, NE

Probation 9/2/2015 9/2/2016 Unlicensed Practice

Keller, Allison Lee STA684

Grand Island, NE

Probation 11/10/2015 11/10/2016 Unlicensed Practice

Krajewski, Sara Rachel STA489

Mc Cook, NE

Probation 8/22/2012 8/22/2013 Unlicensed Practice

Krause, Mary Pedersen STA660

Tekamah, NE

Probation 8/12/2015 8/12/2016 Unlicensed Practice

McDermott, Rosalyn M STA672

Doniphan, NE

Probation 9/2/2015 9/2/2016 Unlicensed Practice

O'Neill, Sara Marie STA402

Kearney, NE

Probation 8/5/2010 1/11/2011 Limited License

Pena, Susan K STA685

Gering, NE

Probation 11/19/2015 11/19/2016 Unlicensed Practice

Rath, Bridget Ann STA640

Yutan, NE

Probation 4/8/2015 4/8/2016 Unlicensed Practice

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Superficial Thermal Agents

Rimpley, Sarah L STA667

Holdrege, NE

Probation 8/28/2015 8/28/2016 Unlicensed Practice

Rolls, Janelle Jo STA678

Alliance, NE

Probation 10/1/2015 10/1/2016 Unlicensed Practice

Splitt, Robyn Lynelle STA677

Juniata, NE

Probation 9/28/2015 9/28/2016 Unlicensed Practice

Torrentez, Emily Pinkerton STA665

Papillion, NE

Probation 8/25/2015 8/25/2016 Unlicensed Practice

Wragge, Nicole M STA641

Omaha, NE

Probation 4/8/2015 4/8/2016 Unlicensed Practice

Temp OTA

Pohl, Megan LeRae 900336

Shelton, NE

Probation 7/30/2014 8/29/2014 Misdemeanor Conviction(s)

Optometry

Optometrist

Brown, Thomas Dean, OD 1019

Fremont, NE

Probation 1/10/2016 1/10/2021 Alcohol Dependency

Sturtevant, Dwayne F, OD 754

Weston, NE

Probation 10/15/2016 10/15/2021 Alcohol Abuse

Misdemeanor Conviction(s)

Pharmacy

Dispensing Practitioner Pharmacy License

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Dispensing Practitioner Pharmacy License

