Medi-Cal Suspended and Ineligible Provider List - November Update

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Medi-Cal Suspended and Ineligible Provider List - November Update

Medi-Cal Suspended and Ineligible Provider List - November Update

ADDITIONS:

Physician (Susp A)

Brigham, Steven G62438 Suspended Chase indefinitely effective 1 Alpha Ave. 3/24/2011 Unit #20 Voorhees, NJ

Field, Frederick A79324 Suspended George, M.D. indefinitely effective 1002 Court St. 8/4/2011 The Dalles, OR

Gherman, Charles A19240 Suspended R., M.D. 00A192400 indefinitely effective 400 Parnassus Ave. 1609818764 8/31/2011 San Francisco, CA and 400 40th Ave. San Francisco, CA

Grollmus, John M. C27979 Suspended 1029 3rd St. 00C279790 indefinitely effective Santa Rosa, CA 00C279791 8/17/2011 and CGP153850 990 Sonoma Ave. 1356387195 Ste. #20 1851337380 Santa Rosa, CA and 33 Montecito Dr. Corte Madera, CA and 3223 Gough St. San Francisco, CA

Guzman, Eduardo J., A50344 Suspended M.D. 00A503440 indefinitely effective 16297 Paramount 00A503441 10/16/2011 Blvd. 00A503442 Paramount, CA 00A503443 and 00A503444 757 S. Fetterly Ave. 1982610887 Ste. #105 Los Angeles, CA and 8337 Telegraph Rd. Ste. #319 Pico Rivera, CA and 11514 Rosecrans Ave. Norwalk, CA and 11411 Brookshire Ave. Ste. #202 Downey, CA and 210 Hazel Dr. Corona Del Mar, CA

Justice, Glen R., M.D. G23862 Suspended dba: Pacific Coast 00G238620 indefinitely effective Hematology CGP148710 10/12/2011 11160 Warner Ave. 1265500318 Ste. #313 1295731826 Fountain Valley, CA and 210 Hazel Dr. Corona Del Mar, CA

Larsson, Jan Olof A52928 Suspended 16121 Morrison St. indefinitely effective Encino, CA 9/15/2011 Physician (Susp A) … (continued)

Levin, Emil, M.D. A36761 Suspended 8264 Santa Monica 00A367610 indefinitely effective Blvd. 6/24/2011 Los Angeles, CA

McCole, James G23824 Suspended Romanus 00G238240 indefinitely effective 2160 Appian Way 1245323211 9/14/2011 Ste. #105 Pinole, CA and 105 Lincoln Dr. Sausalito, CA

Rios, Tomas A54078 Suspended Ballesteros, M.D. 00A540780 indefinitely effective dba: Tipton Med Clinic 1891736468 6/16/2011 575 N. Thompson Rd. Tipton, CA and 9807 Lightner Way Bakersfield, CA

Sazani, Thomas A., A42368 Suspended M.D. 00A423680 indefinitely effective 10720 Paramount Blvd. 9/1/2011 Downey, CA and 149 S. First St. Ste. C Orcutt, CA

Physician Assistant (Susp A)

Bradshaw, Ronald 14359 Suspended Louis 1588705172 indefinitely effective 12535 Oxnard St. 7/20/2011 Apt. #103 N. Hollywood, CA

Rosales, Alvaro J. unlicensed Suspended 5724 Stanfield Ct. indefinitely effective Chino Hills, CA 8/18/2011

Physician Group (Susp B)

Pacific Coast 126550 Suspended Hematology/ GR0059571 indefinitely effective Oncology GR0059572 10/12/2011 Owner: Glen R. GR0059570 Justice, M.D. GR0059573 9940 Talbert Ave. CGP148710 Ste. #100 1265500318 Fountain Valley, CA and 11190 Warner Ave. Ste. 300 Fountain Valley, CA and 1043 Elm Ave. Ste. #104 Long Beach, CA and 16300 Sand Canyon Ave. Ste. #911 Irvine, CA and 210 Hazel Dr. Corona Del Mar, CA Psychologist (Susp C)

Tsuru, Masao PSY23178 Suspended 12440 E. Imperial 1114255072 indefinitely effective Hwy. C 9/20/2011 Ste. #116 Norwalk, CA

Social Worker (Susp C)

Grimm, Christine ASW18816 Suspended Mary indefinitely effective 650 Raymond St. 8/18/2011 El Cajon, CA

