Division of Public Health

DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 1 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 2 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Alcohol and Drug Counselor Dowden, Linda Denise 739 Omaha, NE Probation 6/25/2020 4/7/2022 Failure to File Report-38-1,124,38-1,125 4/7/2013 6/25/2020 4/7/2022 Failure to Keep Adequate Records 4/7/2013 6/25/2020 4/7/2022 Unprofessional Conduct 4/7/2013 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 Gilreath, Tanesha Shirlon 850 Omaha, NE Probation 7/23/2015 7/23/2016 Alcohol Dependency Misdemeanor Conviction(s) Glasgow, Miles Christopher 950 Omaha, NE Probation 12/1/2011 8/10/2012 xCourt Conviction Gonzalez, Olivia R 50 Gering, NE Civil Penalty 6/1/2012 12/1/2012 Unprofessional Conduct Probation 6/10/2012 12/10/2012 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 3 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Alcohol and Drug Counselor 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 Junker, Linda N 646 Falls City, NE Probation 12/22/2014 12/22/2016 Unprofessional Conduct Violation of UCSA xCont Substance Use Disorder - Mild Kirkland, Celeste Rose 1121 Omaha, NE Revocation 8/3/2019 Dishonorable Conduct Felony Conviction(s) Sexual Abuse,Miscnduct,Exploit Unprofessional Conduct DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 4 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Alcohol and Drug Counselor 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 Matson, Bridget M 1178 Mc Cook, NE Revocation 10/20/2020 Dishonorable Conduct Failure to Comply w Federal or State Law Felony Conviction(s) Immoral Conduct Sexual Abuse,Miscnduct,Exploit Unprofessional Conduct Maxwell, Alyssa Melyn 1294 Lincoln, NE Probation 11/3/2020 11/3/2023 Alcohol Use Disorder, Moderate Misdemeanor Conviction(s) Practice while Impaired 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 5 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Alcohol and Drug Counselor Mimick-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 Nelson, William Joseph 765 Omaha, NE Censure 5/27/2015 Unprofessional Conduct 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 Rolland, Michael Aaron 748 Omaha, NE Probation 6/19/2020 6/19/2023 Alcohol Use Disorder, Moderate Violation of UCSA 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 6 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Alcohol and Drug Counselor 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 7 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Provisional Alcohol and Drug Counselor 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) Blankenship, Jennifer Suzanne P-1384 Omaha, NE Suspension 10/28/2019 Dishonorable Conduct Exploitation of Another Person 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 8 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Provisional Alcohol and Drug Counselor 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 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 Crow, Breanne Emma P-1549 Norfolk, NE Probation 10/30/2017 Misdemeanor Conviction(s) Substance Use Disorders-Multiple Darter, Daphne Elsie P-1566 Hoskins, NE Probation 1/9/2020 1/9/2021 Dishonorable Conduct Falsify Patient Records Unprofessional Conduct Deleon, Julio Cesar P-1153 Rochester, MN 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 Duda, Jessica L P-1792 O'Neill, NE Probation 6/5/2020 6/5/2023 Misdemeanor Conviction(s) Substance Use Disorders-Multiple DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 9 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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) Finnegan, Brenda P-1795 Omaha, NE Probation 6/9/2020 6/9/2021 Misdemeanor Conviction(s) Substance Use Disorders-Multiple 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) Habrich, Carla J. P-1105 Omaha, NE Probation 1/3/2013 5/4/2014 Controlled Substance Dependence Misdemeanor Conviction(s) xMind-Altering Substance Dependence Hamilton, Stephanie Lynn P-1745 Auburn, NE Revocation 11/19/2020 Dishonorable Conduct Misdemeanor Conviction(s) Sexual Abuse,Miscnduct,Exploit Unprofessional Conduct DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 10 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Provisional Alcohol and Drug Counselor Holmes, Jennifer L. P-1288 Columbus, NE Revocation 5/2/2018 Dishonorable Conduct Failure to Safeguard Clients Diginity Sexual Abuse,Miscnduct,Exploit Unprofessional Conduct 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 Keck, Amy Jane P-1823 Omaha, NE Probation 10/21/2020 10/21/2023 Failure to Disclose Convictions Misdemeanor Conviction(s) Substance Use Disorder 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 11 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Provisional Alcohol and Drug Counselor Lee, Anthony M P-589 Omaha, NE 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 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 McNeil, William Seantell P-1761 Omaha, NE Probation 2/11/2020 2/11/2022 Misdemeanor Conviction(s) Substance Use Disorders-Multiple 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) Nelson, Trever J P-970 Fremont, NE Revocation 5/20/2016 Sexual Abuse,Miscnduct,Exploit Unprofessional Conduct DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 12 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Provisional Alcohol and Drug Counselor Offordirinwa, Stella Adachi P-1308 Lincoln, NE Probation 4/23/2015 1/9/2017 Felony 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 13 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Provisional Alcohol and Drug Counselor 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) 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 Omaha, NE Probation 1/22/2014 1/22/2016 Misdemeanor Conviction(s) xAlcohol Use Disorder - Severe xMind-Altering Substance Dependence Snider, Victoria Lynn P-1519 Alta, IA Probation 7/26/2017 3/25/2019 Misdemeanor Conviction(s) 1/15/2020 5/17/2020 7/26/2017 3/25/2019 Substance Use Disorders-Multiple 1/15/2020 5/17/2020 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 14 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Provisional Alcohol and Drug Counselor 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 15 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 16 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Scottsbluff, NE Probation 4/22/2011 4/22/2013 Controlled Substance Dependence xCriminal Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 17 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Provisional Alcohol and Drug Counselor Wells, Trina Ann P-1523 Omaha, NE Censure 8/6/2020 Felony Conviction(s) Misdemeanor Conviction(s) Probation Violation Substance Use Disorder Unprofessional Conduct Civil Penalty 8/6/2022 Felony Conviction(s) Misdemeanor Conviction(s) Probation Violation Substance Use Disorder Unprofessional Conduct Probation 8/17/2017 8/17/2020 Felony Conviction(s) Misdemeanor Conviction(s) Probation Violation Substance Use Disorder Unprofessional Conduct Zollicoffer, Mat Lavern P-1639 Bellevue, 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 Asbestos Project Designer DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 18 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 19 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Asbestos Supervisor Garcia, Raul Angel 6305 Bellevue, NE Civil Penalty 6/5/2013 6/5/2013 11.02D Appropriate Respirator Garfias, Marcos G 7272 Omaha, NE Civil Penalty 1/28/2020 2/28/2020 178 NAC 22 - Asbestos Control Act 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 20 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Asbestos Supervisor Thibodeau, Michael W 7121 Norfolk, NE Civil Penalty 6/21/2017 7/21/2017 178 NAC 22 - Asbestos Control Act 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 Gonzalez, Alejandro 7522 Omaha, NE Civil Penalty 1/22/2014 2/22/2014 11.02D Appropriate Respirator DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 21 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Asbestos Worker 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 22 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Asbestos Worker 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 23 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Asbestos Worker 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 Torske, Ashley Joy 770 Lincoln, NE Censure 8/28/2020 Misdemeanor Conviction(s) Audiology/Speech-Language Path

Audiologist DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 24 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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) Wheeler, Jessica 1515 Omaha, NE Probation 3/21/2012 9/21/2012 xFraud,Forgery,Misrep Material Facts DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 25 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Body Art

