Post on 29-Jun-2020
Division of Public Health
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 1 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Alcohol and Drug Counselor
Alcohol and Drug Counselor
Apthorpe, Mary Angela 972
Cottonwood, AZ
Probation 4/24/2012 7/26/2012 Controlled Substance Dependence
Misdemeanor Conviction(s)
Probation Violation
Bailey, Frank Louis, III 612
Omaha, NE
Censure 12/27/2017 Exploitation of Another Person
Unprofessional Conduct
Carde, Lori Lynn 891
Lincoln, NE
Civil Penalty 1/19/2016 6/28/2016 Obtaining Fee by Fraud
Unprofessional Conduct
Probation 1/29/2016 Obtaining Fee by Fraud
Unprofessional Conduct
Cheatams, Tanesha Shirlon 850
Omaha, NE
Probation 4/22/2010 2/11/2011 Alcohol Dependency
7/23/2015 7/23/2016
4/22/2010 2/11/2011 Misdemeanor Conviction(s)
7/23/2015 7/23/2016
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 2 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Alcohol and Drug Counselor
Cook, Jill C 457
Kearney, NE
Censure 8/10/2017 Misdemeanor Conviction(s)
Dirks, Tamara Jo 764
Sterling, NE
Probation 6/4/2011 6/4/2013 Dishonorable Conduct
Unprofessional Conduct
Dowden, Linda Denise 739
Omaha, NE
Probation 4/7/2013 Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Unprofessional Conduct
Duncan, Lori Kay 808
Omaha, NE
Probation 7/12/2014 Unprofessional Conduct
Dutcher, Suzette Dawn 827
Culbertson, NE
Censure 7/12/2012 Permitting Aiding & Abetting
Engelbart, Aaron Joel 1024
Omaha, NE
Censure 4/30/2014 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Probation 5/23/2013 9/30/2017 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Gehrig, Victor Lee 880
Gordon, NE
Probation 11/2/2010 5/13/2011 Alcohol Dependency
Misdemeanor Conviction(s)
Glasgow, Miles Christopher 950
Omaha, NE
Probation 12/1/2011 8/10/2012 xCourt Conviction
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 3 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Alcohol and Drug Counselor
Gonzalez, Olivia R 50
Gering, NE
Civil Penalty 6/1/2012 12/1/2012 Unprofessional Conduct
Probation 6/10/2012 12/10/2012
Goodwin, Lori M. 1073
Omaha, NE
Censure 9/23/2015 Unprofessional Conduct
Civil Penalty 3/23/2016
Gustoff, Brandy Kay 705
Omaha, NE
Censure 1/17/2014 Failure to Keep Adequate Records
Obtaining Fee by Fraud
Unprofessional Conduct
Civil Penalty 9/15/2014 Failure to Keep Adequate Records
Obtaining Fee by Fraud
Unprofessional Conduct
Probation 1/27/2014 1/27/2015 Failure to Keep Adequate Records
Obtaining Fee by Fraud
Unprofessional Conduct
Hammer, Brenda Jo 591
Auburn, NE
Revocation 9/14/2017 Dishonorable Conduct
Unprofessional Conduct
Violation of UCA
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 4 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Alcohol and Drug Counselor
Lange, Joseph Dale 721
Omaha, NE
Probation 7/24/2014 12/21/2014 Alcohol Dependency
Controlled Substance Dependence
Failure to Comply With Aftercare
Misdemeanor Conviction(s)
Unprofessional Conduct
McClarty, Brittany Andre 1061
Manistee, MI
Probation 12/26/2015 7/22/2016 Failed to Report Conviction in 30 days
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
xCont Substance Use Disorder - Severe
Meyer, Christy J 815
Des Moines, IA
Probation 2/19/2012 2/28/2013 Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Probation Violation
Unprofessional Conduct
Nelson, William Joseph 765
Omaha, NE
Censure 5/27/2015 Unprofessional Conduct
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 5 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Alcohol and Drug Counselor
Stephens, Sally Ann 883
Elkhorn, NE
Probation 11/28/2015 Alcohol Dependency
Misdemeanor Conviction(s)
Stevens, Christopher Sean 749
Omaha, NE
Probation 4/23/2015 Controlled Substance Abuse
Felony Conviction(s)
Taylor, Jennifer Ruth 521
Seward, NE
Probation 4/10/2011 4/10/2012 Felony Conviction(s)
Unprofessional Conduct
Wilson, Larry Dwight 819
Columbus, NE
Probation 1/27/2014 1/27/2017 Alcohol Dependency
Practice while Impaired
Provisional Alcohol and Drug Counselor
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 6 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Provisional Alcohol and Drug Counselor
Apthorpe, Mary Angela P-641
Cottonwood, AZ
Censure 8/11/2011 Controlled Substance Dependence
Misdemeanor Conviction(s)
Probation Violation
Civil Penalty 2/11/2012 Controlled Substance Dependence
Misdemeanor Conviction(s)
Probation Violation
Avery, Tereatha A P-704
Omaha, NE
Probation 2/6/2018 Controlled Substance Dependence
History of Disciplinary Action
Misdemeanor Conviction(s)
Probation Violation
Substance Use Disorders-Multiple
xCriminal Conviction(s)
Becker, Bennjamin Fulton P-973
Lincoln, NE
Probation 1/27/2011 1/27/2013 Alcohol Dependency
xCriminal Conviction(s)
Blankenship, Jennifer Suzanne P-1384
Omaha, NE
Suspension 10/28/2019 Dishonorable Conduct
Exploitation of Another Person
Unprofessional Conduct
Broberg, Matthew Allen P-518
Omaha, NE
Revocation 10/23/2010 Emotional Disability
Failure to Keep Adequate Records
Mental Disability
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 7 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Provisional Alcohol and Drug Counselor
Browning-Prince, Crystal Anne P-1049
Omaha, NE
Censure 5/12/2016 Probation Violation
Unprofessional Conduct
Violation of UCA
xCont Substance Use Disorder - Mild
Civil Penalty 11/12/2016 Probation Violation
Unprofessional Conduct
Violation of UCA
xCont Substance Use Disorder - Mild
Probation 10/31/2015 10/31/2016 Probation Violation
Unprofessional Conduct
Violation of UCA
xCont Substance Use Disorder - Mild
Buckley, Deborah Sue P-1576
Lincoln, NE
Probation 2/14/2018 2/14/2020 Felony Conviction(s)
Misdemeanor Conviction(s)
Substance Use Disorder
Substance Use Disorders-Multiple
Carde-Bernal, Jose P-1215
Columbus, NE
Censure 7/22/2016 Misdemeanor Conviction(s)
Violation of UCA
Suspension 8/1/2016 8/30/2016 Misdemeanor Conviction(s)
Violation of UCA
Conrad, Ryan Fraser P-917
Lincoln, NE
Probation 8/23/2010 xCriminal Conviction(s)
Crow, Breanne Emma P-1549
Norfolk, NE
Probation 10/30/2017 Misdemeanor Conviction(s)
Substance Use Disorders-Multiple
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 8 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Provisional Alcohol and Drug Counselor
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
Durant, Steven Ray P-972
Omaha, NE
Probation 1/26/2011 1/26/2014 Alcohol Dependency
Controlled Substance Dependence
Misdemeanor Conviction(s)
Engelbart, Aaron Joel P-998
Omaha, NE
Probation 9/30/2012 5/23/2013 Alcohol Dependency
Misdemeanor Conviction(s)
Fuchs, Thomas Barton P-1151
Omaha, NE
Probation 8/1/2013 8/1/2015 Alcohol Dependency
Misdemeanor Conviction(s)
Gilfillan, Dameon Lee P-1023
Bellevue, NE
Probation 12/21/2011 7/21/2014 Controlled Substance Dependence
Felony Conviction(s)
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 9 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Provisional Alcohol and Drug Counselor
Grendahl, Clarence James P-896
Lincoln, NE
Probation 4/22/2010 4/22/2013 xCourt Conviction
Griffis, Cheri Louise P-915
Elkhorn, NE
Probation 7/22/2010 xCourt Conviction
Habrich, Carla J. P-1105
Omaha, NE
Probation 1/3/2013 5/4/2014 Controlled Substance Dependence
Misdemeanor Conviction(s)
xMind-Altering Substance Dependence
Holmes, Jennifer L. P-1288
Columbus, NE
Revocation 5/2/2018 Dishonorable Conduct
Failure to Safeguard Clients Diginity
Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
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
Lahrs, Kathryn J P-734
Lincoln, NE
Suspension 8/26/2013 Failure to File Report-38-1,124,38-1,125
Practice while Impaired
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 10 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Provisional Alcohol and Drug Counselor
Larson, Lori Beth P-1309
Syracuse, NE
Probation 4/28/2015 Alcohol Dependency
Controlled Substance Dependence
Failure to Disclose Convictions
Misdemeanor Conviction(s)
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 11 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Provisional Alcohol and Drug Counselor
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
Offordirinwa, Stella Adachi P-1308
Lincoln, NE
Probation 4/23/2015 1/9/2017 Felony Conviction(s)
Palomo, Daniel Edward P-948
Scottsbluff, NE
Probation 12/2/2010 10/2/2014 Controlled Substance Dependence
xCriminal Conviction(s)
Pedersen, Brandon Michael P-1447
Omaha, NE
Probation 11/16/2016 3/18/2019 Misdemeanor Conviction(s)
xAlcohol Use Disorder - Moderate
xCont Substance Use Disorder - Moderate
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 12 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Provisional Alcohol and Drug Counselor
Pham, Hung Thuc P-1109
Grand Island, NE
Probation 1/11/2013 1/11/2015 Alcohol Dependency
Controlled Substance Dependence
Felony Conviction(s)
Misdemeanor Conviction(s)
Probation Violation
Revocation 3/25/2014 Alcohol Dependency
Controlled Substance Dependence
Felony Conviction(s)
Misdemeanor Conviction(s)
Probation Violation
Polk, Marcus Arenett P-1234
Omaha, NE
Probation 7/29/2014 12/21/2016 Failure to Disclose Convictions
xCont Substance Use Disorder - Severe
Reed, Clifford Louis P-899
Papillion, NE
Probation 5/11/2010 xCourt Conviction
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 13 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Provisional Alcohol and Drug Counselor
Sheldon, Connie Sue P-941
Lincoln, NE
Censure 8/11/2011 Probation Violation
xCriminal Conviction(s)
Civil Penalty 9/14/2012 Probation Violation
xCriminal Conviction(s)
Probation 10/29/2010 Probation Violation
xCriminal Conviction(s)
Simmons, Ricky C. P-942
Lincoln, NE
Probation 11/1/2010 11/1/2015 xCriminal Conviction(s)
Smith, Lauren Whitney P-1643
Omaha, NE
Probation 12/11/2018 12/11/2021 Misdemeanor Conviction(s)
Substance Use Disorders-Multiple
Smith, Ronald E P-1193
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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 14 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Provisional Alcohol and Drug Counselor
Sullivan, Robin L P-1222
Omaha, NE
Probation 5/7/2014 10/4/2017 Alcohol Dependency
Failure to Disclose Convictions
Felony Conviction(s)
Misdemeanor Conviction(s)
xMind-Altering Substance Abuse
xMind-Altering Substance Dependence
Texidor, Terry P-1389
Omaha, NE
Censure 11/16/2016 Controlled Substance Dependence
Felony Conviction(s)
Misdemeanor Conviction(s)
Probation Violation
xMind-Altering Substance Dependence
Civil Penalty 5/16/2017 Controlled Substance Dependence
Felony Conviction(s)
Misdemeanor Conviction(s)
Probation Violation
xMind-Altering Substance Dependence
Probation 2/18/2016 Controlled Substance Dependence
Felony Conviction(s)
Misdemeanor Conviction(s)
Probation Violation
xMind-Altering Substance Dependence
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 15 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Provisional Alcohol and Drug Counselor
Tower, Lisa Marie P-1150
Norfolk, NE
Censure 12/15/2014 Alcohol Dependency
Controlled Substance Dependence
Failure to Disclose Convictions
Felony Conviction(s)
Misdemeanor Conviction(s)
Probation Violation
xMind-Altering Substance Dependence
Civil Penalty 6/15/2015 Alcohol Dependency
Controlled Substance Dependence
Failure to Disclose Convictions
Felony Conviction(s)
Misdemeanor Conviction(s)
Probation Violation
xMind-Altering Substance Dependence
Probation 7/29/2013 12/25/2014 Alcohol Dependency
Controlled Substance Dependence
Failure to Disclose Convictions
Felony Conviction(s)
Misdemeanor Conviction(s)
Probation Violation
xMind-Altering Substance Dependence
Suspension 12/25/2014 9/21/2015 Alcohol Dependency
9/21/2015
12/25/2014 9/21/2015 Controlled Substance Dependence
9/21/2015
12/25/2014 9/21/2015 Failure to Disclose Convictions
9/21/2015
12/25/2014 9/21/2015 Felony Conviction(s)
9/21/2015
12/25/2014 9/21/2015 Misdemeanor Conviction(s)
9/21/2015
12/25/2014 9/21/2015 Probation Violation
9/21/2015
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 16 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Provisional Alcohol and Drug Counselor
Suspension 12/25/2014 9/21/2015 xMind-Altering Substance Dependence
9/21/2015
Uribe, Randall Jon P-1194
Lincoln, NE
Probation 1/27/2014 1/27/2015 Alcohol Dependency
Alcohol Use Disorder, Severe
Failure to Comply With Aftercare
Felony Conviction(s)
Misdemeanor Conviction(s)
Substance Use Disorder
Unprofessional Conduct
xMind-Altering Substance Dependence
Revocation 7/18/2018 Alcohol Dependency
Alcohol Use Disorder, Severe
Failure to Comply With Aftercare
Felony Conviction(s)
Misdemeanor Conviction(s)
Substance Use Disorder
Unprofessional Conduct
xMind-Altering Substance Dependence
Valdez, Juan V. P-992
Gering, NE
Probation 4/22/2011 4/22/2013 Controlled Substance Dependence
xCriminal Conviction(s)
Wells, Trina Ann P-1523
Omaha, NE
Probation 8/17/2017 8/17/2020 Felony Conviction(s)
Misdemeanor Conviction(s)
Substance Use Disorder
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 17 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Provisional Alcohol and Drug Counselor
Welton-Jackson, Marci Ann P-712
Lincoln, NE
Censure 5/6/2010 Controlled Substance Dependence
Probation Violation
xCriminal Conviction(s)
Civil Penalty 11/6/2010 Controlled Substance Dependence
Probation Violation
xCriminal Conviction(s)
Zollicoffer, Mat Lavern P-1639
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
Whalen, Michael J 929
Omaha, NE
Revocation 6/27/2010 Unprofessional Conduct
Asbestos Project Designer
Arritt, Robert E 683
Omaha, NE
Civil Penalty 7/12/2012 9/17/2012 Violation of UCA
Girard, Aaron Thomas 706
Sioux City, IA
Civil Penalty 5/29/2014 6/29/2014 11.02D Appropriate Respirator
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 18 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Asbestos Project Designer
Huber, Perry L 682
Hermosa, SD
Civil Penalty 6/16/2016 7/16/2016 178 NAC 22 - Asbestos Control Act
Asbestos Supervisor
Aguirre, Ovidio 7073
Omaha, NE
Civil Penalty 5/6/2015 6/6/2015 178 NAC 22 - Asbestos Control Act