Pharmaceutical Technician (Susp E)

Barton-Tylij, 33671 Suspended Carolyn Y. indefinitely effective 1447 Venice Cir. 8/18/2011 Stockton, CA

Garcia, Michelle M. 36159 Suspended 8308 Auberry Dr. indefinitely effective Sacramento, CA 7/20/2011

Hegeman, Kimberly Suspended Marie not provided indefinitely effective aka: Kimberly Marie 9/20/2011 Hodkinson 311 W. Arrow Hwy. Pomona, CA

Sick Room Supply (Susp F)

Kobil Medical 44852 Suspended Supplies, Inc. indefinitely effective 820 E. Shamrock St. 9/20/2011 Rialto, CA

Kobil Medical RN428984 Suspended Supplies, Inc. 1316112725 indefinitely effective Owner: Obileye, Helen 7/20/2011 Abiola aka: Helen Biola Akan Unit #56528-112 FCI Danbury Route 37 Danbury, CT

Dentist (Susp G)

McMahan, Gregory not provided Suspended 3050 E. Frontera St. indefinitely effective Ste. #12 9/20/2011 Anaheim, CA

Nguyen, Anh Huu G90408 Suspended 1850 Club Center Dr. indefinitely effective Sacramento, CA 8/18/2011

Acupuncturist (Susp I)

Trejo, Rene Albert AC 10384 Suspended 340 Russell Ave. indefinitely effective Monterey Park, CA 8/18/2011

Chiropractor (Susp J)

Johnson, Kevin A. not provided Suspended 2162 National Ave. indefinitely effective Costa Mesa, CA 7/20/2011 Chiropractor (Susp J) … (continued)

Kessler, Bill R. DC27308 Suspended P.O. Box 9505 1174749444 indefinitely effective Fountain Valley, CA 7/20/2011

Khalsa, Har Hari 1730226846 Suspended 9663 Santa Monica Blvd. indefinitely effective Unit #171 7/20/2011 Beverly Hills, CA

Lesko, Andrew D.C. DC18505 Suspended 295 Divisadero St. DC0185050 indefinitely effective San Francisco, CA 1023211620 9/20/2011 and 214 Valencia St. San Francisco, CA

Nguyen, Ho H. not provided Suspended 16264 Soriano Dr. indefinitely effective La Puente, CA 8/18/2011

Parasa-Forspte, not provided Suspended Sepideh indefinitely effective 25 Calle Verdadero 8/18/2011 San Clemente, CA

Clinical Laboratory (Susp M)

Pacific Coast LAB85405F Suspended Hematology/Oncology indefinitely effective Owner: Glen Robert 10/12/11 Justice, M.D. 11160 Warner Ave. Ste. #313 Fountain Valley, CA and 210 Hazel Dr. Corona Del Mar, CA

Occupational Therapist (Susp O)

Brock, Guy Kenneth 5903 Suspended 10129 Cliffwood Dr. indefinitely effective La Mesa, CA 3/15/2011

Home Health Aide (Susp P)

Aguilar, Mike 172970 Suspended 24232 Kismet Cir. indefinitely effective Moreno Valley, CA 8/17/2011

Dockery, Juanita 74524 Suspended 904 W. 52nd St. indefinitely effective Los Angeles, CA 7/28/2011

Moreira, Denise 216689 Suspended 26696 9th St. indefinitely effective Highland, CA 8/15/2011

Certified Nurse Assistant (Susp R)

Aguilar, Mike 543041 Suspended 24232 Kismet Cir. indefinitely effective Moreno Valley, CA 8/17/2011 Certified Nurse Assistant (Susp R) … (continued)

Caballero, Elsie 595471 Suspended 2091 McLaughlin Ave. indefinitely effective Apt. #104 7/11/2011 San Jose, CA

Corpus, Jaime 282898 Suspended 411 N. McClay St. indefinitely effective Santa Ana, CA 7/25/2011

Gill, Harpreet Kaur 00597994 Suspended aka: Harpeet K. Gill indefinitely effective 177 Nevada St. 10/24/2011 Kingsburg, CA

Gravage, Jenny 726507 Suspended P.O. Box 4131 indefinitely effective Paradise, CA 8/25/2011

Lara, Luisa M. 684622 Suspended aka: Maria Lara indefinitely effective 841 Garnet St. 8/18/2011 W. Sacramento, CA