Body Piercer Alderette, Leon Charles 197 Bellevue, NE Civil Penalty 11/5/2013 5/5/2014 Delinquent Child Support Payment 5/7/2015 5/7/2016 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 11/15/2013 5/15/2014 Delinquent Child Support Payment 2/22/2018 2/21/2020 Failed to Report Conviction in 30 days 11/15/2013 5/15/2014 Misdemeanor Conviction(s) 2/22/2018 2/21/2020 11/15/2013 5/15/2014 Misrepresentation of Material Facts 2/22/2018 2/21/2020 11/15/2013 5/15/2014 Permitting Aiding & Abetting Practice in Unlicensed Premises 2/22/2018 2/21/2020 Substance Use Disorder 11/15/2013 5/15/2014 Unlicensed Practice Revocation 2/21/2020 Probation Violation Violation of UCSA Suspension - Non-Child Support Payment 12/19/2019 2/21/2020 Delinquent Child Support Payment Misdemeanor Conviction(s) Misrepresentation of Material Facts Permitting Aiding & Abetting Practice in Unlicensed Premises Unlicensed Practice DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 26 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Body Piercer Alexander, Zachary Scott 177 Lincoln, NE Probation 3/16/2011 Controlled Substance Dependence Failure to Disclose Convictions xCriminal Conviction(s) Allsman, Trenton Thomas 141 Lincoln, NE Probation 2/12/2014 8/12/2014 Unlicensed Practice 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) Fortner, Leighton Robert Cole 171 La Vista, NE Probation 12/26/2018 10/1/2019 Felony Conviction(s) Misdemeanor Conviction(s) Gaeta, Robert A 247 Norfolk, NE Probation 3/14/2016 Failure to Disclose Convictions Misdemeanor Conviction(s) Hansen, Sabrina Marie 150 Seward, NE Probation 10/11/2019 12/16/2020 Alcohol Use Disorder, Moderate Failed to Report Conviction in 30 days Misdemeanor Conviction(s) Probation Violation DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 27 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Body Piercer 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) Opalinski, Wyatt 365 North Platte, NE Probation 12/30/2020 12/30/2023 Misdemeanor Conviction(s) Substance Use Disorders-Multiple Stewart, Christopher Michael 283 Bellevue, NE Probation 11/9/2017 11/9/2018 Felony Conviction(s) Misdemeanor Conviction(s) Probation Violation Revocation 9/4/2020 Felony Conviction(s) Misdemeanor Conviction(s) Probation Violation DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 28 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Body Piercer Strong, Shawn 62 Beatrice, NE Censure 4/5/2012 Permitting Aiding & Abetting Whittaker, Elsa Lea 344 Papillion, NE Probation 6/22/2020 6/22/2023 Misdemeanor Conviction(s) Substance Use Disorders-Multiple 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) Macken, Alicia Marie 290 Omaha, NE Probation 5/21/2020 11/21/2020 Failure to Disclose Convictions Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 29 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Permanent Color Technician Nguyen, Jenny 233 Hastings, NE Probation 9/22/2020 3/22/2021 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 30 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Tattoo Artist Alderette, Leon Charles 437 Bellevue, NE Civil Penalty 11/5/2013 5/5/2014 Delinquent Child Support Payment 5/7/2015 5/7/2016 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 11/15/2013 5/15/2014 Delinquent Child Support Payment 2/22/2018 2/21/2020 Failed to Report Conviction in 30 days 11/15/2013 5/15/2014 Misdemeanor Conviction(s) 2/22/2018 2/21/2020 11/15/2013 5/15/2014 Misrepresentation of Material Facts 2/22/2018 2/21/2020 11/15/2013 5/15/2014 Permitting Aiding & Abetting Practice in Unlicensed Premises 2/22/2018 2/21/2020 Substance Use Disorder 11/15/2013 5/15/2014 Unlicensed Practice Revocation 2/21/2020 Probation Violation Violation of UCSA DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 31 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Tattoo Artist 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) 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 Violation of Dept Order Civil Penalty 12/28/2019 Permitting Aiding & Abetting Practice in Unlicensed Premises Violation of Dept Order Suspension 1/28/2020 Permitting Aiding & Abetting Practice in Unlicensed Premises Violation of Dept Order DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 32 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Tattoo Artist 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 Grimes, IA 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 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 6/9/2020 Delinquent Child Support Payment Diaz, Miguel Angel, Jr 328 Omaha, NE Revocation 2/19/2013 Failure to Disclose Convictions Probation Violation xCriminal Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 33 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Tattoo Artist 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 Dodge, Joshua RJ 542 Omaha, NE Probation 12/21/2020 12/21/2021 Failure to Disclose Convictions Misdemeanor Conviction(s) 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 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 34 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 4/19/2015 11/26/2015 Delinquent Child Support Payment 3/21/2018 9/16/2018 4/19/2015 11/26/2015 Failure to Disclose Convictions 3/21/2018 9/16/2018 4/19/2015 11/26/2015 Failure to File Report-38-1,124,38-1,125 3/21/2018 9/16/2018 4/19/2015 11/26/2015 Permitting Aiding & Abetting 3/21/2018 9/16/2018 4/19/2015 11/26/2015 Violation of Dept Order 3/21/2018 9/16/2018 4/19/2015 11/26/2015 xCriminal Conviction(s) 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 9/16/2018 10/4/2018 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 35 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Tattoo Artist Gaeta, Robert A 573 Norfolk, NE Probation 1/26/2016 Failure to Disclose Convictions Misdemeanor Conviction(s) Garcia, Miguel A 429 Grand Island, NE Probation 8/20/2012 2/20/2013 Failure to Disclose Convictions Misdemeanor Conviction(s) 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 36 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Tattoo Artist Goodteacher, Thomas Joseph 76 Fairbury, NE Revocation 4/24/2011 Failure to Disclose Convictions Probation Violation xCourt Conviction Graber, Leslie James 272 Council Bluffs, IA Censure 12/1/2011 Misdemeanor Conviction(s) Probation Violation Substance Use Disorders-Multiple xCourt Conviction Probation 8/13/2020 8/13/2023 Misdemeanor Conviction(s) Probation Violation Substance Use Disorders-Multiple xCourt Conviction Hansen, Sabrina Marie 281 Seward, NE Revocation 12/16/2020 Alcohol Use Disorder, Moderate Failed to Report Conviction in 30 days Misdemeanor Conviction(s) Probation Violation 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 37 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Tattoo Artist 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 Hotz, Arron Lee 849 Lincoln, NE Probation 9/22/2020 9/22/2022 Misdemeanor Conviction(s) Substance Use Disorders-Multiple DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 38 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Tattoo Artist Huerta, Isaac 494 Omaha, NE Censure 7/1/2020 Failed to Report Conviction in 30 days 7/1/2015 Failure to Disclose Convictions 7/1/2020 History of Disciplinary Action 7/1/2015 Misdemeanor Conviction(s) 7/1/2020 7/1/2015 Probation Violation 7/1/2020 Violation of Dept Order Civil Penalty 1/1/2021 Failed to Report Conviction in 30 days 7/1/2015 1/1/2016 Failure to Disclose Convictions 7/1/2020 1/1/2021 History of Disciplinary Action 7/1/2015 1/1/2016 Misdemeanor Conviction(s) 7/1/2020 1/1/2021 7/1/2015 1/1/2016 Probation Violation 7/1/2020 1/1/2021 Violation of Dept Order Probation 6/2/2019 6/2/2021 Failed to Report Conviction in 30 days 3/10/2014 5/14/2015 Failure to Disclose Convictions 6/2/2019 6/2/2021 History of Disciplinary Action 3/10/2014 5/14/2015 Misdemeanor Conviction(s) 6/2/2019 6/2/2021 3/10/2014 5/14/2015 Probation Violation 6/2/2019 6/2/2021 Violation of Dept Order 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 39 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Tattoo Artist Jensen, Donald 574 Norfolk, NE Probation 12/18/2020 12/18/2021 Misdemeanor Conviction(s) Johnson, Tyler 868 Lincoln, NE Probation 12/21/2020 6/21/2021 Failure to Disclose Convictions Misdemeanor Conviction(s) 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 40 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Tattoo Artist Malchow, Jeremiah Arnold 403 Plattsmouth, NE Probation 3/30/2012 Misdemeanor Conviction(s) Malone, Michael A 290 Grand Island, NE Revocation 8/11/2011 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 Misdemeanor Conviction(s) 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) 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 41 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Tattoo Artist Olivo, Aaron M 523 Omaha, NE Probation 11/13/2014 11/13/2015 Felony Conviction(s) Misdemeanor Conviction(s) Opalinski, Wyatt 870 North Platte, NE Probation 12/30/2020 12/30/2023 Misdemeanor Conviction(s) Substance Use Disorders-Multiple Perry, Alvin Zappa 819 Kearney, NE Probation 3/9/2020 3/9/2023 Misdemeanor Conviction(s) Probation Violation Substance Use Disorders-Multiple Peterson, Joseph Harley 82 Chapman, NE Probation 3/6/2012 3/6/2014 Felony Conviction(s) Misdemeanor Conviction(s) 9/15/2020 3/15/2021 Unlicensed Practice 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, 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 42 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Tattoo Artist 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 Scheffler, Dakota James 746 Lincoln, 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 43 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Tattoo Artist 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) 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 Soriano, Juan C 600 Scottsbluff, NE Probation 7/27/2016 1/27/2017 Failure to Disclose Convictions Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 44 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Tattoo Artist 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 Revocation 7/4/2014 4/18/2017 Controlled Substance Dependence Failure to Disclose Convictions Probation Violation xCriminal Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 45 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 9/18/2020 7/24/2015 12/31/2015 Failure to Disclose Convictions 8/25/2018 9/18/2020 7/24/2015 12/31/2015 Misdemeanor Conviction(s) 8/25/2018 9/18/2020 Stednitz, Andrew Joseph 804 Council Bluffs, IA Probation 12/9/2019 12/9/2020 Failure to Disclose Convictions Misdemeanor Conviction(s) Stewart, Christopher Michael 666 Bellevue, NE Probation 9/20/2017 9/20/2018 Felony Conviction(s) Misdemeanor Conviction(s) Probation Violation Revocation 9/4/2020 Felony Conviction(s) Misdemeanor Conviction(s) Probation Violation 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 46 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Tattoo Artist Szafrajda, James Dean 245 Hastings, NE Probation 10/7/2013 10/7/2014 Alcohol Abuse 12/26/2020 12/26/2023 Alcohol Use Disorder, Moderate 10/7/2013 10/7/2014 Controlled Substance Abuse Controlled Substance Dependence 12/26/2020 12/26/2023 Failed to Report Conviction in 30 days 10/7/2013 10/7/2014 Failure to File Report-38-1,124,38-1,125 Misdemeanor Conviction(s) 12/26/2020 12/26/2023 Substance Use Disorder, Moderate 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 47 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Tattoo Artist Williams, Jabree J 699 Lincoln, NE Probation 6/3/2020 6/3/2023 Alcohol Use Disorder, Moderate Failed to Report Conviction in 30 days Felony Conviction(s) History of Disciplinary Action Misdemeanor Conviction(s) Substance Use Disorder, Severe Substance Use Disorders-Multiple Suspension 11/22/2019 Alcohol Use Disorder, Moderate Failed to Report Conviction in 30 days Felony Conviction(s) History of Disciplinary Action Misdemeanor Conviction(s) Substance Use Disorder, Severe Substance Use Disorders-Multiple 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 48 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Tattoo Artist 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 Anderson, Corey Robert, DC 1246 Juniata, NE Probation 10/5/2014 10/5/2019 Controlled Substance Dependence Dishonorable Conduct Violation of UCSA DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 49 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Chiropractor 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 Mitchell, 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 Dunlop, Nelson Curtis, DC 1076 North Platte, NE Censure 11/5/2013 Dishonorable Conduct Probation Violation Unprofessional Conduct Civil Penalty 8/11/2011 2/11/2012 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 50 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Chiropractor Love, Kenneth Lee, DC 1192 Lincoln, NE Censure 11/18/2015 Dishonorable Conduct Unprofessional Conduct Marley, Joel Edwin, DC 1458 Omaha, NE Probation 2/25/2013 4/26/2013 Unlicensed Practice McCullough, Jason Christopher, DC 1397 Lincoln, NE Probation 1/30/2021 1/30/2022 Failure to Keep Adequate Records Lack of Proficiency Pattern of Negligence Unprofessional Conduct Violation of AOC 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) Nielsen, Aaron J, DC 1468 Omaha, NE Revocation 1/7/2020 Failure to Keep Adequate Records 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 51 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Chiropractor Smith, Sean W, DC 1918 Omaha, NE Probation 12/8/2016 12/8/2017 Misdemeanor Conviction(s) xAlcohol Use Disorder - Mild 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 Hessler, 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 52 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist Adcock, Michelle Louise 46444 Omaha, NE 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 53 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist Arfmann, Lacey Austin 43014 Lincoln, NE Probation 4/15/2019 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 Revocation 1/26/2012 Probation Violation xCourt Conviction Ball, Lacey Jo 47255 Bellevue, NE Censure 9/22/2011 Probation Violation xCourt Conviction Revocation 5/10/2012 Probation Violation xCourt Conviction DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 54 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist 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 Failure to File Report-38-1,124,38-1,125 Misdemeanor Conviction(s) Probation Violation Unprofessional Conduct Revocation 9/4/2020 Failure to File Report-38-1,124,38-1,125 Misdemeanor Conviction(s) Probation Violation Unprofessional Conduct 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) Beckman, Heather Marie 41041 Columbus, NE Probation 1/23/2020 7/23/2020 Failure to Disclose Convictions Misdemeanor Conviction(s) Violation of Dept Order DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 55 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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) Berezay, Amanda Joy 45878 Gretna, 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 56 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 10/3/2017 10/3/2019 Misdemeanor Conviction(s) 10/3/2019 10/3/2017 10/3/2019 Probation Violation 10/3/2019 10/3/2017 10/3/2019 Substance Use Disorder 10/3/2019 Revocation 1/15/2020 Failure to Disclose Convictions Misdemeanor Conviction(s) Probation Violation Substance Use Disorder Bill, Rebecca Genevieve 48122 Lincoln, NE Probation 9/26/2020 9/26/2022 Alcohol Abuse Failed to Report Conviction in 30 days Misdemeanor Conviction(s) Substance Use Disorder, Moderate Bittfield, Jamie Jo 35474 Kenesaw, NE Probation 10/6/2016 4/6/2017 Unlicensed Practice DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 57 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist 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 Borcherding, Jessica Lynn 39955 Blair, NE Probation 11/25/2013 Unlicensed Practice Boyce, Molly Beth 45386 Alliance, NE Probation 3/31/2020 3/31/2024 Failure to Disclose Convictions Misdemeanor Conviction(s) Substance Use Disorders-Multiple 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 58 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist Bridgmon, Jordan Nicole 51119 Omaha, NE Probation 1/9/2020 Alcohol Use Disorder, Mild Misdemeanor Conviction(s) Substance Use Disorder, Mild Brignola, Janine Marie 45079 Omaha, NE Probation 11/13/2015 1/29/2016 xCourt Conviction 7/21/2016 4/22/2017 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 Brown, Sue Ann 48562 Hershey, NE Probation 12/6/2011 6/6/2012 Failure to Disclose Convictions Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 59 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist 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) 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 60 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist Carlson, Ashley Ann 51389 Hastings, NE Probation 10/30/2017 10/30/2019 Felony Conviction(s) Misdemeanor Conviction(s) Substance Use Disorder 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) Christensen-Nelson, Jami Leigh 50751 Gering, NE Probation 12/17/2019 6/12/2020 Unlicensed Practice DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 61 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 62 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Cooper, Venus Reann 46124 Omaha, NE Probation 6/18/2012 12/18/2012 Failure to Disclose Convictions Misdemeanor Conviction(s) Probation Violation DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 63 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist 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 Cox, Tammy Lynn 47661 Minneapolis, MN Censure 8/28/2012 Probation Violation 12/6/2012 8/28/2012 xCourt Conviction 12/6/2012 Probation 12/6/2013 Probation Violation xCourt Conviction Crabtree, Patricia Phyllis 48357 Kansas City, MO Probation 8/8/2011 8/8/2012 Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 64 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 65 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist 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) 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 Revocation 12/18/2011 Failure to Disclose Convictions Probation Violation xCriminal Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 66 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 67 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 Revocation 2/12/2020 Probation Violation Drummond, Debra Susan 36885 Hastings, NE Revocation 3/13/2011 Failure to File Report-38-1,124,38-1,125 Misrepresentation of Material Facts Probation Violation 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 68 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist Ebner, Courtney Elizabeth Colleen 48669 Lincoln, NE Probation 2/8/2012 2/8/2013 Alcohol Abuse Misdemeanor Conviction(s) Embury, Kodie Lee 52112 Omaha, NE Censure 2/25/2020 Misdemeanor Conviction(s) Probation Violation Substance Use Disorders-Multiple Civil Penalty 8/25/2020 Misdemeanor Conviction(s) Probation Violation Substance Use Disorders-Multiple Probation 10/31/2019 10/31/2021 Misdemeanor Conviction(s) Probation Violation 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 Escamilla, Martha Ann 46805 Omaha, NE Probation 6/5/2020 12/5/2020 Failure to Disclose Convictions Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 69 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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, 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) Finkral, Alyssa Dawn 48792 Lindsay, NE Probation 4/12/2012 Alcohol Dependency Failure to Disclose Convictions Misdemeanor Conviction(s) xMind-Altering Substance Abuse DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 70 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist 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) 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 71 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 72 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Blair, NE Probation 4/2/2013 2/10/2016 Felony Conviction(s) Misdemeanor Conviction(s) Gallegos, Henrietta Charlene 43539 Lincoln, NE 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 73 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist Garcia, Veronica JoAnn 49844 Grand Island, NE Probation 3/4/2014 9/4/2014 Misdemeanor Conviction(s) Garrett, Sarah 52276 Cozad, NE Probation 6/22/2020 6/22/2021 Failure to Disclose Convictions Misdemeanor Conviction(s) Garringer, Melanie Dawn 47114 Lincoln, NE Censure 5/12/2011 Probation Violation Suspension 7/26/2012 7/26/2013 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 Garza, Andrea Ambrosia 50403 Lincoln, NE Probation 3/10/2020 Misdemeanor Conviction(s) Probation Violation Substance Use Disorders-Multiple 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 74 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 75 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Graver, Shannon Michelle 47258 Omaha, NE Probation 10/3/2015 10/3/2020 Alcohol Dependency Controlled Substance Dependence Probation Violation xCourt Conviction Revocation 7/10/2016 Alcohol Dependency Controlled Substance Dependence Probation Violation xCourt Conviction DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 76 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist Gray, LaShana Terese 47038 Omaha, NE Probation 7/1/2013 1/1/2014 Failure to File Report-38-1,124,38-1,125 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 77 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist Griffin, Mecchia Elaine 49168 Omaha, NE Probation 1/1/2013 1/1/2014 Misdemeanor Conviction(s) 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 78 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist 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 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 Wood River, NE Probation 12/4/2018 10/20/2020 Misdemeanor Conviction(s) Substance Use Disorders-Multiple DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 79 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist Hansen, Sabrina Marie 49942 Seward, NE Probation 10/11/2019 12/16/2020 Alcohol Use Disorder, Moderate Failed to Report Conviction in 30 days Misdemeanor Conviction(s) Probation Violation Revocation 12/16/2020 Alcohol Use Disorder, Moderate Failed to Report Conviction in 30 days Misdemeanor Conviction(s) Probation Violation Harris, Kimberly Michelle 47093 Omaha, 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) 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 80 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist Heikes, Hannah May 49766 Lincoln, NE Probation 2/1/2019 2/1/2020 Felony Conviction(s) Helwick, Rebecca Ann 48056 Hastings, NE Probation 2/4/2011 8/4/2011 Failure to Disclose Convictions xCriminal Conviction(s) Henry, Charleen Kay 31973 Omaha, 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, DeShawn Novella 44828 Omaha, NE Probation 3/29/2011 10/21/2011 Probation Violation 3/5/2020 9/5/2020 xCriminal Conviction(s) Revocation 10/12/2011 3/5/2020 Probation Violation 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 81 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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) Hinrichs, Nicole Gail 37286 Fairfield, NE Probation 10/16/2013 10/16/2014 Failure to Disclose Convictions Misdemeanor Conviction(s) Unlicensed Practice Hoff, James Louis D 43546 Cape Girardeau, MO Revocation 10/12/2011 4/30/2014 Probation Violation xCourt Conviction DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 82 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 11/20/2016 2/20/2013 2/20/2015 Probation Violation 2/18/2015 11/20/2016 2/20/2013 2/20/2015 xAlcohol Use Disorder - Moderate 2/18/2015 11/20/2016 2/20/2013 2/20/2015 xCont Substance Use Disorder - Moderate 2/18/2015 11/20/2016 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 Revocation 6/30/2011 Failure to Disclose Convictions Probation Violation xCriminal Conviction(s) Hopper, Melissa Christine 48231 Lincoln, NE Probation 5/9/2011 11/9/2011 Failure to Disclose Convictions xCriminal Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 83 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 84 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 85 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Jensen, Jaime Lynn 44857 Alliance, NE Probation 4/6/2011 10/6/2011 Failure to Disclose Convictions xCourt Conviction DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 86 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist Jensen, Michelle Marie 49401 Omaha, NE 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 87 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist Jerke, Rachel Marie 48019 Grand Island, NE Probation 12/16/2020 6/16/2021 Unlicensed Practice 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 Jones, Christian Winsmere 41748 Omaha, NE Probation 11/8/2012 11/8/2013 Unlicensed Practice DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 88 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist Jones, Erin Elizabeth 43187 Bennington, NE Probation 3/12/2020 9/12/2020 Unlicensed Practice Jordan, Candace Lenise 45003 Dallas, GA 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 Keenan, MeKayla Marie 51255 Omaha, NE Probation 12/23/2019 12/23/2020 Failed to Report Conviction in 30 days Felony Conviction(s) Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 89 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist Kelley, Amanda Rachelle 43384 Lexington, NE Censure 7/31/2019 Alcohol Use Disorder, Moderate Felony Conviction(s) 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 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 10/28/2019 Failure to Disclose Convictions Misdemeanor Conviction(s) Probation Violation Suspension 8/14/2019 Failure to Disclose Convictions Misdemeanor Conviction(s) Probation Violation DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 90 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Plainview, 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) Koory, Callie Christine 52129 Papillion, NE Probation 11/18/2019 11/18/2020 Substance Use Disorder DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 91 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 92 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 93 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 94 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Larsen, Joilynn Marie 48459 Omaha, NE Probation 1/16/2017 1/16/2018 Misdemeanor Conviction(s) xAlcohol Use Disorder - Moderate LeMay, Amanda Lynn 50737 Gering, NE Probation 2/18/2016 2/18/2017 Felony Conviction(s) Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 95 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist Lea, Kelsey Jo 47109 Saint Paul, NE Probation 2/15/2020 7/20/2020 Alcohol Use Disorder, Moderate Failed to Report Conviction in 30 days Misdemeanor Conviction(s) Probation Violation 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 Lefevre, Craig Arnett 47887 Lincoln, NE Censure 8/11/2011 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 96 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 97 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist 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 Revocation 1/27/2013 3/18/2015 Probation Violation Unlicensed Practice Lira, Janelle Kathryn 49279 Lincoln, NE Revocation 7/30/2020 Failure to Comply w Federal or State Law Failure to File Report-38-1,124,38-1,125 Unprofessional Conduct 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) Luellen, Travell Nicole 41694 Omaha, NE Censure 2/11/2011 Misrepresentation of Material Facts DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 98 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist Luginbill, Jeromie Eugene 47760 Lincoln, NE Revocation 8/11/2011 Alcohol Abuse Controlled Substance Dependence Probation Violation xCriminal Conviction(s) Lund, Jennifer Ann 41258 Lincoln, 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) 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 Suspension 8/1/2012 8/31/2012 Probation Violation xCourt Conviction DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 99 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist 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 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 Eagle, 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 100 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist McGill, Jaymie Lyn 50598 Omaha, NE Probation 12/12/2020 12/12/2023 Alcohol Use Disorder, Moderate Misdemeanor Conviction(s) McKnight, Nichole Dawn 43954 Sidney, NE Censure 6/13/2012 Probation Violation xCourt Conviction Civil Penalty 12/13/2012 Probation Violation xCourt Conviction McLaurin, Gerome Bernard 43337 Broken Bow, NE Probation 3/18/2019 Failure to Disclose Convictions Felony Conviction(s) Misdemeanor Conviction(s) Probation Violation Suspension 8/14/2019 Failure to Disclose Convictions Felony Conviction(s) Misdemeanor Conviction(s) Probation Violation 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 101 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist Meisinger, Kristin Joline 46562 Omaha, NE Probation 2/15/2020 7/28/2020 Alcohol Use Disorder, Moderate 12/3/2020 6/23/2022 2/15/2020 7/28/2020 Failed to Report Conviction in 30 days 12/3/2020 6/23/2022 2/15/2020 7/28/2020 Misdemeanor Conviction(s) 12/3/2020 6/23/2022 2/15/2020 7/28/2020 Violation of Dept Order 12/3/2020 6/23/2022 Temporary Suspension 7/28/2020 Alcohol Use Disorder, Moderate Failed to Report Conviction in 30 days Misdemeanor Conviction(s) Violation of Dept Order 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 Bennington, 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 102 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist 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) 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 103 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist Mohnike, Abbey Leigh 49931 Hastings, 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 104 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist 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 Censure 2/21/2020 Misdemeanor Conviction(s) Probation Violation Substance Use Disorders-Multiple Civil Penalty 2/21/2021 Misdemeanor Conviction(s) Probation Violation Substance Use Disorders-Multiple Probation 10/22/2019 10/22/2022 Misdemeanor Conviction(s) Probation Violation 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 Moses, LaToya Elaine 46744 Omaha, NE Probation 7/30/2020 7/30/2021 Failed to Report Conviction in 30 days Felony Conviction(s) Misdemeanor Conviction(s) Naber, Callie Ann 48765 North Platte, NE Probation 3/30/2012 9/30/2012 Failure to Disclose Convictions Misdemeanor Conviction(s) Probation Violation DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 105 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist Navarro, Michelle Cathleen 51259 North Platte, NE Probation 10/20/2018 10/20/2019 Felony Conviction(s) 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) O'Banion, Suzann 41358 Norfolk, NE Censure 5/2/2017 Practice in Unlicensed Premises Unlicensed Practice Unprofessional Conduct 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 106 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Seward, 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 107 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 108 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 109 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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) Piccolo, Sarah June 52184 Omaha, NE Probation 1/23/2020 1/23/2022 Misdemeanor Conviction(s) Pochop, Odett Alejandra 49210 Hastings, NE Probation 1/23/2013 Felony Conviction(s) Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 110 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Potts, Alesia Lane 52382 Fairfield, NE Probation 11/12/2020 11/12/2023 Misdemeanor Conviction(s) Substance Use Disorders-Multiple 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 Omaha, 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 111 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist Proctor, Stephanie Rae 50791 Grand Island, NE 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 Dallas, GA 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 112 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 LaVista, 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 113 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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) Rios, Rocina M 49713 Omaha, NE Probation 11/12/2020 11/12/2022 Misdemeanor Conviction(s) Substance Use Disorders-Multiple 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, Lachya Roshawna 52233 Omaha, NE Probation 3/10/2020 9/10/2020 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 114 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist Robinson, Tracii Loraine 38861 Omaha, NE Probation 8/26/2014 Failure to Disclose Convictions Misdemeanor Conviction(s) Unlicensed Practice 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 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 Ross-Walther, Kerri Leann 41996 North Platte, NE Probation 2/18/2020 8/18/2020 Failure to Disclose Convictions Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 115 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist Roth, Jami Lee 52293 Hallam, NE Probation 7/22/2020 5/12/2021 Failure to Disclose Convictions Misdemeanor Conviction(s) Substance Use Disorders-Multiple 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 Sage, Alyssa Kay 45891 Scottsbluff, NE Censure 7/20/2020 Permitting Aiding & Abetting Unlicensed Operation of Establishment Unprofessional Conduct 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 116 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Censure 12/13/2019 Failure to Disclose Convictions 10/20/2020 12/13/2019 Misdemeanor Conviction(s) 10/20/2020 12/13/2019 Probation Violation 10/20/2020 12/13/2019 Substance Use Disorders-Multiple 10/20/2020 Civil Penalty 12/13/2019 6/13/2020 Failure to Disclose Convictions 10/20/2020 10/20/2021 12/13/2019 6/13/2020 Misdemeanor Conviction(s) 10/20/2020 10/20/2021 12/13/2019 6/13/2020 Probation Violation 10/20/2020 10/20/2021 12/13/2019 6/13/2020 Substance Use Disorders-Multiple 10/20/2020 10/20/2021 Probation 12/17/2018 12/17/2021 Failure to Disclose Convictions Misdemeanor Conviction(s) Probation Violation 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 117 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist 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 Revocation 9/10/2019 Failed to Report Conviction in 30 days Misdemeanor Conviction(s) 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 118 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist Scribner, Jamie Lee 45312 OMAHA, NE Probation 6/13/2012 12/13/2012 Failure to Disclose Convictions Misdemeanor Conviction(s) Seng, Tara J 41625 Omaha, NE Suspension 2/15/2017 2/5/2019 Probation Violation Unlicensed Practice Shaske, Amberrose Michelle 48752 Omaha, NE Probation 3/22/2012 1/15/2014 Alcohol Dependency 1/15/2014 1/15/2016 3/22/2012 1/15/2014 Controlled Substance Dependence 1/15/2014 1/15/2016 3/22/2012 1/15/2014 Failure to Disclose Convictions 1/15/2014 1/15/2016 3/22/2012 1/15/2014 Misdemeanor Conviction(s) 1/15/2014 1/15/2016 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 1/20/2021 9/16/2013 11/16/2011 4/16/2012 Failure to Disclose Convictions 3/7/2019 1/20/2021 9/16/2013 11/16/2011 4/16/2012 Misdemeanor Conviction(s) 3/7/2019 1/20/2021 9/16/2013 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 119 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 120 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 121 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist 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 Violation of Dept Order 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 Violation of Dept Order Probation 1/2/2019 3/27/2020 Alcohol Abuse Failed to Report Conviction in 30 days Felony Conviction(s) History of Disciplinary Action Misdemeanor Conviction(s) Probation Violation Substance Use Disorder Violation of Dept Order Revocation 6/23/2020 Alcohol Abuse Failed to Report Conviction in 30 days Felony Conviction(s) History of Disciplinary Action Misdemeanor Conviction(s) Probation Violation Substance Use Disorder Violation of Dept Order Suspension 3/27/2020 6/23/2020 Alcohol Abuse DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 122 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist Suspension 3/27/2020 6/23/2020 Failed to Report Conviction in 30 days Felony Conviction(s) History of Disciplinary Action Misdemeanor Conviction(s) Probation Violation Substance Use Disorder Violation of Dept Order 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) Stevens, Sally Jo 45815 Beatrice, NE 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, Maggie Elizabeth 48190 Omaha, NE Probation 6/27/2016 12/27/2016 Unlicensed Practice Stull, Heidi Lee 47567 Omaha, NE Probation 3/9/2020 9/9/2020 Failure to Disclose Convictions Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 123 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist Suarez, Deanna Rosa 44190 Omaha, NE Censure 7/14/2020 Alcohol Use Disorder, Moderate Failed to Report Conviction in 30 days Misdemeanor Conviction(s) Probation Violation Civil Penalty 7/14/2021 Alcohol Use Disorder, Moderate Failed to Report Conviction in 30 days Misdemeanor Conviction(s) Probation Violation Probation 3/7/2019 3/7/2022 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 3/7/2022 4/2/2013 10/2/2016 Probation Violation 3/7/2019 3/7/2022 4/2/2013 10/2/2016 Unlicensed Practice DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 124 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 125 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 126 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist Tanner, Laura Christine 47927 Omaha, NE Censure 6/28/2019 Alcohol Use Disorder, Severe 4/16/2020 6/28/2019 Felony Conviction(s) 4/16/2020 6/28/2019 Probation Violation 4/16/2020 Civil Penalty 6/28/2019 12/28/2019 Alcohol Use Disorder, Severe 4/16/2020 4/16/2021 6/28/2019 12/28/2019 Felony Conviction(s) 4/16/2020 4/16/2021 6/28/2019 12/28/2019 Probation Violation 4/16/2020 4/16/2021 Probation 10/22/2013 10/22/2014 Alcohol Dependency 4/16/2018 4/16/2024 Alcohol Use Disorder, Severe Felony Conviction(s) 10/22/2013 10/22/2014 Probation Violation 4/16/2018 4/16/2024 10/22/2013 10/22/2014 xCriminal Conviction(s) 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) Taylor, Jessica Eileen 48736 Norfolk, NE Probation 3/9/2012 9/9/2012 Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 127 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 4/30/2020 6/25/2012 Probation Violation 4/30/2020 6/25/2012 xCourt Conviction 4/30/2020 Civil Penalty 10/30/2020 Previous Violations Resumed Probation Violation xCourt Conviction Probation 6/28/2019 6/28/2022 Previous Violations Resumed Probation Violation xCourt Conviction DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 128 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 129 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 130 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist Suspension 8/13/2014 7/12/2016 Misdemeanor Conviction(s) Probation Violation Theis, Alexander Lee 48859 Elkhorn, NE Probation 4/6/2020 4/6/2022 Alcohol Use Disorder, Severe Failed to Report Conviction in 30 days 5/21/2012 5/21/2013 Failure to Disclose Convictions Misdemeanor Conviction(s) 4/6/2020 4/6/2022 Thies, Abbie Lynn 51437 Norfolk, 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, Monique Louise 44114 Omaha, NE Probation 7/10/2012 3/4/2013 Failure to Disclose Convictions Misdemeanor Conviction(s) Thompson, Trisha Marie 49351 Omaha, NE Censure 8/8/2019 Misrepresentation of Material Facts Unlicensed Practice Violation of Dept Order Civil Penalty 2/8/2020 Misrepresentation of Material Facts Unlicensed Practice Violation of Dept Order Suspension 11/26/2019 3/2/2020 Misrepresentation of Material Facts Unlicensed Practice Violation of Dept Order Timm, Catie Lynn 49069 Campbell, NE Probation 10/22/2012 4/22/2013 Failure to Disclose Convictions Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 131 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist 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 Gretna, 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) 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 132 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist 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 Udo, Ekaete Arceal 51194 Omaha, NE Probation 4/13/2017 10/13/2017 Failure to Disclose Convictions Misdemeanor Conviction(s) Valentine, Lakia Shantel 43766 Omaha, NE Civil Penalty 1/7/2013 1/7/2014 Permitting Aiding & Abetting Practice in Unlicensed Premises Unprofessional Conduct Violation of Dept Order Violation of UCA Probation 1/17/2013 7/17/2013 Permitting Aiding & Abetting Practice in Unlicensed Premises Unprofessional Conduct Violation of Dept Order Violation of UCA Suspension 1/29/2014 7/9/2020 Permitting Aiding & Abetting Practice in Unlicensed Premises Unprofessional Conduct Violation of Dept Order 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 133 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist 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) VanAcker, Crysten Marie 46534 Pingree, ID 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 Volquardsen, Sarah Michelle 43598 Kearney, NE Censure 8/20/2015 Unlicensed Practice DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 134 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 135 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Watts, Sarah Deb 51317 North Platte, NE Probation 1/23/2020 7/23/2020 Failure to Disclose Convictions Misdemeanor Conviction(s) Weaver, LaReshia Denise 49341 Lincoln, NE Probation 4/3/2013 10/3/2013 Failure to Disclose Convictions Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 136 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 2/9/2015 10/29/2016 Alcohol Dependency Failure to Disclose Convictions Misdemeanor Conviction(s) Probation Violation Violation of Dept Order Revocation 10/29/2016 Alcohol Dependency Failure to Disclose Convictions Misdemeanor Conviction(s) Probation Violation Violation of Dept Order DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 137 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist 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 3/4/2016 3/4/2018 Controlled Substance Dependence Failure to Disclose Convictions Probation Violation xCriminal Conviction(s) 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 White, Brittany Ann 52212 Omaha, NE Probation 2/24/2020 2/24/2021 Misdemeanor Conviction(s) Substance Use Disorder DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 138 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist White, Maureen Collette 47618 Blair, NE Censure 9/6/2012 Probation Violation xCourt Conviction Suspension 10/6/2012 Probation Violation xCourt Conviction White, Shani Michelle 42043 Omaha, NE Probation 3/10/2013 9/10/2013 Unprofessional Conduct 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 Suspension 4/2/2012 1/16/2018 Probation Violation DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 139 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetologist 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 Wolfe, Rebecca Jayne 46702 Omaha, NE Probation 2/21/2020 8/21/2020 Unlicensed Practice 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) Wranek, Hillery Rae 51513 Central City, NE Probation 2/6/2018 8/6/2018 Failure to Disclose Convictions Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 140 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Young, Amber Marsha Sheri 50355 Omaha, NE Probation 4/22/2015 10/22/2015 Failed to Report Conviction in 30 days Failure to Disclose Convictions Misdemeanor Conviction(s) Zabokrtsky, Diane Ruth 40900 Lincoln, NE Probation 2/7/2017 8/7/2017 Unlicensed Practice Zeigler, Candace Rana 38767 Deer Park, WA Probation 3/24/2017 9/24/2017 Misdemeanor Conviction(s) Cosmetology Instructor Adcock, Michelle Louise 1179 Omaha, NE 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 141 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetology Instructor 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) Martinez, Alfonso Arturo 1236 Omaha, NE Probation 9/19/2011 4/5/2012 Alcohol Dependency Failure to Disclose Convictions Misdemeanor Conviction(s) Probation Violation 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 Dallas, GA 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) Trew, Danielle Rae 1238 Kearney, NE Probation 10/13/2011 4/13/2012 Failure to Disclose Convictions Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 142 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Cosmetology Instructor Vasquez, Joshua Sebastian 1259 Kearney, NE Probation 11/6/2012 5/6/2013 Failure to Disclose Convictions Misdemeanor Conviction(s) 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 Bean, Ashley Arin 1359 Lincoln, NE Probation 2/10/2020 Failed to Report Conviction in 30 days Misdemeanor Conviction(s) Substance Use Disorder, Moderate 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 143 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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) 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 144 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Esthetician Donohoe, Karla Marie 1482 Lincoln, NE Probation 5/16/2014 9/30/2014 Alcohol Abuse Failure to Disclose Convictions Misdemeanor Conviction(s) 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) 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 145 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Esthetician Griffeth, Jenny Lynd 1905 Lincoln, NE Censure 7/1/2020 Failed to Report Conviction in 30 days Misdemeanor Conviction(s) Permitting Aiding & Abetting Practice in Unlicensed Premises Unlicensed Operation of Establishment Unprofessional Conduct Civil Penalty 1/1/2021 Failed to Report Conviction in 30 days Misdemeanor Conviction(s) Permitting Aiding & Abetting Practice in Unlicensed Premises Unlicensed Operation of Establishment Unprofessional Conduct Guenther, Brooke Elizabeth 1578 Lincoln, NE Probation 6/17/2015 11/30/2015 Alcohol Abuse Misdemeanor Conviction(s) xMind-Altering Substance Abuse Hall, Jill Nicole 1627 Omaha, 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 146 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Plainview, 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 Omaha, NE Probation 1/16/2017 1/16/2018 Misdemeanor Conviction(s) xAlcohol Use Disorder - Moderate DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 147 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 148 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 12/15/2015 6/30/2017 Alcohol Abuse Failure to Disclose Convictions Probation Violation xCriminal Conviction(s) 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 Nguyen, Vu Long 587 Lincoln, NE Civil Penalty 1/12/2012 7/12/2012 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 149 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Esthetician 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 Piffner, Abbey Mae 1172 Omaha, NE Probation 3/16/2020 9/16/2020 Failure to Disclose Convictions Misdemeanor 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) Russ, Breanna Lynea 2267 Omaha, NE Probation 10/21/2020 4/21/2021 Failure to Disclose Convictions Misdemeanor Conviction(s) Taulborg, Melissa Adair 1227 Omaha, NE Probation 3/22/2012 3/22/2013 Alcohol Dependency Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 150 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Esthetician 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 151 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Esthetician 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 11/27/2019 9/10/2019 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 12/30/2020 8/15/2023 Alcohol Use Disorder, Moderate 5/17/2019 12/30/2020 8/15/2023 Failure to File Report-38-1,124,38-1,125 5/17/2019 12/30/2020 8/15/2023 Misdemeanor Conviction(s) 5/17/2019 12/30/2020 8/15/2023 Probation Violation 5/17/2019 12/30/2020 8/15/2023 Substance Use Disorder, Moderate 5/17/2019 VanOrnam, Patricia Rose 1590 Omaha, NE Probation 7/11/2020 7/11/2023 Alcohol Use Disorder, Severe Felony Conviction(s) Vance, Jill Renee 1669 Omaha, NE Probation 3/21/2016 9/21/2016 Failure to Disclose Convictions Felony Conviction(s) Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 152 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Esthetician 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) Veatch, Larissa Marie 1923 Prague, NE Probation 5/30/2018 4/22/2020 Failure to Disclose Convictions Misdemeanor Conviction(s) Vo, Tu Anh Thi 1297 Elkhorn, NE Probation 10/17/2012 4/17/2013 Other State Action 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 153 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Esthetician Wrye, Vanella Flavia 1136 Orange Park, FL Censure 4/5/2019 Permitting Aiding & Abetting Practice in Unlicensed Premises Violation of Dept Order Civil Penalty 10/5/2019 Permitting Aiding & Abetting Practice in Unlicensed Premises Violation of Dept Order Suspension 11/26/2019 12/13/2019 Permitting Aiding & Abetting Practice in Unlicensed Premises Violation of Dept Order Temporary Cosmetology Practitioner Roth, Jami Lee 3822 Hallam, NE Probation 5/12/2020 5/12/2021 Failure to Disclose Convictions Misdemeanor Conviction(s) Substance Use Disorders-Multiple Dentistry