Blanco, Jesus M 6902
Omaha, NE
Civil Penalty 1/22/2014 2/22/2014 11.02D Appropriate Respirator
Byers, Roger A 6849
Omaha, NE
Civil Penalty 6/21/2017 7/21/2017 178 NAC 22 - Asbestos Control Act
Dittman, Dillon T 7187
Norfolk, NE
Civil Penalty 6/21/2017 7/21/2017 178 NAC 22 - Asbestos Control Act
Erickson, Nicholas 5942
Lincoln, NE
Civil Penalty 10/8/2013 10/8/2013 11.02D Appropriate Respirator
Flores, Juan J 6975
Omaha, NE
Civil Penalty 5/14/2015 6/14/2015 11.02D Appropriate Respirator
Garcia, Andy 6831
Norfolk, NE
Civil Penalty 8/6/2013 9/6/2013 11.02D Appropriate Respirator
Garcia, Matias 6126
Bellevue, NE
Civil Penalty 5/21/2014 6/21/2014 11.02D Appropriate Respirator
5/6/2015 6/6/2015 178 NAC 22 - Asbestos Control Act
Garcia, Raul Angel 6305
Bellevue, NE
Civil Penalty 6/5/2013 6/5/2013 11.02D Appropriate Respirator
Garfias, Marcos G 7272
Omaha, NE
Civil Penalty 1/28/2020 2/28/2020 178 NAC 22 - Asbestos Control Act
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 19 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Asbestos Supervisor
Gonzales, Luis Antonio B 6405
Omaha, NE
Civil Penalty 1/14/2016 2/13/2016 178 NAC 22 - Asbestos Control Act
Gonzalez, Miguel G 3698
Omaha, NE
Civil Penalty 5/14/2015 6/14/2016 178 NAC 22 - Asbestos Control Act
Heaston, George V 6652
Omaha, NE
Civil Penalty 10/4/2016 10/4/2016 178 NAC 22 - Asbestos Control Act
Lawrenz, Stacy P 7254
Lincoln, NE
Civil Penalty 6/13/2018 6/13/2018 11.02D Appropriate Respirator
178 NAC 22 - Asbestos Control Act
Madkins, Tony Terrell 7155
Lincoln, NE
Civil Penalty 1/14/2016 2/13/2016 11.02D Appropriate Respirator
Merksick, Steven P 5594
Council Bluffs, IA
Probation 8/19/2013 8/19/2014 Misrepresentation of Material Facts
Revocation 8/12/2014 178 NAC 22 - Asbestos Control Act
Muniz, Jose F 6998
Norfolk, NE
Civil Penalty 8/6/2013 9/6/2013 11.02D Appropriate Respirator
O'Dey, Darrin D 6509
Norfolk, NE
Civil Penalty 10/16/2018 178 NAC 22 - Asbestos Control Act
Romero, Kaicer L 6605
Omaha, NE
Civil Penalty 5/21/2014 6/21/2014 11.02D Appropriate Respirator
Thibodeau, Michael W 7121
Norfolk, NE
Civil Penalty 6/21/2017 7/21/2017 178 NAC 22 - Asbestos Control Act
Whalen, Michael J 6696
Omaha, NE
Revocation 6/27/2010 Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 20 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Asbestos Worker
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
Gorman, Willard 6927
Des Moines, IA
Civil Penalty 10/17/2016 10/17/2016 11.02D Appropriate Respirator
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 21 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Asbestos Worker
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
Raya, Arturo 7851
Des Moines, IA
Civil Penalty 5/6/2015 6/6/2015 178 NAC 22 - Asbestos Control Act
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 22 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Asbestos Worker
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
Zapata, Joel, Jr 7776
Omaha, NE
Civil Penalty 5/21/2014 6/21/2014 11.02D Appropriate Respirator
Athletic Training
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 23 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Athletic Trainer
Brown, Allyson Carly 994
Omaha, NE
Probation 10/1/2019 10/1/2020 Misdemeanor Conviction(s)
Substance Use Disorders-Multiple
Freeburg, Austin A 593
Scottsbluff, NE
Probation 8/31/2011 8/31/2012 Unlicensed Practice
Henthorne, Jordan M 685
Kearney, NE
Probation 9/9/2013 12/8/2013 Misrepresentation of Material Facts
Hume, Jeffrey Ryan 299
Blair, NE
Probation 2/22/2013 8/22/2013 Unlicensed Practice
Smith, Judy May 77
Waterloo, NE
Probation 12/26/2017 12/26/2019 Unlicensed Practice
Audiology/Speech-Language Path
Audiologist
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 24 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Speech-Language Pathologist
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
Body Art
Body Brander
Coon, Ronn L 6
Omaha, NE
Probation 4/9/2010 4/9/2012 Failure to Comply w Federal or State Law
xCourt Conviction
Body Piercer
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 25 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Body Piercer
Alderette, Leon Charles 197
Bellevue, NE
Civil Penalty 11/5/2013 5/5/2014 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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 26 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Body Piercer
Alexander, Zachary Scott 177
Lincoln, NE
Probation 3/16/2011 Controlled Substance Dependence
Failure to Disclose Convictions
xCriminal Conviction(s)
Allsman, Matthew Alexander 140
Columbus, NE
Censure 12/14/2010 Misrepresentation of Material Facts
Allsman, Trenton Thomas 141
Lincoln, NE
Probation 2/12/2014 8/12/2014 Unlicensed Practice
Beirola, Jennifer J 85
Omaha, NE
Civil Penalty 10/21/2015 4/21/2016 Failed to Report Conviction in 30 days
Misdemeanor Conviction(s)
Bortner, Ryan Wayne 224
North Platte, NE
Probation 5/16/2014 11/16/2014 Failure to Disclose Convictions
Felony Conviction(s)
Misdemeanor Conviction(s)
Coon, Ronn L 161
Omaha, NE
Probation 4/9/2010 4/9/2012 Failure to Comply w Federal or State Law
xCourt Conviction
Fortner, Leighton Robert Cole 171
La Vista, NE
Probation 12/22/2010 11/14/2011 Delinquent Child Support Payment
Failure to Disclose Convictions
Failure to File Report-38-1,124,38-1,125
12/26/2018 10/1/2019 Felony Conviction(s)
Misdemeanor Conviction(s)
12/22/2010 11/14/2011 Permitting Aiding & Abetting
Violation of Dept Order
xCriminal Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 27 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Body Piercer
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 10/11/2021 Alcohol Use Disorder, Moderate
Failed to Report Conviction in 30 days
Misdemeanor Conviction(s)
Jerke, Bethani LeAnn 296
Hastings, NE
Probation 4/17/2018 Failure to Disclose Convictions
Felony Conviction(s)
Misdemeanor Conviction(s)
Leick, Aaron Madsen 226
Omaha, NE
Probation 6/9/2014 Alcohol Dependency
Failure to Disclose Convictions
Felony Conviction(s)
Misdemeanor Conviction(s)
Nath, Chad Michael 63
Omaha, NE
Censure 4/19/2012 Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Probation 4/29/2012 4/29/2013 Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Nuzum, Kathryn Sue 251
Bellevue, NE
Probation 5/19/2016 11/19/2016 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Stevens, Colin H 142
Norfolk, NE
Revocation 11/25/2010 Probation Violation
xCourt Conviction
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 28 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Body Piercer
Stewart, Christopher Michael 283
Bellevue, NE
Probation 11/9/2017 11/9/2018 Felony Conviction(s)
Strong, Shawn 62
Beatrice, NE
Censure 4/5/2012 Permitting Aiding & Abetting
Wilsey, David Richard 43
Hastings, NE
Probation 4/6/2016 8/2/2017 Controlled Substance Dependence
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Practice while Impaired
Wilson, Ronald Lee 175
Holdrege, NE
Probation 2/14/2011 8/14/2011 Failure to Disclose Convictions
xCriminal Conviction(s)
Permanent Color Technician
Allmon, Megan Joanna 83
Omaha, NE
Probation 2/25/2016 11/12/2019 Alcohol Abuse
Controlled Substance Dependence
Felony Conviction(s)
xMind-Altering Substance Abuse
Baker, Jodi Lyn 225
Omaha, NE
Probation 1/7/2019 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Coon, Ronn L 66
Omaha, NE
Probation 4/9/2010 4/9/2012 Failure to Comply w Federal or State Law
xCourt Conviction
Judkins, Melanie Marie 4
Omaha, NE
Censure 10/7/2010 Failure to Disclose Convictions
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 29 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Permanent Color Technician
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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 30 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Tattoo Artist
Alderette, Leon Charles 437
Bellevue, NE
Civil Penalty 11/5/2013 5/5/2014 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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 31 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Tattoo Artist
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 32 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Tattoo Artist
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
Coon, Ronn L 299
Omaha, NE
Probation 4/9/2010 4/9/2012 Failure to Comply w Federal or State Law
xCourt Conviction
Davidson, Jackie L, II 503
Wichita Falls, TX
Civil Penalty 2/11/2015 8/11/2015 Misrepresentation of Material Facts
Unlicensed Practice
DeLeon, Kody N 548
Omaha, NE
Suspension - Non-Child Support Payment 7/11/2019 Delinquent Child Support Payment
Diaz, Miguel Angel, Jr 328
Omaha, NE
Probation 11/12/2010 11/12/2012 Failure to Disclose Convictions
Probation Violation
xCriminal Conviction(s)
Revocation 2/19/2013 Failure to Disclose Convictions
Probation Violation
xCriminal Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 33 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Tattoo Artist
Dishman, Robert J 260
Elgin, NE
Civil Penalty 2/23/2012 8/23/2012 Failure to Comply w Federal or State Law
Practice in Unlicensed Premises
Unlicensed Practice
Violation of UCA
Probation 3/3/2012 Failure to Comply w Federal or State Law
Practice in Unlicensed Premises
Unlicensed Practice
Violation of UCA
Drefs, Jeremiah J 434
Omaha, NE
Probation 9/13/2012 3/13/2013 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Dvorak, Michael John 714
Omaha, NE
Probation 5/30/2018 5/30/2022 Failure to Disclose Convictions
Felony Conviction(s)
Misdemeanor Conviction(s)
Substance Use Disorders-Multiple
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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 34 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Tattoo Artist
Fortner, Leighton Robert Cole 335
La Vista, NE
Civil Penalty 4/9/2015 10/9/2015 Delinquent Child Support Payment
Failure to Disclose Convictions
Failure to File Report-38-1,124,38-1,125
Permitting Aiding & Abetting
Violation of Dept Order
xCriminal Conviction(s)
Probation 12/22/2010 6/22/2011 Delinquent Child Support Payment
4/19/2015 11/26/2015
3/21/2018 9/16/2018
12/22/2010 6/22/2011 Failure to Disclose Convictions
4/19/2015 11/26/2015
3/21/2018 9/16/2018
12/22/2010 6/22/2011 Failure to File Report-38-1,124,38-1,125
4/19/2015 11/26/2015
3/21/2018 9/16/2018
12/22/2010 6/22/2011 Permitting Aiding & Abetting
4/19/2015 11/26/2015
3/21/2018 9/16/2018
12/22/2010 6/22/2011 Violation of Dept Order
4/19/2015 11/26/2015
3/21/2018 9/16/2018
12/22/2010 6/22/2011 xCriminal Conviction(s)
4/19/2015 11/26/2015
3/21/2018 9/16/2018
Suspension 11/26/2015 2/22/2018 Delinquent Child Support Payment
9/16/2018 10/4/2018
11/26/2015 2/22/2018 Failure to Disclose Convictions
9/16/2018 10/4/2018
11/26/2015 2/22/2018 Failure to File Report-38-1,124,38-1,125
9/16/2018 10/4/2018
11/26/2015 2/22/2018 Permitting Aiding & Abetting
9/16/2018 10/4/2018
11/26/2015 2/22/2018 Violation of Dept Order
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 35 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Tattoo Artist
Suspension 9/16/2018 10/4/2018 Violation of Dept Order
11/26/2015 2/22/2018 xCriminal Conviction(s)
9/16/2018 10/4/2018
Furlong, William John 438
Omaha, NE
Probation 10/15/2012 Felony Conviction(s)
Gaeta, Robert A 573
Norfolk, NE
Probation 1/26/2016 Failure to Disclose Convictions
Misdemeanor Conviction(s)
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 36 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Tattoo Artist
Gomez, Jose Juan 756
Sioux City, IA
Probation 2/25/2019 8/25/2019 Failure to Disclose Convictions
Felony Conviction(s)
Misdemeanor Conviction(s)
Goodteacher, Edwin Massey, Jr 131
Lincoln, NE
Civil Penalty 1/31/2013 3/31/2014 Misdemeanor Conviction(s)
Probation 2/10/2013 2/10/2014
Suspension 4/30/2014 9/4/2014
Goodteacher, Thomas Joseph 76
Fairbury, NE
Probation 7/19/2010 4/24/2011 Failure to Disclose Convictions
Probation Violation
xCourt Conviction
Revocation 4/24/2011 Failure to Disclose Convictions
Probation Violation
xCourt Conviction
Graber, Leslie James 272
Omaha, NE
Censure 12/1/2011 Probation Violation
xCourt Conviction
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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 37 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Tattoo Artist
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
Huerta, Isaac 494
Omaha, NE
Censure 7/1/2015 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Civil Penalty 1/1/2016 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Probation 6/2/2019 6/2/2021 Failed to Report Conviction in 30 days
3/10/2014 5/14/2015 Failure to Disclose Convictions
Misdemeanor Conviction(s)
6/2/2019 6/2/2021
3/10/2014 5/14/2015 Probation Violation
Suspension 11/3/2014 1/7/2015 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Ideker, Jesse Ryan 713
Omaha, NE
Probation 5/23/2018 11/23/2018 Failure to Disclose Convictions
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 38 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Tattoo Artist
Judkins, Melanie Marie 34
Omaha, NE
Censure 10/7/2010 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
Malchow, Jeremiah Arnold 403
Plattsmouth, NE
Probation 3/30/2012 Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 39 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Tattoo Artist
Malone, Michael A 290
Grand Island, NE
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
10/26/2010 10/26/2012 Failure to Disclose Convictions
3/11/2018 3/11/2019 Misdemeanor Conviction(s)
10/26/2010 10/26/2012 xCriminal Conviction(s)
Miller, Dan J 240
Columbus, NE
Censure 10/14/2010 Misrepresentation of Material Facts
Moran, Justin Clark 539
Oneill, NE
Probation 4/20/2015 10/20/2015 Delinquent Child Support Payment
Failure to Disclose Convictions
Misdemeanor Conviction(s)
Suspension - Non-Child Support Payment 5/7/2017 Delinquent Child Support Payment
Failure to Disclose Convictions
Misdemeanor Conviction(s)
Muessel, Ryan G 455
Omaha, NE