Moreira, Denise 715690 Suspended 26696 9th St. indefinitely effective Highland, CA 8/15/2011

Olegaro, Norberto 586820 Suspended 921 Capp St. indefinitely effective San Francisco, CA 6/2/2011

Paterno, Cristita 559737 Suspended 985 Fairwood Ave. indefinitely effective Sunnyvale, CA 7/7/2011

Williamson, Shannon 583896 Suspended 3215 15th St. indefinitely effective Clearlake, CA 4/23/2011

Developmentally Disabled Nursing (Susp R) (New Category)

Hernandez, Rene DDN 18874 Suspended Henry indefinitely effective 819 Wyval Ave. 9/20/2011 Corona, CA

Licensed Vocational Nurse (Susp R)

Martinez, Sylvia 168577 Suspended Jaojoco indefinitely effective 5310 Linden Ave. 8/18/2011 Long Beach, CA

Palmer, Deneisha 207310 Suspended Renee indefinitely effective 495 E. Third St. 10/24/2011 Unit E-4 San Bernardino, CA

Tierce, Krista Jane 169068 Suspended aka: Krista Jane Juetten indefinitely effective 1813 S. Dora St. 12/4/2010 Ukiah, CA

Public Health Nurse (Susp R)

Scott, Troy Dan 63152 Suspended 12765 Rojo Ct. indefinitely effective Atascadero, CA 1/24/2011 Registered Nurse (Susp R)

Abrantes, Erlinda 424649 Suspended Atienza indefinitely effective 23835 Spring Branch Ct. 2/24/2011 Murrieta, CA

Adams, Mashell 675979 Suspended Maran indefinitely effective 6171 Hwy. 155 2/19/2011 Montevallo, AL

Axelson, Jeff 560294 Suspended 111 Last Chance Ct. indefinitely effective Valley Springs, CA 3/16/2011

Brown, Susan 535306 Suspended Elizabeth indefinitely effective aka: Susan Elizabeth Ball 3/17/2011 aka: Susan Elizabeth Marave aka: Susan Elizabeth Horak 912 Farmstead Rd. Cockeyesville, M.D.

Campbell, Trena 650967 Suspended Renee indefinitely effective 6888 Shadowcast Ln. 3/28/2011 Lakeland, FL

Cannon, Jean Marie 305683 Suspended 3190 Munsel Lake Rd. indefinitely effective Florence, OR 3/17/2011

Cape, Tina Lim 692346 Suspended aka: Tina Phung indefinitely effective 433 Westmoor Ave. 3/28/2011 Daly City, CA

Comeaux, Cicely, 580171 Suspended Deneen indefinitely effective 5063 Magnolia Ave. 3/10/2011 Riverside, CA

Cue, Anna Jeannette 637679 Suspended aka: Anna Jeanette Brooks indefinitely effective aka: Anna Jeanette Ray 3/29/2011 aka: Anna Jeanette Richeson aka: Anna Jeanette Williams aka: Anna Jeanette Vandyke 1009 Bales St. Gallatin, TN

Curtis, Jane R. 649320-CA Suspended 7 Temple St. R057141-ME indefinitely effective Unit #310 RN165130-CO 8/18/2011 Cambridge, MA RN253693-MA

Duke, William John 602447 Suspended 2587 Hillcrest Ave. indefinitely effective Hayward, CA 3/10/2011

Freedom, Jeannine 215250 Suspended aka: Jeannine Mary Pentzien indefinitely effective aka: Jeannine Mary Penzien 3/28/2011 aka: Jeannine Mary Starlight aka: Jeannine Mary Subro aka: Jeannine Mary Jubbitt aka: Jeannine Mary Wald 138 Webb Dr. Marshal, NC

Freese, Nicole 508306-CA Suspended Renaye 28135744A-IN indefinitely effective aka: Nicole Renaye Mattesich 8/18/2011 21835 E. Hwy. 4 Stockton, CA Registered Nurse (Susp R) … (continued)

Gaba, Greg Stafford, 551482 Suspended Jr. indefinitely effective P.O. Box 19554 3/7/2011 Lenexa, KS

Harrison, Vikki 704397 Suspended 1213 Oak Creek Dr. indefinitely effective Collierville, TN 3/17/2011