Dental Hygienist 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 154 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Dental Hygienist 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 Kendall, Regina K, DH 2546 Seward, 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 155 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Dental Hygienist 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 156 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Beck, Scott William, DDS 6217 Scottsbluff, NE Censure 12/30/2019 Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 157 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Dentist 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 Byrd, Daniel Kevin, DDS 5711 Omaha, NE Probation 3/6/2020 3/6/2022 Alcohol Use Disorder, Mild Misdemeanor Conviction(s) DiPrima, Katherine Marie, DDS 6325 Omaha, NE Censure 8/9/2019 Failure to Keep Adequate Records Permitting Aiding & Abetting Unprofessional Conduct DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 158 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 159 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 160 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 161 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 162 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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) Beck, Thomas H 10087 Tekamah, NE Probation 2/15/2018 8/14/2019 Misdemeanor Conviction(s) Substance Use Disorder DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 163 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

EMT Blake, Andrew L 20748 Bridgeport, NE Revocation 6/10/2015 Felony Conviction(s) Misdemeanor Conviction(s) xCont Substance Use Disorder - Moderate 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 164 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 Christen, John 5710 Merna, NE Revocation 9/30/2013 Dishonorable Conduct Misrepresentation of Material Facts Unprofessional Conduct xFailure to Conform-Stndrds of Practice DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 165 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

EMT 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 Clark, James Michael 23508 Falls City, NE Probation 10/3/2019 10/2/2020 Misdemeanor Conviction(s) Substance Use Disorder DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 166 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

EMT Colgrove, Jacob Richard 14015 Beatrice, NE Probation 8/19/2011 8/19/2012 Alcohol Abuse Failure to Disclose Convictions Misdemeanor Conviction(s) Unprofessional Conduct Darling, Jenee Maxine 21163 York, 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) Davison, Lyle V 19285 Norfolk, NE Probation 4/11/2017 12/6/2020 Misdemeanor Conviction(s) Revocation 8/28/2014 4/11/2017 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 Fisher, Keith A 15222 Grand Island, NE Probation 9/7/2014 9/7/2019 Misdemeanor Conviction(s) Misrepresentation of Material Facts DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 167 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

EMT 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 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 168 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

EMT Hoover, Michael Wayne 10075 Louisville, NE Probation 11/10/2017 11/10/2020 Alcohol Abuse Practice while Impaired Unprofessional Conduct Houseman, Justin Dean 22212 Johnson, NE Probation 11/2/2016 Misdemeanor Conviction(s) xAlcohol Use Disorder - Moderate DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 169 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Johnson, Bruce J 8987 Omaha, NE Censure 7/25/2017 Misdemeanor Conviction(s) Kenney, Sumner Elyse 20914 Omaha, NE Probation 10/30/2013 Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 170 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

EMT 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) Koza, Zachary Arnold 23823 Lincoln, NE Probation 8/17/2020 8/17/2023 Alcohol Use Disorder, Severe Misdemeanor Conviction(s) Kraegel, Connor H 21149 Cody, WY Probation 6/30/2014 6/30/2015 Misdemeanor Conviction(s) 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 Leclair, Steven E 15449 Omaha, NE Censure 8/28/2020 Misdemeanor Conviction(s) Luethge, Stephen Edward 18629 Gretna, NE Probation 9/7/2014 9/7/2017 Alcohol Abuse Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 171 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

EMT McClain, Travis J 19448 Norfolk, NE Revocation 5/10/2012 Alcohol Dependency Misdemeanor Conviction(s) Probation Violation 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) Mittan, Matthew 22366 Blue Springs, NE Censure 10/20/2020 Violation of the UCA Monnahan, Brian A 21800 Palisade, NE Probation 12/31/2015 12/31/2016 Misdemeanor Conviction(s) xAlcohol Use Disorder - Mild DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 172 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 173 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Madison, NE Probation 10/24/2016 1/8/2019 Controlled Substance Dependence Obtained Drug Unlawfully DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 174 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

EMT 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 Schwenke, Alex J 23774 Holdrege, NE Probation 6/30/2020 6/30/2021 Misdemeanor Conviction(s) Sedivy, John L 20048 Bancroft, NE Probation 2/24/2012 6/12/2015 Alcohol Dependency Felony Conviction(s) Misdemeanor Conviction(s) 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 175 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

EMT 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) 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 176 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

EMT York, Michael J 17649 Omaha, NE Censure 8/11/2011 Alcohol Dependency Misdemeanor Conviction(s) Probation Violation Civil Penalty 2/11/2013 Alcohol Dependency Misdemeanor Conviction(s) Probation Violation EMT-Intermediate Mallette, Kent A 1083 Uehling, NE Revocation 1/5/2011 Felony Conviction(s) 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 Paramedic DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 177 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 178 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 179 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Paramedic Kloepping, KIint William 4323 Saint Joseph, MO Censure 11/3/2020 Unprofessional Conduct Knotek-Wangberg, Nicholas Lee 4625 Council Bluffs, IA Probation 9/27/2017 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) Murray, Christopher John 4653 Bellevue, NE Limitation-Disciplinary 9/23/2020 Failure to File Report-38-1,124,38-1,125 Unprofessional Conduct 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 180 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Smith, Michael J 3402 Gering, NE Probation 9/16/2012 9/22/2013 Failure to File Report-38-1,124,38-1,125 Failure to Keep Adequate Records Practice Beyond Scope Probation Violation Unprofessional Conduct 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 181 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Paramedic Strawn, Tyler J 3826 Kansas City, MO Probation 6/20/2012 9/12/2014 Alcohol Abuse Misdemeanor Conviction(s) Probation Violation 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 182 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Apprentice-Full Cuba, Lisa A 118 Omaha, NE Probation 5/15/2013 Alcohol Dependency Misdemeanor Conviction(s) xMind-Altering Substance Dependence 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 183 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 184 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 185 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Spring Hill, TN Probation 8/15/2018 2/15/2019 Unlicensed Practice DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 186 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Clausen, Ariel 3097 Lincoln, NE Probation 11/4/2013 4/25/2016 Felony Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 187 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Massage Therapist 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 Furlong, Amy Jo 3389 Bertrand, NE Probation 3/1/2016 Misdemeanor Conviction(s) Other State Action Violation of UCA xAlcohol Use Disorder - Severe 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 188 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Massage Therapist 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 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 189 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Massage Therapist 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 190 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Massage Therapist 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) 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 191 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Massage Therapist Kennedy, Tia Leigh 2900 Bellevue, NE Probation 7/20/2012 7/20/2013 Failure to Disclose Convictions Misdemeanor Conviction(s) Knapp, Travis B 3094 Omaha, NE Probation 10/25/2013 4/25/2014 Failure to Disclose Convictions Misdemeanor Conviction(s) Lee-Regier, Douglas 1273 Omaha, NE Censure 7/14/2020 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 192 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Massage Therapist Libby, Wyatt Austin 2449 Bellevue, NE Censure 4/28/2011 Probation Violation xCourt Conviction 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 193 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Massage Therapist Lord, Sophia Louise 3419 Omaha, NE Probation 10/20/2018 10/20/2021 Alcohol Use Disorder, Severe Misdemeanor Conviction(s) Substance Use Disorder, Severe Lovitt, Latisha Lea 3138 Arvada, CO 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 194 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Massage Therapist Moore, Angela M 3240 Brownsville, TX Probation 11/3/2014 5/3/2015 Failure to Disclose Convictions Misdemeanor Conviction(s) Mullin, Mary Katherine 3624 La Vista, NE Probation 8/1/2019 8/1/2022 Alcohol Use Disorder, Severe Failed to Report Conviction in 30 days Misdemeanor Conviction(s) Nolan, Chancee Nora 3191 Lincoln, NE Probation 7/21/2014 1/21/2015 Failure to Disclose Convictions Misdemeanor Conviction(s) Norman, Sara Beth 2211 Kearney, NE Probation 11/7/2019 5/7/2020 Unlicensed Practice 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 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 195 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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) 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 196 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 197 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Massage Therapist Snyder, Danielle Alyce 2942 Omaha, NE Censure 12/13/2019 Alcohol Use Disorder, Moderate Failed to Report Conviction in 30 days Misdemeanor Conviction(s) Probation Violation Unprofessional Conduct Civil Penalty 6/13/2020 Alcohol Use Disorder, Moderate Failed to Report Conviction in 30 days Misdemeanor Conviction(s) Probation Violation Unprofessional Conduct Probation 8/18/2019 8/18/2021 Alcohol Use Disorder, Moderate Failed to Report Conviction in 30 days Misdemeanor Conviction(s) Probation Violation 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 198 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Wassenberg, Jennifer Ann 3620 Omaha, NE Probation 12/18/2017 6/18/2018 Failure to Disclose Convictions Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 199 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Massage Therapist 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 Wegener, Sydney E. 3215 Omaha, NE Probation 7/16/2020 1/16/2021 Failure to Disclose Convictions Misdemeanor Conviction(s) 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 Wruble, Malisa Jade 3043 Lincoln, NE Probation 7/2/2013 1/2/2014 Failure to Disclose Convictions Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 200 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Zhao, Xiangju 3551 San Diego, CA Revocation 1/27/2019 Sexual Abuse,Miscnduct,Exploit Unprofessional Conduct Temporary Massage Therapist Siekman, Amber 1862 Lincoln, NE Probation 12/26/2019 2/24/2020 Misdemeanor Conviction(s) Substance Use Disorder 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) White, Brandis C 1837 Omaha, NE Probation 3/21/2018 5/20/2018 Failure to Disclose Convictions Misdemeanor Conviction(s) Medicine