Probation 4/12/2013 10/12/2013 Failure to Disclose Convictions
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 40 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Tattoo Artist
Nath, Chad Michael 229
Omaha, NE
Censure 4/19/2012 Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Probation 4/29/2012 4/29/2013 Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Nguyen, Kenneth Lee 331
Lincoln, NE
Probation 12/1/2010 3/31/2013 Failure to Disclose Convictions
xCriminal Conviction(s)
Olivo, Aaron M 523
Omaha, NE
Probation 11/13/2014 11/13/2015 Felony Conviction(s)
Misdemeanor Conviction(s)
Perry, Alvin Zappa 819
Kearney, NE
Probation 3/9/2020 3/9/2023 Misdemeanor Conviction(s)
Substance Use Disorders-Multiple
Peterson, Joseph Harley 82
Chapman, NE
Probation 3/6/2012 3/6/2014 Felony Conviction(s)
Misdemeanor Conviction(s)
Phillips, Scott Allen 342
Bellevue, NE
Censure 9/29/2014 Violation of UCA
Civil Penalty 3/29/2015
Pochop, Michael Jerome 520
Hastings, NE
Probation 10/27/2014 4/27/2015 Failure to Disclose Convictions
Felony Conviction(s)
Misdemeanor Conviction(s)
Proctor, Joe Wesley 48
Aurora, NE
Censure 12/2/2010 Misrepresentation of Material Facts
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 41 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Tattoo Artist
Proctor, Shaun 426
Grand Island, NE
Probation 7/30/2012 1/30/2013 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Rader, Amanda Lorretta 768
Lexington, NE
Probation 6/11/2019 12/11/2019 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Rasmussen, Jaret W 652
Shelton, NE
Probation 6/23/2017 6/23/2019 Misdemeanor Conviction(s)
Probation Violation
Substance Use Disorders-Multiple
Revocation 3/1/2019 Misdemeanor Conviction(s)
Probation Violation
Substance Use Disorders-Multiple
Rebmann, Walter Matthew 436
Saint Louis, MO
Probation 10/2/2012 Misdemeanor Conviction(s)
Unlicensed Practice
Redmerski, Dustin Lopaka 352
Omaha, NE
Censure 12/13/2012 Permitting Aiding & Abetting
xCriminal Conviction(s)
Civil Penalty 12/13/2013 Permitting Aiding & Abetting
xCriminal Conviction(s)
Probation 3/1/2011 9/1/2011 Permitting Aiding & Abetting
xCriminal Conviction(s)
Roy, Tyson Matthew 465
North Platte, NE
Probation 6/24/2013 Alcohol Dependency
Misdemeanor Conviction(s)
xMind-Altering Substance Dependence
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 42 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Tattoo Artist
Scheffler, Dakota James 746
Fullerton, NE
Probation 1/10/2019 8/9/2019 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Suspension 5/8/2019 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Sharp, Clayton Allen 339
Omaha, NE
Censure 9/22/2011 Alcohol Abuse
Failure to Disclose Convictions
Probation Violation
xCriminal Conviction(s)
Civil Penalty 9/22/2012 Alcohol Abuse
Failure to Disclose Convictions
Probation Violation
xCriminal Conviction(s)
Probation 12/23/2010 2/23/2012 Alcohol Abuse
Failure to Disclose Convictions
Probation Violation
xCriminal Conviction(s)
Revocation 2/23/2012 Alcohol Abuse
Failure to Disclose Convictions
Probation Violation
xCriminal Conviction(s)
Shillings, Wesley P 385
Wymore, NE
Probation 11/16/2011 4/16/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Smith, Michael Lee 690
Lincoln, NE
Probation 1/18/2018 7/18/2018 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Unlicensed Practice
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 43 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Tattoo Artist
Soriano, Juan C 600
Scottsbluff, NE
Probation 7/27/2016 1/27/2017 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Stark, Travis F 317
North Platte, NE
Censure 4/14/2011 Controlled Substance Dependence
7/12/2012
4/25/2013
4/14/2011 Failure to Disclose Convictions
7/12/2012
4/25/2013
4/14/2011 Probation Violation
7/12/2012
4/25/2013
4/14/2011 xCriminal Conviction(s)
7/12/2012
4/25/2013
Civil Penalty 4/14/2011 10/14/2011 Controlled Substance Dependence
4/25/2013 4/25/2014
4/14/2011 10/14/2011 Failure to Disclose Convictions
4/25/2013 4/25/2014
4/14/2011 10/14/2011 Probation Violation
4/25/2013 4/25/2014
4/14/2011 10/14/2011 xCriminal Conviction(s)
4/25/2013 4/25/2014
Probation 8/26/2010 8/26/2014 Controlled Substance Dependence
Failure to Disclose Convictions
Probation Violation
xCriminal Conviction(s)
Revocation 7/4/2014 4/18/2017 Controlled Substance Dependence
Failure to Disclose Convictions
Probation Violation
xCriminal Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 44 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Tattoo Artist
Stattler, Joshua A 466
Plattsmouth, NE
Probation 6/25/2013 12/25/2013 Delinquent Child Support Payment
Failure to Disclose Convictions
Misdemeanor Conviction(s)
Suspension - Non-Child Support Payment 7/24/2015 12/31/2015 Delinquent Child Support Payment
8/25/2018
7/24/2015 12/31/2015 Failure to Disclose Convictions
8/25/2018
7/24/2015 12/31/2015 Misdemeanor Conviction(s)
8/25/2018
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)
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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 45 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Tattoo Artist
Szafrajda, James Dean 245
Hastings, NE
Probation 10/7/2013 10/7/2014 Alcohol Abuse
Controlled Substance Abuse
Controlled Substance Dependence
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Tichacek-Brower, Machel Lee 396
Lincoln, NE
Civil Penalty 11/1/2012 5/1/2013 Failure to File Report-38-1,124,38-1,125
Practice in Unlicensed Premises
Unlicensed Practice
Probation 11/10/2012 5/10/2013 Failure to File Report-38-1,124,38-1,125
Practice in Unlicensed Premises
Unlicensed Practice
Torrez, Donte 355
Omaha, NE
Probation 3/8/2011 12/1/2011 Probation Violation
Revocation 12/1/2011
Vogt, Lane M 701
Ravenna, NE
Revocation 7/4/2019 Alcohol Use Disorder, Mild
Failed to Report Conviction in 30 days
Misdemeanor Conviction(s)
Substance Use Disorder, Severe
Walker, Daniel L 486
Lincoln, NE
Probation 11/13/2013 5/13/2014 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Weddle, Gregory L 329
Columbus, NE
Probation 11/15/2010 Failure to Disclose Convictions
xCriminal Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 46 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Tattoo Artist
Williams, Calvin D 338
Omaha, NE
Probation 12/23/2010 6/23/2011 Failure to Disclose Convictions
xCriminal Conviction(s)
Williams, Jabree J 699
Lincoln, NE
Suspension 11/22/2019 Alcohol Use Disorder, Moderate
Failed to Report Conviction in 30 days
Felony Conviction(s)
Misdemeanor Conviction(s)
Substance Use Disorder, Severe
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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 47 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Tattoo Artist
Yager, Nicholas R 360
Lincoln, NE
Censure 1/14/2015 Probation Violation
xAlcohol & Chemical
Dependence/AddictionxCriminal Conviction(s)
Civil Penalty 7/14/2015 Probation Violation
xAlcohol & Chemical
Dependence/AddictionxCriminal 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/Addiction12/18/2013 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/AddictionxCriminal 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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 48 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Chiropractor
Armstrong, Michelle Lavon, DC 1196
Omaha, NE
Civil Penalty 10/15/2010 4/15/2011 Permitting Aiding & Abetting
Unprofessional Conduct
Probation 2/28/2014 Permitting Aiding & Abetting
Unprofessional Conduct
Bauer, Thomas G, DC 618
Lincoln, NE
Civil Penalty 5/21/2010 11/21/2010 Unprofessional Conduct
Probation 5/31/2010 5/31/2012
Belitz, John Francis, DC 1086
Omaha, NE
Censure 8/11/2011 Probation Violation
Unprofessional Conduct
Civil Penalty 2/11/2012 Probation Violation
Unprofessional Conduct
Bowlin, Levi Taylor, DC 1877
Scottsbluff, NE
Probation 1/4/2016 1/4/2019 Alcohol Abuse
Misdemeanor Conviction(s)
Buchta, Geoffrey Raymond, DC 1764
Elkhorn, NE
Probation 5/23/2013 5/23/2014 Alcohol Abuse
Driscoll, Chris William, DC 1177
Omaha, NE
Probation 6/1/2017 12/1/2017 Misrepresentation of Material Facts
Unlicensed Practice
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 49 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Chiropractor
Dunlop, Nelson Curtis, DC 1076
North Platte, NE
Censure 11/5/2013 Dishonorable Conduct
Probation Violation
Unprofessional Conduct
Civil Penalty 8/24/2010 2/24/2011 Dishonorable Conduct
8/11/2011 2/11/2012
8/24/2010 2/24/2011 Probation Violation
8/11/2011 2/11/2012
8/24/2010 2/24/2011 Unprofessional Conduct
8/11/2011 2/11/2012
Probation 9/3/2010 5/5/2014 Dishonorable Conduct
Probation Violation
Unprofessional Conduct
Felsing, Richard Allen, DC 989
Crete, NE
Probation 10/8/2013 4/8/2014 Unlicensed Practice
Freeman, Adam James, DC 1903
Omaha, NE
Probation 7/20/2016 7/20/2017 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Hansen, Katherine Elizabeth, DC 1583
Omaha, NE
Probation 10/22/2012 10/22/2013 Permitting Aiding & Abetting
Love, Kenneth Lee, DC 1192
Lincoln, NE
Censure 11/18/2015 Dishonorable Conduct
Unprofessional Conduct
Marley, Joel Edwin, DC 1458
Omaha, NE
Probation 2/25/2013 4/26/2013 Unlicensed Practice
Melcher, Alesa Jo, DC 1056
Norfolk, NE
Civil Penalty 8/28/2012 8/28/2015 Felony Conviction(s)
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 50 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Chiropractor
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
Novotny, Bradlee Neal, DC 1029
Lincoln, NE
Civil Penalty 9/23/2010 3/23/2011 Failure to Disclose Convictions
Permitting Aiding & Abetting
Probation 10/3/2010 10/3/2011 Failure to Disclose Convictions
Permitting Aiding & Abetting
Riley, Michael David, DC 1897
Joplin, MO
Probation 5/12/2016 5/12/2017 Other State Action
Violation of UCA
Scholl, Derek Alan, DC 1839
Omaha, NE
Probation 2/8/2019 2/8/2020 Alcohol Use Disorder, Moderate
Misdemeanor Conviction(s)
Smith, Sean W, DC 1918
Omaha, NE
Probation 12/8/2016 12/8/2017 Misdemeanor Conviction(s)
xAlcohol Use Disorder - Mild
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 51 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Chiropractor
Young, Klayton Michael, DC 1912
Omaha, NE
Probation 10/20/2016 3/19/2019 Misdemeanor Conviction(s)
xCont Substance Use Disorder - Severe
Zach, Heather Marie, DC 1795
Lincoln, NE
Probation 11/22/2017 11/22/2018 Unlicensed Practice
Violation of the UCA
Cosmetology
Cosmetician
Darnell, Danielle Lynn 31
Scottsbluff, NE
Civil Penalty 5/20/2016 11/20/2016 Permitting Aiding & Abetting
Practice Beyond Scope
Practice in Unlicensed Premises
Untruthful Advertising
Violation of UCA
Probation 5/30/2016 11/30/2016 Permitting Aiding & Abetting
Practice Beyond Scope
Practice in Unlicensed Premises
Untruthful Advertising
Violation of UCA
Cosmetologist
Adcock, Michelle Louise 46444
Omaha, NE
Censure 5/6/2010 Controlled Substance Dependence
Misdemeanor Conviction(s)
Probation Violation
Revocation 3/3/2011 Controlled Substance Dependence
Misdemeanor Conviction(s)
Probation Violation
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 52 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
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
Arfmann, Lacey Austin 43014
Lincoln, NE
Probation 4/15/2019 4/15/2021 Failure to Disclose Convictions
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 53 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Asche, Loretta Mary 35804
Malcolm, NE
Probation 3/27/2018 9/27/2018 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Atsou, Julie Christine 49084
Omaha, NE
Probation 10/26/2012 Alcohol Dependency
Misdemeanor Conviction(s)
Babcock, Audrey Kay 49872
Lincoln, NE
Probation 3/20/2014 7/12/2017 Alcohol Dependency
Misdemeanor Conviction(s)
Baker, Amy Lynn 48398
Palmyra, NE
Probation 8/31/2011 2/29/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Baker, Michelle Debra Dawn 42945
Minden, NE
Probation 6/1/2010 1/26/2012 Probation Violation
xCourt Conviction
Revocation 1/26/2012 Probation Violation
xCourt Conviction
Ball, Lacey Jo 47255
Bellevue, NE
Censure 9/22/2011 Probation Violation
xCourt Conviction
Probation 8/6/2010 8/6/2011 Probation Violation
5/10/2012
8/6/2011 xCourt Conviction
5/10/2012
Revocation 5/10/2012 Probation Violation
xCourt Conviction
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 54 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
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
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)
Beerman, Sarah Jessica 49113
Omaha, NE
Probation 11/13/2012 Alcohol Abuse
Failure to Disclose Convictions
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 55 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Belitz, Nathaniel John 45542
Norfolk, NE
Probation 10/16/2013 10/16/2017 Misdemeanor Conviction(s)
Probation Violation
xAlcohol Use Disorder - Severe
xMind-Altering Substance Dependence
Revocation 7/2/2014 Misdemeanor Conviction(s)
Probation Violation
xAlcohol Use Disorder - Severe
xMind-Altering Substance Dependence
Bell, Mallory Marie 48888
Omaha, NE
Probation 6/21/2012 6/21/2017 Alcohol Dependency
Misdemeanor Conviction(s)
Benavides, Stevie Nicole 47792
Gering, NE
Probation 8/24/2010 8/24/2011 xCriminal Conviction(s)
Berezay, Amanda Joy 45878
Omaha, NE
Probation 3/30/2017 3/30/2018 Misdemeanor Conviction(s)
xAlcohol Use Disorder - Mild
Berg, Stacy Marlene 48969
Lincoln, NE
Probation 8/16/2012 2/16/2013 Failure to Disclose Convictions
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 56 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Bienka, Alicia Marie 48575
Lincoln, NE
Censure 5/10/2012 Controlled Substance Abuse
Controlled Substance Dependence
Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Probation 12/13/2011 Controlled Substance Abuse
Controlled Substance Dependence
Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Bihlmaier, Casondra Rose 48272
North Platte, NE
Probation 10/3/2017 10/3/2019 Failure to Disclose Convictions
10/3/2019 10/3/2020
10/3/2017 10/3/2019 Misdemeanor Conviction(s)