Gregory, Darin Michael, MD 1002433

Omaha, NE

Civil Penalty 2/6/2017 Practice in Unlicensed Premises

Hollins, Ronald Ray, MD 1002416

Omaha, NE

Civil Penalty 2/14/2019 Permitting Aiding & Abetting

Pharmacist

Birner, Thomas B, RP 10894

Sidney, NE

Censure 5/25/2017 Permitting Aiding & Abetting

Camp, Nicole Ann, RP 12906

Bennington, NE

Suspension 3/4/2019 Substance Use Disorder, Severe

Unprofessional Conduct

Violation of UCSA

Casebeer, James Sylvester, RP 8252

Lawton, OK

Censure 7/22/2016 Failure to File Report-38-1,124,38-1,125

Other State Action

Civil Penalty 1/22/2017 Failure to File Report-38-1,124,38-1,125

Other State Action

Colgrove, Anthony Dean, RP 11112

Gretna, NE

Limitation-Disciplinary 6/8/2015 6/8/2020 Unprofessional Conduct

Violation of UCSA

xCont Substance Use Disorder - Severe

Probation Unprofessional Conduct

Violation of UCSA

xCont Substance Use Disorder - Severe

Congtang, Lena Thaotramhuyen, PharmD 14066

High Bridge, NJ

Revocation 9/25/2017 Failure to File Report-38-1,124,38-1,125

Felony Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Pharmacist

Covey, Travis Eugene, RP 11417

North Platte, NE

Probation 1/22/2010 1/22/2015 Alcohol Dependency

Unprofessional Conduct

Violation of UCSA

Dolejs RP Gerald T 7164

Omaha, NE

Civil Penalty 7/7/2011 1/7/2012 Permitting Aiding & Abetting

Unprofessional Conduct

xFailure To Maintain CS Prescriptions

xFailure to Conform-Stndrds of Practice

xFailure to Keep Accurate CS Records

Limitation-Disciplinary Permitting Aiding & Abetting

Unprofessional Conduct

xFailure To Maintain CS Prescriptions

xFailure to Conform-Stndrds of Practice

xFailure to Keep Accurate CS Records

Dvorak-Segobia, Mary Elizabeth, RP 10445

Omaha, NE

Censure 7/26/2012 Unprofessional Conduct

Suspension 9/13/2013

Fabisiak, Gary Lee, RP 10158

Elkhorn, NE

Limitation-Disciplinary 1/25/2018 Dishonorable Conduct

Failure to Comply w Federal or State Law

Pattern of Negligence

Unprofessional Conduct

Galuski, Patrick James, PharmD 13792

Omaha, NE

Probation 11/7/2013 8/4/2016 Controlled Substance Dependence

Dishonorable Conduct

Violation of UCSA

Suspension 9/30/2012 3/30/2013 Controlled Substance Dependence

Dishonorable Conduct

Violation of UCSA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Pharmacist

Gault, Jerry Benton, RP 10144

Omaha, NE

Censure 10/23/2009 Practice Beyond Scope

Civil Penalty 4/23/2010

Gerber, Cody Lane, RP 12928

Omaha, NE

Censure 9/23/2015 Permitting Aiding & Abetting

Gibbens, Sarah Barbara, RP 10092

Sargent, NE

Censure 10/1/2019 Unprofessional Conduct

Violation of UCSA

Violation of Work Policies & Procedures

Civil Penalty 10/1/2021 Unprofessional Conduct

Violation of UCSA

Violation of Work Policies & Procedures

Gibilisco, Robert Joseph, RP 10270

Papillion, NE

Censure 12/21/2009 Unprofessional Conduct

Granneman, Laura Leigh, RP 13458

Omaha, NE

Probation 2/27/2013 2/27/2018 Controlled Substance Dependence

Dishonorable Conduct

Prescribing CS to Oneself

Suspension 1/27/2013 2/26/2013 Controlled Substance Dependence

Dishonorable Conduct

Prescribing CS to Oneself

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Pharmacist

Grote, Benjamin Ralph, RP 12056

Papillion, NE

Censure 12/21/2009 Alcohol Dependency

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Unprofessional Conduct

Civil Penalty 6/21/2010 Alcohol Dependency

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Unprofessional Conduct

Probation 12/31/2009 12/31/2014 Alcohol Dependency

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Unprofessional Conduct

Guerrero, Jose S, RP 13419

Grand Island, NE

Censure 1/17/2013 Permitting Aiding & Abetting

Haeberle, John G, RP 7344

Kearney, NE

Suspension 3/27/2011 7/27/2011 Probation Violation

Unprofessional Conduct

Violation of UCSA

xFailure to Keep Accurate CS Records

Hancock, Heather Sexe, RP 12917

Gretna, NE

Censure 7/26/2012 Permitting Aiding & Abetting

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Pharmacist

Heimbouch, Kay Denise, RP 8845

Scottsbluff, NE

Censure 9/20/2012 Dishonorable Conduct

Failure to Comply w Federal or State Law

Practice Beyond Scope

Unprofessional Conduct

Suspension 10/22/2012 11/20/2012 Dishonorable Conduct

Failure to Comply w Federal or State Law

Practice Beyond Scope

Unprofessional Conduct

Hein, Darren James, PharmD 14089

Bennington, NE

Probation 12/19/2012 12/19/2014 Alcohol Dependency

Lacks Good Character

Hodoly, Brandt Michael, RP 11543

Omaha, NE

Censure 6/28/2019 Permitting Aiding & Abetting

Civil Penalty 6/28/2020

Jackson, Hillary Ann, PharmDRPh 13797

Sedalia, MO

Suspension 12/31/2015 Other State Action

Prescribing CS to Oneself

Unprofessional Conduct

Violation of UCSA

Johnson, John Richard, RP 8339

Valentine, NE

Censure 2/11/2010 Probation Violation

xReinstatement - Previous Discipline

Kampfe, Andrew Hiles, PharmD 13332

Omaha, NE

Probation 3/10/2010 3/10/2012 xPrevious Discipline

Kicken, Joan Lynne, RP 10090

Minatare, NE

Censure 11/16/2009 Failure to File Report-38-1,124,38-1,125

Civil Penalty 5/19/2010

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Pharmacist

Kucera, Joseph Daniel, RP 10474

Omaha, NE

Censure 4/28/2011 Gross Negligence

Civil Penalty 10/28/2011

Kwapniowski, Lisa Ann, RP 10867

Elkhorn, NE

Revocation 1/8/2019 Dishonorable Conduct

Immoral Conduct

Practice Fraudulently

Unprofessional Conduct

Lawton, Thomas James, RP 10004

Omaha, NE

Probation 3/31/2011 Unprofessional Conduct

Violation of UCSA

Lerner, George Michael, RP 9802

Elkhorn, NE

Probation 9/22/2017 Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

xCont Substance Use Disorder - Severe

Suspension 5/30/2016 9/22/2017 Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

xCont Substance Use Disorder - Severe

Leung, Lin, RP 13657

South Richmond Hill, NY

Censure 1/31/2013 Permitting Aiding & Abetting

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Pharmacist

Levin, Steven Arthur, PharmD 14820

Woodland Hills, CA

Censure 2/7/2017 Failure to File Report-38-1,124,38-1,125

Misrepresentation of Material Facts

Other State Action

Violation of Dept Order

Civil Penalty 8/7/2017 Failure to File Report-38-1,124,38-1,125

Misrepresentation of Material Facts

Other State Action

Violation of Dept Order

Suspension 9/14/2017 Failure to File Report-38-1,124,38-1,125

Misrepresentation of Material Facts

Other State Action

Violation of Dept Order

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Pharmacist

Lieske, David Lynn, RP 8468

Grand Island, NE

Petition for Disp Action & Temp Susp 7/16/2014 1/13/2015 Negligent Conduct

Practice while Impaired

Probation Violation

Unprofessional Conduct

Probation 1/23/2015 11/30/2015 Negligent Conduct

9/22/2017

1/23/2015 11/30/2015 Practice while Impaired

9/22/2017

1/23/2015 11/30/2015 Probation Violation

9/22/2017

1/23/2015 11/30/2015 Unprofessional Conduct

9/22/2017

Suspension 11/30/2015 9/22/2017 Negligent Conduct

Practice while Impaired

Probation Violation

Unprofessional Conduct

Temporary Suspension 7/16/2014 1/23/2015 Negligent Conduct

Practice while Impaired

Probation Violation

Unprofessional Conduct

Linders, Scott Allen, RP 11024

Bridgeport, NE

Censure 3/12/2014 Permitting Aiding & Abetting

Louderback, Brett J, RP 12363

Madison, NE

Censure 10/12/2012 Misdemeanor Conviction(s)

Lowe, Teresa Ann, RP 15757

Blue Springs, MO

Probation 7/5/2017 5/17/2018 History of Disciplinary Action

Marquez, Elizabeth, RP 13724

Omaha, NE

Censure 7/12/2016 Permitting Aiding & Abetting

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Pharmacist

Maydew, Brandon Paul, PharmD 15918

Omaha, NE

Probation 11/13/2017 Other State Action

Substance Use Disorders-Multiple

Meysenburg, David John, RP 11059

Lincoln, NE

Censure 9/22/2017 Failure to File Report-38-1,124,38-1,125

Permitting Aiding & Abetting

Violation of Dept Order

Civil Penalty 9/22/2018 Failure to File Report-38-1,124,38-1,125

Permitting Aiding & Abetting

Violation of Dept Order

Suspension 12/4/2018 12/20/2018 Failure to File Report-38-1,124,38-1,125

Permitting Aiding & Abetting

Violation of Dept Order

Monono, Zachary Mbua, PharmD 14081

Omaha, NE

Censure 3/12/2014 Alcohol Abuse

Lacks Good Character

Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 9/12/2014 Alcohol Abuse

Lacks Good Character

Misdemeanor Conviction(s)

Probation Violation

Probation 11/21/2012 11/21/2014 Alcohol Abuse

Lacks Good Character

Misdemeanor Conviction(s)

Probation Violation

Moragues, Donna R, RP 7998

Bennington, NE

Probation 7/27/2013 7/27/2018 Alcohol Dependency

Controlled Substance Dependence

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Pharmacist

Morrissey, Robert Timothy, RP 12075

La Vista, NE

Censure 5/10/2012 Permitting Aiding & Abetting

Moser, Robert L, Jr, RP 12252

Nebraska City, NE

Censure 2/6/2018 Misdemeanor Conviction(s)

Mumm, Maggie Leigh, RP 11932

Fairfax, VA

Probation 8/31/2010 8/31/2011 Unprofessional Conduct

Violation of UCA

Nagengast, David Joel, RP 10562

Verdigre, NE

Limitation-Disciplinary 2/15/2011 2/11/2013 Practice Beyond Scope

Olsen, Taylor D, RP 12868

Phillips, NE

Censure 2/23/2012 Permitting Aiding & Abetting

Olson, Matthew Alan, PharmD 14717

Omaha, NE

Probation 10/29/2014 10/29/2017 Alcohol Dependency

Misdemeanor Conviction(s)

Packett, Scott Edward, RP 9047

Lincoln, NE

Censure 12/13/2012 Permitting Aiding & Abetting

Pierson, Alyssa Danielle, Pharm.D. 11140

Omaha, NE

Censure 12/31/2015 Permitting Aiding & Abetting

Civil Penalty 6/30/2016

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Pharmacist

Recek, Matthew J, PharmD 13175

Columbus, NE

Censure 8/24/2010 Probation Violation

Unprofessional Conduct

Violation of UCSA

Civil Penalty 2/24/2011 Probation Violation

Unprofessional Conduct

Violation of UCSA

Probation 12/17/2012 3/16/2014 Alcohol Dependency

12/17/2017

3/16/2014 Controlled Substance Dependence

12/17/2017

3/16/2014 Probation Violation

12/17/2017

12/21/2009 10/19/2010 Unprofessional Conduct

Violation of UCSA

xAlcohol & Chemical Dependence/Addiction

Suspension 3/17/2014 Alcohol Dependency

Controlled Substance Dependence

10/19/2010 12/17/2012 Probation Violation

3/17/2014

11/20/2009 12/21/2009 Unprofessional Conduct

10/19/2010 12/17/2012

11/20/2009 12/21/2009 Violation of UCSA

10/19/2010 12/17/2012

11/20/2009 12/21/2009 xAlcohol & Chemical Dependence/Addiction

Recker, Cory John, RP 11731

West Point, NE

Censure 7/26/2012 Permitting Aiding & Abetting

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Pharmacist

Reese, Dennis L, RP, PharmD 12349

Creston, NE

Probation 1/8/2014 1/8/2019 Controlled Substance Dependence

Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

Suspension 11/11/2012 11/11/2013 Controlled Substance Dependence

Dishonorable Conduct

Unprofessional Conduct

Violation of UCSA

Rihanek, Larry, RP 8043

Lincoln, NE

Censure 5/5/2014 Permitting Aiding & Abetting

Unprofessional Conduct

Civil Penalty 5/5/2015 Permitting Aiding & Abetting

Unprofessional Conduct

Ritchie, Kristen Leigh, PharmD 14065

Omaha, NE

Probation 11/8/2012 5/8/2013 Misrepresentation of Material Facts

Rolf, Kathleen Rose, RP 12501

Albion, NE

Censure 8/11/2011 Unprofessional Conduct

Civil Penalty 2/11/2012

Sapone, Derek Anthony, RP 14070

Virginia Beach, VA

Civil Penalty 3/12/2015 3/12/2016 Controlled Substance Dependence

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Misrepresentation of Material Facts