Osteopathic Physician & Surgeon DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 201 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Osteopathic Physician & Surgeon Bowland, Terri Allison, DO 917 Commerce City, CO Probation 5/11/2012 5/11/2014 Misrepresentation of Material Facts Unprofessional Conduct Levasseur, Matthew Robert, DO 1543 Auburn, ME Probation 5/31/2020 5/31/2023 Misdemeanor Conviction(s) Substance Use Disorder, Severe 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 202 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Osteopathic Physician & Surgeon 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 Physician Agrawal MBBS, Narendrakumar Tejmal 13235 Galion, OH Revocation 12/1/2011 Felony Conviction(s) Unprofessional Conduct Alarid, Richard Rupert, MD 16176 Shawnee, KS Probation 2/10/2020 2/10/2022 Alcohol Use Disorder, Mild Failure to Keep Adequate Records Practice while Impaired Unprofessional Conduct Suspension 3/10/2020 Alcohol Use Disorder, Mild Failure to Keep Adequate Records Practice while Impaired Unprofessional Conduct Andrews, Richard Valenson, MD 16475 Omaha, NE Censure 1/20/2021 Failure to Comply w Federal or State Law Unprofessional Conduct DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 203 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 204 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Beckett, Heidi Jo, MD 23977 Grand Island, NE Suspension - Non-Child Support Payment 12/14/2020 Delinquent Child Support Payment 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 12/6/2016 Alcohol Addiction Practice while Impaired Probation Violation Unprofessional Conduct Boyd, Scott Thomas, MD 27056 Elkhorn, NE Probation 11/8/2012 12/28/2015 Other State Action Unprofessional Conduct DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 205 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Physician Buesing, Keely Lynn, MD 27342 Omaha, NE Probation 6/19/2020 6/19/2023 Dishonorable Conduct Permitting Aiding & Abetting Substance Use Disorder, Mild Violation of UCSA 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 Chavez, David Anthony, MD 28972 Broomfield, CO Probation 12/21/2015 1/17/2018 Other State Action 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 206 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Violation of Dept Order Civil Penalty 11/20/2019 Failure to Keep Adequate Records Pattern of Negligence Unprofessional Conduct Violation of Dept Order Suspension 1/28/2020 Dishonorable Conduct Failure to Keep Adequate Records Immoral Conduct Pattern of Negligence Practice Beyond Scope Unprofessional Conduct Violation of Dept Order DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 207 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 6/12/2014 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 208 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Physician Damme, Jeffrey Alan, MD 22565 Cook, NE Censure 11/20/2018 Probation Violation 11/12/2019 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 5/31/2024 6/4/2011 3/31/2017 Other State Action 5/31/2018 5/31/2024 6/4/2011 3/31/2017 Practice while Impaired 5/31/2018 5/31/2024 6/4/2011 3/31/2017 Probation Violation 5/31/2018 5/31/2024 Suspension 3/31/2017 5/31/2018 Alcohol Dependency Other State Action Practice while Impaired Probation Violation De Los Angeles, Reynaldo Adrilliana, MD 18636 Kearney, NE 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 209 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Physician 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 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, Alfred David, MD 17601 Omaha, NE Probation 2/21/2011 2/21/2016 Alcohol Dependency DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 210 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Physician Folchert, Kevin John, MD 20197 Sioux City, IA Censure 4/5/2019 Misdemeanor Conviction(s) Forsman, Richard Olin, MD 11833 Omaha, NE Probation 12/23/2019 12/23/2022 Dishonorable Conduct Failure to Keep Adequate Records Pattern of Negligence Unprofessional Conduct 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 211 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Physician Fraser, Jeffrey Loren, MD 19664 New Bern, NC 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 212 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Fuller, Samuel Edward, MD 23277 Englewood, CO Probation 2/10/2020 2/10/2025 Alcohol Use Disorder, Severe Other State Action 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 213 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Physician 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 214 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Physician 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 215 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 1/29/2014 Failure to File Report-38-1,124,38-1,125 Pattern of Negligence Probation Violation Unprofessional Conduct Violation of UCSA DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 216 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Physician 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 Helmick, Lawrence Dean, MD 14092 Kearney, NE Civil Penalty 12/13/2019 12/13/2021 Alcohol Abuse Misdemeanor Conviction(s) Probation 12/13/2020 Alcohol Abuse Misdemeanor Conviction(s) Herink, Rebecca L, MD 20410 Fremont, 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 217 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 Dishonorable Conduct Excessive Treatment Failure to Keep Adequate Records History of Disciplinary Action Other State Action Pattern of Negligence Probation Violation 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 218 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Physician Johnson, Christine M, MD 20202 Rosebud, SD Probation 10/27/2011 2/28/2013 Lack of Continued Competency Other State Action Kasselman, Jeffrey Paul, MD 22259 Papillion, NE Limitation-Disciplinary 12/3/2012 4/6/2016 Unprofessional Conduct 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 Khedir Al-Tiae, Tareq Ali, MD 27541 Lincoln, NE Suspension 7/1/2020 Mental Disability Practice while Impaired 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 219 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Durango, CO Probation 2/28/2019 2/28/2021 Other State Action 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 Mazour, Daniel Edward, MD 17878 Franklin, NE Probation 1/10/2016 12/14/2016 Failure to Keep Adequate Records Pattern of Negligence Unprofessional Conduct DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 220 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Physician 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 221 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 4/30/2020 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 222 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Physician Okosun, Stanley Eromonsele, MD 25144 Scottsdale, AZ 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 223 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Physician 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 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 224 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Physician Rothenberg, Lawrence, MD 23130 Royal Palm Beach, FL 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 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 Snodgrass, Donald Ray, MD 27778 Hastings, NE Probation 12/12/2020 12/12/2022 Substance Use Disorder, Moderate Unprofessional Conduct Violation of UCSA Stottle, Matthew James, MD 26359 Omaha, NE Probation 7/15/2011 8/16/2012 Alcohol Abuse Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 225 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Swerczek, Michael Joseph, MD 29113 Lincoln, NE Probation 4/5/2019 4/5/2021 Alcohol Use Disorder, Severe Practice while Impaired 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 226 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Physician 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 Tobin, Gregg Moran, MD 18734 Winner, SD Probation 6/20/2011 3/6/2014 Alcohol Abuse Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 227 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 228 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Physician 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 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 Young, Mark Ridder, MD 21253 Omaha, NE Probation 2/7/2015 2/7/2018 Alcohol Dependency Misdemeanor Conviction(s) Physician Assistant DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 229 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Bellevue, NE Civil Penalty 4/19/2012 10/19/2013 Failure to Keep Adequate Records Unprofessional Conduct DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 230 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 231 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 232 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 Sedlak, Cindy Lu, PA-C 1355 Bellevue, NE Probation 5/31/2020 5/31/2021 Failure to Keep Adequate Records Pattern of Negligence Practice Beyond Scope Unprofessional Conduct DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 233 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Physician Assistant 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 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 Temporary Educational Permit DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 234 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Temporary Educational Permit Baus, Joseph Edward, MD 7341 Omaha, NE Probation 7/1/2014 6/18/2015 Controlled Substance Dependence Other State Action 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 Blankenship, Jennifer Suzanne 1769 Omaha, NE Probation 2/19/2020 2/19/2021 Dishonorable Conduct Exploitation of Another Person Unprofessional Conduct Suspension 10/28/2019 2/19/2020 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 Chartier, Angela Marie 1681 Omaha, NE Probation 12/13/2016 10/5/2017 Alcohol Abuse Misdemeanor Conviction(s) Unprofessional Conduct DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 235 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Independent Mental Health Practitioner 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 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 Omaha, NE Probation 6/25/2020 4/7/2022 Failure to File Report-38-1,124,38-1,125 4/7/2013 6/25/2020 4/7/2022 Failure to Keep Adequate Records 4/7/2013 6/25/2020 4/7/2022 Unprofessional Conduct 4/7/2013 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 236 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Independent Mental Health Practitioner Fritz, Maria Christine 225 Lincoln, NE Censure 12/16/2015 Unprofessional Conduct Limitation-Disciplinary 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 Garcia, Arlene Jewell 468 Omaha, NE Civil Penalty 11/5/2019 5/5/2020 Dishonorable Conduct Exploitation of Another Person Obtaining Fee by Fraud Unprofessional Conduct Violation of UCA Suspension 11/15/2019 Dishonorable Conduct Exploitation of Another Person Obtaining Fee by Fraud Unprofessional Conduct Violation of UCA DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 237 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Independent Mental Health Practitioner 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 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 6/8/2017 11/28/2017 Felony Conviction(s) 12/11/2017 6/8/2017 11/28/2017 Misdemeanor Conviction(s) 12/11/2017 6/8/2017 11/28/2017 Probation Violation 12/11/2017 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 238 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Independent Mental Health Practitioner 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 Jennings, Jennifer Lynn 1147 Lincoln, NE Suspension 8/16/2020 Failure to Comply With Aftercare Misdemeanor Conviction(s) Practice while Impaired Unprofessional Conduct Martin, Jane Dodson 816 Omaha, NE Probation 11/9/2013 11/9/2014 Failure to Keep Adequate Records Unprofessional Conduct 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 Mimick-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 Mirmiran, Hannah Grace 1169 Omaha, NE Revocation 6/1/2020 Alcohol Use Disorder, Severe Failed to Report Conviction in 30 days Misdemeanor Conviction(s) Unprofessional Conduct Violation of UCA DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 239 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Independent Mental Health Practitioner 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 Rolland, Michael Aaron 1456 Omaha, NE Probation 6/19/2020 6/19/2023 Alcohol Use Disorder, Moderate Violation of UCSA DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 240 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 241 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 242 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Master Social Worker 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 Garcia, Arlene Jewell 231 Omaha, NE Suspension 11/15/2019 Dishonorable Conduct Exploitation of Another Person Obtaining Fee by Fraud Unprofessional Conduct Violation of UCA 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 243 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 7/21/2020 5/10/2022 12/11/2017 6/8/2017 11/28/2017 Felony Conviction(s) 12/11/2017 6/8/2017 11/28/2017 Misdemeanor Conviction(s) 7/21/2020 5/10/2022 12/11/2017 6/8/2017 11/28/2017 Probation Violation 12/11/2017 7/21/2020 5/10/2022 Violation of AOC 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 Jennings, Jennifer Lynn 1363 Lincoln, NE Suspension 8/16/2020 Failure to Comply With Aftercare Misdemeanor Conviction(s) Practice while Impaired Unprofessional Conduct 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 244 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Master Social Worker Mirmiran, Hannah Grace 1350 Omaha, NE Revocation 6/1/2020 Alcohol Use Disorder, Severe Failed to Report Conviction in 30 days Misdemeanor Conviction(s) Unprofessional Conduct Violation of UCA 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) 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 245 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Mental Health Practitioner Bailey, Frank Louis, III 4528 Omaha, NE Censure 12/27/2017 Exploitation of Another Person Unprofessional Conduct 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 Batten, Amy K 3981 Omaha, NE Suspension 1/30/2021 Alcohol Use Disorder, Severe Practice while Impaired Unprofessional Conduct 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 Probation 2/19/2020 2/19/2021 Dishonorable Conduct Exploitation of Another Person Unprofessional Conduct Suspension 10/28/2019 2/19/2020 Dishonorable Conduct Exploitation of Another Person Unprofessional Conduct DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 246 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Mental Health Practitioner 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 Castro, Edna A 5449 Omaha, NE Probation 2/18/2020 2/18/2021 Failure to Comply w Federal or State Law Failure to Keep Adequate Records Practice Beyond Scope 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 247 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Mental Health Practitioner 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 248 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Mental Health Practitioner 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 Omaha, NE Probation 6/25/2020 4/7/2022 Failure to File Report-38-1,124,38-1,125 4/7/2013 6/25/2020 4/7/2022 Failure to Keep Adequate Records 4/7/2013 6/25/2020 4/7/2022 Unprofessional Conduct 4/7/2013 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 249 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Mental Health Practitioner 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 Garcia, Arlene Jewell 722 Omaha, NE Suspension 11/15/2019 Dishonorable Conduct Exploitation of Another Person Obtaining Fee by Fraud Unprofessional Conduct Violation of UCA Garrison, Dennis Eugene 4314 Council Bluffs, IA Censure 10/24/2017 Failure to File Report-38-1,124,38-1,125 Goodwin, Lori M. 4133 Omaha, NE Censure 9/23/2015 Unprofessional Conduct Civil Penalty 3/23/2016 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 250 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Mental Health Practitioner 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 251 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 6/8/2017 11/28/2017 Felony Conviction(s) 12/11/2017 6/8/2017 11/28/2017 Misdemeanor Conviction(s) 12/11/2017 6/8/2017 11/28/2017 Probation Violation 12/11/2017 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 Jennings, Jennifer Lynn 3706 Lincoln, NE Suspension 8/16/2020 Failure to Comply With Aftercare Misdemeanor Conviction(s) Practice while Impaired Unprofessional Conduct DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 252 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 Luhring, Ina Sivits 3774 Lincoln, NE Limitation-Disciplinary 9/23/2015 8/3/2016 Unprofessional Conduct Martin, Jane Dodson 618 Omaha, NE Probation 11/9/2013 11/9/2014 Failure to Keep Adequate Records Unprofessional Conduct DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 253 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Mental Health Practitioner Maxwell, Alyssa Melyn 5280 Lincoln, NE Probation 11/3/2020 11/3/2023 Alcohol Use Disorder, Moderate Misdemeanor Conviction(s) Practice while Impaired 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 Mimick-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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 254 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Mental Health Practitioner Mirmiran, Hannah Grace 3651 Omaha, NE Revocation 6/1/2020 Alcohol Use Disorder, Severe Failed to Report Conviction in 30 days Misdemeanor Conviction(s) Unprofessional Conduct Violation of UCA Myers, Suzanne Marie 726 Omaha, NE Revocation 10/2/2019 Dishonorable Conduct Felony Conviction(s) Nelson, William Joseph 2951 Omaha, NE Censure 5/7/2015 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 255 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Mental Health Practitioner Oltman, Pamela Jo 3016 Lincoln, NE Censure 9/21/2015 Unprofessional Conduct Civil Penalty 3/21/2016 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 Sammet, Frank D. 4390 Lincoln, NE Suspension 7/20/2018 Alcohol Use Disorder, Moderate Failed to Report Conviction in 30 days Misdemeanor Conviction(s) Schwartz, Marsha L 3591 Stanton, NE Probation 7/8/2012 7/8/2015 Alcohol Dependency Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 256 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Mental Health Practitioner 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 11/12/2019 Unprofessional Conduct Violation of UCA Stark, Cole Lee 4089 Waverly, NE Probation 7/13/2012 7/13/2014 Alcohol Abuse Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 257 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 258 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Mental Health Practitioner Thompson, Bridget Ann 3563 Lincoln, NE Probation 6/10/2019 4/11/2021 History of Disciplinary Action Revocation 10/28/2016 4/11/2019 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 259 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Professional Counselor Blankenship, Jennifer Suzanne 2341 Omaha, NE Probation 2/19/2020 2/19/2021 Dishonorable Conduct Exploitation of Another Person Unprofessional Conduct Suspension 10/28/2019 2/19/2020 Dishonorable Conduct Exploitation of Another Person 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 260 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Professional Counselor Dowden, Linda Denise 1569 Omaha, NE Probation 5/25/2020 4/7/2022 Failure to File Report-38-1,124,38-1,125 4/7/2013 5/25/2020 4/7/2022 Failure to Keep Adequate Records 4/7/2013 5/25/2020 4/7/2022 Unprofessional Conduct 4/7/2013 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 Goodwin, Lori M. 2030 Omaha, NE Censure 9/23/2015 Unprofessional Conduct Civil Penalty 3/23/2016 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 261 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Professional Counselor 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 Luhring, Ina Sivits 1877 Lincoln, NE Limitation-Disciplinary 9/23/2015 8/3/2016 Unprofessional Conduct Martin, Jane Dodson 205 Omaha, NE Probation 11/9/2013 11/9/2014 Failure to Keep Adequate Records Unprofessional Conduct DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 262 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Professional Counselor 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 Mimick-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 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 263 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Professional Counselor 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 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 11/12/2019 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 264 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Professional Counselor 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 265 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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) Gilreath, 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 Provisional Mental Health Practitioner Alexander, Jennifer Regina 11291 Silver Creek, NE Revocation 12/16/2020 Dishonorable Conduct Exploitation of Another Person Immoral Conduct Unprofessional Conduct Violation of the UCA DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 266 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 267 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 268 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Provisional Mental Health Practitioner Darter, Daphne Elsie 10789 Hoskins, NE Probation 1/9/2020 1/9/2021 Dishonorable Conduct Falsify Patient Records Unprofessional Conduct Deleon, Julio Cesar 9675 Rochester, MN 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) 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 269 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Provisional Mental Health Practitioner Foresman, Cynthia Ann 9850 Kearney, NE Censure 7/19/2017 Unprofessional Conduct Violation of UCA Gilreath, 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 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 Kucera, Emma D 10165 Lincoln, NE Probation 1/21/2014 Misdemeanor Conviction(s) xAlcohol Use Disorder - Mild 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 270 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Provisional Mental Health Practitioner Lipker, Myra Jeanne 'Jeannie' 8145 Superior, NE Suspension 5/23/2011 Failure to Pay Fees Unprofessional Conduct xFraudulent Practice Mendez, Shirley Marie 8779 Norfolk, NE Censure 2/11/2011 Probation Violation xCourt Conviction Civil Penalty 8/11/2011 Probation Violation xCourt Conviction 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 271 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 272 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Provisional Mental Health Practitioner Stephens, Johna Rachael 9624 Lincoln, NE Probation 3/7/2012 3/7/2015 Alcohol Dependency Controlled Substance Dependence Misdemeanor Conviction(s) Zelenka, Peter James Koll 10804 Omaha, NE Suspension 12/16/2020 2/14/2021 Failure to File Report-38-1,124,38-1,125 Failure to Keep Adequate Records Unprofessional Conduct Social Worker Papousek, Nina Rae 1949 Fremont, NE 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 273 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Croushorn, Danielle Christine 2909 Omaha, NE Probation 10/5/2017 10/5/2018 Failure to Disclose Convictions Misdemeanor Conviction(s) 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) Hoffman, Jamie Dee 3326 Omaha, NE Probation 10/5/2017 4/5/2018 Failure to Disclose Convictions Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 274 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Nail Technician Huynh, Chuong Van 2511 Columbus, NE Civil Penalty 6/1/2012 12/1/2013 Permitting Aiding & Abetting Probation 6/10/2012 6/10/2013 Huynh, Linda Anh Thi 3552 Omaha, NE Probation 9/15/2020 3/15/2021 Failure to Disclose Convictions Misdemeanor Conviction(s) Huynh, Thuy Thi Thanh 2897 South Sioux City, NE Probation 5/23/2012 8/23/2012 Unprofessional Conduct 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) Le, Quy 2789 Lincoln, NE Probation 4/30/2018 10/30/2018 Failure to Disclose Convictions Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 275 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Rene' 532 Omaha, NE Probation 9/20/2018 3/20/2019 Unlicensed Practice 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 276 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 omaha, 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 277 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Nail Technician Nguyen, Lieu Thi 3475 Columbus, NE Probation 8/26/2019 Probation Violation Unlicensed Practice Suspension 1/28/2020 Probation Violation Unlicensed Practice 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 278 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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) 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 279 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Nail Technician Starks, Leah Shiffon 3225 Missouri City, TX 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) Tucker, Fantasya L'Shae 3529 Omaha, NE Probation 5/14/2020 11/14/2020 Failure to Disclose Convictions Misdemeanor Conviction(s) Vasquez, Angela Ann 2050 Hickman, NE Probation 10/6/2011 4/6/2012 Failure to Disclose Convictions Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 280 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Nail Technician Vo, Andy Duy 2576 Lincoln, NE Probation 8/29/2014 8/29/2015 Failure to File Report-38-1,124,38-1,125 Felony Conviction(s) 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 281 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