10/3/2019 10/3/2020
10/3/2017 10/3/2019 Probation Violation
10/3/2019 10/3/2020
10/3/2017 10/3/2019 Substance Use Disorder
10/3/2019 10/3/2020
Revocation 1/15/2020 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Substance Use Disorder
Bittfield, Jamie Jo 35474
Kenesaw, NE
Probation 10/6/2016 4/6/2017 Unlicensed Practice
Bittner, Jessica Eileen 48736
Norfolk, NE
Probation 3/9/2012 9/9/2012 Misdemeanor Conviction(s)
Blain, Shannon Rae 49660
Gering, NE
Probation 10/30/2013 10/30/2014 Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 57 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
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
Bottolfsen, Sandra Christine 45550
Lincoln, NE
Probation 4/18/2010 4/18/2011 Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Misrepresentation of Material Facts
Boyce, Molly Beth 45386
Oshkosh, 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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 58 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Bridgmon, Jordan Nicole 51119
Omaha, NE
Probation 1/9/2020 1/9/2021 Alcohol Use Disorder, Mild
Misdemeanor Conviction(s)
Substance Use Disorder, Mild
Brignola, Janine Marie 45079
Omaha, NE
Probation 5/3/2010 12/17/2010 xCourt Conviction
11/13/2015 1/29/2016
7/21/2016 4/22/2017
Bristol, Angela Dawn 48200
Loomis, NE
Probation 4/19/2011 9/28/2011 Alcohol Dependency
Probation Violation
xCriminal Conviction(s)
Brittain, Michelle Marie 41926
Grand Junction, CO
Revocation 8/21/2011 Misrepresentation of Material Facts
Unlicensed Practice
Brodigan, D'Ne Rose 49566
Lincoln, NE
Probation 9/11/2013 5/29/2014 Alcohol Abuse
Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Revocation 5/29/2014 Alcohol Abuse
Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Brooks, Christina Dawn 46928
Farnhamville, IA
Revocation 4/20/2010 7/12/2012 Probation Violation
xCourt Conviction
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 59 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Brown, Sue Ann 48562
Hershey, NE
Probation 12/6/2011 6/6/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Bstandig, Katrina Lynn 50683
Lincoln, NE
Probation 1/15/2016 7/15/2016 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Burton, Tranika LaNorma 48456
Lincoln, NE
Probation 10/13/2011 4/13/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 60 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Carl, Christina Marie 46352
Lincoln, NE
Probation 7/1/2017 7/1/2020 Failed to Report Conviction in 30 days
Misdemeanor Conviction(s)
xAlcohol Use Disorder - Moderate
xCont Substance Use Disorder - Severe
Carlson, Ashley Ann 51389
Hastings, NE
Probation 10/30/2017 10/30/2019 Felony Conviction(s)
Misdemeanor Conviction(s)
Substance Use Disorder
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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 61 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
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
Chunka, Amanda Marie 49132
Bellevue, NE
Probation 11/2/2014 Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Probation Violation
xAlcohol Use Disorder - Moderate
xCont Substance Use Disorder - Moderate
Revocation 8/21/2016 Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Probation Violation
xAlcohol Use Disorder - Moderate
xCont Substance Use Disorder - Moderate
Cihal, Jamie Eileen 48755
Lincoln, NE
Probation 2/26/2012 8/26/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Clark, Kara Lise 38906
Lavista, NE
Censure 3/3/2011 Probation Violation
Unlicensed Practice
Civil Penalty 9/3/2012 Probation Violation
Unlicensed Practice
Probation 9/17/2010 10/22/2012 Probation Violation
Unlicensed Practice
Suspension 9/24/2012 9/24/2012 Probation Violation
Unlicensed Practice
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 62 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
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
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 63 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Cook, Stacey Marie 47934
Council Bluffs, IA
Probation 11/17/2010 12/15/2011 Controlled Substance Dependence
xCriminal Conviction(s)
Cooper, Venus Reann 46124
Omaha, NE
Probation 6/18/2012 12/18/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Cornelius, Dove A 41567
Lincoln, NE
Probation 9/19/2013 9/19/2014 Failure to Disclose Convictions
12/17/2018
9/19/2013 9/19/2014 Misdemeanor Conviction(s)
12/17/2018
9/19/2013 9/19/2014 Probation Violation
12/17/2018
9/19/2013 9/19/2014 Unlicensed Practice
12/17/2018
Suspension 5/8/2019 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Unlicensed Practice
Coughlon, Madyson Mikael 51603
Gretna, 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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 64 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Cox, Tammy Lynn 47661
Minneapolis, MN
Censure 8/28/2012 Probation Violation
12/6/2012
8/28/2012 xCourt Conviction
12/6/2012
Probation 5/10/2010 12/6/2012 Probation Violation
12/6/2012 12/6/2013
5/10/2010 12/6/2012 xCourt Conviction
12/6/2012 12/6/2013
Crabtree, Patricia Phyllis 48357
Kansas City, MO
Probation 8/8/2011 8/8/2012 Misdemeanor Conviction(s)
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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 65 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Cummings, Carly Lindsey 49397
Lincoln, NE
Probation 5/10/2013 11/10/2013 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Cutler, Sara Jo 43217
Omaha, NE
Censure 2/11/2011 Alcohol Abuse
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Probation Violation
Civil Penalty 8/11/2011 Alcohol Abuse
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Probation Violation
Probation 8/16/2010 8/16/2011 Alcohol Abuse
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Probation Violation
Danielski, Jennifer Lyn 44758
Valentine, NE
Censure 3/17/2011 Practice in Unlicensed Premises
Violation of UCA
Davis, Lora Michelle 41396
Lincoln, NE
Probation 5/23/2018 11/23/2018 Unlicensed Practice
Dean, Emily Marie 48333
Harrison, NE
Probation 7/25/2011 2/25/2013 Controlled Substance Dependence
Misdemeanor Conviction(s)
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 66 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Dishman, Amy Dawn 47928
Central City, NE
Probation 11/15/2010 12/18/2011 Failure to Disclose Convictions
Probation Violation
xCriminal Conviction(s)
Revocation 12/18/2011 Failure to Disclose Convictions
Probation Violation
xCriminal Conviction(s)
Donald, Christina A 47768
Lincoln, NE
Probation 8/10/2010 8/10/2011 xCriminal Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 67 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Dortch, Dylan Jerrell 48296
Omaha, NE
Censure 12/8/2011 Alcohol Abuse
Controlled Substance Dependence
Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Violation of Dept Order
Civil Penalty 6/8/2012 Alcohol Abuse
Controlled Substance Dependence
Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Violation of Dept Order
Probation 6/15/2011 Alcohol Abuse
Controlled Substance Dependence
Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Violation of Dept Order
Suspension 7/19/2012 Alcohol Abuse
Controlled Substance Dependence
Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Violation of Dept Order
Dortch, LaTasha Charell 50740
Hastings, NE
Probation 2/23/2016 8/23/2016 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Suspension 8/5/2016 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 68 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Dorwart, Sasha Matel 51072
Lincoln, NE
Probation 1/13/2017 7/13/2017 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Suspension 5/25/2017 12/13/2017 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Douglass, Jeffrey Allan 33590
Omaha, NE
Probation 1/11/2012 Alcohol Dependency
Failure to Pay Fees
Suspension 4/23/2010 8/12/2011 Alcohol Dependency
Failure to Pay Fees
Drees, Dana Michelle 43464
Beatrice, NE
Probation 4/2/2019 4/2/2022 Failure to Disclose Convictions
Failure to Pay Fees
Misdemeanor Conviction(s)
Substance Use Disorder
Revocation 2/12/2020 Probation Violation
Drummond, Debra Susan 36885
Hastings, NE
Probation 5/16/2010 3/13/2011 Failure to File Report-38-1,124,38-1,125
Misrepresentation of Material Facts
Probation Violation
Revocation 3/13/2011 Failure to File Report-38-1,124,38-1,125
Misrepresentation of Material Facts
Probation Violation
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 69 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Easterling, Stephanie Deshaun 47053
Omaha, NE
Probation 10/13/2015 7/20/2018 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Suspension 3/16/2016 5/24/2017 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Ebner, Courtney Elizabeth Colleen 48669
Lincoln, NE
Probation 2/8/2012 2/8/2013 Alcohol Abuse
Misdemeanor Conviction(s)
Eilers, Carrie Ann 43430
Adams, NE
Probation 4/18/2010 4/18/2013 Alcohol Dependency
Misdemeanor Conviction(s)
Embury, Kodie Lee 52112
Omaha, NE
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 70 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
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
Eurek, Teri Elizabeth 46484
Madison, NE
Censure 11/14/2017 Practice in Unlicensed Premises
Unlicensed Practice
Unprofessional Conduct
Civil Penalty 5/14/2018 Practice in Unlicensed Premises
Unlicensed Practice
Unprofessional Conduct
Evans, Connie Lynn 47893
Grand Island, NE
Probation 10/26/2010 10/26/2012 Failure to Disclose Convictions
xCriminal Conviction(s)
Evans, Diane Marie 31668
Omaha, NE
Revocation 12/2/2010 xFraudulent Practice
Evans, Sadie Mae 49684
Lincoln, NE
Probation 11/12/2013 11/12/2014 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Everroad, Terra Dill 41646
Omaha, NE
Probation 10/4/2013 4/4/2014 Unlicensed Practice
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 71 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
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
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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 72 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
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
Probation 5/6/2010 5/6/2011 Probation Violation
5/6/2012
5/6/2011 xCourt Conviction
5/6/2012
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 73 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Fox, Margaret Mae 49119
Scottsbluff, NE
Censure 7/26/2013 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Violation of Dept Order
xMind-Altering Substance Dependence
Civil Penalty 7/26/2014 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Violation of Dept Order
xMind-Altering Substance Dependence
Probation 11/19/2012 11/19/2014 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Violation of Dept Order
xMind-Altering Substance Dependence
Suspension 8/13/2014 9/2/2014 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Violation of Dept Order
xMind-Altering Substance Dependence
Freeman, Natasha Cole 50901
Omaha, NE
Probation 7/15/2016 2/20/2018 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Suspension 2/15/2017 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 74 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Friesen, Samantha Nicole 49978
Sioux Falls, SD
Probation 6/9/2014 12/9/2014 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Suspension 11/3/2014 11/4/2014 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Fulton, Sara Layne 50617
Lincoln, NE
Probation 7/1/2018 7/1/2020 Alcohol Use Disorder, Mild
Misdemeanor Conviction(s)
Substance Use Disorder, Mild
Violation of UCSA
Furlough, Shannon Renee 49343
Omaha, NE
Probation 4/2/2013 2/10/2016 Felony Conviction(s)
Misdemeanor Conviction(s)
Gallegos, Henrietta Charlene 43539
Lincoln, NE
Probation 7/8/2010 2/17/2011 Failure to File Report-38-1,124,38-1,125
Misrepresentation of Material Facts
Probation Violation
Revocation 2/17/2011 Failure to File Report-38-1,124,38-1,125
Misrepresentation of Material Facts
Probation Violation
Garcia Rodriguez, Maria Celia 45851
Omaha, NE
Civil Penalty 9/25/2014 9/25/2015 Permitting Aiding & Abetting
Probation 10/5/2014 10/5/2015
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 75 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Garcia, Jackleane Christina 51301
Omaha, NE
Probation 7/17/2017 1/17/2018 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Suspension 12/11/2017 12/12/2017 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Garcia, Veronica JoAnn 49844
Grand Island, NE
Probation 3/4/2014 9/4/2014 Misdemeanor Conviction(s)
Gardner, Tremain Talmadge 43039
lavista, NE
Revocation 12/2/2010 Probation Violation
xCourt Conviction
Garringer, Melanie Dawn 47114
Lincoln, NE
Censure 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 3/10/2025 Misdemeanor Conviction(s)
Substance Use Disorders-Multiple
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 76 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Gatlingkull, Regina Leigh 50327
Oak Harbor, WA
Probation 3/31/2015 3/31/2018 Misdemeanor Conviction(s)
Probation Violation
xAlcohol Use Disorder - Severe
xCont Substance Use Disorder - Severe
Geiser, Nicholas Lee 49169
Lincoln, NE
Probation 12/18/2012 Alcohol Dependency
Misdemeanor Conviction(s)
Gilkerson, Rebecca Marie 41640
Falls City, NE
Civil Penalty 10/23/2014 10/23/2015 Practice in Unlicensed Premises
Violation of Dept Order
Probation 11/2/2014 11/2/2015 Practice in Unlicensed Premises
Violation of Dept Order
Suspension 7/14/2015 8/12/2015 Practice in Unlicensed Premises
11/26/2015 4/25/2018
7/14/2015 8/12/2015 Violation of Dept Order
11/26/2015 4/25/2018
Gocke, Shannon Kay 37552
Lincoln, NE
Probation 7/9/2013 1/9/2014 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Golden, Monica Ann 50754
Omaha, NE
Probation 3/8/2016 9/8/2016 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Suspension 8/5/2016 10/18/2016 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 77 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Goodwin, Michelle Denise 40813