Henson, Keely Diann 639445 Suspended 4708 Golden Ridge Dr. indefinitely effective Corona, CA 4/1/2011

Howes, Bonnie S. 634255 Suspended aka: Bonnie S. Henry indefinitely effective aka: Bonnie S. Heath 12/16/2010 74 Girardin Ln. Poland, ME

Kasajja, Margaret N. 490271 Suspended 10236 Camino Ruiz indefinitely effective Apt. #166 8/18/2011 San Diego, CA

Kaur, Ravinder 628649 Suspended 17014 Quiet Grove Ln. indefinitely effective Humble, TX 2/19/2011

Kelsey, Suzanne 499367 Suspended Nicole indefinitely effective 1695 Colony Way 3/18/2011 Santa Cruz, CA

Kiang, Linda Choilin 611910 Suspended Leung indefinitely effective 2147 E. Muncie Ave. 7/20/2011 Fresno, CA

Lewis, Samantha 737680 Suspended Laural indefinitely effective aka: Samantha Laurel Lewis 9/20/2011 P.O. Box 1122 Willow Creek, CA

McNair, Robert Earl 275232 Suspended 105 Banbury Way indefinitely effective Benicia, CA 9/20/2011

Obileye, Helen Abiola 428984 Suspended aka: Helen Biola Akan 1316112725 indefinitely effective Unit #56528-112 7/20/2011 FCI Danbury Route 37 Danbury, CT

Roche, Claudia M. 418796 Suspended aka: Claudia Murray indefinitely effective aka: Claudia Lyon 10/13/2010 aka: Claudia M. Mills 1111 14th St. Unit #18 Santa Rosa, CA

Roy, Karen Ardette 198723 Suspended aka: Karen A. Stoddard indefinitely effective 1328 McKenzie Ave. 1/3/2011 Petaluma, CA

Scott, Troy Dan 550913 Suspended 12765 Rojo Ct. indefinitely effective Atascadero, CA 1/24/2011

Sedivy, Rita Louise 419640 Suspended 5940 Nagle Ave. indefinitely effective Van Nuys, CA 6/20/2011 Registered Nurse (Susp R) … (continued)

Smith, Janelle Marie 867551 Suspended 117 Tyson Ln. indefinitely effective Elm City, NC 10/24/2011

Thomas, Tracie 526020 Suspended Celeste Bradley indefinitely effective 9070 Lemon St. 9/7/2010 Spring Valley, CA

Young, Leigh Anne 357328 Suspended aka: Leigh Anne Norris indefinitely effective P.O. Box 3522 4/22/2011 Apple Valley, CA

Respiratory Care Practitioner (Susp S)

Lockett, Clara M. 12633 Suspended 290 Wilson Ave. indefinitely effective Unit M272 10/16/2010 Perris, CA

Business Manager (Susp T)

Wallace, Jodee A. Suspended dba: New Beginnings Recovery indefinitely effective Treatment Center, Inc. 9/20/2011 16405 Devonshire St. Granada Hills, CA

Business Owner (Susp T)

Obileye, Helen Abiola RN428984 Suspended aka: Helen Biola Akan 1316112725 indefinitely effective Kobil Medical Supplies, Inc. 7/20/2011 Unit #56528-112 FCI Sanbury Route 27 Danbury, CT

Petrosian, Andranik Suspended aka: Andranik Petrosyan indefinitely effective Register Unit 45050-112 8/18/2011 CI Eden Correctional Institution P.O. Box 605 Eden, TX

Tokar, Irene ADU70136F Suspended dba: Olympic Rehabilitation 1083899447 indefinitely effective Center, Inc. 9/14/2011 624-636 N. La Brea Ave. Los Angeles, CA

Corporation (Susp T)

Kobil Medical 44852 Suspended Supplies, Inc. indefinitely effective 820 E. Shamrock St. 9/20/2011 Rialto, CA

Employee (Susp T)

Martinez, Jesus Hernandez Suspended aka: Jesus Hernandez indefinitely effective aka: John Valdez 10/5/2011 1970 Latham Way Apt. #81 Mountain View, CA

Martinez, Marta Alicia Suspended 2740 1/2 W. James M. Wood Blvd. indefinitely effective Los Angeles, CA 10/24/2011

Employees (Susp T) … (continued)

Morrison, Cody Suspended 9349 Bocina Ln. indefinitely effective Apt. B 10/31/2011 Atascadero, CA