APRN-CRNA Behrens, Corrine Gayle 100836 Fort Calhoun, NE Censure 11/21/2017 Misrepresentation of Material Facts Unprofessional Conduct Fortner, John Bruce 101556 Sidney, NE Probation 2/12/2020 2/12/2023 History of Disciplinary Action Substance Use Disorder Lyman, Suzanne Rene 101263 Dakota Dunes, SD Probation 7/14/2014 Controlled Substance Dependence Other State Action 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 282 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

APRN-Nurse Practitioner Anderson, Ann Marie 110544 Windsor, CO Civil Penalty 5/29/2014 11/29/2014 Misrepresentation of Material Facts 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 Carl, Annika Lynn 111425 Omaha, NE Probation 5/7/2015 5/7/2020 Alcohol Dependency Practice while Impaired xAlcohol Use Disorder - Severe Keller, Gayle Lynette 110530 Falls City, NE Civil Penalty 5/29/2014 11/29/2014 Misrepresentation of Material Facts Loftus, Keri Ann 110602 Bellevue, 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 283 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

APRN-Nurse Practitioner Miller, Timothy Dutch 111076 Lincoln, 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 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 284 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

APRN-Nurse Practitioner 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 Tegels, Amy Jill 110895 Plattsmouth, NE Censure 7/9/2014 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) Certified Licensed Practical Nurse DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 285 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 Entsminger, Brenda Sue 592 Lincoln, NE Revocation 3/16/2011 xControlled Substance Addiction DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 286 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Certified Licensed Practical Nurse Hessheimer, Madeline Ann 775 Lincoln, NE Censure 8/28/2012 Failure to Keep Adequate Records Unprofessional Conduct Violation of UCSA 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 287 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Certified Licensed Practical Nurse Huxoll, Sarah L 1280 Omaha, NE Probation 6/8/2014 6/8/2017 Alcohol Abuse Practice while Impaired Unprofessional Conduct 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 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 Moore, William Thomas 1261 Bassett, NE Probation 2/9/2014 2/9/2015 Misdemeanor Conviction(s) 5/17/2015 2/5/2020 2/9/2014 2/9/2015 Practice while Impaired 5/17/2015 2/5/2020 2/9/2014 2/9/2015 Probation Violation 5/17/2015 2/5/2020 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 288 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Certified Licensed Practical Nurse 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 289 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 290 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 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 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 Eckley, Karen Sue LPNTREF296 Elkhorn, NE Probation 8/5/2013 9/24/2013 Felony Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 291 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

LPN - Refresher Temporary Ferraguti, Donna Jo LPNTREF334 Omaha, NE Probation 4/18/2017 5/3/2017 Violation of UCSA xAlcohol Use Disorder - Severe Noonan, Suzanne LPNTREF361 Omaha, NE Probation 12/16/2019 2/10/2020 Substance Use Disorder 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 292 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

LPN-Compact Privilege 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 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 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 Council Bluffs, IA 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 Unprofessional Conduct Suspension 10/21/2019 Failure to Keep Adequate Records Unprofessional Conduct DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 293 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

LPN-Compact Privilege 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 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 294 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse 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 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 Allen, Ellen Dawn 11600 Cairo, NE Revocation 5/10/2012 Failure to Keep Adequate Records Unprofessional Conduct DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 295 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse 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 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 296 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse Baete, 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 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 Suspension 3/30/2014 4/29/2014 Misrepresentation of Material Facts Unlicensed Practice Violation of UCA DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 297 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse Bardales, Vanessa Marie 16695 Grand Island, NE Probation 8/13/2013 8/13/2018 Alcohol Dependency Controlled Substance Dependence Unprofessional Conduct Violation of UCSA Batiste, Anthony James 22084 Omaha, NE Censure 8/6/2020 Alcohol Use Disorder, Moderate Failure to Comply With Aftercare Misdemeanor Conviction(s) Probation Violation Civil Penalty 8/6/2021 Alcohol Use Disorder, Moderate Failure to Comply With Aftercare Misdemeanor Conviction(s) Probation Violation Probation 10/28/2019 10/28/2024 Alcohol Use Disorder, Moderate Failure to Comply With Aftercare Misdemeanor Conviction(s) Probation Violation Beatty, Kristen Pauline 15593 Omaha, NE Censure 11/28/2017 Failure to Keep Adequate Records Unprofessional Conduct DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 298 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse 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 Beekman, Amber F 22558 Beatrice, NE Probation 9/30/2013 9/30/2014 Alcohol Abuse Misdemeanor Conviction(s) 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 299 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse 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) 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 300 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse 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 Bohling, Clarissa Dineen 22676 Lincoln, NE Revocation 11/15/2019 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 301 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse Booth, Ronda Lovell 13819 Nebraska City, NE Suspension 8/6/2012 9/4/2012 Failure to Keep Adequate Records Falsify Patient Records Unprofessional Conduct Bouwens, Brianna Ashley 25834 Lincoln, NE Probation 12/19/2017 1/3/2020 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 Brown, Deanna Sue 20550 Pocatello, ID 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 302 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse Brown, Samantha Rose 20066 Columbus, NE Probation 2/20/2019 12/30/2019 Alcohol Use Disorder, Moderate Probation Violation Substance Use Disorder, Mild Unprofessional Conduct Violation of Work Policies & Procedures Revocation 12/30/2019 Alcohol Use Disorder, Moderate Probation Violation Substance Use Disorder, Mild Unprofessional Conduct Violation of Work Policies & Procedures Buhlmann, Rosemarie 19353 Albion, NE Suspension 9/4/2011 10/4/2011 Falsify Patient Records Unprofessional Conduct Burns, Larissa Marie 25215 Humboldt, NE Censure 12/27/2017 Failure to Keep Adequate Records Unprofessional Conduct Butler, Lola Fern 19276 Omaha, NE Censure 8/8/2014 Unprofessional Conduct Carda, Jennifer Jo 24908 Lincoln, NE Probation 6/9/2015 6/9/2016 Dishonorable 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 303 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse 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 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, Sara F 21874 Omaha, NE Probation 2/19/2012 Misrepresentation of Material Facts Probation Violation DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 304 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse Condy, Billie Ann 22735 Grand Island, NE Suspension 10/13/2019 Dishonorable Conduct Misdemeanor Conviction(s) Unprofessional Conduct Coonce, Teresa Lynne 19555 Omaha, NE Suspension 9/5/2016 Unprofessional Conduct Violation of UCSA xCont Substance Use Disorder - Mild 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 Crawford, Lynn Marie 15158 West Point, NE Probation 1/24/2017 Substance Use Disorder, Severe Violation of UCSA Suspension 11/2/2014 1/24/2017 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 Crosby, Trisha Lyn 19483 Syracuse, NE Probation 7/28/2018 Dishonorable Conduct Substance Use Disorder, Severe DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 305 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse 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 Gering, NE Probation 6/27/2011 Failure to File Report-38-1,124,38-1,125 Pattern of Negligence Unprofessional Conduct Darling, Jenee Maxine 22542 York, NE Probation 5/5/2014 5/4/2018 Alcohol Dependency Misdemeanor Conviction(s) 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 306 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse Davis, Alicia Marie 20126 Omaha, NE 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 3/5/2020 2/15/2017 2/24/2017 Unprofessional Conduct 10/6/2017 3/5/2020 2/15/2017 2/24/2017 Violation of AOC 10/6/2017 3/5/2020 2/15/2017 2/24/2017 Violation of Dept Order 10/6/2017 3/5/2020 DeLong, Cassaundra Marysue 25252 Omaha, NE Probation 5/4/2016 11/4/2016 Misdemeanor Conviction(s) 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 307 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse 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 Devney, Jill Christine 19943 Fremont, NE Censure 1/24/2017 Practice Beyond Scope 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 Probation 8/25/2011 4/11/2014 Alcohol Abuse Failure to Comply With Aftercare DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 308 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse 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 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 Omaha, NE Probation 10/3/2015 7/19/2018 Alcohol Dependency Unprofessional Conduct Eckley, Karen Sue 17622 Elkhorn, NE Probation 12/16/2020 12/16/2023 Felony Conviction(s) 9/24/2013 12/16/2020 12/16/2023 Previous Violations Resumed 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 309 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse 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) Farrens, Miranda Elizabeth 22541 Decatur, NE Probation 2/12/2014 7/1/2021 Controlled Substance Dependence Practice while Impaired Ferraguti, Donna Jo 11375 Omaha, NE Probation 5/3/2017 4/18/2019 xReinstatement - Previous Discipline 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 310 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse Fitzgerald, Krystalynn Tamarra Dion 22316 Grand Island, NE Censure 12/14/2016 Failed to Report Conviction in 30 days Failure to Keep Adequate Records Misdemeanor Conviction(s) Unprofessional Conduct 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 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 Franklin, Barbara Ann 23679 Papillion, NE Censure 2/19/2020 Misappropriation of Resident Property Unprofessional Conduct Frey, 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 311 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 312 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 Girard, Tami Sue 24763 Lincoln, NE Probation 12/9/2014 12/9/2019 Misdemeanor Conviction(s) xAlcohol Use Disorder - Moderate xMind-Altering Substance Abuse DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 313 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse 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 Graf, Jennifer Lynn 16071 Orleans, NE Censure 11/19/2020 Failure to File Report-38-1,124,38-1,125 2/9/2012 Failure to Keep Adequate Records 11/19/2020 Failure to Safeguard Clients Diginity 2/9/2012 Falsify Patient Records Unprofessional Conduct 11/19/2020 Suspension 2/19/2012 3/19/2012 Failure to Keep Adequate Records Falsify Patient Records Unprofessional Conduct 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 314 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse 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) 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 315 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 316 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse 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 Hamilton, Natasha Marie 23722 Omaha, NE Censure 2/19/2020 Failure to File Report-38-1,124,38-1,125 Hamnett, Michelle Jean 10651 Lincoln, NE Censure 3/5/2014 Violation of UCSA 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 Harris, Daniel Arthur 23525 Scottville, MI Probation 2/29/2020 Alcohol Use Disorder, Severe Misdemeanor Conviction(s) Hayes, Breezn' Olivia 19252 Omaha, NE Civil Penalty 10/21/2015 4/21/2016 Violation of UCA DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 317 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 Hensley, Gloria A 16869 Elmwood, NE Probation 10/2/2011 Failure to Keep Adequate Records Unprofessional Conduct DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 318 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse Hensley, Jennie Rae 20610 Waverly, NE Censure 1/25/2018 Failure to Keep Adequate Records Unprofessional Conduct 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 Hildenstein, Robert John 16855 Omaha, NE Probation 4/27/2017 4/27/2019 Failure to Disclose Convictions History of Disciplinary Action Hins, Elvamarie Jeannette 19511 Norfolk, NE Suspension 10/22/2012 1/18/2013 Practice while Impaired Hixon, Rachael Jean 21114 Grand Island, NE Censure 7/12/2017 Failed to Report Conviction in 30 days Hodge, Jami Sue 21143 Hiawatha, KS Suspension 7/1/2011 10/16/2014 Misrepresentation of Material Facts DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 319 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse Hoeft, Michelle Patricia 16029 Omaha, NE Censure 2/9/2012 Failure to Pay Fees 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 320 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 321 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse Jisa, Hollie Anne 24115 Clarkfield, MN Censure 1/28/2015 Failure to Safeguard Clients Diginity Unprofessional Conduct Civil Penalty 1/28/2016 Failure to Safeguard Clients Diginity Unprofessional Conduct Johnson, Mandie Michelle 20886 Lincoln, NE Censure 3/14/2017 Probation Violation Civil Penalty 9/14/2017 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 322 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 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) Kaylor, Annessa Marie 21340 Lincoln, NE Revocation 10/21/2014 Unprofessional Conduct Kelly, Nakia Lee 21013 Bennington, NE Probation 6/10/2012 1/6/2016 Alcohol Dependency Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 323 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse Kendall, Samantha Jay 25238 Falls City, NE Probation 4/7/2016 10/7/2016 Misdemeanor Conviction(s) 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 Knighten, April Christine 21894 Omaha, NE Censure 6/24/2014 Failure to Disclose Convictions DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 324 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse 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 Krannawitter, Amy Jo 17311 Lincoln, NE Probation 2/10/2020 2/10/2023 Misdemeanor Conviction(s) Substance Use Disorder, Moderate Kucera, Amy Lou 24910 Fremont, NE Censure 4/16/2020 Misrepresentation of Material Facts Unprofessional Conduct Violation of Work Policies & Procedures 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 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 325 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse Lamprecht, Jessie May 20661 Lincoln, NE Censure 7/20/2020 Sexual Abuse,Miscnduct,Exploit Unprofessional Conduct 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 326 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse Ludwig, Wendy Jo 20837 Scottsbluff, NE Censure 10/6/2020 Unprofessional Conduct Violation of Work Policies & Procedures 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 Lutzow, Linda J 12116 Omaha, NE Probation 6/3/2013 Controlled Substance Dependence xCriminal Conviction(s) Mackeprang, Sarah Jane 21066 Tyler, TX Suspension 11/28/2015 Failure to File Report-38-1,124,38-1,125 Misappropriation of Resident Property 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 327 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse Martin, Gina Maria 13312 Norfolk, NE Censure 12/29/2011 Practice Beyond Scope Civil Penalty 6/29/2012 Matthews, Tracy D 14515 Lincoln, NE 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 Mauger, Dana Rexine 22308 Clatonia, NE 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 328 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 Censure 7/20/2020 Alcohol Abuse Misdemeanor Conviction(s) Probation Violation Civil Penalty 1/20/2021 Alcohol Abuse Misdemeanor Conviction(s) Probation Violation Probation 10/28/2017 10/28/2021 Alcohol Abuse Misdemeanor Conviction(s) Probation Violation DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 329 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse 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 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 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) Mitchell, Laketta Nicole 24426 Omaha, NE Probation 2/10/2020 2/10/2022 Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 330 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse 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 Moore, William Thomas 21039 Bassett, NE Probation 2/9/2014 2/9/2015 Misdemeanor Conviction(s) 5/17/2015 2/5/2020 2/9/2014 2/9/2015 Practice while Impaired 5/17/2015 2/5/2020 2/9/2014 2/9/2015 Probation Violation 5/17/2015 2/5/2020 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 331 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 8/6/2020 Felony Conviction(s) Misdemeanor Conviction(s) Substance Use Disorder DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 332 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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) Noonan, Suzanne 11729 Omaha, NE Probation 2/11/2020 2/11/2023 Substance Use Disorder 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 333 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse 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 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 334 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse 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 Pebley, Debora Lee 7681 Scottsbluff, NE Probation 11/20/2012 11/20/2015 Probation Violation Suspension 5/8/2011 5/8/2012 xControlled Substance Addiction/Depndncy Peden, Amber Renee 24014 Cozad, NE Probation 2/28/2013 2/28/2016 Alcohol Abuse Misdemeanor Conviction(s) 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 335 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse 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 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) 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 Pochop, Stephanie Jeanne 15132 Battle Creek, NE Probation 5/18/2018 Emotional Disability Polenske, Stacy Lynette 18643 North Platte, NE 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 Bellevue, NE Censure 9/22/2011 Unprofessional Conduct Civil Penalty 3/22/2012 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 336 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 337 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse 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 Previous Violations Resumed 6/14/2019 10/12/2018 Probation Violation 6/14/2019 Civil Penalty 10/12/2018 4/12/2019 Alcohol Dependency Misdemeanor Conviction(s) Previous Violations Resumed Probation Violation Probation 5/21/2017 5/21/2022 Alcohol Dependency Misdemeanor Conviction(s) Previous Violations Resumed Probation Violation Revocation 11/12/2019 Alcohol Dependency Misdemeanor Conviction(s) Previous Violations Resumed Probation Violation Ramirez Acuna, Fernando D 26201 Grand Island, NE Probation 1/14/2019 1/14/2024 Misdemeanor Conviction(s) Substance Use Disorder 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 338 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse 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 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, Tameka Arlene 21026 Omaha, NE Probation 10/28/2013 Practice while Impaired DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 339 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse Robles, JoLe 21074 Superior, NE Revocation 3/29/2020 Failure to File Report-38-1,124,38-1,125 Falsify Patient Records Misappropriation of Resident Property Unprofessional Conduct Violation of AOC Violation of Work Policies & Procedures 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) 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 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 Russell, Nelda M 7248 Tecumseh, NE Censure 1/15/2020 Failure to File Report-38-1,124,38-1,125 Unprofessional Conduct Violation of Work Policies & Procedures DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 340 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse 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 Scaturro, Emma Jolene 25904 LINCOLN, NE Censure 4/3/2018 Violation of UCSA Schlager, Kimberly Ann 23742 Valentine, NE Censure 7/14/2014 Practice Beyond Scope Unprofessional Conduct Civil Penalty 1/14/2015 Practice Beyond Scope Unprofessional Conduct DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 341 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse 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 Schluter, Tiffany LeAnn 26103 Omaha, NE Censure 7/31/2019 Violation of Dept Order Suspension 11/26/2019 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) 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 342 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse Sedlacek, Leora Lynn 15355 Ord, NE Suspension 1/24/2020 Alcohol Use Disorder, Severe Failure to Comply With Aftercare Unprofessional Conduct Violation of Work Policies & Procedures 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 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 Censure 2/12/2020 Alcohol Use Disorder, Severe Misdemeanor Conviction(s) Probation Violation Civil Penalty 8/12/2020 Alcohol Use Disorder, Severe Misdemeanor Conviction(s) Probation Violation Probation 6/23/2019 6/23/2023 Alcohol Use Disorder, Severe Misdemeanor Conviction(s) Probation Violation Sims, Regan Marie 23807 Kearney, NE Probation 4/22/2019 4/22/2021 Misdemeanor Conviction(s) Substance Use Disorder DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 343 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse 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 12/28/2020 Failure to Pay Fees 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 Soule, Judy Jean 14822 Oshkosh, NE Censure 7/26/2012 Unprofessional Conduct DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 344 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse 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) 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) 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 345 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 Probation 12/16/2020 12/16/2023 Felony Conviction(s) Substance Use Disorder Violation of UCSA Suspension 10/11/2019 12/16/2020 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 346 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 347 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 348 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 349 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse 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 VanDeWalle, Sheila Rae 17523 Doniphan, NE Censure 2/21/2011 Controlled Substance Dependence Unprofessional Conduct Vlieger, Tia Irene 21552 Hazard, NE Censure 10/12/2012 Unprofessional Conduct DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 350 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 351 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse 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 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 Wilhelm, Melissa Jane 16340 Lincoln, NE Censure 5/9/2014 Failure to File Report-38-1,124,38-1,125 Williams, Barbara Jean 21319 Lincoln, NE Revocation 10/30/2020 Felony Conviction(s) Unprofessional Conduct Williams, Deanna Rae 20234 Omaha, NE Probation 10/7/2014 10/31/2015 Misdemeanor Conviction(s) 4/18/2018 9/25/2018 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 352 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 353 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 11/28/2018 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 354 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Licensed Practical Nurse Womochil, Kelly Jae 23762 Omaha, NE Censure 4/16/2020 Failure to File Report-38-1,124,38-1,125 Failure to Keep Adequate Records Unprofessional Conduct Violation of Work Policies & Procedures Suspension 4/26/2020 5/26/2020 Failure to File Report-38-1,124,38-1,125 Failure to Keep Adequate Records Unprofessional Conduct Violation of Work Policies & Procedures 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 355 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Brown, Dezeree Lenea RNTREF626 Omaha, NE Probation 11/18/2013 12/10/2013 Alcohol Dependency Controlled Substance Dependence Violation of UCSA DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 356 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