Scheele, Monty Lee, RP 10294

Hickman, NE

Censure 8/29/2018 Unprofessional Conduct

Violation of UCSA

Civil Penalty 2/28/2019 Unprofessional Conduct

Violation of UCSA

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Pharmacist

Schmit, Lee Robert, RP 10834

Pleasant Dale, NE

Censure 3/12/2014 Permitting Aiding & Abetting

Schneider, Susan Ann, RP 10731

Omaha, NE

Censure 9/21/2015 Permitting Aiding & Abetting

Shoopman, Richard Eugene, RP 10778

Lincoln, NE

Probation 5/12/2017 12/5/2017 Failed to Report Conviction in 30 days

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation Violation

Unprofessional Conduct

Violation of AOC

Suspension 12/5/2017 Failed to Report Conviction in 30 days

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation Violation

Unprofessional Conduct

Violation of AOC

Solarana, Alan Rene, RP 10470

Omaha, NE

Censure 6/14/2019 Misdemeanor Conviction(s)

Spurgeon, David Patrick, RP 9826

Omaha, NE

Revocation 12/14/2010 Dishonorable Conduct

Immoral Conduct

Violation of UCA

Violation of UCSA

xFailure to Conform-Stndrds of Practice

xFraud,Forgery,Misrep Material Facts

xUnlawful CS Dispensing

xUnlawful Drug Distribution

xUnlawful Invasion of Medical Practice

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Pharmacist

Stankiewicz, Kelly Lynn, RP 11795

Omaha, NE

Censure 5/10/2012 Alcohol Dependency

Controlled Substance Dependence

Obtained Drug Unlawfully

Practice while Impaired

Unprofessional Conduct

Violation of UCSA

Probation 6/1/2012 7/25/2013 Alcohol Dependency

Controlled Substance Dependence

Obtained Drug Unlawfully

Practice while Impaired

Unprofessional Conduct

Violation of UCSA

Tolstedt, Lance 12880

Omaha, NE

Probation 6/20/2011 6/20/2016 Alcohol Dependency

Upton, Richard Randall, RP 9300

Omaha, NE

Probation 6/29/2016 Other State Action

Prescribing CS to Oneself

Unprofessional Conduct

Violation of UCSA

xCont Substance Use Disorder - Severe

Suspension 1/6/2015 Other State Action

Prescribing CS to Oneself

Unprofessional Conduct

Violation of UCSA

xCont Substance Use Disorder - Severe

Walker, Larry Dean, RP 8109

Kimball, NE

Censure 3/3/2010 Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Pharmacist

Watt, Tina M, RP 13189

Chadron, NE

Censure 7/13/2018 Pattern of Negligence

Unprofessional Conduct

Civil Penalty 7/13/2019 Pattern of Negligence

Unprofessional Conduct

Weeks, Mark Todd, RP 9915

Omaha, NE

Probation 1/27/2014 12/19/2017 Alcohol Dependency

Practice while Impaired

Welke, Thomas Lee, RP 9597

Tomahawk, WI

Probation 10/28/2016 Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

xAlcohol Use Disorder - Moderate

Zaccarelli, Kelly Jean, RP 13633

Lexington, KY

Probation 10/11/2016 6/20/2020 Other State Action

Pharmacist Intern

Emerson, Jesse Daniel 7796

Lincoln, NE

Censure 5/9/2013 Alcohol Abuse

8/28/2014

5/9/2013 Misdemeanor Conviction(s)

8/28/2014

5/9/2013 Probation Violation

8/28/2014

Civil Penalty 5/9/2013 11/9/2013 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Probation 1/4/2012 1/7/2016 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Pharmacist Intern

Kivett, Lewis 6170

Newburgh, IN

Probation 1/12/2012 7/30/2013 Alcohol Dependency

Unprofessional Conduct

Mai, Khanh, PharmD 7683

Corpus Christi, TX

Probation 11/24/2017 5/8/2019 Alcohol Addiction

Controlled Substance Dependence

Failure to Comply With Aftercare

Misdemeanor Conviction(s)

Tate, Kortnee Linn 7799

Morton, IL

Probation 1/12/2012 8/16/2016 Lacks Good Character

Misrepresentation of Material Facts

Truong, Dan Doan 8253

Mukilteo, WA

Suspension 11/18/2015 Unprofessional Conduct

Violation of UCSA

Pharmacy Technician

Adekunle, Paul Oluseyi 10504

Omaha, NE

Probation 8/5/2019 8/5/2022 Felony Conviction(s)

Misdemeanor Conviction(s)

Other State Action

Anderson, Alexe Lorraine 6886

Omaha, NE

Probation 8/10/2015 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Moderate

Bell, Daniel 136

Omaha, NE

Probation 7/25/2011 7/25/2012 Misdemeanor Conviction(s)

Revocation 8/21/2012

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Pharmacy Technician

Beumer, Nicole Kristina 4478

Laramie, WY

Revocation 4/25/2015 Felony Conviction(s)

Braniff, Bonnie J 3171

Tekamah, NE

Censure 6/25/2012 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Probation 6/8/2010 6/8/2015 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Suspension 5/15/2015 5/21/2015 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Broekemeier, Nathan Orville 8373

Norfolk, NE

Revocation 9/16/2017 Violation of UCA

Violation of UCSA

Butler, Adam Taylor 3665

Lincoln, NE

Revocation 5/29/2015 Practice while Impaired

Carl, Danielle Rae 5548

North Platte, NE

Civil Penalty 4/21/2017 Failed to Report Conviction in 30 days

Misdemeanor Conviction(s)

Cieloha, Miranda Koci 3194

Fremont, NE

Revocation 8/23/2015 Felony Conviction(s)

Colson, Brooke Cheri 2335

Omaha, NE

Revocation 7/28/2014 Violation of UCA

Eads, Shannon Marie 78

Grand Island, NE

Probation 5/16/2016 2/3/2017 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Severe

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Pharmacy Technician

Fehr, Steven Bradley 8689

Omaha, NE

Censure 4/17/2018 Unlicensed Practice

Fisher, Lori Ann 7373

Fremont, NE

Probation 12/18/2015 12/18/2017 Misdemeanor Conviction(s)

Garza, Ruben 792

Imperial, NE

Probation 10/25/2015 Alcohol Abuse

Misdemeanor Conviction(s)

Revocation 5/11/2017 Alcohol Abuse

Misdemeanor Conviction(s)

Gerdes, Lindsey Kaye 7479

Omaha, NE

Civil Penalty 6/1/2018 Unlicensed Practice

Harrison, Katisha Vaughnshay 10297

Omaha, NE

Probation 5/3/2019 5/3/2021 Misdemeanor Conviction(s)

Hartman, Jason Cleve 5853

Lincoln, NE

Probation 5/16/2014 Lacks Good Character

Misdemeanor Conviction(s)

xAlcohol Use Disorder - Moderate

Hicks, Miya SeVille 6970

Lincoln, NE

Probation 8/26/2015 8/26/2016 Lacks Good Character

Misdemeanor Conviction(s)

Hubbard, Kristine Louise 1598

Lincoln, NE

Revocation 9/16/2017 Unprofessional Conduct

Violation of UCSA

Violation of the UCA

Jensen, Sandra Kay 9125

Ralston, NE

Censure 5/16/2018 Unlicensed Practice

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Pharmacy Technician

Jones, Angel Alexandria 10298

Omaha, NE

Probation 5/6/2019 5/6/2021 Misdemeanor Conviction(s)

Lafavor, Kendra Lynne 2648

Ames, NE

Probation 4/10/2013 1/2/2014 Alcohol Dependency

Controlled Substance Abuse

Misdemeanor Conviction(s)