Omaha, NE
Censure 1/31/2013 Failure to Disclose Convictions
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Violation of Dept Order
xCriminal Conviction(s)
Civil Penalty 7/31/2013 Failure to Disclose Convictions
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Violation of Dept Order
xCriminal Conviction(s)
Probation 5/25/2011 5/25/2012 Failure to Disclose Convictions
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Violation of Dept Order
xCriminal Conviction(s)
Suspension 10/11/2013 Failure to Disclose Convictions
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Violation of Dept Order
xCriminal Conviction(s)
Grant, Lori Ann 37224
Geneva, NE
Probation 5/20/2012 11/20/2012 Failure to File Report-38-1,124,38-1,125
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 78 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Graver, Shannon Michelle 47258
Omaha, NE
Probation 10/3/2015 10/3/2020 Alcohol Dependency
Controlled Substance Dependence
Probation Violation
xCourt Conviction
Revocation 4/8/2010 10/3/2015 Alcohol Dependency
7/10/2016
4/8/2010 10/3/2015 Controlled Substance Dependence
7/10/2016
4/8/2010 10/3/2015 Probation Violation
7/10/2016
4/8/2010 10/3/2015 xCourt Conviction
7/10/2016
Gray, LaShana Terese 47038
Omaha, NE
Probation 7/1/2013 1/1/2014 Failure to File Report-38-1,124,38-1,125
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 79 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Gregerson, Heather Michelle 49046
Plattsmouth, NE
Censure 10/30/2013 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Violation of Dept Order
xMind-Altering Substance Dependence
Civil Penalty 7/31/2014 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Violation of Dept Order
xMind-Altering Substance Dependence
Probation 10/4/2012 8/26/2014 Alcohol Dependency
7/24/2015 5/30/2016
10/4/2012 8/26/2014 Misdemeanor Conviction(s)
7/24/2015 5/30/2016
10/4/2012 8/26/2014 Probation Violation
7/24/2015 5/30/2016
10/4/2012 8/26/2014 Violation of Dept Order
7/24/2015 5/30/2016
10/4/2012 8/26/2014 xMind-Altering Substance Dependence
7/24/2015 5/30/2016
Revocation 5/30/2016 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Violation of Dept Order
xMind-Altering Substance Dependence
Suspension 8/26/2014 8/27/2014 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Violation of Dept Order
xMind-Altering Substance Dependence
Griffin, Mecchia Elaine 49168
Omaha, NE
Probation 1/1/2013 1/1/2014 Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 80 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Grof, Rachelle Elaine 50915
Tecumseh, NE
Probation 7/28/2016 7/28/2017 Lacks Good Character
Misdemeanor Conviction(s)
Gross, Tiffany Mae 49574
Springfield, NE
Probation 9/10/2013 9/10/2018 Controlled Substance Dependence
Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Revocation 10/9/2014 Controlled Substance Dependence
Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Grothe, Krystle Lee 48237
North Loup, NE
Probation 5/12/2011 8/12/2011 Failure to Disclose Convictions
xCriminal Conviction(s)
Grundmann, Tina Lane 40468
Omaha, NE
Censure 12/12/2013 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Civil Penalty 6/12/2014 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Probation 6/3/2013 2/17/2016 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Haag, Dawn Kay 36512
Oxford, NE
Civil Penalty 6/20/2011 6/20/2012 Misrepresentation of Material Facts
Practice in Unlicensed Premises
Violation of UCA
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 81 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Hagberg, Ingrid Catheryn 48155
Omaha, NE
Censure 7/29/2014 Alcohol Dependency
6/7/2016
7/29/2014 Controlled Substance Dependence
6/7/2016
7/29/2014 Probation Violation
6/7/2016
7/29/2014 xCriminal Conviction(s)
6/7/2016
Civil Penalty 7/29/2014 1/29/2015 Alcohol Dependency
Controlled Substance Dependence
Probation Violation
xCriminal Conviction(s)
Probation 3/23/2011 6/7/2016 Alcohol Dependency
Controlled Substance Dependence
Probation Violation
xCriminal Conviction(s)
Hagemann, Cassandra Kaye 47312
Alda, NE
Probation 12/4/2018 12/4/2021 Misdemeanor Conviction(s)
Substance Use Disorders-Multiple
Hanley, Jennifer Marie 41925
Chadron, NE
Probation 9/25/2010 9/25/2011 Failure to File Report-38-1,124,38-1,125
Misrepresentation of Material Facts
Hansen, Sabrina Marie 49942
Seward, NE
Probation 10/11/2019 10/11/2021 Alcohol Use Disorder, Moderate
Failed to Report Conviction in 30 days
Misdemeanor Conviction(s)
Harris, Kimberly Michelle 47093
Papillion, NE
Probation 6/26/2013 12/26/2013 Unlicensed Practice
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 82 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Harry, Lindsay Marie 47766
Omaha, NE
Censure 9/20/2012 Failure to File Report-38-1,124,38-1,125
Probation Violation
xCriminal Conviction(s)
Civil Penalty 12/31/2013 Failure to File Report-38-1,124,38-1,125
Probation Violation
xCriminal Conviction(s)
Probation 8/6/2010 11/20/2012 Failure to File Report-38-1,124,38-1,125
Probation Violation
xCriminal Conviction(s)
Hart, Amanda Kay 47788
Sidney, NE
Probation 8/15/2011 2/15/2012 Unlicensed Practice
Hascall, Amber Marie 44500
West Sacramento, CA
Probation 10/13/2011 4/13/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Hausman, Jessica Marie 43711
Beatrice, NE
Probation 2/28/2011 2/28/2013 Misdemeanor Conviction(s)
Probation Violation
Heikes, Hannah May 49766
Lincoln, NE
Probation 2/1/2019 2/1/2020 Felony Conviction(s)
Helmuth, Debra L 34993
Ogallala, NE
Censure 5/21/2010 Practice Beyond Scope
Unprofessional Conduct
Civil Penalty 5/21/2011 Practice Beyond Scope
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 83 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Helwick, Rebecca Ann 48056
Hastings, NE
Probation 2/4/2011 8/4/2011 Failure to Disclose Convictions
xCriminal Conviction(s)
Henry, Charleen Kay 31973
Gretna, NE
Probation 6/2/2015 Misdemeanor Conviction(s)
Herd, Brianne Marie 46295
Omaha, NE
Probation 3/3/2011 9/3/2011 Failed to Report Conviction in 30 days
Failure to Disclose Convictions
Misdemeanor Conviction(s)
xCourt Conviction
Hernandez, Danielle Brienne 43100
Kearney, NE
Revocation 7/17/2010 Misdemeanor Conviction(s)
Misrepresentation of Material Facts
Hernandez, DeShawn Novella 44828
Omaha, NE
Probation 3/29/2011 10/21/2011 Probation Violation
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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 84 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Hillis, Hannah Marie 47517
Lincoln, NE
Censure 5/26/2016 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
xAlcohol Use Disorder - Moderate
Civil Penalty 11/26/2016 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
xAlcohol Use Disorder - Moderate
Probation 11/30/2015 11/16/2016 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
xAlcohol Use Disorder - Moderate
Hime, Brandi Michelle 43500
Wahoo, NE
Probation 8/1/2016 2/1/2017 Failed to Report Conviction in 30 days
Misdemeanor Conviction(s)
Hoff, James Louis D 43546
Cape Girardeau, MO
Revocation 10/12/2011 4/30/2014 Probation Violation
xCourt Conviction
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 85 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Hoffman, Shaunte Elizabeth 49276
Lincoln, NE
Censure 10/30/2013 Misdemeanor Conviction(s)
Probation Violation
xAlcohol Use Disorder - Moderate
xCont Substance Use Disorder - Moderate
Probation 2/20/2013 2/20/2015 Misdemeanor Conviction(s)
2/18/2015 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
Probation 9/30/2010 Failure to Disclose Convictions
Probation Violation
xCriminal Conviction(s)
Revocation 6/30/2011 Failure to Disclose Convictions
Probation Violation
xCriminal Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 86 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Hopper, Melissa Christine 48231
Lincoln, NE
Probation 5/9/2011 11/9/2011 Failure to Disclose Convictions
xCriminal Conviction(s)
Hornung, Lucas James 49067
Bellevue, NE
Probation 10/17/2012 4/17/2013 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Hortman, Wendy Jo 49629
Norfolk, NE
Probation 10/11/2013 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Revocation 9/15/2014 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Howell, Heather Rose 48608
Omaha, NE
Probation 1/3/2012 7/3/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Huff, Janet Gene 49877
Grant, NE
Probation 3/21/2014 Felony Conviction(s)
Probation Violation
Suspension 11/3/2014 Felony Conviction(s)
Probation Violation
Hughes, Jessica Amy 42325
Omaha, NE
Probation 11/12/2010 11/12/2011 Unlicensed Practice
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 87 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Hughes, Shannon Lorraine 48781
Gering, NE
Censure 4/15/2013 Alcohol Dependency
12/23/2014
4/15/2013 Controlled Substance Dependence
12/23/2014
4/15/2013 Failure to Disclose Convictions
12/23/2014
4/15/2013 Misdemeanor Conviction(s)
12/23/2014
4/15/2013 Probation Violation
12/23/2014
Civil Penalty 4/15/2013 4/15/2014 Alcohol Dependency
7/9/2014 1/9/2015
4/15/2013 4/15/2014 Controlled Substance Dependence
7/9/2014 1/9/2015
4/15/2013 4/15/2014 Failure to Disclose Convictions
7/9/2014 1/9/2015
4/15/2013 4/15/2014 Misdemeanor Conviction(s)
7/9/2014 1/9/2015
4/15/2013 4/15/2014 Probation Violation
7/9/2014 1/9/2015
Probation 4/6/2012 4/6/2015 Alcohol Dependency
8/15/2014
4/6/2012 Controlled Substance Dependence
8/15/2014
4/6/2012 Failure to Disclose Convictions
8/15/2014
4/6/2012 Misdemeanor Conviction(s)
8/15/2014
4/6/2012 Probation Violation
8/15/2014
Suspension 8/1/2014 8/14/2014 Alcohol Dependency
1/2/2015
8/1/2014 8/14/2014 Controlled Substance Dependence
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 88 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Suspension 1/2/2015 Controlled Substance Dependence
8/1/2014 8/14/2014 Failure to Disclose Convictions
1/2/2015
8/1/2014 8/14/2014 Misdemeanor Conviction(s)
1/2/2015
8/1/2014 8/14/2014 Probation Violation
1/2/2015
Hurt, ReShawn Dawnte' 49240
Omaha, NE
Probation 2/4/2013 8/4/2013 Failure to Disclose Convictions
Iaquinta, Danielle Simone 49602
Newport Beach, CA
Probation 4/17/2016 4/17/2018 Failed to Report Conviction in 30 days
Misdemeanor Conviction(s)
Jacob, Kelly Michelene 40480
Omaha, NE
Probation 8/20/2013 2/20/2014 Unlicensed Practice
Jaquith, Amanda Rae 42478
Omaha, NE
Probation 3/3/2014 9/1/2016 Alcohol Dependency
Probation Violation
xCourt Conviction
xMind-Altering Substance Dependence
Jensen, Jaime Lynn 44857
Alliance, NE
Probation 4/6/2011 10/6/2011 Failure to Disclose Convictions
xCourt Conviction
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 89 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Jensen, Michelle Marie 49401
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 90 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Jessup, Dawn L 40102
Maxwell, NE
Probation 11/25/2013 5/25/2014 Failure to Disclose Convictions
Felony Conviction(s)
Misdemeanor Conviction(s)
Johnson, Andrew Joel 49641
Portland, OR
Censure 1/21/2015 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Civil Penalty 7/21/2015 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Probation 10/21/2013 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Johnson, Howard William 48574
Omaha, NE
Probation 12/13/2011 5/7/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Johnson, Jennifer Jo 48253
Omaha, NE
Probation 5/19/2011 11/19/2011 xCriminal Conviction(s)
Johnson, Julie Ann 41158
Bellevue, NE
Civil Penalty 10/23/2013 4/23/2014 Practice in Unlicensed Premises
Violation of UCA
Probation 11/2/2013 5/2/2014 Practice in Unlicensed Premises
Violation of UCA
Johnson, Shauna Rae 42709
Lincoln, NE
Probation 12/7/2010 12/7/2011 Unlicensed Practice
Jones, Christian Winsmere 41748
Omaha, NE
Probation 11/8/2012 11/8/2013 Unlicensed Practice
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 91 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Jones, 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)
Kenney, Paul Christopher 46260
Omaha, NE
Probation 9/10/2013 4/17/2014 Misdemeanor Conviction(s)
Kilkenny, Tania Rabecca 49059
Bellevue, NE
Probation 3/20/2019 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Suspension 8/14/2019 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 92 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Knox, Kayla Taylor 47165
Gering, NE
Probation 4/3/2017 10/3/2017 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Suspension 9/14/2017 10/10/2017 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Knust, Sarah Marie 50362
Neligh, NE
Probation 4/27/2015 4/27/2017 Misdemeanor Conviction(s)
Koch, Lindsey Renee 48199
Lincoln, NE
Probation 4/19/2011 Failure to Disclose Convictions
Misdemeanor Conviction(s)
xAlcohol & Controlled Substance Dependen
Koeber, Amanda Kay 46676
Lincoln, NE
Probation 1/6/2018 Felony Conviction(s)
Koory, Callie Christine 52129
Papillion, NE
Probation 11/18/2019 11/18/2020 Substance Use Disorder
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 93 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Kozisek, Sarah Rose 43260
Omaha, NE
Censure 3/2/2016 Alcohol Dependency
3/30/2017
3/2/2016 Failure to Disclose Convictions
3/30/2017
3/2/2016 Misdemeanor Conviction(s)
3/30/2017
3/2/2016 Probation Violation
3/30/2017
Civil Penalty 3/2/2016 9/2/2016 Alcohol Dependency
3/30/2017 3/30/2018
3/2/2016 9/2/2016 Failure to Disclose Convictions
3/30/2017 3/30/2018
3/2/2016 9/2/2016 Misdemeanor Conviction(s)
3/30/2017 3/30/2018
3/2/2016 9/2/2016 Probation Violation
3/30/2017 3/30/2018
Probation 8/26/2014 8/14/2017 Alcohol Dependency
Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Revocation 8/14/2017 Alcohol Dependency
Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Suspension 10/19/2016 11/3/2016 Alcohol Dependency
Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Kramer, Cherie Marie 51763
Gothenburg, NE
Probation 10/30/2018 Failure to Disclose Convictions