Mosqueda, Asher Villarena Suspended 16641 California Ave. indefinitely effective Bellflower, CA 10/24/2011

Philson, Erline Suspended aka: Erline Patricia Philson indefinitely effective aka: Erline Patricia Johnson 10/31/2011 9132 Brevard Dr. Sacramento, CA

Rubio, Guadalupe Suspended aka: Guadalupe Rubio Ruvalcaba indefinitely effective 2021 Pioneer Way 10/24/2011 Apt. #27 Santa Rosa, CA

Wagner, Dianna Suspended 246 Echo Ave. indefinitely effective Apt. #1 10/16/2011 Campbell, CA

Yakovenko, Tatyana Suspended aka: Tetyana Yakovenko indefinitely effective aka: Tatyana Fox 10/31/2011 117 N. Gale Dr. Unit #205 Beverly Hills, CA

Zarco, Mario Ramirez Suspended aka: Mario Ramires indefinitely effective aka: Mario Rammirezzargo 10/16/2011 aka: Marco Ramirez Zarco 2926 Faivre St. Chula Vista, CA

Zvereva, Natalya Suspended aka: Natasha Zvereva indefinitely effective 1244 N. Orange Dr. 10/31/2011 Unit #312 Los Angeles, CA

Recipient (Susp T)

Wagner, Christopher Michael Suspended 1900 Fruitdale Ave. 302 indefinitely effective San Jose, CA 8/18/2011

Unlicensed Caregiver (Susp T)

Omilo, Ma Ailaine Francisco Suspended aka: Ma Ailaine Omillo indefinitely effective 470 N. White Rd. 9/20/2011 San Jose, CA

Adult Day Health Center (Susp U)

Olympic Rehabilitation ADU70136F Suspended Center 1083899447 indefinitely effective Owner: Irene Tokar 9/14/2011 624-636 N. La Brea Ave. Los Angeles, CA

In-Home Support Services Provider (Susp U)

Atwater, Freda Suspended 3252 8th Ave. indefinitely effective Sacramento, CA 6/20/2011 In-Home Support Services Provider (Susp U) … (continued)

Bell, Javoni Micala Suspended 7206 Gloria Dr. indefinitely effective Unit #11 9/20/2011 Sacramento, CA

Bowers, Dorinda Martha Sylvia Suspended aka: Dorinda Daiz indefinitely effective 385 S. Phillip Ave. 9/20/2011 Fresno, CA

Brantley, Jennifer Carrie Suspended 1636 5th St. indefinitely effective Clovis, CA 9/20/2011

Burrola, Patricia Suspended 2333 E. Berkeley Ave. indefinitely effective Fresno, CA 8/18/2011

Chapa, Petra Graciella Suspended 1572 Armington Ave. indefinitely effective Sacramento, CA 9/20/2011

Consolacion, Daisy Suspended 3119 Adelia Ave. indefinitely effective El Monte, CA 10/31/2011

Garza, Lorraine Theresa Suspended 865 W. Gettysburg Ave. indefinitely effective Apt. #804 8/18/2011 Clovis, CA

Gerberding, Julie Kathleen Suspended 3483 E. Hammond Ave. indefinitely effective Fresno, CA 8/18/2011

Halford, Elanzo Suspended 439 W. Eden Ave. indefinitely effective Fresno, CA 6/20/2011

Hester, Charles Suspended 947 Pottle Ave. indefinitely effective Apt. #218 8/18/2011 Fresno, CA

Jackson, Glenda Marie Suspended 5609 Plaza Ct. indefinitely effective Palmdale, CA 10/16/2011

Jackson, Gwendolyn A. Suspended 9418 Juniper St. indefinitely effective Los Angeles, CA 8/18/2011

Jenkins, Dorcie Yolanda Suspended 522 Pine Garden Ln. indefinitely effective Apt. #4 9/20/2011 Sacramento, CA

Kemper, Tamara Suspended 10513 Fair Oaks Blvd. indefinitely effective Unit L 8/18/2011 Fair Oaks, CA

Kiang, Linda Choilin Linda Suspended 2147 E. Muncie Ave. indefinitely effective Fresno, CA 7/20/2011

Logsdon, Misty Lavina Suspended 4262 Schofield Way indefinitely effective N. Highlands, CA 9/20/2011