Revocation 1/2/2014 Alcohol Dependency

Controlled Substance Abuse

Misdemeanor Conviction(s)

Lee, Cara 8426

Omaha, NE

Suspension 9/6/2017 Practice while Impaired

Magill, Mark Wayne, Jr. 2122

Omaha, NE

Civil Penalty 4/12/2011 5/11/2011 xFraud,Forgery,Misrep Material Facts

Malsam, Zachary John 3061

Omaha, NE

Revocation 2/19/2013 Lacks Good Character

Violation of UCA

Minor, Candice Joyce 9110

Omaha, NE

Censure 5/16/2018 Unlicensed Practice

Mjeldheim, Eric Sjurson 2922

Omaha, NE

Probation 3/9/2016 Felony Conviction(s)

Misdemeanor Conviction(s)

xAlcohol Use Disorder - Mild

Morgan, Ebony Star 5544

Omaha, NE

Revocation 4/6/2016 Unlicensed Practice

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Pharmacy Technician

Nunez, Johnetta Louise 1329

Omaha, NE

Suspension 4/18/2016 10/18/2016 Immoral Conduct

Practice Beyond Scope

Violation of UCA

Ostendorf, Andrea Kay 3509

Gothenburg, NE

Probation 12/2/2010 12/2/2011 Alcohol Dependency

Page, Heidi A 2517

Fullerton, NE

Revocation 5/16/2018 Violation of UCSA

Violation of the UCA

Penrod, Kelsey LeAnn 3987

Omaha, NE

Probation 8/17/2011 8/17/2012 Alcohol Abuse

Misdemeanor Conviction(s)

Revocation 8/21/2012 Alcohol Abuse

Misdemeanor Conviction(s)

Rahn, Lareatha Denice 3067

Omaha, NE

Probation 3/15/2010 Felony Conviction(s)

Scheele, Robin Renee 1547

Kearney, NE

Revocation 12/20/2012 Lacks Good Character

Violation of UCA

Smith, Patrick Scott, Jr 3508

Omaha, NE

Probation 12/2/2010 6/2/2012 xPrevious Discipline

Stewart, Reileigh Anne 6102

Omaha, NE

Censure 8/23/2016 Unprofessional Conduct

Violation of UCA

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Page 559 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Pharmacy Technician

Takougnadi, Tarah A 7017

Papillion, NE

Probation 9/4/2015 9/22/2017 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Severe

Werner, Chastity Dawn 3325

Alliance, NE

Probation 8/30/2010 12/2/2010 Alcohol Dependency

Controlled Substance Dependence

Misdemeanor Conviction(s)

Probation Violation

Zelasney, Trent Kevin 4978

Papillion, NE

Revocation 10/21/2015 Unprofessional Conduct

Violation of UCSA

Physical Therapy

Physical Therapist

Bader, Lindsay Lee 2900

Broken Bow, NE

Probation 7/8/2010 12/23/2011 Alcohol Abuse

xCourt Conviction

Beiermann, Tiffany Anne 1750

Lincoln, NE

Civil Penalty 7/26/2012 1/26/2013 Unlicensed Practice

Unprofessional Conduct

Violation of UCA

Burr, Jay W 256

Provo, UT

Probation 3/18/2012 3/18/2014 Alcohol Dependency

Controlled Substance Abuse

Misdemeanor Conviction(s)

Unprofessional Conduct

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Page 560 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physical Therapist

Chrisinger, Micah Jordan 3151

Elm Creek, NE

Probation 7/30/2012 7/30/2013 Alcohol Abuse

Creal, Jeffrey G 835

Lincoln, NE

Probation 3/15/2014 3/15/2019 Alcohol Abuse

Controlled Substance Abuse

Dishonorable Conduct

Violation of UCSA

xAlcohol & Controlled Substance Dependen

xPossession of CS wo Prescription

Cromer, Gregory Scot 1416

Beatrice, NE

Censure 2/11/2011 xFailure To File Mandatory Report

Civil Penalty 8/11/2011

Davis, Eric James 3181

Hastings, NE

Probation 11/1/2012 11/1/2013 Alcohol Abuse

Misdemeanor Conviction(s)

Eckmann, Kristen Ann 3052

Shenandoah, IA

Probation 10/12/2011 10/12/2012 Mental Disability

Frey, James Hopper 3539

Lincoln, NE

Probation 12/16/2015 12/16/2017 Misdemeanor Conviction(s)

Hockett, Kathleen Joann 1031

Council Bluffs, IA

Censure 8/9/2012 Failure to File Report-38-1,124,38-1,125

Janssen, Matthew Don 3030

Sidney, NE

Probation 6/30/2011 6/30/2012 Alcohol Dependency

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physical Therapist

Keller, Kurtis Eugene 2210

Omaha, NE

Probation 12/16/2016 12/16/2017 Alcohol Abuse

Misdemeanor Conviction(s)

Kleinschmidt, Scott Alan 2177

Aurora, NE

Limitation-Disciplinary 12/14/2017 Failed to Report Conviction in 30 days

Failure to Keep Adequate Records

Misdemeanor Conviction(s)

Probation Violation

Unprofessional Conduct

Violation of AOC

Probation 12/24/2017 Failed to Report Conviction in 30 days

Failure to Keep Adequate Records

Misdemeanor Conviction(s)

Probation Violation

Unprofessional Conduct

Violation of AOC

Suspension 10/29/2018 Failed to Report Conviction in 30 days

Failure to Keep Adequate Records

Misdemeanor Conviction(s)

Probation Violation

Unprofessional Conduct

Violation of AOC

Kringle, Jacob Ryan 3704

Minden, NE

Censure 2/25/2019 Failure to File Report-38-1,124,38-1,125

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Malicky, Brian Thomas 3095

Kearney, NE

Civil Penalty 1/13/2017 7/13/2017 Unprofessional Conduct

Violation of UCSA

Probation 1/23/2017 1/23/2019 Unprofessional Conduct

Violation of UCSA

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Page 562 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physical Therapist

Mitchell, Gerald Francis 874

Colby, KS

Censure 12/8/2011 Failure to File Report-38-1,124,38-1,125

Obermeyer, Lee William 460

Lincoln, NE

Probation 1/10/2016 5/5/2016 Misdemeanor Conviction(s)

Other State Action

xAlcohol Use Disorder - Moderate

Scheer, Jessica Jean 2239

Omaha, NE

Civil Penalty 10/12/2011 10/12/2012 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Probation 10/22/2011 10/22/2013 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Wade, Ryan Patrick 2307

Lincoln, NE

Censure 1/4/2011 xFailure To File Mandatory Report

Zalman, Michael Dean 1276

Lincoln, NE

Censure 2/11/2011 xFailure To File Mandatory Report

Civil Penalty 8/11/2011

Physical Therapist Assistant

Belk, Jacqueline Jo 835

Lincoln, NE

Censure 12/4/2009 Misdemeanor Conviction(s)

Probation Violation

xAlcohol & Chemical Dependence/Addiction

Berry, Shawn Michael 751

Bridgeport, NE

Censure 12/2/2010 Probation Violation

Revocation 2/11/2017

Cantrell, Thomas Louis 1409

Omaha, NE

Probation 8/7/2015 8/7/2017 xAlcohol Use Disorder - Severe

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Page 563 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physical Therapist Assistant

Carpenter, Sarah Lynn 1749

Lincoln, NE

Probation 12/27/2018 12/27/2019 Misdemeanor Conviction(s)

Elting, Mallory Loretta 816

Carleton, NE

Probation 5/20/2012 5/20/2013 Alcohol Dependency

Faust, Jane Marie 355

Petersburg, NE

Censure 12/13/2012 Unprofessional Conduct

Civil Penalty 6/13/2013

Probation 12/23/2012 6/23/2013

Gerih, Amanda May 964

Ogallala, NE

Probation 9/24/2010 9/24/2011 Misdemeanor Conviction(s)

xControlled Substance Addiction/Depndncy

Hansen, Wendy R 926

Onawa, IA

Probation 12/18/2009 6/18/2010 Other State Action

Havlena, James Joseph 299

Lincoln, NE

Probation 8/30/2015 11/1/2015 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Moderate