RN - Refresher Temporary Cully, Julie Kaye RNTREF794 Lincoln, NE Probation 1/31/2020 2/9/2020 Felony Conviction(s) Misdemeanor Conviction(s) Substance Use Disorders-Multiple 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) Hill, Melinda Kay RNTREF800 North Platte, NE Probation 6/19/2020 6/21/2020 Controlled Substance Dependence Failure to Comply With Aftercare 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 357 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 McCarthy, Mandy Jo RNTREF755 Spalding, NE Probation 12/14/2018 12/16/2018 Misdemeanor Conviction(s) Substance Use Disorders-Multiple Violation of UCSA 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 RN-Compact Privilege DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 358 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Caddy, Robin Ann IA-108013 McClelland, IA Censure 12/13/2019 Failure to File Report-38-1,124,38-1,125 Unprofessional Conduct Violation of Work Policies & Procedures Pet for Adv Act: Nurse Lic Compact filed 12/13/2019 Failure to File Report-38-1,124,38-1,125 Unprofessional Conduct Violation of Work Policies & Procedures Suspension 12/23/2019 1/22/2020 Failure to File Report-38-1,124,38-1,125 Unprofessional Conduct Violation of Work Policies & Procedures DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 359 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

RN-Compact Privilege 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 360 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 361 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Engle, Salome A MO-086121 Saint Louis, MO Pet for Adv Act: Nurse Lic Compact filed 10/28/2019 11/27/2019 Controlled Substance Abuse Felony Conviction(s) Misdemeanor Conviction(s) Revocation 11/27/2019 Controlled Substance Abuse Felony Conviction(s) Misdemeanor Conviction(s) 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 Gordon, Robin IA-115618 Sioux City, IA Revocation 3/17/2011 Unprofessional Conduct 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 362 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