Martinez, Sylvia Jaojoco Suspended 5310 Linden Ave. indefinitely effective Long Beach, CA 8/18/2011 In-Home Support Services Provider (Susp U) … (continued)

Miranda, Yanett Suspended 625 N. Hill St. indefinitely effective Unit #101 10/31/2011 Los Angeles, CA

Moua, Chong Neng Suspended 6415 N. Carruth Ave. indefinitely effective Fresno, CA 6/20/2011

Olivas, Ana Suspended 4540 T St. indefinitely effective San Diego, CA 10/27/2011

Paz-Delgado, Angelica Suspended aka: Angelica Paz Cabral indefinitely effective 2806 Fairmont Ave. 10/16/2011 Unit #3 San Diego, CA

Pena, Yolanda Suspended 1750 Jordan Rd. indefinitely effective Yuba City, CA 9/20/2011

Perez, Uverlinda Suspended 42929 Lemonwood Dr. indefinitely effective Lancaster, CA 10/24/2011

Perkins, Richard Vernard Suspended 2119 E. 103rd St. indefinitely effective Apt. #671 10/16/2011 Los Angeles, CA

Rivera, Deborah Suspended 4 Arbor Dr. indefinitely effective Chico, CA 9/20/2011

Rohani, Massoumeh M. Suspended aka: Ma Soumeh Massoumeh indefinitely effective Moddaressrouhani 10/31/2011 6755 Rhodes Ave. Apt. #149 N. Hollywood, CA

Schmid, Gwendolyn Ellen Suspended 13213 Terra Bella St. indefinitely effective Pacoima, CA 10/27/2011

Schmidt, Elizabeth Ann Suspended 1637 Montgomery St. indefinitely effective Oroville, CA 8/18/2011

Soukkeo, John Suspended 5086 E. Turner Ave. indefinitely effective Fresno, CA 8/18/2011

Syphan, Seun Suspended 763 Hayes Ave. indefinitely effective Unit #12 8/18/2011 Sacramento, CA

Trautman, Shannon Renae Suspended 804 Holcomb Ave. indefinitely effective Unit #1 9/20/2011 Reno, NV

Trevino, Lucy Lupe Suspended 323 Walnut Ave. indefinitely effective Monrovia, CA 10/16/2011

Welch, Robin Ray Suspended 60 Jillian Ln. indefinitely effective Unit #2 9/20/2011 Chico, CA

West, Pamela Suspended 4821 Lankershim Blvd. indefinitely effective Unit F347 10/31/2011 North Hollywood, CA REINSTATEMENTS:

Physician (susp A)

Aguiluz, Amable A33886 10/5/2011 (removed from pg. 2) 13330 Bloomfield Ave. Ste. #111 Norwalk, CA and 21530 Pioneer Blvd. Ste. 108 Hawaiian Gardens, CA and 21500 Pioneer Blvd. Ste. #108 Hawaiian Gardens, CA

Corbin, Frederic H. 00G413250 10/5/2011 (removed from pg. 19) 400 W. Central Ave. 00G413251 Ste. #101 CGP114235 Brea, CA 1114007168 and 1125 S. Beverly Dr. Ste. #515 Los Angeles, CA

Olsen, Jeffrey D. 00G695710 10/12/2001 (removed from pg. 65) 4650 Barranca Pkwy. Irvine, CA

Podiatrist (Susp K)

Heard, Geoffrey S. E3700 Suspended (removed from pg. 2) 1256 Alameda Dr. indefinitely effective De Las Pulgas 10/20/2006 Redwood City, CA

Per source material submitted by DHCS on 10/17/11, the following are “Corrections.”

CORRECTIONS: (Corrections to existing list are bolded.)

Licensed Vocational Nurse (susp R)

Dowell, Kelly Elaine 175470 Suspended (corrected on pg. 139) 3760 Athlone Rd. indefinitely effective Merced, CA 9/23/2009

Registered Nurse (susp R)

Brink, Deborah Anne 474804 Suspended (corrected on pg. 9) 7004 Bridgeport Cir. indefinitely effective Stockton, CA 3/1/1997 and 8700 N. West Ln. Unit #212 Stockton, CA

Jones, Sandra Lynn 612359 Suspended (corrected on pg. 37) aka: Sandra Lynn Alexander indefinitely effective 155 Big Valley Rd. 7/2/2010 Folsom, CA

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