Hedglin, Tricia Renae 1164

Omaha, NE

Probation 11/30/2012 11/30/2013 Alcohol Abuse

2/20/2016 2/20/2019

11/30/2012 11/30/2013 Misdemeanor Conviction(s)

2/20/2016 2/20/2019

11/30/2012 11/30/2013 xAlcohol Use Disorder - Moderate

2/20/2016 2/20/2019

11/30/2012 11/30/2013 xCriminal Conviction(s)

2/20/2016 2/20/2019

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Page 564 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Physical Therapist Assistant

Klaus, Kristen Blair 1069

Bellevue, NE

Probation 10/4/2011 10/4/2013 Alcohol Dependency

Misdemeanor Conviction(s)

Lofberg, Cas Carol 525

Ashland, NE

Probation 3/11/2018 3/11/2019 Misdemeanor Conviction(s)

Nigro, Vincent James 786

Omaha, NE

Probation 4/18/2014 4/18/2016 Alcohol Abuse

Misdemeanor Conviction(s)

Reinert, Jacob Charles 966

Colby, KS

Probation 9/30/2010 9/30/2011 Alcohol Abuse

Misdemeanor Conviction(s)

Stevens, Katelyn Sue 1219

Lincoln, NE

Probation 7/19/2013 7/19/2014 Alcohol Abuse

Misdemeanor Conviction(s)

Suckstorf, Jordan James 1535

Norfolk, NE

Probation 10/14/2016 10/14/2017 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Severe

xCont Substance Use Disorder - Mild

xCont Substance Use Disorder - Severe

Totusek, Katrina Dell 1552

Omaha, NE

Probation 1/20/2017 1/20/2018 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Severe

xCont Substance Use Disorder - Mild

xCont Substance Use Disorder - Severe

Woehl, Cody DeAyne 1178

Fremont, NE

Censure 11/28/2016 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

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Page 565 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Podiatry

Podiatrist

Cornell, David Elsworth, DPM 164

Omaha, NE

Censure 2/4/2015 Failure to Keep Adequate Records

Misrepresentation of Material Facts

Civil Penalty 8/4/2015 Failure to Keep Adequate Records

Misrepresentation of Material Facts

Evans, Erica Lynn, DPM 354

Grimes, IA

Probation 9/7/2018 9/7/2023 Controlled Substance Dependence

Dishonorable Conduct

Substance Use Disorder, Severe

Violation of UCSA

Suspension 10/7/2018 Controlled Substance Dependence

Dishonorable Conduct

Substance Use Disorder, Severe

Violation of UCSA

James, Fred Miller, DPM 185

Las Vegas, NV

Civil Penalty 6/30/2016 6/30/2017 Failed to Report Conviction in 30 days

Violation of AOC

xFailure To File Mandatory Report

Klawitter, Elizabeth Marie, DPM 280

Omaha, NE

Limitation-Disciplinary 11/25/2010 Practice Beyond Scope

Unprofessional Conduct

Probation 11/25/2013 Practice Beyond Scope

Unprofessional Conduct

Psychology

Psychologist

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Page 566 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Psychologist

Cahill, Kevin Richard, PhD 283

Omaha, NE

Probation 1/20/2014 1/20/2015 Failure to Comply w Federal or State Law

Unprofessional Conduct

Violation of AOC

Chatelain, Amy Leigh 793

Lincoln, NE

Revocation 8/28/2018 Dishonorable Conduct

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Chleborad, Paul Ervin, PsyD 561

Columbus, NE

Revocation 2/23/2018 Dishonorable Conduct

Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Conoley, Colleen A, PhD 642

Omaha, NE

Probation 11/26/2016 11/26/2018 Failure to Keep Adequate Records

Unprofessional Conduct

Doyle, Beverly Ann, PhD 406

Omaha, NE

Civil Penalty 11/14/2013 5/14/2014 Unprofessional Conduct

Ernst, Ryan C, PsyD 750

Lincoln, NE

Probation 7/1/2010 6/25/2012 xViolation of Practice Act

Huls, Andrew James, PsyD 947

Lincoln, NE

Censure 5/17/2018 Misdemeanor Conviction(s)

Probation Violation

Substance Use Disorder

Probation 9/26/2017 Misdemeanor Conviction(s)

Probation Violation

Substance Use Disorder

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Page 567 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Psychologist

Piske, Kevin Ray, PhD 306

Lawrence, KS

Probation 11/27/2016 11/27/2021 Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Suspension 4/20/2015 11/27/2016 Sexual Abuse,Miscnduct,Exploit

Unprofessional Conduct

Sanders, Christopher Edwin, PhD 927

Omaha, NE

Probation 6/7/2017 10/24/2017 History of Disciplinary Action

Misdemeanor Conviction(s)

Other State Action

xAlcohol Use Disorder - Mild

Smith, Alan Jay, PhD 296

Gering, NE

Petition for Disp Action & Temp Susp 5/19/2015 7/30/2015 Dishonorable Conduct

Failure to Keep Adequate Records

Negligent Conduct

Unprofessional Conduct

Temporary Suspension 5/21/2015 8/6/2015 Dishonorable Conduct

Failure to Keep Adequate Records

Negligent Conduct

Unprofessional Conduct

Tamayo, Kelly L, PsyD 748

Omaha, NE

Probation 5/25/2010 11/25/2010 Failure to Disclose Convictions

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Page 568 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Psychologist

Vidlak, Nicole K 605

Scottsbluff, NE

Censure 6/21/2013 Failure to File Report-38-1,124,38-1,125

Probation Violation

Unprofessional Conduct

Violation of Dept Order

Civil Penalty 6/21/2014 Failure to File Report-38-1,124,38-1,125

Probation Violation

Unprofessional Conduct

Violation of Dept Order

Probation 6/10/2012 6/10/2014 Failure to File Report-38-1,124,38-1,125

Probation Violation

Unprofessional Conduct

Violation of Dept Order

Suspension 7/7/2014 7/21/2014 Failure to File Report-38-1,124,38-1,125

7/21/2014 Probation Violation

7/21/2014 Unprofessional Conduct

7/21/2014 Violation of Dept Order

Willcockson, James C, PhD 247

Omaha, NE

Limitation-Disciplinary 8/5/2013 8/5/2015 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Unprofessional Conduct

Probation Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Unprofessional Conduct

Temporary Psychologist

Sanders, Christopher Edwin, PhD 300520

Omaha, NE

Probation 11/23/2016 6/7/2017 History of Disciplinary Action

Misdemeanor Conviction(s)

Other State Action

xAlcohol Use Disorder - Mild

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Radiography

Limited Radiographer

Beran, Darlene Kay 1032

Arlington, NE

Censure 4/29/2015 4/29/2015 Practice Beyond Scope

Brenneman, Thomas Dean 1198

Norfolk, NE

Probation 5/26/2015 11/20/2018 Controlled Substance Dependence

Practice while Impaired

Unprofessional Conduct

Mount, Michelle Ann 1428

Omaha, NE

Censure 9/28/2018 Failure to Comply w Federal or State Law

Practice Beyond Scope

Unprofessional Conduct

Planas, Cynthia April, LT 1070

Omaha, NE

Civil Penalty 2/6/2017 Practice Beyond Scope

Reis, Bridget Ann 1417

Genoa, NE

Censure 9/28/2018 Failure to Comply w Federal or State Law

Unprofessional Conduct

Veland, Myla D 1222

Omaha, NE

Civil Penalty 8/22/2015 2/22/2016 Violation of UCA

Watson, Gena Leigh 1418

ROCA, NE

Probation 6/25/2014 5/12/2016 Alcohol Dependency

5/16/2016

5/12/2016 Misdemeanor Conviction(s)