Felony Conviction(s)
Other State Action
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 94 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Krayenhagen, Jennifer Leigh 44420
San Antonio, TX
Probation 5/29/2015 11/29/2015 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Kreutzer, Rochelle Marie 49567
Lincoln, NE
Probation 9/11/2013 3/11/2014 Failure to Disclose Convictions
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 95 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Krivda, Sabrina Marie 48551
Lincoln, NE
Censure 2/23/2012 Alcohol Dependency
12/2/2013
12/8/2015
2/23/2012 Misdemeanor Conviction(s)
12/2/2013
12/8/2015
2/23/2012 Probation Violation
12/2/2013
12/8/2015
2/23/2012 Violation of Dept Order
12/2/2013
12/8/2015
Civil Penalty 2/23/2012 3/15/2013 Alcohol Dependency
12/8/2015 6/8/2016
2/23/2012 3/15/2013 Misdemeanor Conviction(s)
12/8/2015 6/8/2016
2/23/2012 3/15/2013 Probation Violation
12/8/2015 6/8/2016
2/23/2012 3/15/2013 Violation of Dept Order
12/8/2015 6/8/2016
Probation 12/1/2011 3/19/2017 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Violation of Dept Order
Suspension 7/14/2016 10/31/2016 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Violation of Dept Order
Kroeze, Kathryn Marie 48751
La Vista, NE
Probation 3/21/2012 9/21/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 96 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Kubes, Chelsey Dee 51814
Liberty, NE
Probation 1/4/2019 5/8/2019 Failure to Disclose Convictions
5/9/2019 7/4/2019
1/4/2019 5/8/2019 Felony Conviction(s)
5/9/2019 7/4/2019
1/4/2019 5/8/2019 Misdemeanor Conviction(s)
5/9/2019 7/4/2019
1/4/2019 5/8/2019 Probation Violation
5/9/2019 7/4/2019
Suspension 5/8/2019 5/9/2019 Failure to Disclose Convictions
Felony Conviction(s)
Misdemeanor Conviction(s)
Probation Violation
Kudlacek, Lea Maria 27899
Grafton, NE
Censure 1/14/2015 Practice in Unlicensed Premises
Unlicensed Practice
Violation of UCA
Civil Penalty 1/14/2016 Practice in Unlicensed Premises
Unlicensed Practice
Violation of UCA
Probation 8/12/2014 8/12/2015 Practice in Unlicensed Premises
Unlicensed Practice
Violation of UCA
Lacy, Kelly Jo 47711
Gothenburg, NE
Probation 6/29/2010 6/29/2014 Alcohol Abuse
Controlled Substance Dependence
Failure to Disclose Convictions
xCriminal Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 97 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Lafler, Eric Sean 46212
Sidney, NE
Censure 6/24/2010 Failure to Pay Fees
Misdemeanor Conviction(s)
Probation Violation
xControlled Substance Addiction/Depndncy
Larsen, Joilynn Marie 48459
Gretna, NE
Probation 1/16/2017 1/16/2018 Misdemeanor Conviction(s)
xAlcohol Use Disorder - Moderate
LeMay, Amanda Lynn 50737
Minatare, NE
Probation 2/18/2016 2/18/2017 Felony Conviction(s)
Misdemeanor Conviction(s)
Lea, Kelsey Jo 47109
Saint Paul, NE
Probation 2/15/2020 8/15/2021 Alcohol Use Disorder, Moderate
Failed to Report Conviction in 30 days
Misdemeanor Conviction(s)
Leazer, Cynthia Victoria 45101
Omaha, NE
Revocation 8/16/2010 Misdemeanor Conviction(s)
Misrepresentation of Material Facts
Lech, Rachel M 40580
Atkinson, NE
Censure 1/24/2017 Failed to Report Conviction in 30 days
Misdemeanor Conviction(s)
xAlcohol Use Disorder - Moderate
Civil Penalty 7/24/2017 Failed to Report Conviction in 30 days
Misdemeanor Conviction(s)
xAlcohol Use Disorder - Moderate
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 98 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Lefevre, Craig Arnett 47887
Lincoln, NE
Censure 8/11/2011 Controlled Substance Dependence
Probation Violation
xCriminal Conviction(s)
Probation 10/21/2010 Controlled Substance Dependence
Probation Violation
xCriminal Conviction(s)
Revocation 5/21/2013 Controlled Substance Dependence
Probation Violation
xCriminal Conviction(s)
Suspension 8/19/2012 9/17/2012 Controlled Substance Dependence
Probation Violation
xCriminal Conviction(s)
Leibhart, Karrie Elizabeth 47564
Lincoln, NE
Censure 9/23/2010 Probation Violation
xCourt Conviction
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 99 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Lewin, Jessica Leigh 48321
Ashland, NE
Probation 4/19/2015 7/27/2018 Alcohol Dependency
2/1/2019 8/28/2020
7/28/2018
4/19/2015 7/27/2018 Controlled Substance Abuse
2/1/2019 8/28/2020
7/28/2018
4/19/2015 7/27/2018 Controlled Substance Dependence
2/1/2019 8/28/2020
7/28/2018
4/19/2015 7/27/2018 Failure to File Report-38-1,124,38-1,125
2/1/2019 8/28/2020
7/28/2018
4/19/2015 7/27/2018 Felony Conviction(s)
2/1/2019 8/28/2020
7/28/2018
4/19/2015 7/27/2018 Misdemeanor Conviction(s)
2/1/2019 8/28/2020
7/28/2018
4/19/2015 7/27/2018 Probation Violation
2/1/2019 8/28/2020
7/28/2018
4/19/2015 7/27/2018 Violation of Dept Order
2/1/2019 8/28/2020
7/28/2018
Suspension 3/2/2019 Alcohol Dependency
Controlled Substance Abuse
Controlled Substance Dependence
Failure to File Report-38-1,124,38-1,125
Felony Conviction(s)
Misdemeanor Conviction(s)
Probation Violation
Violation of Dept Order
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 100 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Limbach, Beth Ann 45429
Kearney, NE
Probation 8/11/2014 3/7/2016 Felony Conviction(s)
Misrepresentation of Material Facts
Linner, Tara Louise 46529
Beaver City, NE
Censure 6/24/2014 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Probation 6/24/2013 6/24/2015 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Linz, Aurora Christa 43791
Scottsbluff, NE
Probation 9/9/2010 8/3/2012 Probation Violation
Unlicensed Practice
Revocation 1/27/2013 3/18/2015 Probation Violation
Unlicensed Practice
Loftin, Brody B 50089
Omaha, NE
Probation 9/17/2014 6/4/2015 Failure to Disclose Convictions
Felony Conviction(s)
Misdemeanor Conviction(s)
Logan, Kayla Jo 47977
Dakota City, NE
Probation 1/1/2011 7/1/2011 Failure to Disclose Convictions
xCriminal Conviction(s)
Lopez Franco, Ana Cristina 46634
Crete, NE
Civil Penalty 12/2/2010 5/2/2011 Permitting Aiding & Abetting
Lopez, Anavel 43913
Lexington, NE
Probation 7/23/2010 1/23/2011 Failure to Disclose Convictions
xCriminal Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 101 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Luellen, Travell Nicole 41694
Omaha, NE
Censure 2/11/2011 Misrepresentation of Material Facts
Luginbill, Jeromie Eugene 47760
Lincoln, NE
Probation 7/30/2010 8/11/2011 Alcohol Abuse
Controlled Substance Dependence
Probation Violation
xCriminal Conviction(s)
Revocation 8/11/2011 Alcohol Abuse
Controlled Substance Dependence
Probation Violation
xCriminal Conviction(s)
Lukasiewicz, Angela Kay 43412
Hastings, NE
Probation 7/23/2010 7/23/2011 Alcohol Dependency
Failure to File Report-38-1,124,38-1,125
xCourt Conviction
xCriminal Conviction(s)
xFailure To File Mandatory Report
Lund, Jennifer Ann 41258
Firth, NE
Civil Penalty 8/28/2014 2/28/2015 Unprofessional Conduct
Probation 9/7/2014 5/1/2015
Malmgren, Molly Kaye 49554
Lincoln, NE
Probation 8/29/2013 6/29/2014 Alcohol Dependency
Felony Conviction(s)
Misdemeanor Conviction(s)
Marsh, Allison Renee 51886
Plattsmouth, NE
Probation 3/22/2019 9/22/2019 Failure to Disclose Convictions
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 102 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
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
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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 103 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
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/AddictionMcCrary, Kaitlin Suzanne 49732
Tabor, IA
Revocation 7/1/2018 Failed to Report Conviction in 30 days
Misdemeanor Conviction(s)
Unprofessional Conduct
McKnight, Nichole Dawn 43954
Sidney, NE
Censure 6/13/2012 Probation Violation
xCourt Conviction
Civil Penalty 12/13/2012 Probation Violation
xCourt Conviction
Probation 4/29/2010 Probation Violation
xCourt Conviction
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 104 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
McLemore, Candace LaMoyne 47009
Richmond, VA
Censure 6/28/2010 Probation Violation
xCourt Conviction
Civil Penalty 12/28/2010 Probation Violation
xCourt Conviction
McNish, Kyna Lee 49770
Kearney, NE
Probation 1/17/2014 7/17/2014 Failure to Disclose Convictions
Misdemeanor Conviction(s)
McWilliams, Pia Rochelle 49364
Lincoln, NE
Probation 4/22/2013 10/22/2013 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Meier, Victoria Ann 44964
Lincoln, NE
Probation 11/2/2014 Alcohol Addiction
Felony Conviction(s)
Misdemeanor Conviction(s)
xAlcohol Use Disorder - Mild
xFraud,Forgery,Misrep Material Facts
Meisinger, Kristin Joline 46562
Omaha, NE
Probation 2/15/2020 2/15/2022 Alcohol Use Disorder, Moderate
Failed to Report Conviction in 30 days
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 105 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Mendoza, Erika Magdalena 48238
Holdrege, NE
Censure 7/2/2014 Alcohol Dependency
Failure to Disclose Convictions
Probation Violation
xAmphetamine Dependence in Remission
xCriminal Conviction(s)
Probation 5/12/2011 5/12/2014 Alcohol Dependency
Failure to Disclose Convictions
Probation Violation
xAmphetamine Dependence in Remission
xCriminal Conviction(s)
Mick, Leah Lynn 45827
Omaha, NE
Probation 3/18/2012 3/18/2013 Alcohol Abuse
Misdemeanor Conviction(s)
Miigerl, Krystle Elizabeth 44903
Ravenna, NE
Probation 6/3/2014 6/3/2015 Unlicensed Practice
Miley-Schultz, LeeAnn Annette 51054
Hastings, NE
Probation 12/16/2016 12/16/2017 Failure to File Report-38-1,124,38-1,125
7/8/2019
12/16/2016 12/16/2017 Felony Conviction(s)
7/8/2019
12/16/2016 12/16/2017 Misdemeanor Conviction(s)
7/8/2019
Miller, Erika D 42590
Omaha, NE
Probation 4/28/2011 2/27/2014 Unlicensed Practice
Miller, Jasonette Sue 49043
Lincoln, NE
Probation 10/3/2012 4/3/2013 Failure to Disclose Convictions
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 106 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Miller, Marissa Ann 44671
Lincoln, NE
Probation 8/16/2010 2/5/2011 Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Miller-Lind, Gemi Jan 47667
Mitchell, NE
Probation 5/17/2010 5/17/2011 xCourt Conviction
Mills, Candace Aileen 32193
Omaha, NE
Probation 4/4/2018 10/4/2018 Failure to Disclose Convictions
Felony Conviction(s)
Misdemeanor Conviction(s)
Mlynarik, Ashley Marie 46023
Omaha, NE
Probation 8/18/2011 2/18/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Unlicensed Practice
Revocation 8/10/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Unlicensed Practice
Suspension 5/10/2012 8/10/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Unlicensed Practice
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 107 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Mohnike, Abbey Leigh 49931
Grand Island, NE
Censure 8/4/2014 Felony Conviction(s)
Misdemeanor Conviction(s)
Probation Violation
xMind-Altering Substance Dependence
Civil Penalty 2/4/2015 Felony Conviction(s)
Misdemeanor Conviction(s)
Probation Violation
xMind-Altering Substance Dependence
Probation 4/30/2014 4/30/2019 Felony Conviction(s)
Misdemeanor Conviction(s)
Probation Violation
xMind-Altering Substance Dependence
Molczyk, Erica Renae 48837
Lincoln, NE
Probation 5/8/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Revocation 3/6/2013 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Moore, Corey Lee 50453
Omaha, NE
Probation 6/25/2015 12/31/2016 Failure to Disclose Convictions
Felony Conviction(s)
Misdemeanor Conviction(s)
Probation Violation
Suspension 3/16/2016 10/18/2016 Failure to Disclose Convictions
Felony Conviction(s)
Misdemeanor Conviction(s)
Probation Violation
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 108 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
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
Naber, Callie Ann 48765
Taylor, NE
Probation 3/30/2012 9/30/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Navarro, Michelle Cathleen 51259
North Platte, NE
Probation 10/20/2018 10/20/2019 Felony Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 109 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Neal, Kay Marie 48204
Cozad, NE
Probation 4/20/2011 10/20/2011 Failure to Disclose Convictions
xCriminal Conviction(s)
Nguyen, Andrew Hieu 48334
Lincoln, NE
Probation 7/25/2011 7/25/2014 Felony Conviction(s)
Misdemeanor Conviction(s)
Norris, Kimberly Jo 45600
Omaha, NE
Probation 7/23/2010 7/23/2011 Failure to Disclose Convictions
xCriminal Conviction(s)
O'Banion, Suzann 41358
Norfolk, NE
Censure 5/2/2017 Practice in Unlicensed Premises
Unlicensed Practice
Unprofessional Conduct
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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 110 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Ortiz, Thomas Charles 36919
Waverly, NE
Censure 5/5/2014 Alcohol Dependency
Failure to File Report-38-1,124,38-1,125
Felony Conviction(s)
Misrepresentation of Material Facts
Probation Violation
Probation 12/16/2012 1/26/2016 Alcohol Dependency
Failure to File Report-38-1,124,38-1,125
Felony Conviction(s)
Misrepresentation of Material Facts
Probation Violation
Paitz, Cecilia Marie 40496
Waverly, NE
Probation 9/10/2017 3/26/2019 Alcohol Abuse
Failed to Report Conviction in 30 days
Misdemeanor Conviction(s)
Pariset, Mercedes Lyn 48708
Fremont, NE
Censure 8/28/2012 Alcohol Dependency
Controlled Substance Dependence
Misdemeanor Conviction(s)
Probation Violation
Probation 2/28/2012 2/28/2014 Alcohol Dependency
Controlled Substance Dependence
Misdemeanor Conviction(s)
Probation Violation
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 111 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Parker, JaRee Elizabeth 47431
Omaha, NE
Censure 10/5/2016 Alcohol Dependency
6/5/2018
10/5/2016 Failure to File Report-38-1,124,38-1,125
6/5/2018
10/5/2016 Misdemeanor Conviction(s)
6/5/2018
10/5/2016 Misrepresentation of Material Facts
6/5/2018
10/5/2016 Probation Violation
6/5/2018
10/5/2016 Violation of Dept Order
6/5/2018
Civil Penalty 10/5/2016 4/5/2017 Alcohol Dependency