RN-Compact Privilege Hill, Breanna Marie IA-128312 Glenwood, IA 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 363 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 364 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 365 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Aherns, Nancy Anne 55397 Elkhorn, NE Censure 4/5/2019 Failure to Keep Adequate Records 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 Alred, Roxie Idell 34151 Omaha, NE Censure 10/27/2011 Unprofessional Conduct 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 366 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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) Arkfeld, Stacy Lynn 53753 Lincoln, NE Probation 11/28/2015 2/28/2020 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 Bagby, Alan Dale 81261 Millbrook, AL Probation 1/19/2016 8/5/2019 Other State Action DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 367 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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) Baker, 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 368 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Bashara, Karla Lea 52668 Bennington, NE Probation 12/27/2017 12/8/2022 Alcohol Dependency Felony Conviction(s) Misdemeanor Conviction(s) Probation Violation Violation of Dept Order Violation of UCSA 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 369 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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 Benson, Christin Lyn 56940 Wahoo, NE Probation 12/4/2018 12/4/2023 Felony Conviction(s) Misdemeanor Conviction(s) Substance Use Disorder Suspension 7/22/2017 12/4/2018 Failure to Comply w Federal or State Law 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) Berg, Sarah Marie 78579 Lincoln, NE Probation 7/24/2020 7/24/2022 Alcohol Use Disorder, Moderate Misdemeanor Conviction(s) Bernal, Melissa Ann 65390 Papillion, NE Probation 11/10/2019 11/10/2023 Dishonorable Conduct Misdemeanor Conviction(s) Prescribing CS to Oneself Substance Use Disorder, Moderate DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 370 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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) Blagdon, Shauna Sue 61951 Omaha, NE Censure 11/27/2019 Failure to Safeguard Clients Diginity Unprofessional Conduct Violation of Work Policies & Procedures Civil Penalty 5/27/2020 Failure to Safeguard Clients Diginity Unprofessional Conduct Violation of Work Policies & Procedures Blecha, Jessica Johnson 53267 Omaha, NE Probation 2/29/2020 2/29/2024 Controlled Substance Abuse Dishonorable Conduct Falsify Patient Records Misappropriation of Resident Property Substance Use Disorder, Severe Unprofessional Conduct Violation of UCSA DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 371 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Boldt, Kristina Marie 75596 OMAHA, NE Suspension 3/1/2019 Dishonorable Conduct Failure to Comply With Aftercare Substance Use Disorder Boltinghouse, Brianne Lee 77409 Ames, NE Probation 2/13/2014 2/13/2015 Alcohol Abuse Misdemeanor Conviction(s) 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 372 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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) Bridges, Kimberly Sue 62437 Burwell, NE Suspension 3/5/2018 Misdemeanor Conviction(s) Unprofessional Conduct 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 373 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 374 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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 12/2/2020 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 Burke, Callie Theola 81814 Omaha, NE Censure 11/19/2020 Failure to Comply w Federal or State Law Unprofessional Conduct Burks, Erin Mary 64032 Harahan, LA Censure 12/13/2019 Unprofessional Conduct Violation of Work Policies & Procedures DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 375 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 376 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Lehi, UT Censure 8/28/2018 Unprofessional Conduct Civil Penalty 2/28/2019 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 377 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 Des Moines, IA 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 378 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Chase, Raymond Russell 71760 Omaha, 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 Christensen, Kari Kay 56249 Hoskins, NE Probation 3/3/2011 Practice while Impaired Chunn, Deborah D 34160 Omaha, NE Censure 9/22/2011 Unprofessional Conduct DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 379 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Church, Robin Michelle 77365 York, NE Probation 2/6/2014 4/19/2016 Alcohol Abuse Misrepresentation of Material Facts Clark, Caitlin Marie 91325 Gretna, NE Probation 7/21/2020 7/21/2023 Failure to Comply With Aftercare Substance Use Disorders-Multiple Clark, Kiersten Noelle 87697 Holdrege, NE Probation 2/3/2020 2/3/2025 Alcohol Use Disorder, Moderate Failure to File Report-38-1,124,38-1,125 History of Disciplinary Action Other State Action Substance Use Disorder, Severe 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 380 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 381 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 7/1/2018 Probation Violation 12/16/2020 6/16/2022 Substance Use Disorder 11/28/2015 7/1/2018 Unprofessional Conduct 12/16/2020 6/16/2022 Violation of UCSA 11/28/2015 7/1/2018 xCont Substance Use Disorder - Moderate Revocation 7/1/2018 12/15/2020 Probation Violation Unprofessional Conduct xCont Substance Use Disorder - Moderate Cook, Elizabeth Kay 60804 North Platte, 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 382 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Suspension 2/21/2011 2/21/2012 Probation Violation 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 383 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Lincoln, NE Probation 3/14/2015 3/14/2016 Failure to File Report-38-1,124,38-1,125 2/12/2020 2/2/2023 Felony Conviction(s) 3/14/2015 3/14/2016 Misdemeanor Conviction(s) 2/12/2020 2/2/2023 Substance Use Disorders-Multiple 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 Suspension 5/20/2012 8/18/2012 Alcohol Dependency Failure to Comply With Aftercare Probation Violation DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 384 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 385 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 386 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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 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 Diller, Alysia Dawn 62572 Fairbury, NE Probation 12/7/2019 12/7/2022 Alcohol Use Disorder, Severe Unprofessional Conduct DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 387 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 388 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Do, Kathy 89307 Lincoln, NE Censure 2/5/2020 Violation of Work Policies & Procedures Donovan, Patricia Annette 45272 Omaha, NE Censure 4/6/2018 Practice Beyond Scope Unprofessional Conduct 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 Draper, Alison Marie 60168 Omaha, NE Petition for Disp Action & Temp Susp 5/29/2020 6/10/2020 Alcohol Use Disorder, Severe Failure to Comply With Aftercare Failure to File Report-38-1,124,38-1,125 Misdemeanor Conviction(s) Practice while Impaired Substance Use Disorder, Severe Unprofessional Conduct Violation of Work Policies & Procedures Drelicharz, Alison Jill 69371 Omaha, NE Probation 7/28/2014 8/26/2020 Unprofessional Conduct xMind-Altering Substance Dependence DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 389 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Dumond, Dorinda Rose 61965 Bellevue, NE Suspension 12/12/2013 Controlled Substance Abuse Dishonorable Conduct Practice while Impaired Unprofessional Conduct Violation of UCSA Dunning, Abigail F 63580 Omaha, NE Censure 1/7/2020 Failed to Report Conviction in 30 days Misdemeanor Conviction(s) Probation Violation xAlcohol Use Disorder - Severe Civil Penalty 7/7/2020 Failed to Report Conviction in 30 days Misdemeanor Conviction(s) Probation Violation xAlcohol Use Disorder - Severe Probation 1/6/2017 1/6/2022 Failed to Report Conviction in 30 days Misdemeanor Conviction(s) Probation Violation xAlcohol Use Disorder - Severe DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 390 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 391 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Ebsen, Jessica Ann 70835 Papillion, NE Censure 3/27/2020 Dishonorable Conduct Practice while Impaired Probation Violation Substance Use Disorder, Moderate Violation of UCSA Civil Penalty 9/27/2020 Dishonorable Conduct Practice while Impaired Probation Violation Substance Use Disorder, Moderate Violation of UCSA Probation 5/21/2017 5/21/2022 Dishonorable Conduct Practice while Impaired Probation Violation Substance Use Disorder, Moderate Violation of UCSA 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 392 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 393 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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) Falcon, Jennifer Elizabeth 88982 Omaha, NE Censure 3/27/2020 Failure to Safeguard Clients Diginity Unprofessional Conduct Violation of Work Policies & Procedures Civil Penalty 3/27/2021 Failure to Safeguard Clients Diginity Unprofessional Conduct Violation of Work Policies & Procedures Falter, Todd Alan 67109 Omaha, NE Censure 3/5/2018 Misdemeanor Conviction(s) Civil Penalty 9/5/2018 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 394 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Feddeler, Samantha Morgan 66412 Bellevue, NE 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 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 Alcohol Dependency Failure to Comply With Aftercare Misdemeanor Conviction(s) Probation Violation DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 395 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 396 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Flint, Charleen Renee 43002 Columbus, NE Censure 10/6/2020 Failure to File Report-38-1,124,38-1,125 Failure to Safeguard Clients Diginity Violation of Work Policies & Procedures Civil Penalty 10/6/2021 Failure to File Report-38-1,124,38-1,125 Failure to Safeguard Clients Diginity Violation of Work Policies & Procedures 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 Fortner, John Bruce 90526 Sidney, NE Probation 2/12/2020 2/12/2023 History of Disciplinary Action Substance Use Disorder Fowler, Heather Louise 67973 Omaha, NE 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 397 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 398 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Frederick, 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 399 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 400 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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) Garrelts, Carla Elizabeth 66217 Kearney, NE Censure 9/22/2011 Unprofessional Conduct Civil Penalty 9/22/2012 Limitation-Disciplinary 6/30/2016 Gauthier, Faith Rebekkah 81735 Lincoln, NE Censure 9/16/2020 Failure to Safeguard Clients Diginity DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 401 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Gengler, Bonnie Sue 75926 Omaha, NE Censure 3/19/2020 Unprofessional Conduct 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 La Vista, 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 402 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Glantz, Katharine Rose 73987 Omaha, NE Probation 2/7/2016 8/4/2017 Misdemeanor Conviction(s) xAlcohol Use Disorder - Moderate 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, 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 403 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 404 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Grim, Tanisha Shantell 60417 Grand Island, NE Censure 3/18/2013 Controlled Substance Dependence Failure to Comply With Aftercare Probation Violation Violation of UCSA Civil Penalty 9/18/2013 Controlled Substance Dependence Failure to Comply With Aftercare Probation Violation Violation of UCSA Grizzle, Aaron Raymond 81033 Columbus, NE Censure 1/7/2020 Failure to Safeguard Clients Diginity Unprofessional Conduct Violation of Work Policies & Procedures Civil Penalty 7/7/2020 Failure to Safeguard Clients Diginity Unprofessional Conduct Violation of Work Policies & Procedures 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 Hadley, Lisa Diane 57672 Plattsmouth, NE Suspension 10/22/2012 11/20/2012 Failure to Keep Adequate Records Unprofessional Conduct Hall, Ashlee Nicole 68768 Bennington, NE Civil Penalty 11/14/2013 5/14/2014 Misrepresentation of Material Facts DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 405 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Hall, Karen Kay 60175 Lincoln, NE Censure 12/13/2019 Failed to Report Conviction in 30 days Failure to File Report-38-1,124,38-1,125 Misappropriation of Resident Property 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 406 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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 Hartley, Jody Lou 45159 Lincoln, NE Probation 1/31/2017 11/15/2021 Alcohol Dependency Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 407 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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 Haynes, Angela Marie 82667 Lincoln, NE Probation 10/11/2019 10/11/2021 Alcohol Abuse Controlled Substance Abuse Dishonorable Conduct Felony Conviction(s) 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 408 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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 Censure 12/13/2019 Alcohol Use Disorder, Mild Misdemeanor Conviction(s) Probation Violation Civil Penalty 6/13/2020 Alcohol Use Disorder, Mild Misdemeanor Conviction(s) Probation Violation Probation 8/11/2019 8/11/2020 Alcohol Use Disorder, Mild Misdemeanor Conviction(s) Probation Violation Hieber, Janette Kay 70048 Imperial, NE Civil Penalty 4/7/2016 10/7/2016 Violation of UCA Stipulation 5/12/2016 Hill, Lori Lynn 51527 Fremont, NE Revocation 1/7/2020 Failure to Comply With Aftercare Practice while Impaired Substance Use Disorder, Mild Substance Use Disorder, Moderate Unprofessional Conduct Violation of UCSA DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 409 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Hill, Melinda Kay 49629 North Platte, NE Probation 6/23/2020 6/23/2023 Misdemeanor Conviction(s) Substance Use Disorders-Multiple Suspension 7/19/2014 6/22/2020 Controlled Substance Dependence Failure to Comply With Aftercare Misdemeanor Conviction(s) Substance Use Disorders-Multiple 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 410 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Suspension 6/8/2014 7/8/2014 Practice while Impaired Probation Violation Unprofessional Conduct Violation of UCSA xReinstatement - Previous Discipline DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 411 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 412 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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 Voglozin, Marie Reine 77480 Council Bluffs, IA Censure 4/5/2019 Unprofessional Conduct Violation of Dept Order Violation of Work Policies & Procedures Revocation 4/30/2020 Unprofessional Conduct Violation of Dept Order 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 413 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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) 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 414 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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) 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 415 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Johnson, 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 416 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 417 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 Kerner, Diane Lynn 44480 Lincoln, NE Probation 3/31/2011 Misdemeanor Conviction(s) xHabitual Intoxication DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 418 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Kettler, Kelly Renee 62735 Sidney, NE Suspension 3/13/2011 4/12/2011 Failure to Keep Adequate Records 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 Kohmetscher, Mallory D 69815 Lawrence, NE Probation 9/22/2017 9/22/2020 Misdemeanor Conviction(s) Violation of UCSA 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 419 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Koob, Cheryl Ann 69905 Glenrock, WY Revocation 10/20/2020 Failure to Comply w Federal or State Law Failure to File Report-38-1,124,38-1,125 Other State Action Unprofessional Conduct Violation of Work Policies & Procedures Kopecky, Amy Christine 70904 Elkhorn, NE Censure 12/29/2011 Failure to Safeguard Clients Diginity Civil Penalty 12/29/2012 Kraling, Eric Stephen 67992 Friend, NE 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 Kreutz, Gretchen Elaine 83964 Lincoln, NE Suspension 11/21/2019 Misappropriation of Resident Property Substance Use Disorder, Mild Unprofessional Conduct Violation of UCSA DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 420 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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 Krueger, Laura M 72552 Gretna, NE Censure 1/15/2020 Failure to Safeguard Clients Diginity Unprofessional Conduct Violation of Work Policies & Procedures Civil Penalty 1/15/2021 Failure to Safeguard Clients Diginity Unprofessional Conduct Violation of Work Policies & Procedures 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 421 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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) Probation Violation xAlcohol Use Disorder - Moderate xCont Substance Use Disorder - Moderate Suspension 3/2/2020 Misdemeanor Conviction(s) Probation Violation 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) 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 422 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Larsen, Holly Elizabeth 73008 Gering, NE Revocation 12/16/2020 12/18/2020 Failure to File Report-38-1,124,38-1,125 12/18/2020 12/16/2020 12/18/2020 Other State Action 12/18/2020 12/16/2020 12/18/2020 Unprofessional Conduct 12/18/2020 12/16/2020 12/18/2020 Violation of AOC 12/18/2020 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 Lepant, Jane Ellen 78638 Lincoln, NE Probation 9/2/2014 4/9/2018 Controlled Substance Dependence Other State Action DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 423 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Lierz, 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 424 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Loftus, Keri Ann 53339 Bellevue, NE Probation 9/21/2015 9/21/2020 Alcohol Dependency Unprofessional Conduct DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 425 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Lorenz, Joshua Richard 71581 North Platte, NE Censure 1/14/2020 Alcohol Use Disorder, Severe Misdemeanor Conviction(s) Probation Violation Civil Penalty 7/14/2020 Alcohol Use Disorder, Severe Misdemeanor Conviction(s) Probation Violation Probation 6/8/2019 6/8/2024 Alcohol Use Disorder, Severe Misdemeanor Conviction(s) Probation Violation 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 426 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Ludwick, Carol Lynn 44855 Omaha, NE Censure 2/8/2019 Alcohol Use Disorder, Severe Failed to Report Conviction in 30 days Misdemeanor Conviction(s) Probation Violation Unprofessional Conduct Violation of Dept Order 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 4/2/2022 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 11/19/2020 Alcohol Use Disorder, Severe Failed to Report Conviction in 30 days Misdemeanor Conviction(s) Probation Violation Unprofessional Conduct Violation of Dept Order 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 427 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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 Mares, Sara Kristine 61103 Lincoln, NE Censure 1/24/2017 Failure to Keep Adequate Records Misdemeanor Conviction(s) Substance Use Disorder, Severe Unprofessional Conduct Violation of UCSA Violation of Work Policies & Procedures Revocation 12/28/2020 Failure to Keep Adequate Records Misdemeanor Conviction(s) Substance Use Disorder, Severe Unprofessional Conduct Violation of UCSA Violation of Work Policies & Procedures Suspension 2/3/2017 3/4/2017 Failure to Keep Adequate Records Misdemeanor Conviction(s) Substance Use Disorder, Severe Unprofessional Conduct Violation of UCSA Violation of Work Policies & Procedures Marks, Jessica Jo 77611 Omaha, NE Limitation-Disciplinary 4/6/2018 Failure to File Report-38-1,124,38-1,125 Practice while Impaired DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 428 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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 Mathews, Mary Esther 45597 Omaha, NE Censure 7/19/2017 Unprofessional Conduct DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 429 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Matsumura, Kathie Faith 31505 Omaha, NE Civil Penalty 3/24/2016 9/24/2016 Violation of UCA McCarthy, 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 430 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 431 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse McKeon, Brentley LaVonne 73865 Ravenna, 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 3/29/2012 8/16/2015 Misdemeanor Conviction(s) 5/18/2019 Practice while Impaired 3/29/2012 8/16/2015 Probation Violation 5/18/2019 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 McNeal, Baxter Shane 65184 Atlantic, IA Probation 8/25/2017 Felony Conviction(s) Misdemeanor Conviction(s) Substance Use Disorder Suspension 4/18/2014 8/24/2017 Alcohol Dependency Misdemeanor Conviction(s) Probation Violation DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 432 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Meier, Sarah Ann 89680 Lincoln, NE Probation 8/14/2019 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 Miller, Emily Ryan 65519 Norfolk, NE Probation 2/7/2015 2/7/2016 Misdemeanor Conviction(s) 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 433 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 434 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Miller, Timothy Dutch 61869 Lincoln, 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 435 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Miller, Vanessa Joy 71102 Kearney, NE Probation 7/23/2015 9/13/2017 Controlled Substance Dependence Dishonorable Conduct 6/23/2020 6/23/2025 Misdemeanor Conviction(s) 7/23/2015 9/13/2017 Probation Violation 6/23/2020 6/23/2025 Substance Use Disorder 7/23/2015 9/13/2017 Unprofessional Conduct 6/23/2020 6/23/2025 Violation of UCSA Mink, Jean Norma 45193 Lincoln, NE Probation 1/24/2013 Practice while Impaired Probation Violation Unprofessional Conduct Violation of UCSA xHabitual Intoxication 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) Montange, Jaka M 64313 Omaha, NE Civil Penalty 10/23/2013 4/23/2014 Misrepresentation of Material Facts DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 436 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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 Morris, Joanne Marie 41199 Omaha, NE Probation 7/12/2016 7/12/2021 Alcohol Dependency Morton, Amber Lynn 76293 Omaha, NE Censure 2/12/2018 Failure to Keep Adequate Records Unprofessional Conduct Mowery, Morgan Leigh 74727 CAPE MAY CH, NJ 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 Nauenburg, Andrea Ruth 64681 HICKMAN, NE Probation 10/16/2020 10/16/2022 Dishonorable Conduct Misappropriation of Resident Property Unprofessional Conduct Violation of UCSA DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 437 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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 Nellor, Janice Hoyt 20757 Beemer, NE Censure 5/10/2012 Unprofessional Conduct Nellson, Nicolle Briana 90654 Grand Island, NE Probation 3/11/2020 3/11/2023 Misdemeanor Conviction(s) Substance Use Disorder 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, 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 438 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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 11/14/2011 Controlled Substance Dependence Dishonorable Conduct Unprofessional Conduct Violation of UCSA 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 439 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 440 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 441 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Olberding, Jamie Lee 82307 O'Neill, NE Probation 12/12/2020 12/12/2022 Alcohol Use Disorder, Moderate Misdemeanor Conviction(s) Oliver-Petersen, Alicia Marie 54062 Omaha, NE Censure 3/6/2013 Failure to Keep Adequate Records Unprofessional Conduct Osborne, Jesse Russell 73794 Omaha, NE Censure 9/4/2020 Failure to File Report-38-1,124,38-1,125 Failure to Keep Adequate Records Falsify Patient Records Suspension 1/13/2021 Failure to File Report-38-1,124,38-1,125 Failure to Keep Adequate Records Falsify Patient Records 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 442 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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 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 Partridge, Roxanna Marie 52363 Fremont, NE Probation 5/25/2018 7/14/2020 Misdemeanor Conviction(s) Substance Use Disorders-Multiple Paslawski, Adriann Marie 77596 Lincoln, NE Censure 5/17/2018 Failure to Keep Adequate Records Unprofessional Conduct Patrick, Emilie Rebecca 68939 Pierce, NE Probation 12/12/2020 12/12/2022 Alcohol Use Disorder, Severe Misdemeanor Conviction(s) Peacock, Tara Lynn 55329 Lincoln, NE Civil Penalty 3/24/2016 9/24/2016 Violation of UCA DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 443 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Pearson, Ann Elizabeth 41985 Ralston, NE Censure 4/28/2011 Practice Beyond Scope Unprofessional Conduct 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 444 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Petersen, Jayme Lynne 75904 Hickman, 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 445 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Phelps, Megan Marie 61275 Council Bluffs, IA 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 446 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Pirraglia, Ryan Nicholas 70909 Omaha, NE Probation 12/6/2016 11/27/2019 Dishonorable Conduct Misappropriation of Resident Property Unprofessional Conduct Violation of UCSA xAlcohol Use Disorder - Severe xCont Substance Use Disorder - Severe Plesnik, Katina Marie 54103 Lincoln, NE Censure 9/22/2011 Misrepresentation of Material Facts 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 Pollick, Kaitlyn Jill 79472 Dallastown, PA Probation 5/21/2020 5/21/2022 History of Disciplinary Action Substance Use Disorder DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 447 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 448 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 449 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 450 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Roby, Angie Lynn 53240 Bennet, NE Civil Penalty 8/11/2011 2/11/2012 Unprofessional Conduct Suspension 8/21/2011 10/19/2011 Roby, Joan Marie 65067 Lincoln, NE Probation 12/2/2020 12/2/2022 Felony Conviction(s) Substance Use Disorder Violation of UCSA Suspension 6/2/2019 12/2/2020 Controlled Substance Dependence Dishonorable Conduct Falsify Patient Records Felony Conviction(s) Misappropriation of Resident Property Unprofessional Conduct Violation of UCSA 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 451 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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 Grand Island, 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 452 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Sausaman, Katie Elizabeth 76911 Lincoln, NE Censure 3/1/2018 History of Disciplinary Action 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 History of Disciplinary Action 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 History of Disciplinary Action 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 History of Disciplinary Action 1/17/2020 1/22/2020 10/29/2018 10/30/2018 Misappropriation of Resident Property 1/17/2020 1/22/2020 10/29/2018 10/30/2018 Previous Violations Resumed 1/17/2020 1/22/2020 10/29/2018 10/30/2018 Probation Violation 1/17/2020 1/22/2020 10/29/2018 10/30/2018 Substance Use Disorder, Severe DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 453 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Suspension 1/17/2020 1/22/2020 Substance Use Disorder, Severe 10/29/2018 10/30/2018 Unprofessional Conduct 1/17/2020 1/22/2020 10/29/2018 10/30/2018 Violation of Dept Order 1/17/2020 1/22/2020 10/29/2018 10/30/2018 Violation of UCSA 1/17/2020 1/22/2020 Schell, Bradley Hall 62919 Lincoln, NE Probation 1/31/2013 1/31/2018 Alcohol Dependency Schinstock, Sean Daniel 68404 Lincoln, NE Probation 11/5/2018 8/28/2020 Misdemeanor Conviction(s) Probation Violation 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 454 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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) 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 Schunk, Megan Nicole 71937 Elkhorn, NE Censure 8/26/2016 Misdemeanor Conviction(s) Unprofessional Conduct Schutz, Deborah Ann 47688 Omaha, NE Civil Penalty 4/1/2016 10/1/2016 Violation of UCA Schwindt, Emily Marie 80200 Omaha, NE Probation 10/30/2020 10/30/2021 Alcohol Use Disorder, Mild Misdemeanor Conviction(s) Scott, Mary Ellen 28108 Greeley, NE Censure 5/5/2014 Unprofessional Conduct DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 455 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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) 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 Shunkwiler, Sandra Dee 59106 Crofton, NE Probation 12/23/2019 12/23/2021 Alcohol Use Disorder, Mild Failure to Keep Adequate Records Misdemeanor Conviction(s) Violation of UCSA Siedenburg, Dena Rae 58846 Omaha, NE Probation 11/2/2018 11/2/2021 Felony Conviction(s) Misdemeanor Conviction(s) Substance Use Disorders-Multiple DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 456 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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 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, 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 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) Spilker, Jay Cecil 38150 Lincoln, NE Censure 6/20/2011 Unprofessional Conduct DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 457 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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 Stanton, Robert Lawrence 62284 Valley, NE Probation 7/26/2012 10/14/2017 Controlled Substance Dependence Unprofessional Conduct Violation of UCSA xCourt Conviction DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 458 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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 McCook, 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 459 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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) 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 460 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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 Alcohol Use Disorder, Mild Misdemeanor Conviction(s) Svoboda, Barbara Josephine 33259 Lincoln, NE Probation 1/14/2015 4/22/2019 Practice while Impaired xAlcohol Use Disorder - Severe DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 461 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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) Tegels, Amy Jill 59304 Plattsmouth, NE Censure 7/9/2014 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 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 462 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 463 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 464 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Tolen, Andrea Nicole 82151 Omaha, NE Censure 1/15/2020 Alcohol Use Disorder, Mild 3/27/2020 1/15/2020 Misdemeanor Conviction(s) 3/27/2020 1/15/2020 Probation Violation 3/27/2020 Civil Penalty 1/15/2020 7/15/2020 Alcohol Use Disorder, Mild 3/27/2020 3/27/2021 1/15/2020 7/15/2020 Misdemeanor Conviction(s) 3/27/2020 3/27/2021 1/15/2020 7/15/2020 Probation Violation 3/27/2020 3/27/2021 Probation 3/7/2019 10/11/2019 Alcohol Use Disorder, Mild 10/11/2019 10/11/2022 3/7/2019 10/11/2019 Misdemeanor Conviction(s) 10/11/2019 10/11/2022 3/7/2019 10/11/2019 Probation Violation 10/11/2019 10/11/2022 Trombino, Renae Marie 75230 Nebraska City, NE Probation 8/4/2017 8/4/2022 Probation Violation 6/23/2020 6/23/2022 Substance Use Disorders-Multiple 8/4/2017 8/4/2022 6/23/2020 6/23/2022 Violation of UCSA 8/4/2017 8/4/2022 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 465 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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 Veskerna, Letitia Jade 75742 Fremont, NE Censure 11/28/2017 Failure to File Report-38-1,124,38-1,125 Unprofessional Conduct Vodicka, Stephanie Frances 70972 David City, NE Suspension 10/3/2015 11/1/2015 Misrepresentation of Material Facts Unprofessional Conduct Wachter, Jessica Marie 66575 Lincoln, NE Probation 2/3/2020 10/30/2020 Failure to File Report-38-1,124,38-1,125 Probation Violation Substance Use Disorder, Mild Violation of Dept Order Violation of UCSA Violation of Work Policies & Procedures Revocation 10/30/2020 Failure to File Report-38-1,124,38-1,125 Probation Violation Substance Use Disorder, Mild Violation of Dept Order Violation of UCSA Violation of Work Policies & Procedures DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 466 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Walsh, Julie Kay 30990 Fort Calhoun, NE Suspension 4/26/2014 Controlled Substance Dependence Dishonorable Conduct Misappropriation of Resident Property Violation of UCSA Waltke, Amanda Lea 75011 Omaha, 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 Weimer, Paula Anne 33293 Scottsbluff, NE Suspension 4/26/2020 Misdemeanor Conviction(s) 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 467 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse West, Jenna Beth 76607 Omaha, NE Probation 5/27/2018 5/27/2023 Dishonorable Conduct Misappropriation of Resident Property Probation Violation 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 11/21/2018 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 468 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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 Suspension 3/7/2015 4/5/2015 Alcohol Dependency Misdemeanor Conviction(s) Probation Violation Willits, Rebecca Lynne 87841 Omaha, NE Probation 11/29/2018 8/6/2020 Misdemeanor Conviction(s) Substance Use Disorder Wilson, Christine Ann 47503 Lincoln, NE Probation 6/21/2011 6/21/2013 xCourt Conviction 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 469 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 470 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Woolley, Kathleen Elizabeth 78853 Kansas city, MO 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 12/16/2020 12/16/2023 10/5/2016 10/10/2018 Probation Violation 12/16/2020 12/16/2023 Substance Use Disorder 10/5/2016 10/10/2018 Substance Use Disorder, Severe Unprofessional Conduct Violation of Dept Order 12/16/2020 12/16/2023 Revocation 10/10/2018 12/16/2020 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 471 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse Revocation 10/10/2018 12/16/2020 Unprofessional Conduct Violation of Dept Order Suspension 3/1/2018 3/20/2018 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 Yoachim, Collin David 74902 Lincoln, NE Probation 8/3/2012 8/3/2014 Alcohol Abuse Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 472 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse York, Karrie Jo 69129 Endicott, NE Censure 10/1/2019 Alcohol Use Disorder, Severe 8/6/2020 10/1/2019 Failure to Comply With Aftercare 8/6/2020 10/1/2019 Misdemeanor Conviction(s) 8/6/2020 10/1/2019 Probation Violation 8/6/2020 10/1/2019 Violation of Dept Order 8/6/2020 Civil Penalty 10/1/2019 4/1/2020 Alcohol Use Disorder, Severe 8/6/2020 2/6/2021 10/1/2019 4/1/2020 Failure to Comply With Aftercare 8/6/2020 2/6/2021 10/1/2019 4/1/2020 Misdemeanor Conviction(s) 8/6/2020 2/6/2021 10/1/2019 4/1/2020 Probation Violation 8/6/2020 2/6/2021 10/1/2019 4/1/2020 Violation of Dept Order 8/6/2020 2/6/2021 Probation 1/27/2019 1/27/2024 Alcohol Use Disorder, Severe Failure to Comply With Aftercare Misdemeanor Conviction(s) Probation Violation Violation of Dept Order 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 473 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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 Zuchegna, Anthony Wayne 66667 Lincoln, NE Censure 4/24/2011 Probation Violation Unprofessional Conduct DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 474 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Registered Nurse 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 Suspension 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 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 475 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Nursing Home Administrator Alderman, Kelly D. 2413 Hastings, NE Civil Penalty 4/1/2016 5/31/2016 Misdemeanor Conviction(s) Violation of UCA Ardley, Mikel Margaret 2679 South Sioux City, NE Probation 1/21/2020 9/21/2020 Failure to Disclose Convictions Misdemeanor Conviction(s) Substance Use Disorder 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 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 8/31/2020 Delinquent Child Support Payment Berry, Theresa L 91110 La Vista, NE Civil Penalty 3/16/2018 9/21/2018 Unlicensed Practice DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 476 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Medication Aide 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 Brockman, Amber Diane 90124 Council Bluffs, IA Civil Penalty 11/28/2017 5/28/2018 Unlicensed Practice Buresh, Melissa Lynn 90455 David City, NE Civil Penalty 1/4/2018 7/4/2018 Unlicensed Practice Burlison, Levi A 71369 Rapid City, SD Competency Violation 10/30/2012 xFailure to Demonstrate Competency 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 477 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Medication Aide 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 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 Yousif 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 478 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Medication Aide 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 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 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 Samuels, Stephanie Nicole 89884 Bellevue, NE Civil Penalty 11/1/2017 5/1/2018 Unlicensed Practice Schilousky, Jolene Lynne 50129 Norfolk, NE Competency Violation 3/1/2013 xFailure to Demonstrate Competency DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 479 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Medication Aide 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 Younglove, Joseph Robert 90285 Lincoln, NE Civil Penalty 12/15/2017 6/15/2018 Unlicensed Practice Medication Aide - 40 Hour DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 480 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Medication Aide - 40 Hour 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 481 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Medication Aide - 40 Hour 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 Harms, Michelle Lynn 54499 Beatrice, NE Competency Violation 1/31/2013 xFailure to Demonstrate Competency 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 482 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Medication Aide - 40 Hour Hughes, Courtney Sue 84669 Lincoln, NE Civil Penalty 3/16/2018 9/21/2018 Unlicensed Practice 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 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 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 Gonzalez 83881 Omaha, 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 483 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Medication Aide - 40 Hour 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 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 484 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Medication Aide - 40 Hour Quednau, Julie Ann 83445 Saint Libory, NE Civil Penalty 9/22/2017 3/22/2018 Unlicensed Practice Rosenboom, Rebecca Jean 68523 Lincoln, NE Failure to pay Fees 12/6/2011 Failure to Pay Fees 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 Lakebay, WA 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 485 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Alderson, Shyanna 135933 Hickman, NE Finding of Abuse 3/28/2020 Abuse of Resident Andreasen, Lucinda E 107175 West Point, NE Finding of Abuse 8/26/2015 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 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 Buirst, Kimberly Sonya 87474 Omaha, NE Finding of Abuse 2/14/2011 Abuse of Resident xFailure to Demonstrate Competency DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 486 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Nurse Aide 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 Cooper, Tasha 94202 North Platte, NE Finding of Abuse 2/24/2020 Abuse 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 Esch, Nancy Fernandez 123175 Fremont, NE Finding of Abuse 3/25/2020 Abuse of Resident Fallon, Barbara G 57975 Lincoln, NE Finding of Abuse 5/26/2016 Abuse of Resident DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 487 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Nurse Aide Fieldgrove, Barbara Ann 10369 Loup City, NE Finding of Abuse 7/8/2020 Abuse of Resident Geiger, Janelle Rene 91719 Wichita, KS Finding of Neglect 5/7/2012 Neglect of Resident 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 Giger, Shakiysha Ellissa 127402 Lincoln, NE Finding of Abuse 9/28/2020 Abuse of Resident Gonzalez, Gabriella M 83212 Fairview, KS Finding of Abuse 2/7/2019 Abuse of Resident Gonzalez, Josefina A 106083 Omaha, NE Finding of Abuse 5/8/2020 Abuse of Resident Neglect of Resident Finding of Neglect Abuse of Resident Neglect 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 488 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Nurse Aide 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 Hull-Sanders, Linda Jo 101291 Omaha, NE Finding of Abuse 9/28/2020 Abuse of Resident 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 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 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 McCafferty, Erin Kathleen 27295 Omaha, NE Finding of Misappropriation 1/3/2013 Crime of Moral Turpitude Misappropriation of Resident Property DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 489 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Nurse Aide 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 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 Parker, Neisha 123288 Macy, NE Finding of Abuse 5/27/2020 Abuse 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 490 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Nurse Aide Robertson, Tameka Yvonne 93826 Omaha, NE Finding of Abuse 12/12/2018 Abuse of Resident Samples, Carrie 127592 Ravenna, NE Finding of Abuse 10/2/2020 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 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 Turco, Kristina Marie 53623 York, NE Finding of Misappropriation 1/17/2013 Crime of Moral Turpitude Lacks Good Character Misappropriation of Resident Property Valenzuela, Alondra G 135897 Imperial, NE Finding of Misappropriation 1/13/2020 Misappropriation of Resident Property Vodvarka, Sharlene 63406 Stanton, NE Finding of Neglect 11/2/2011 Neglect of Resident DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 491 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Nurse Aide Wagner, Elaine Patricia 127453 Omaha, NE Finding of Neglect 4/15/2020 Neglect of Resident Wilburn, Leslie D 112598 Omaha, NE Finding of Abuse 9/28/2020 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 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 Barth, 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 492 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Deep Thermal Agents 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 Ervin, Deslie D DTA601 Omaha, 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 Krause, Mary Pedersen DTA577 Tekamah, NE Probation 8/12/2015 8/12/2016 Unlicensed Practice Mashek, Sara Rachel DTA420 Mc Cook, NE Probation 8/22/2012 8/22/2013 Unlicensed Practice McDermott, Rosalyn M DTA587 Doniphan, NE Probation 9/2/2015 9/2/2016 Unlicensed Practice 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 493 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Deep Thermal Agents 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 Schroeder, Erin R DTA580 Kearney, NE Probation 8/25/2015 8/25/2016 Unlicensed Practice 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 Barth, 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 494 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Electrotherapeutic Agents Ervin, Deslie D EA600 Omaha, NE Probation 1/27/2016 1/27/2017 Unlicensed Practice 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 Krause, Mary Pedersen EA576 Tekamah, NE Probation 8/12/2015 8/12/2016 Unlicensed Practice Mashek, Sara Rachel EA421 Mc Cook, NE Probation 8/22/2012 8/22/2013 Unlicensed Practice McDermott, Rosalyn M EA586 Doniphan, NE Probation 9/2/2015 9/2/2016 Unlicensed Practice 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 Schroeder, Erin R EA579 Kearney, NE Probation 8/25/2015 8/25/2016 Unlicensed Practice DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 495 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Electrotherapeutic Agents Torrentez, Emily Pinkerton EA580 Papillion, NE Probation 8/25/2015 8/25/2016 Unlicensed Practice 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) Jeffery, Linda Marie 276 Denton, NE Censure 11/3/2020 Falsify Patient Records Unprofessional Conduct 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 496 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Occupational Therapist Talich, Debra Sue 790 Glenwood, IA Probation 1/5/2017 1/5/2018 Unlicensed Practice 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 BURWELL, 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 Barth, 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 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 Erickson, Lauren Kay STA673 Kearney, NE Probation 9/10/2015 9/10/2016 Unlicensed Practice DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 497 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Superficial Thermal Agents Ervin, Deslie D STA691 Omaha, 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 Alda, NE Probation 11/10/2015 11/10/2016 Unlicensed Practice Krause, Mary Pedersen STA660 Tekamah, NE Probation 8/12/2015 8/12/2016 Unlicensed Practice Mashek, Sara Rachel STA489 Mc Cook, NE Probation 8/22/2012 8/22/2013 Unlicensed Practice McDermott, Rosalyn M STA672 Doniphan, NE Probation 9/2/2015 9/2/2016 Unlicensed Practice 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 498 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Superficial Thermal Agents Schroeder, Erin R STA664 Kearney, NE Probation 8/25/2015 8/25/2016 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 BURWELL, NE Probation 7/30/2014 8/29/2014 Misdemeanor Conviction(s) Optometry