5/16/2016

Medical Radiographer

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Medical Radiographer

Bishop, Lauren Nicole, RT 4265

Omaha, NE

Probation 4/22/2018 4/22/2020 Alcohol Use Disorder, Mild

Misdemeanor Conviction(s)

Carroll, Nicole Leigh, RT 4506

Denver, CO

Probation 1/13/2016 Misdemeanor Conviction(s)

Chrastil, Michelle D, RT 4405

Martell, NE

Probation 3/4/2013 3/27/2014 Misdemeanor Conviction(s)

Confer, Elizabeth Lea, RT 3935

Fremont, NE

Suspension 6/8/2015 6/7/2016 Failure to File Report-38-1,124,38-1,125

Deckard, Chelsie Nicole, RT 4256

Blair, NE

Probation 4/25/2012 4/25/2015 Misdemeanor Conviction(s)

Dietz, Paul, RT 582

Central City, NE

Revocation 5/16/2015 Felony Conviction(s)

Dillman, Michael Dale, RT 4185

Kearney, NE

Censure 11/13/2011 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Probation 8/25/2011 8/25/2015 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Doser, Amber Renee 3890

Eagle, NE

Probation 2/22/2017 2/22/2020 Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Medical Radiographer

Fanning, Brent Thomas, RT 4191

Colorado Springs, CO

Probation 9/2/2011 11/2/2012 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Revocation 11/2/2012 3/5/2013

Fromme, Lindsey Renae, RT 2549

North Platte, NE

Censure 9/20/2016 Failure to Comply w Federal or State Law

Unprofessional Conduct

Violation of UCA

Civil Penalty 9/20/2017 Failure to Comply w Federal or State Law

Unprofessional Conduct

Violation of UCA

Georges, Joshua Wayne, RT 3355

Shubert, NE

Probation 2/1/2010 2/1/2013 Misdemeanor Conviction(s)

9/1/2015 9/1/2016

Gillon, Shannon Marie, RT 4229

Papillion, NE

Suspension 3/11/2019 Practice while Impaired

Hansen, Rennie Adele, RT 3953

Lincoln, NE

Probation 3/29/2010 5/5/2011 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Revocation 5/5/2011 Alcohol Abuse

Misdemeanor Conviction(s)

Probation Violation

Mansingh, Jennifer Joan, RT 3152

Elkhorn, NE

Probation 4/22/2018 4/22/2021 Alcohol Use Disorder, Severe

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Medical Radiographer

Miller, Ned Andrew 3648

Norfolk, NE

Revocation 1/4/2011 Dishonorable Conduct

Failure to Comply With Aftercare

Unprofessional Conduct

Violation of UCA

Violation of UCSA

xAlcohol & Controlled Substance Dependen

xCourt Conviction

xPractice Impaired by CS

Muller, Gina Laree, RT 4336

Gregory, SD

Probation 9/10/2012 9/10/2014 Misdemeanor Conviction(s)

Schmader, Daniel Joseph, RT 4254

Omaha, NE

Probation 4/6/2012 4/6/2014 Misdemeanor Conviction(s)

Tritz, Lindsay Jo, RT 4273

Omaha, NE

Probation 6/13/2012 6/13/2014 Misdemeanor Conviction(s)

Whitehead, John B 4834

Muskogee, OK

Revocation 2/22/2017 Failure to File Report-38-1,124,38-1,125

Other State Action

Podiatric Limited Radiographer

Havel, Trisha Ann 120

Lincoln, NE

Probation 4/9/2014 Controlled Substance Dependence

Misdemeanor Conviction(s)

Hongsermeier, Melisa Ellen 124

North Platte, NE

Probation 8/5/2014 2/5/2015 Misrepresentation of Material Facts

Radon

Radon Measurement Specialist

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Radon Measurement Specialist

Carter, William R 202

Lincoln, NE

Probation 7/8/2010 1/8/2011 Unlicensed Practice

Violation of UCA

Gray, Ken L 365

La Vista, NE

Revocation 9/15/2018 180 NAC 11 - Radiation Control Act

Keillor, Kevin J 75

Omaha, NE

Civil Penalty 3/8/2012 9/8/2012 Unlicensed Practice

Marthaler, Ryan D 384

La Vista, NE

Civil Penalty 3/4/2019 4/3/2019 Violation of Work Policies & Procedures

Petersen, Holly A 434

La Vista, NE

Civil Penalty 3/4/2019 4/3/2019 Violation of Work Policies & Procedures

Pratt, Peyton T 197

Omaha, NE

Probation 5/4/2010 11/4/2010 Misdemeanor Conviction(s)

Ruskamp, Aaron W 193

La Vista, NE

Civil Penalty 6/7/2017 7/7/2017 180 NAC 11 - Radiation Control Act

Radon Mitigation Specialist

Gray, Ken L 141

La Vista, NE

Revocation 9/15/2018 180 NAC 11 - Radiation Control Act

Respiratory Care

Respiratory Care Practitioner

Boysen, Kyle Kenneth 2248

Omaha, NE

Probation 4/22/2013 Failure to File Report-38-1,124,38-1,125

Failure to Keep Adequate Records

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Respiratory Care Practitioner

Dirkse, Brittney Lynn 3057

Omaha, NE

Probation 8/21/2017 2/21/2018 Misdemeanor Conviction(s)

Doucette, Melanie Ann 2243

Papillion, NE

Probation 12/14/2014 12/14/2015 Abuse of Resident

Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Edwardson, Roberta Pauline 1994

Kansas City, MO

Limitation-Disciplinary 6/13/2012 Unprofessional Conduct

Probation 6/23/2012 12/23/2012

Ellingson, Jennifer 2570

Grand Island, NE

Probation 6/2/2012 6/2/2013 Alcohol Abuse

Hansen, Suzanne Marie 524

Omaha, NE

Suspension 8/25/2011 2/25/2012 Alcohol Dependency

Failure to File Report-38-1,124,38-1,125

Practice while Impaired

Hedge, William Clark 2113

Republic, KS

Revocation 7/10/2015 Misrepresentation of Material Facts

Hynes, James Edward 1084

Blair, NE

Probation 4/1/2012 4/1/2013 Unprofessional Conduct

Johnson, David A 2242

Lincoln, NE

Probation 9/7/2014 9/7/2016 Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

xAlcohol Use Disorder - Mild

Koller, Robert Paul 2425

Omaha, NE

Probation 6/22/2010 6/22/2011 xCriminal Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Respiratory Care Practitioner

Krutsinger, Allison Jean 1511

Thornton, CO

Probation 10/27/2013 4/27/2014 Failure to Keep Adequate Records

Unprofessional Conduct

Revocation 9/10/2015 Failure to Keep Adequate Records

Unprofessional Conduct

Larson, Michael D 2974

Omaha, NE

Probation 10/6/2016 10/6/2018 Alcohol Abuse

Misdemeanor Conviction(s)

xAlcohol Use Disorder - Mild

Lines, Kyle Robert 1375

Mc Cook, NE

Suspension 2/7/2016 Failure to File Report-38-1,124,38-1,125

Practice while Impaired

Unprofessional Conduct

xAlcohol Use Disorder - Severe

Magana, Omar Eduardo 2711

Lincoln, NE

Probation 1/10/2014 12/19/2017 Alcohol Dependency

Controlled Substance Dependence

Felony Conviction(s)

Misdemeanor Conviction(s)

Malone, Kevin William 497

Omaha, NE

Probation 10/27/2013 Alcohol Dependency

Misdemeanor Conviction(s)

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Respiratory Care Practitioner

Marik, Shane Michael 1164

Gretna, NE

Censure 9/6/2013 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 3/6/2014 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Probation 6/13/2012 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Mason, Tiffani Brianne 2718