9/22/2017 9/22/2018
10/5/2016 4/5/2017 Failure to File Report-38-1,124,38-1,125
9/22/2017 9/22/2018
10/5/2016 4/5/2017 Misdemeanor Conviction(s)
9/22/2017 9/22/2018
10/5/2016 4/5/2017 Misrepresentation of Material Facts
9/22/2017 9/22/2018
10/5/2016 4/5/2017 Probation Violation
9/22/2017 9/22/2018
10/5/2016 4/5/2017 Violation of Dept Order
9/22/2017 9/22/2018
Probation 1/20/2014 1/20/2019 Alcohol Dependency
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Misrepresentation of Material Facts
Probation Violation
Violation of Dept Order
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 112 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Pasco, Audrey Rebecca 47976
Lincoln, NE
Probation 1/1/2011 7/1/2011 Failure to Disclose Convictions
xCriminal Conviction(s)
Penney, Lathres Sheron 48205
Omaha, NE
Probation 4/20/2011 10/20/2011 Failure to Disclose Convictions
xCriminal Conviction(s)
Perez, Amber Dawn 50585
Lincoln, NE
Probation 11/2/2015 11/2/2018 Alcohol Dependency
Controlled Substance Dependence
Felony Conviction(s)
Misdemeanor Conviction(s)
xMind-Altering Substance Dependence
Perkumas, Angela Ann 42691
LaVista, NE
Probation 3/10/2013 3/10/2017 Alcohol Dependency
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Pflug, Erin Nicole 45356
Omaha, NE
Civil Penalty 2/9/2012 8/9/2012 Failure to File Report-38-1,124,38-1,125
Violation of AOC
Phelps, Logan Jan 49166
Kearney, NE
Probation 12/14/2012 12/14/2014 Felony Conviction(s)
xMind-Altering Substance Abuse
xMind-Altering Substance Dependence
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 113 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Phillips, Jordan Danielle 48681
North Platte, NE
Censure 6/1/2012 Alcohol Abuse
Controlled Substance Abuse
Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Probation 2/13/2012 7/10/2013 Alcohol Abuse
Controlled Substance Abuse
Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Revocation 7/11/2013 Alcohol Abuse
Controlled Substance Abuse
Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Phillips, Natasha Meghan 46924
Papillion, NE
Revocation 4/28/2011 Probation Violation
Phimvongsa, Kylie Jo 48129
Salina, KS
Probation 3/10/2011 Controlled Substance Dependence
xCriminal Conviction(s)
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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 114 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Porter, Kathleen Kaye 30622
Lincoln, NE
Civil Penalty 12/13/2012 6/13/2013 Unprofessional Conduct
Violation of UCA
Probation 12/23/2012 6/23/2013 Unprofessional Conduct
Violation of UCA
Powell, Kristy Lynne 50053
Bellevue, NE
Probation 8/18/2014 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Suspension 12/19/2014 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Pratt, Emily Sarah 50159
La Vista, NE
Probation 11/5/2014 6/20/2017 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Prince, Angela Marie 48419
Omaha, NE
Probation 9/19/2011 3/19/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 115 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Proctor, Stephanie Rae 50791
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
Grand Island, NE
Probation 6/23/2013 6/23/2014 Alcohol Abuse
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Puentes, Nicole Lynn 48612
BELLEVUE, NE
Probation 1/3/2012 7/3/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Putnam, Dwayne Lynn 42135
Glenwood Springs, CO
Probation 4/12/2011 10/12/2011 Failure to Disclose Convictions
xCriminal Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 116 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Rauterkus, Jennifer Jo 48303
North Platte, NE
Censure 6/13/2012 Alcohol Dependency
9/6/2012
6/4/2014
6/13/2012 Controlled Substance Dependence
9/6/2012
6/4/2014
6/13/2012 Misdemeanor Conviction(s)
9/6/2012
6/4/2014
6/13/2012 Probation Violation
9/6/2012
6/4/2014
Probation 6/21/2011 12/21/2014 Alcohol Dependency
Controlled Substance Dependence
Misdemeanor Conviction(s)
Probation Violation
Ray, Kiley Marie 48635
Fremont, NE
Probation 1/26/2012 7/26/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Reilly, Teresa Justine 46686
Los Angeles, CA
Probation 6/23/2013 12/5/2014 Felony Conviction(s)
Richard, Kihlisha DeShawn 49855
Bellevue, NE
Probation 3/7/2014 9/7/2014 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Richardson, Eryn Rae 48724
Grand Island, NE
Probation 1/12/2015 7/12/2015 Practice in Unlicensed Premises
Violation of UCA
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 117 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Richardson, Kirstynne Mara 51015
Omaha, NE
Probation 11/10/2016 5/10/2017 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Richter-Anderson, Karla Kristine 31715
Kearney, NE
Probation 7/11/2015 1/11/2016 Alcohol Abuse
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Rivera, Melody 48709
Lincoln, NE
Probation 2/28/2012 8/28/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Roberts, Nicole Dee 49990
Omaha, NE
Probation 6/27/2014 12/27/2014 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Robinson, 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
Robinson, Tracii Loraine 38861
Omaha, NE
Probation 8/26/2014 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Unlicensed Practice
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 118 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Rogers, Callie Gabriele 48931
Eagle, NE
Censure 1/10/2014 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Probation 7/16/2012 7/16/2014 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Rojas, Brea Dene 47962
Scottsbluff, NE
Probation 12/10/2010 7/5/2011 Failure to Disclose Convictions
Probation Violation
xCriminal Conviction(s)
Rolenc, April Lynn 47289
Hooper, NE
Revocation 3/17/2015 Controlled Substance Dependence
Felony Conviction(s)
Romine, Ashlee Rene' 49611
Lemoyne, NE
Probation 10/2/2013 4/2/2014 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Rose, Erin Lee 49858
Schuyler, NE
Probation 3/10/2014 9/10/2014 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Rosendahl, Dawn Rae 28198
La Vista, NE
Probation 4/6/2017 Alcohol Abuse
Controlled Substance Abuse
Failure to File Report-38-1,124,38-1,125
Ross-Walther, Kerri Leann 41996
North Platte, NE
Probation 2/18/2020 8/18/2020 Failure to Disclose Convictions
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 119 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Roxburgh, Tracey Ann 34673
Omaha, NE
Probation 11/21/2011 5/21/2012 Failure to Disclose Convictions
Felony Conviction(s)
Misdemeanor Conviction(s)
Russell, Felicia Gail 38986
Omaha, NE
Probation 1/10/2018 7/10/2018 Unlicensed Practice
Salazar, Nathaniel Quinn 49228
Scottsbluff, NE
Censure 10/17/2013 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Civil Penalty 4/17/2014 Alcohol Abuse
8/25/2014 2/25/2015
10/17/2013 4/17/2014 Misdemeanor Conviction(s)
8/25/2014 2/25/2015
10/17/2013 4/17/2014 Probation Violation
8/25/2014 2/25/2015
Probation 1/29/2013 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Revocation 2/21/2015 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Salerno, Carmen Jo 28171
Omaha, NE
Probation 7/28/2010 1/28/2011 xCriminal Conviction(s)
xFailure To File Mandatory Report
Samuelson, Danielle Jean 47729
Oxford, NE
Censure 6/20/2011 Practice in Unlicensed Premises
Violation of UCA
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 120 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
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
Misdemeanor Conviction(s)
Probation Violation
Substance Use Disorders-Multiple
Civil Penalty 6/13/2020 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Substance Use Disorders-Multiple
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
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 121 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
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
Scott, Lisa Renee 34020
Longmont, CO
Probation 11/25/2010 Alcohol Dependency
Misdemeanor Conviction(s)
xFailure To File Mandatory Report
Scribner, Jamie Lee 45312
OMAHA, NE
Probation 6/13/2012 12/13/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 122 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Seng, Tara J 41625
Omaha, NE
Suspension 2/15/2017 2/5/2019 Probation Violation
Unlicensed Practice
Shaske, Amberrose Michelle 48752
Omaha, NE
Probation 1/15/2014 1/15/2016 Alcohol Dependency
3/22/2012
1/15/2014 1/15/2016 Controlled Substance Dependence
3/22/2012
1/15/2014 1/15/2016 Failure to Disclose Convictions
3/22/2012
1/15/2014 1/15/2016 Misdemeanor Conviction(s)
3/22/2012
Sheldon, Adria LaDonna 48787
Lincoln, NE
Probation 4/11/2012 10/11/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Sheppard, Sarah Michele 45847
Hastings, NE
Probation 11/16/2011 4/16/2012 Alcohol Dependency
3/7/2019 3/7/2021
9/16/2013
11/16/2011 4/16/2012 Failure to Disclose Convictions
3/7/2019 3/7/2021
9/16/2013
11/16/2011 4/16/2012 Misdemeanor Conviction(s)
3/7/2019 3/7/2021
9/16/2013
Skinner, Nicole Gail 37286
Fairfield, NE
Probation 10/16/2013 10/16/2014 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Unlicensed Practice
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 123 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Skinner, Reggie Ann 41839
Ogallala, NE
Censure 12/4/2014 Failure to Disclose Convictions
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Practice in Unlicensed Premises
Violation of UCA
xCourt Conviction
Civil Penalty 12/4/2015 Failure to Disclose Convictions
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Practice in Unlicensed Premises
Violation of UCA
xCourt Conviction
Probation 3/1/2011 9/1/2011 Failure to Disclose Convictions
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Practice in Unlicensed Premises
Violation of UCA
xCourt Conviction
Skrdlant, Jami Marie 46626
Crete, NE
Probation 3/7/2017 9/7/2017 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Smith, Heather Marie 49704
Holdrege, NE
Probation 9/4/2015 3/4/2016 Failure to File Report-38-1,124,38-1,125
Smith, Tameaka LaShawn 48972
Omaha, NE
Probation 8/17/2012 4/7/2013 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Snyder, Ashley Jean 44521
North Platte, NE
Probation 9/4/2015 3/4/2016 Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 124 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Snyder, Ellen Jean 49639
Blue Hill, NE
Probation 10/17/2013 4/17/2014 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Spanel, Rebecca Marie 50741
Grand Island, NE
Probation 2/24/2016 8/24/2016 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Suspension 8/5/2016 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 125 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
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
Suspension 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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 126 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Spotanski, Trisha Janelle 46999
Shelton, NE
Probation 6/10/2013 12/10/2013 Misdemeanor Conviction(s)
Unlicensed Practice
Srivisay, Anna M 48634
Grand Island, NE
Probation 1/25/2012 7/25/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Stanley, Amanda Rae 48198
Hickman, NE
Probation 4/14/2011 10/14/2011 Failure to Disclose Convictions
xCriminal Conviction(s)
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
Strong, LeAnne Marie 43570
Kearney, NE
Revocation 9/25/2010 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Misrepresentation of Material Facts
xAlcohol & Chemical
Dependence/AddictionStull, Heidi Lee 47567
Omaha, NE
Probation 3/9/2020 9/9/2020 Failure to Disclose Convictions
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 127 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Suarez, Deanna Rosa 44190
Omaha, NE
Probation 3/7/2019 3/7/2021 Alcohol Use Disorder, Moderate
Failed to Report Conviction in 30 days
4/2/2013 10/2/2016 Failure to Disclose Convictions
Misdemeanor Conviction(s)
3/7/2019 3/7/2021
4/2/2013 10/2/2016 Probation Violation
Unlicensed Practice
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 128 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
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)
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 129 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Tanksley, Rochelle Denise 47127
Omaha, NE
Censure 10/23/2015 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Violation of Dept Order
Civil Penalty 4/23/2016 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Violation of Dept Order
Probation 4/24/2013 11/24/2015 Failure to Disclose Convictions
9/4/2017 9/4/2020 Felony Conviction(s)
4/24/2013 11/24/2015 Misdemeanor Conviction(s)
Probation Violation
Violation of Dept Order
Suspension 6/9/2016 6/13/2016 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Violation of Dept Order
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 130 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Tanner, Laura Christine 47927
Omaha, NE
Censure 6/28/2019 Alcohol Use Disorder, Severe
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 11/12/2010 2/27/2013 Alcohol Dependency
10/22/2013 10/22/2014
4/16/2018 4/16/2022 Alcohol Use Disorder, Severe
Felony Conviction(s)
11/12/2010 2/27/2013 Probation Violation
10/22/2013 10/22/2014
4/16/2018 4/16/2022
11/12/2010 2/27/2013 xCriminal Conviction(s)
10/22/2013 10/22/2014
Suspension 2/28/2013 10/21/2013 Alcohol Dependency
Probation Violation
xCriminal Conviction(s)
Taulbee, Rebecca Dawn 43429
Fremont, NE
Probation 7/29/2011 10/9/2012 Misdemeanor Conviction(s)
Probation Violation
Taulborg, Melissa Adair 48753
Omaha, NE
Probation 3/22/2012 3/22/2013 Alcohol Dependency
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 131 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Taylor, Kalyn Kameyl 49453
Boulder, CO
Probation 6/24/2013 9/29/2015 Alcohol Abuse
9/29/2015 9/29/2016
6/24/2013 9/29/2015 Felony Conviction(s)
9/29/2015 9/29/2016
6/24/2013 9/29/2015 Lacks Good Character