Optometrist Brown, Thomas Dean, OD 1019 Fremont, NE Probation 1/10/2016 Alcohol Use Disorder, Severe Probation Violation Suspension 3/23/2020 Alcohol Use Disorder, Severe Probation Violation Sturtevant, Dwayne F, OD 754 Weston, NE Probation 10/15/2016 10/15/2021 Alcohol Abuse Misdemeanor Conviction(s) Walter, Julie Rachelle, OD 1250 Omaha, NE Suspension 1/30/2021 Alcohol Addiction Alcohol Use Disorder, Severe Failure to Comply With Aftercare DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 499 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Pharmacy

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 Barth, Donald Dene, RP 9087 Omaha, NE Revocation 12/13/2019 Failure to File Report-38-1,124,38-1,125 Unprofessional Conduct Violation of UCSA Birner, Thomas B, RP 10894 Sidney, NE Censure 5/25/2017 Permitting Aiding & Abetting Brookman, Tammy Jane, RP 9794 Dayton, OH Censure 8/6/2020 Other State Action Civil Penalty 8/6/2021 Camp, Nicole Ann, RP 12906 Bennington, NE Probation 6/9/2020 History of Disciplinary Action Substance Use Disorder Suspension 3/4/2019 6/9/2020 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 500 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Pharmacist 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) 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 501 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Pharmacist 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 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 Granneman, Laura Leigh, PharmD 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 Gregory, Philip Jason, RP 12417 Omaha, NE Revocation 12/30/2019 Dishonorable Conduct Felony Conviction(s) Immoral Conduct Unprofessional Conduct DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 502 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Pharmacist Grote, Benjamin Ralph, RP 12056 Papillion, NE Suspension 12/23/2019 Alcohol Use Disorder, Severe Felony Conviction(s) Misdemeanor Conviction(s) 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 Omaha, NE Censure 7/26/2012 Permitting Aiding & Abetting 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 503 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Pharmacist Jackson, Hillary Ann, PharmDRPh 13797 Sedalia, MO Suspension 12/31/2015 Other State Action Prescribing CS to Oneself Unprofessional Conduct Violation of UCSA 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 Flushing, NY Censure 1/31/2013 Permitting Aiding & Abetting DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 504 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 505 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 506 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Pharmacist Maydew, Brandon Paul, PharmD 15918 Omaha, NE Probation 11/13/2017 5/13/2018 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 507 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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) 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 Pieper, Ryan Thomas, PharmD 15341 Gretna, NE Censure 5/21/2020 Failure to File Report-38-1,124,38-1,125 Substance Use Disorder, Mild Pierson, Alyssa Danielle, PharmD 11140 Omaha, NE Censure 12/31/2015 Permitting Aiding & Abetting Civil Penalty 6/30/2016 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 508 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Pharmacist Recek, Matthew J, PharmD 13175 Columbus, NE 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 Suspension 3/17/2014 Alcohol Dependency Controlled Substance Dependence Probation Violation Recker, Cory John, RP 11731 West Point, NE Censure 7/26/2012 Permitting Aiding & Abetting Reese, Dennis L, RP, PharmD 12349 Madison, 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 509 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Pharmacist 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 Schmit, Lee Robert, RP 10834 Pleasant Dale, NE Censure 3/12/2014 Permitting Aiding & Abetting Schneider, Mark David, RP 12370 Blue Springs, MO Censure 1/20/2021 Unlicensed Practice Violation of UCA Schneider, Susan Ann, RP 10731 Omaha, NE Censure 9/21/2015 Permitting Aiding & Abetting DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 510 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Pharmacist 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) 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 511 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Pharmacist 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 Watt, Tina M, RP 13189 St. Paul, 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 512 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 513 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 514 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Pharmacy Technician Cieloha, Miranda Koci 3194 Fremont, NE Revocation 8/23/2015 Felony Conviction(s) Cobian Telule, Nancy Araceli 5773 OMAHA, NE Suspension 7/10/2020 Misdemeanor Conviction(s) Violation of UCSA Colson, Brooke Cheri 2335 Omaha, NE Revocation 7/28/2014 Violation of UCA Dawson, Robin Renee 1547 Kearney, NE Revocation 12/20/2012 Lacks Good Character Violation of UCA Eads, Shannon Marie 78 Grand Island, NE Probation 5/16/2016 2/3/2017 Misdemeanor Conviction(s) xAlcohol Use Disorder - Severe 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 515 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Pharmacy Technician 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 516 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Pharmacy Technician Lohse, Sarah Catherine 10561 Omaha, NE Probation 8/19/2019 Alcohol Use Disorder, Severe Controlled Substance Dependence Misdemeanor Conviction(s) 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 Nunez, Johnetta Louise 1329 Omaha, NE Suspension 4/18/2016 10/18/2016 Immoral Conduct Practice Beyond Scope Violation of UCA Page, Heidi A 2517 Fullerton, NE Revocation 5/16/2018 Violation of UCSA Violation of the UCA DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 517 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Pharmacy Technician 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) Sather, Mandi Lyn 11330 Omaha, NE Probation 9/2/2020 9/2/2021 Alcohol Use Disorder, Mild Misdemeanor Conviction(s) Stewart, Reileigh Anne 6102 Omaha, NE Censure 8/23/2016 Unprofessional Conduct Violation of UCA Takougnadi, Tarah A 7017 Papillion, NE Probation 9/4/2015 9/22/2017 Misdemeanor Conviction(s) xAlcohol Use Disorder - Severe Zelasney, Trent Kevin 4978 Papillion, NE Revocation 10/21/2015 Unprofessional Conduct Violation of UCSA Physical Therapy

Physical Therapist Beiermann, Tiffany Anne 1750 Lincoln, NE Civil Penalty 7/26/2012 1/26/2013 Unlicensed Practice Unprofessional Conduct Violation of UCA DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 518 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Physical Therapist Burr, Jay W 256 Provo, UT Probation 3/18/2012 3/18/2014 Alcohol Dependency Controlled Substance Abuse Misdemeanor Conviction(s) Unprofessional Conduct 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 519 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Physical Therapist Janssen, Matthew Don 3030 Sidney, NE Probation 6/30/2011 6/30/2012 Alcohol Dependency Misdemeanor Conviction(s) 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 Elm Creek, NE Censure 2/25/2019 Failure to File Report-38-1,124,38-1,125 Sexual Abuse,Miscnduct,Exploit Unprofessional Conduct DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 520 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Physical Therapist 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 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 Aldrich, Katelyn Sue 1219 Lincoln, NE Probation 7/19/2013 7/19/2014 Alcohol Abuse Misdemeanor Conviction(s) Berry, Shawn Michael 751 Bridgeport, NE Revocation 2/11/2017 Probation Violation DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 521 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Physical Therapist Assistant Bothof, Leslee Kay 1440 Omaha, NE Probation 2/10/2020 2/10/2023 Alcohol Use Disorder, Severe Failed to Report Conviction in 30 days Failure to File Report-38-1,124,38-1,125 Misdemeanor Conviction(s) Other State Action Cantrell, Thomas Louis 1409 Omaha, NE Probation 8/7/2015 8/7/2017 xAlcohol Use Disorder - Severe 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 522 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Physical Therapist Assistant Jacobsen, Heather Allison 1024 Lincoln, NE Probation 12/12/2020 12/12/2024 Alcohol Use Disorder, Severe Felony Conviction(s) Jaeger, Carissa Marie 1851 Elkhorn, NE Probation 5/21/2020 5/20/2023 Felony Conviction(s) Misdemeanor Conviction(s) Substance Use Disorders-Multiple 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) Suckstorf, Jordan James 1535 Omaha, 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 523 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Physical Therapist Assistant Woehl, Cody DeAyne 1178 Fremont, NE Censure 11/28/2016 Failure to File Report-38-1,124,38-1,125 Unprofessional Conduct 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 Psychology

Provisionally Licensed Psychologist DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 524 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Provisionally Licensed Psychologist Tielke, Sarah Louise, PhD 596 Papillion, NE Revocation 11/19/2020 Dishonorable Conduct Failure to Comply w Federal or State Law Misdemeanor Conviction(s) Unprofessional Conduct Withers, Jessica Tori 659 Lincoln, NE Probation 9/30/2020 9/30/2021 Misdemeanor Conviction(s) 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 Chiasson, Melissa K. H. 931 Overland Park, KS Censure 11/12/2019 Misdemeanor Conviction(s) 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 525 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Psychologist 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 Jones, Lisa Madsen, PhD 486 Bennet, NE Censure 10/20/2020 Dishonorable Conduct Immoral Conduct Unprofessional Conduct 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 526 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Radiography DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 527 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 528 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Medical Radiographer Akins, Lisa Marie, RT 1149 Lincoln, NE Censure 10/20/2019 Failure to Comply With Aftercare Misdemeanor Conviction(s) Probation Violation Probation 10/20/2020 Failure to Comply With Aftercare Misdemeanor Conviction(s) Probation Violation 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 529 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Medical Radiographer Doser, Amber Renee 3890 Eagle, NE Probation 2/22/2017 5/22/2020 Misdemeanor Conviction(s) Probation Violation 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 9/1/2015 9/1/2016 Misdemeanor Conviction(s) Gillon, Shannon Marie, RT 4229 Papillion, NE Suspension 3/11/2019 Practice while Impaired Hansen, Rennie Adele, RT 3953 Lincoln, NE 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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 530 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 531 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Radon Measurement Specialist 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 Ruskamp, Aaron W 193 Waverly, 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 Branigan, Jennifer Marie 3054 Omaha, NE Probation 5/31/2020 5/31/2022 Alcohol Use Disorder, Mild Misdemeanor Conviction(s) Dirkse, Brittney Lynn 3057 Omaha, NE Probation 8/21/2017 2/21/2018 Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 532 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Respiratory Care Practitioner 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 Portland, OR 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 2/3/2020 2/3/2022 Alcohol Dependency 9/7/2014 9/7/2016 Failure to File Report-38-1,124,38-1,125 Misdemeanor Conviction(s) 2/3/2020 2/3/2022 Violation of Work Policies & Procedures 9/7/2014 9/7/2016 xAlcohol Use Disorder - Mild DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 533 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 534 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 9/16/2020 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 535 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 Censure 6/23/2020 Misdemeanor Conviction(s) Probation Violation Substance Use Disorder, Moderate Civil Penalty 12/23/2020 Misdemeanor Conviction(s) Probation Violation Substance Use Disorder, Moderate Probation 3/21/2019 3/21/2022 Misdemeanor Conviction(s) Probation Violation 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 536 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Swimming Pool Operator Onken, Kent G 980302 Sidney, NE Revocation 9/23/2013 Pattern of Negligence 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 537 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Veterinarian Cornett, Malori Mae, DVM 3492 Wisner, NE Censure 9/22/2017 Alcohol Dependency 9/4/2020 Practice Beyond Scope 9/22/2017 Prescribing CS to Oneself Probation Violation Unprofessional Conduct 9/4/2020 9/22/2017 Violation of UCSA xAlcohol Use Disorder - Severe Civil Penalty 3/22/2018 Alcohol Dependency 9/4/2020 3/4/2021 Practice Beyond Scope 9/22/2017 3/22/2018 Prescribing CS to Oneself Probation Violation Unprofessional Conduct 9/4/2020 3/4/2021 9/22/2017 3/22/2018 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 538 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Veterinarian 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 Dobesh, Gerald Dale, DVM 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 Geiselhardt DVM, Thomas Joseph 2183 Scottsbluff, NE Stipulation 5/31/2012 Other State Action 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 Green, Ronald Lee, DVM 1730 North Platte, NE Censure 9/22/2011 Permitting Aiding & Abetting Civil Penalty 3/22/2012 Howe, Mary Jo, DVM 2435 Valley Village, CA Censure 10/12/2018 Practice Beyond Scope Unprofessional Conduct Civil Penalty 4/12/2019 Practice Beyond Scope Unprofessional Conduct DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 539 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Veterinarian 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 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 540 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Veterinarian Parde, Michele Kay, DVM 3040 Adams, NE Censure 1/31/2020 Failure to Keep Adequate Records Pattern of Negligence Practice Beyond Scope Unprofessional Conduct Probation 2/10/2020 2/10/2022 Failure to Keep Adequate Records Pattern of Negligence Practice Beyond Scope Unprofessional Conduct Schlothauer, Darcy Rae, DVM 3081 Gering, NE Censure 7/14/2020 Alcohol Use Disorder, Severe Practice while Impaired Probation Violation Civil Penalty 1/14/2021 Alcohol Use Disorder, Severe Practice while Impaired Probation Violation Probation 4/16/2018 10/16/2020 Alcohol Use Disorder, Severe Practice while Impaired Probation Violation 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 541 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

Veterinarian 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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 542 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 Pohl, Jessica Elaine 811 Mccook, NE Probation 12/16/2020 12/16/2022 Alcohol Use Disorder, Severe Failed to Report Conviction in 30 days Misdemeanor Conviction(s) DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 543 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 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 DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 544 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

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 Grade VI Water Operator Burrhus, Jason P 8549 Glenwood, IA Suspension - Non-Child Support Payment 12/18/2020 Delinquent Child Support Payment 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 White, Dustin L 29458 Alliance, NE Probation 5/20/2016 12/31/2016 Unlicensed Practice WD-PIC Heine, Samuel J 39524 Saint Helena, NE Probation 2/8/2011 2/9/2012 Misdemeanor Conviction(s) Moser, Jon Scott 39531 Imperial, NE Probation 5/20/2016 12/31/2016 Permitting Aiding & Abetting DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES Jan 2011-Jan 2021 Print Date: 2/5/2021 Page 545 of 545 To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record. PROFESSION LICENSE TYPE TYPE OF NAME LIC NO DISCIPLINARY ACTION START DATE END DATE VIOLATION

WD-PIC 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