Lincoln, NE

Censure 9/21/2015 Unprofessional Conduct

Probation 10/1/2015 10/1/2016

Nastasi, Antonino Gregorio 2956

Omaha, NE

Probation 8/3/2016 8/3/2021 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Moderate

Niebaum, David Dean 371

Blair, NE

Probation 3/30/2014 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Patera, Rachel Ann 2606

Omaha, NE

Probation 3/31/2019 3/31/2020 Misdemeanor Conviction(s)

Sequenzia, Michael Ross 2423

Omaha, NE

Probation 7/1/2017 7/1/2020 Misdemeanor Conviction(s)

xAlcohol Use Disorder - Severe

xCont Substance Use Disorder - Moderate

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Respiratory Care Practitioner

Shouse, Robert 2952

Lincoln, NE

Probation 1/27/2019 Alcohol Use Disorder, Severe

Failure to File Report-38-1,124,38-1,125

Other State Action

Spaulding, Justin Allen 2439

Kearney, NE

Probation 8/9/2010 8/30/2011 xCourt Conviction

Stork, Lisa Kay 463

Tekamah, NE

Probation 1/24/2015 3/21/2016 Felony Conviction(s)

2/24/2017 8/6/2019

Villegas, Christine Ann 2645

Lincoln, NE

Probation 9/4/2015 9/4/2017 Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

xAlcohol Use Disorder - Moderate

Westemeier, Traci A 1080

Chadron, NE

Probation 3/21/2019 3/21/2022 Misdemeanor Conviction(s)

Substance Use Disorder, Moderate

Wilcox, Julie Larae 540

Falls City, NE

Civil Penalty 1/17/2019 Failure to File Report-38-1,124,38-1,125

Practice Beyond Scope

Williams, David Dee, Jr. 2635

Grand Island, NE

Civil Penalty 5/7/2015 11/7/2015 Misdemeanor Conviction(s)

Swimming Pool Operator

Swimming Pool Operator

Onken, Kent G 980302

Sidney, NE

Revocation 9/23/2013 Pattern of Negligence

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Veterinary Medicine

Veterinarian

Berryman, Larry Dean, DVM 1673

Cedar Creek, NE

Civil Penalty 3/19/2012 3/19/2013 Alcohol Dependency

Dishonorable Conduct

Other State Action

Unprofessional Conduct

Probation 3/29/2012 3/29/2017 Alcohol Dependency

Dishonorable Conduct

Other State Action

Unprofessional Conduct

Bohlender, Robert Eugene, DVM 1090

North Platte, NE

Censure 8/28/2018 Permitting Aiding & Abetting

Violation of Dept Order

Civil Penalty 8/28/2019 Permitting Aiding & Abetting

Violation of Dept Order

Suspension 9/23/2019 Permitting Aiding & Abetting

Violation of Dept Order

Campbell, Jacquelyn Jeanne, DVM 3333

Colorado Springs, CO

Stipulation 6/11/2013 Other State Action

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Veterinarian

Cornett, Malori Mae, DVM 3492

Wisner, NE

Censure 9/22/2017 Alcohol Dependency

Prescribing CS to Oneself

Probation Violation

Unprofessional Conduct

Violation of UCSA

xAlcohol Use Disorder - Severe

Civil Penalty 3/22/2018 Alcohol Dependency

Prescribing CS to Oneself

Probation Violation

Unprofessional Conduct

Violation of UCSA

xAlcohol Use Disorder - Severe

Probation 4/12/2016 4/12/2019 Alcohol Dependency

Prescribing CS to Oneself

Probation Violation

Unprofessional Conduct

Violation of UCSA

xAlcohol Use Disorder - Severe

Suspension 3/27/2015 4/12/2016 Alcohol Dependency

Prescribing CS to Oneself

Probation Violation

Unprofessional Conduct

Violation of UCSA

xAlcohol Use Disorder - Severe

Craig, Tammy Lynn, DVM 2769

Hastings, NE

Censure 7/12/2016 Failure to Keep Adequate Records

Unprofessional Conduct

Civil Penalty 1/12/2017 Failure to Keep Adequate Records

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Veterinarian

Dobesh DVM, Gerald Dale 2653

Omaha, NE

Limitation-Disciplinary 11/4/2011 6/1/2015 Failure to Keep Adequate Records

10/28/2016 History of Disciplinary Action

11/4/2011 6/1/2015 Other State Action

Probation Violation

Suspension 6/1/2015 10/28/2016 Failure to Keep Adequate Records

Other State Action

Probation Violation

Dritley, Paul M, DVM 1991

Valley, NE

Probation 10/5/2009 10/5/2014 Alcohol Dependency

Practice while Impaired

Fingland, Roger B, DVM 3275

Manhattan, KS

Censure 10/7/2010 Permitting Aiding & Abetting

Civil Penalty 4/7/2011

Probation 10/17/2010 1/15/2011

Geiselhardt DVM, Thomas Joseph 2183

Scottsbluff, NE

Stipulation 5/31/2012 Other State Action

Gigstad, James Franklin, DVM 2677

Nebraska City, NE

Censure 2/11/2010 Negligent Conduct

Permitting Aiding & Abetting

Unprofessional Conduct

Civil Penalty 8/11/2010 Negligent Conduct

Permitting Aiding & Abetting

Unprofessional Conduct

Glaesemann, Jennafer Marie, DVM 3527

Beatrice, NE

Probation 6/10/2018 6/10/2019 Failure to Keep Adequate Records

Pattern of Negligence

Unprofessional Conduct

Violation of AOC

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Veterinarian

Green, Ronald Lee, DVM 1730

North Platte, NE

Censure 9/22/2011 Permitting Aiding & Abetting

Civil Penalty 3/22/2012

Howe DVM, Mary Jo 2435

Valley Village, CA

Censure 10/12/2018 Practice Beyond Scope

Unprofessional Conduct

Civil Penalty 4/12/2019 Practice Beyond Scope

Unprofessional Conduct

Krull, Steven Roger, DVM 2182

Curtis, NE

Civil Penalty 12/8/2015 6/8/2016 Failure to Keep Adequate Records

Falsify Patient Records

Practice Beyond Scope

Unprofessional Conduct

Probation 12/18/2015 3/31/2017 Failure to Keep Adequate Records

Falsify Patient Records

Practice Beyond Scope

Unprofessional Conduct

Lange, Harold Nickolas, DVM 1222

Columbus, NE

Censure 10/14/2010 Permitting Aiding & Abetting

Civil Penalty 4/14/2011

Lionberger, John Matthew, DVM 2624

Lincoln, NE

Censure 10/10/2018 Obtaining Fee by Fraud

Unprofessional Conduct

Civil Penalty 4/10/2019 Obtaining Fee by Fraud

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Veterinarian

Lubben, Scott Richard, DVM 2503

Plattsmouth, NE

Censure 7/12/2016 Failure to Keep Adequate Records

Unprofessional Conduct

Civil Penalty 1/12/2017 Failure to Keep Adequate Records

Unprofessional Conduct

Meyer, Bryan Jacob 3930

Council Bluffs, IA

Probation 9/22/2017 9/22/2022 Alcohol Dependency

Controlled Substance Dependence

Failure to Comply With Aftercare

Otto, Daniel L, DVM 2222

Lincoln, NE

Probation 12/16/2012 12/16/2013 Unprofessional Conduct

6/14/2014 6/14/2015

12/16/2012 12/16/2013 Violation of AOC

6/14/2014 6/14/2015

12/16/2012 12/16/2013 Violation of UCSA

6/14/2014 6/14/2015

Parde, Michele Kay, DVM 3040

Adams, NE

Censure 12/14/2010 Unprofessional Conduct

Civil Penalty 6/14/2011

Porter, Richard Leon, DVM 1746

Ashland, NE

Civil Penalty 9/23/2010 3/23/2011 Permitting Aiding & Abetting

Probation 10/3/2010 10/3/2011

Rohrig, Kent E, DVM 2002

Fremont, NE

Civil Penalty 10/6/2009 Alcohol Dependency

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation 10/16/2009 10/16/2010 Alcohol Dependency

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

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Page 583 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Veterinarian

Schlothauer, Darcy Rae, DVM 3081

Gering, NE

Probation 4/16/2018 10/16/2020 Alcohol Use Disorder, Severe

Practice while Impaired

Searcy, Wayne Edward, DVM 3609

Sioux Center, IA

Censure 10/5/2016 Failure to File Report-38-1,124,38-1,125

Other State Action

Skavdahl, Elizabeth Ann, DVM 3250

Sidney, NE

Censure 2/25/2019 Other State Action

Smith DVM, Walter Burton 1429

Elkhorn, NE

Censure 11/3/2009 Negligent Conduct

Permitting Aiding & Abetting

Probation Violation

Unprofessional Conduct

Thoma DVM, Kelli Sue 2895

Sioux City, IA

Probation 7/17/2012 1/17/2013 Controlled Substance Dependence

Felony Conviction(s)

Revocation 1/17/2013 Other State Action

Probation Violation

Trembly, Kent J, DVM 1847

Wahoo, NE

Revocation 1/17/2019 Failed to Report Conviction in 30 days

Felony Conviction(s)

Wingert DVM, James Michael 1778

Aurora, CO

Probation 6/19/2013 Other State Action

Veterinary Technician

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Veterinary Technician

Friede, Kathryn D 273

Unadilla, NE

Censure 9/21/2015 Practice Beyond Scope

Civil Penalty 3/21/2016

Hakenewerth, Brandi Elizabeth 506

Lincoln, NE

Censure 9/22/2011 Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

Herman, Tara L 706

Alliance, NE

Censure 11/20/2013 Misdemeanor Conviction(s)

Practice while Impaired

Probation Violation

Civil Penalty 5/20/2014 Misdemeanor Conviction(s)

Practice while Impaired

Probation Violation

Probation 5/5/2013 Misdemeanor Conviction(s)

Practice while Impaired

Probation Violation

Suspension 1/17/2014 Misdemeanor Conviction(s)

Practice while Impaired

Probation Violation

Hofer, Barbara J 175

Mead, NE

Suspension 4/22/2013 4/22/2014 Failure to Comply w Federal or State Law

Failure to File Report-38-1,124,38-1,125

Unprofessional Conduct

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Veterinary Technician

Hunter, Bradley Scott 177

Firth, NE

Censure 5/12/2011 Alcohol Abuse

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation Violation

Civil Penalty 11/12/2011 Alcohol Abuse

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation Violation

Probation 11/12/2010 11/2/2012 Alcohol Abuse

Failure to File Report-38-1,124,38-1,125

Misdemeanor Conviction(s)

Probation Violation

Mueller, Elizabeth Anne 982

Omaha, NE

Censure 10/23/2014 Alcohol Dependency

Controlled Substance Dependence

Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Moderate

Civil Penalty 4/23/2015 Alcohol Dependency

Controlled Substance Dependence

Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Moderate

Probation 8/11/2014 8/11/2016 Alcohol Dependency

Controlled Substance Dependence

Misdemeanor Conviction(s)

Probation Violation

xAlcohol Use Disorder - Moderate

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To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Veterinary Technician

Ramirez, Angela Rae 1084

Bellevue, NE

Censure 1/13/2017 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

Civil Penalty 7/13/2017 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

Probation 7/11/2016 7/11/2017 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

Revocation 10/24/2017 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

Suspension 10/6/2017 10/24/2017 Alcohol Dependency

Misdemeanor Conviction(s)

Probation Violation

Violation of Dept Order

Tamayo, Molly Marie 198

Omaha, NE

Censure 11/2/2010 Permitting Aiding & Abetting

Civil Penalty 5/2/2011

Probation 11/12/2010 2/10/2011

Thompson, Dawn Elena 178

Talmage, NE

Probation 7/7/2010 7/7/2011 Misrepresentation of Material Facts

Unlicensed Practice

Townsend, Tyla C 776

Mitchell, NE

Probation 6/1/2010 12/1/2010 Unlicensed Practice

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Page 587 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Veterinary Technician

Von Rentzell, Christy 138

Greenwood, NE

Censure 3/31/2010 Practice Beyond Scope

Civil Penalty 10/1/2010

Wagner, Leah Michelle 715

Omaha, NE

Censure 6/28/2010 Misrepresentation of Material Facts

Civil Penalty 12/28/2010

Water Operator

Grade III Water Operator

Kaliff, Dale R 2841

Stromsburg, NE

Probation 3/7/2018 3/7/2020 Misdemeanor Conviction(s)

Unprofessional Conduct

Spaulding, Dan R 1772

Elmwood, NE

Revocation 3/30/2011 Failure to Keep Adequate Records

xFailure to Conform-Stndrds of Practice

Grade IV Water Operator

Groteluschen, Todd D 3497

Creston, NE

Administrative Penalty (fine) 4/30/2011 Unlicensed Practice

Jackson, Kelly Jo 4042

Riverton, NE

Probation 11/30/2012 11/30/2014 Previous Violations Resumed

Unprofessional Conduct

Revocation 10/8/2014 Previous Violations Resumed

Unprofessional Conduct

Schmidt, Orley J 609

Riverton, NE

Revocation 12/1/2013 Failure to Keep Adequate Records

Unprofessional Conduct

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PROFESSION

LICENSE TYPE

NAME LIC NO

TYPE OF

DISCIPLINARY ACTION START DATE END DATE VIOLATION

DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES

Page 588 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

Grade VI Water Operator

Spaulding, Dan R 6607

Elmwood, NE

Revocation 3/30/2011 Failure to Keep Adequate Records

xFailure to Conform-Stndrds of Practice

Well Driller

Pump Installation Contractor

Boyer, Ryan F 29409

Valparaiso, NE

Probation 5/18/2010 5/18/2012 xCourt Conviction

White, Dustin L 29458

Alliance, NE

Probation 5/20/2016 12/31/2016 Unlicensed Practice

WD-PIC

Cahoy, Darin 39476

Sumner, IA

Civil Penalty 6/27/2010 8/26/2010 Unlicensed Practice

Unprofessional Conduct

xViolation of Practice Act

Suspension Unlicensed Practice

Unprofessional Conduct

xViolation of Practice Act

Heine, Samuel J 39524

Saint Helena, NE

Probation 2/8/2011 2/9/2012 Misdemeanor Conviction(s)

Johansen, Anthony 39447

Rulo, NE

Probation 3/31/2010 3/31/2015 xViolation of Practice Act

Moser, Jon Scott 39531

Imperial, NE

Probation 5/20/2016 12/31/2016 Permitting Aiding & Abetting

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LICENSE TYPE

NAME LIC NO

TYPE OF

DISCIPLINARY ACTION START DATE END DATE VIOLATION

DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES

Page 589 of 589October 2009 - October 2019 Print Date: 11/5/2019

To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi

The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.

WD-PIC

Nelson, Rick L 39318

Alliance, NE

Civil Penalty 10/9/2010 11/8/2010 xFailure To File Mandatory Report

Suspension 12/31/2010

Paul, William Rex 39162

Kearney, NE

Revocation 12/25/2015 Failure to Comply w Federal or State Law

Probation Violation

Violation of UCA

Turner, Shad N 39555

Geneva, NE

Probation 4/25/2013 4/25/2015 Failure to Disclose Convictions

Walsh, Dennis E 39205

Dakota City, NE

Civil Penalty 5/31/2010 xViolation of Practice Act

Probation 5/31/2012

Well Drilling Contractor

Heine, Samuel J 19277

Saint Helena, NE

Probation 2/9/2010 2/9/2012 Misdemeanor Conviction(s)

Miller, Alan N 19255

Saint Paul, NE

Probation 11/19/2009 11/19/2011 xFalsified Application