9/29/2015 9/29/2016
Taylor, Niquisha LeJoyce Marie 46629
Omaha, NE
Probation 5/13/2011 11/13/2011 Failure to Disclose Convictions
11/13/2011 5/13/2012
5/13/2011 11/13/2011 Probation Violation
11/13/2011 5/13/2012
5/13/2011 11/13/2011 xCriminal Conviction(s)
11/13/2011 5/13/2012
Taylor, Walter Grant 47442
Bellevue, NE
Censure 6/25/2012 Previous Violations Resumed
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 132 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Teahon, Katie Jo 49467
Kearney, NE
Probation 7/1/2013 10/10/2013 Failed to Report Conviction in 30 days
2/11/2017
7/1/2013 10/10/2013 Felony Conviction(s)
2/11/2017
7/1/2013 10/10/2013 Misdemeanor Conviction(s)
2/11/2017
7/1/2013 10/10/2013 xAlcohol Use Disorder - Mild
2/11/2017
7/1/2013 10/10/2013 xCont Substance Use Disorder - Moderate
2/11/2017
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 133 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Tesarek, Michelle Renae 46414
Omaha, NE
Censure 8/29/2018 Alcohol Abuse
Controlled Substance Abuse
Controlled Substance Dependence
Failure to File Report-38-1,124,38-1,125
Felony Conviction(s)
Misdemeanor Conviction(s)
Probation Violation
Civil Penalty 2/28/2019 Alcohol Abuse
Controlled Substance Abuse
Controlled Substance Dependence
Failure to File Report-38-1,124,38-1,125
Felony Conviction(s)
Misdemeanor Conviction(s)
Probation Violation
Probation 7/12/2016 7/12/2020 Alcohol Abuse
Controlled Substance Abuse
Controlled Substance Dependence
Failure to File Report-38-1,124,38-1,125
Felony Conviction(s)
Misdemeanor Conviction(s)
Probation Violation
Revocation 2/8/2019 Alcohol Abuse
Controlled Substance Abuse
Controlled Substance Dependence
Failure to File Report-38-1,124,38-1,125
Felony Conviction(s)
Misdemeanor Conviction(s)
Probation Violation
Suspension 8/13/2014 7/12/2016 Alcohol Abuse
Controlled Substance Abuse
Controlled Substance Dependence
Failure to File Report-38-1,124,38-1,125
Felony Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 134 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Suspension 8/13/2014 7/12/2016 Misdemeanor Conviction(s)
Probation Violation
Theis, Alexander Lee 48859
Omaha, 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
Wayne, NE
Probation 12/11/2017 12/11/2019 Misdemeanor Conviction(s)
Thille, Marissa Lynne 47090
Yuba City, CA
Censure 4/19/2012 Failure to File Report-38-1,124,38-1,125
Thomas, Michael Tyler 47317
Omaha, NE
Censure 7/13/2010 Failure to Comply With Aftercare
Probation Violation
xCourt Conviction
xFailure To File Mandatory Report
Civil Penalty 1/13/2011 Failure to Comply With Aftercare
Probation Violation
xCourt Conviction
xFailure To File Mandatory Report
Thomas, Monique Louise 44114
Omaha, NE
Probation 7/10/2012 3/4/2013 Failure to Disclose Convictions
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 135 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Thompson, Trisha Marie 49351
Omaha, NE
Censure 8/8/2019 Misrepresentation of Material Facts
Unlicensed Practice
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)
Timmerman, Dillon Cokey 47939
Lincoln, NE
Probation 11/24/2010 11/24/2011 xCriminal Conviction(s)
Tobey, Kayla Marie 48215
Hastings, NE
Probation 4/25/2011 2/9/2012 Controlled Substance Dependence
8/8/2014 1/29/2016
4/25/2011 2/9/2012 Probation Violation
8/8/2014 1/29/2016
4/25/2011 2/9/2012 xCriminal Conviction(s)
8/8/2014 1/29/2016
Revocation 1/29/2016 Controlled Substance Dependence
Probation Violation
xCriminal Conviction(s)
Tomanek, Laurie Rae 43239
Omaha, NE
Probation 3/18/2012 5/21/2013 Alcohol Abuse
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 136 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
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
Townsell, LaMinah Layla 44468
Omaha, NE
Probation 8/26/2010 9/28/2011 xCriminal Conviction(s)
Treptow, Geraldine Lynne 39383
Comstock, NE
Probation 9/15/2011 3/15/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Truesdell, John Fredrick, II 48569
Omaha, NE
Probation 12/7/2011 Alcohol Dependency
Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Tucker, Amanda Zee 44577
Omaha, NE
Probation 4/28/2010 10/28/2010 xCourt Conviction
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 137 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Udo, Ekaete Arceal 51194
Omaha, NE
Probation 4/13/2017 10/13/2017 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Utecht, Melissa Jo 45976
Hastings, NE
Probation 4/16/2010 10/16/2010 xCourt Conviction
Valentine, Lakia Shantel 43766
Omaha, NE
Civil Penalty 1/7/2013 1/7/2014 Failure to Pay Fees
Permitting Aiding & Abetting
Practice in Unlicensed Premises
Unprofessional Conduct
Violation of UCA
Probation 1/17/2013 7/17/2013 Failure to Pay Fees
Permitting Aiding & Abetting
Practice in Unlicensed Premises
Unprofessional Conduct
Violation of UCA
Suspension 1/29/2014 Failure to Pay Fees
Permitting Aiding & Abetting
Practice in Unlicensed Premises
Unprofessional Conduct
Violation of UCA
Valentine, Shamika Latoya 42470
Omaha, NE
Probation 11/16/2011 11/16/2012 Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 138 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
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
Cozad, NE
Probation 4/29/2012 4/29/2014 Alcohol Dependency
Controlled Substance Dependence
Vang, Mollie Rhay 50015
Lincoln, NE
Probation 6/19/2019 12/19/2019 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Vaughn, Jaesa Suzanne 50548
Lincoln, NE
Probation 10/6/2015 11/8/2017 Failed to Report Conviction in 30 days
Misdemeanor Conviction(s)
xAlcohol Use Disorder - Mild
xCont Substance Use Disorder - Moderate
Velazquez, Kristen R 51025
Omaha, NE
Probation 11/21/2016 5/21/2017 Probation Violation
Unlicensed Practice
Suspension 3/28/2017 4/26/2017 Probation Violation
Unlicensed Practice
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 139 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Villalon, Amanda Rachelle 43384
Lexington, NE
Censure 7/13/2010 Alcohol Dependency
7/31/2019 Alcohol Use Disorder, Moderate
7/13/2010 Controlled Substance Abuse
Failure to Disclose Convictions
Failure to File Report-38-1,124,38-1,125
7/31/2019 Felony Conviction(s)
7/13/2010 Misdemeanor Conviction(s)
7/31/2019 Probation Violation
Civil Penalty 1/31/2020 Alcohol Use Disorder, Moderate
Felony Conviction(s)
Probation Violation
Probation 8/10/2011 8/10/2015 Alcohol Dependency
Alcohol Use Disorder, Moderate
1/13/2018 1/13/2022
8/10/2011 8/10/2015 Controlled Substance Abuse
Failure to Disclose Convictions
Failure to File Report-38-1,124,38-1,125
Felony Conviction(s)
1/13/2018 1/13/2022
8/10/2011 8/10/2015 Misdemeanor Conviction(s)
Probation Violation
1/13/2018 1/13/2022
Volquardsen, Sarah Michelle 43598
Kearney, NE
Censure 8/20/2015 Unlicensed Practice
Votava, Danielle Marie 47754
Lincoln, NE
Probation 7/28/2010 1/28/2011 Failure to Disclose Convictions
xCriminal Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 140 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Waddell, Stephanie Marie 47123
Lilburn, GA
Probation 3/19/2013 3/19/2014 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Unlicensed Practice
Wagener, Kelsi Nicole 47541
Omaha, NE
Probation 7/11/2015 7/11/2019 Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
xAlcohol Use Disorder - Severe
xCont Substance Use Disorder - Severe
Wagner, Tara Marie 42969
Columbus, NE
Censure 4/19/2012 Permitting Aiding & Abetting
Suspension 11/9/2012
Walker, Tempest Olivian 50415
Omaha, NE
Probation 6/5/2015 12/5/2015 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Suspension 11/4/2015 11/9/2015 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Ward, Andrea Shaunte 46631
Sidney, NE
Probation 4/12/2016 10/12/2016 Failure to Disclose Convictions
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 141 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Ward, Elizabeth Diane 51716
Fremont, NE
Probation 9/14/2018 9/14/2019 Failure to Disclose Convictions
Felony Conviction(s)
Misdemeanor Conviction(s)
Probation Violation
Suspension 1/17/2019 6/26/2019 Failure to Disclose Convictions
Felony Conviction(s)
Misdemeanor Conviction(s)
Probation Violation
Watts, Michael Christopher 49476
Wooster, OH
Probation 7/2/2013 7/2/2016 Misdemeanor Conviction(s)
Probation Violation
xMind-Altering Substance Dependence
Suspension 8/18/2014 11/18/2014 Misdemeanor Conviction(s)
Probation Violation
xMind-Altering Substance Dependence
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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 142 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Webber, Krystle Jamie 45744
Omaha, NE
Censure 8/25/2011 Alcohol Dependency
4/14/2016
8/25/2011 Failure to Disclose Convictions
4/14/2016
8/25/2011 Misdemeanor Conviction(s)
4/14/2016
8/25/2011 Probation Violation
4/14/2016
8/25/2011 Violation of Dept Order
4/14/2016
Civil Penalty 8/25/2011 2/25/2012 Alcohol Dependency
4/14/2016 10/14/2016
8/25/2011 2/25/2012 Failure to Disclose Convictions
4/14/2016 10/14/2016
8/25/2011 2/25/2012 Misdemeanor Conviction(s)
4/14/2016 10/14/2016
8/25/2011 2/25/2012 Probation Violation
4/14/2016 10/14/2016
8/25/2011 2/25/2012 Violation of Dept Order
4/14/2016 10/14/2016
Probation 12/12/2010 12/31/2012 Alcohol Dependency
2/9/2015 10/29/2016
12/12/2010 12/31/2012 Failure to Disclose Convictions
2/9/2015 10/29/2016
12/12/2010 12/31/2012 Misdemeanor Conviction(s)
2/9/2015 10/29/2016
12/12/2010 12/31/2012 Probation Violation
2/9/2015 10/29/2016
12/12/2010 12/31/2012 Violation of Dept Order
2/9/2015 10/29/2016
Revocation 10/29/2016 Alcohol Dependency
Failure to Disclose Convictions
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 143 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Revocation 10/29/2016 Probation Violation
Violation of Dept Order
Wells, Trina Ann 40283
Omaha, NE
Censure 3/31/2011 Controlled Substance Dependence
Failure to Disclose Convictions
Probation Violation
xCriminal Conviction(s)
Civil Penalty 9/30/2011 Controlled Substance Dependence
1/12/2012 7/12/2012
3/31/2011 9/30/2011 Failure to Disclose Convictions
1/12/2012 7/12/2012
3/31/2011 9/30/2011 Probation Violation
1/12/2012 7/12/2012
3/31/2011 9/30/2011 xCriminal Conviction(s)
1/12/2012 7/12/2012
Probation 12/7/2010 4/19/2012 Controlled Substance Dependence
3/4/2016 3/4/2018
12/7/2010 4/19/2012 Failure to Disclose Convictions
3/4/2016 3/4/2018
12/7/2010 4/19/2012 Probation Violation
3/4/2016 3/4/2018
12/7/2010 4/19/2012 xCriminal Conviction(s)
3/4/2016 3/4/2018
Wenzel, Lisa Lee 38333
Unadilla, NE
Probation 7/22/2015 1/22/2016 Unlicensed Practice
Werts, Vonda Rae 47988
Lincoln, NE
Probation 1/10/2011 7/10/2011 xCriminal Conviction(s)
Westfall, Nina Rae 39525
Geneva, NE
Probation 12/16/2014 6/16/2015 Unlicensed Practice
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 144 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
White, Brittany Ann 52212
Omaha, NE
Probation 2/24/2020 2/24/2021 Misdemeanor Conviction(s)
Substance Use Disorder
White, Maureen Collette 47618
Union, NE
Censure 9/6/2012 Probation Violation
xCourt Conviction
Probation 4/16/2010 4/16/2013 Probation Violation
xCourt Conviction
Suspension 9/6/2012 10/6/2012 Probation Violation
xCourt Conviction
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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 145 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Williams, Amherstine Lynnette 43524
Omaha, NE
Censure 11/2/2010 Probation Violation
Civil Penalty 3/5/2012
Suspension 4/2/2012 1/16/2018
Wilson, Lynette Ann 35240
Omaha, NE
Probation 5/20/2010 1/27/2017 xCourt Conviction
Wilson, Meshelle Deon Rose 49909
Lincoln, NE
Probation 4/18/2014 10/18/2014 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Suspension 11/3/2014 11/4/2014 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
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)
Workman, Leslie Kristine 47619
Elkhorn, NE
Probation 4/16/2010 10/16/2010 xCourt Conviction
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 146 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Wranek, Hillery Rae 51513
Central City, NE
Probation 2/6/2018 8/6/2018 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Wright, Yolanda Denise 38348
Lincoln, NE
Probation 4/19/2010 10/19/2010 xCourt Conviction
Wunderlich, Jennifer Lynn 41406
Omaha, NE
Civil Penalty 9/8/2016 3/8/2017 Failed to Report Conviction in 30 days
Misdemeanor Conviction(s)
Probation Violation
xAlcohol Use Disorder - Moderate
Probation 10/1/2015 4/28/2016 Failed to Report Conviction in 30 days
Misdemeanor Conviction(s)
Probation Violation
xAlcohol Use Disorder - Moderate
Suspension 4/28/2016 Failed to Report Conviction in 30 days
Misdemeanor Conviction(s)
Probation Violation
xAlcohol Use Disorder - Moderate
Yadlapalli, Santhi Sudha 46325
Omaha, NE
Civil Penalty 11/2/2010 5/2/2011 Unlicensed Practice
Violation of UCA
Young, Amber Marsha Sheri 50355
Omaha, NE
Probation 4/22/2015 10/22/2015 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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 147 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetologist
Zeigler, Candace Rana 38767
North Platte, NE
Probation 3/24/2017 9/24/2017 Misdemeanor Conviction(s)
Cosmetology Instructor
Adcock, Michelle Louise 1179
Omaha, NE
Censure 5/6/2010 Controlled Substance Dependence
Misdemeanor Conviction(s)
Probation Violation
Revocation 3/3/2011 Controlled Substance Dependence
Misdemeanor Conviction(s)
Probation Violation
Armstead, Kisha Deanne 1220
Lincoln, NE
Probation 3/16/2011 9/16/2011 Failure to Disclose Convictions
xCourt Conviction
Dean, Emily Marie 1245
Harrison, NE
Probation 3/1/2012 2/25/2013 Controlled Substance Dependence
Misdemeanor Conviction(s)
Lee, Julie Marie 1231
Springfield, NE
Probation 5/18/2011 11/18/2011 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Lukasiewicz, Angela Kay 1146
Hastings, NE
Probation 7/23/2010 7/23/2011 Alcohol Dependency
Failure to File Report-38-1,124,38-1,125
xCourt Conviction
xCriminal Conviction(s)
xFailure To File Mandatory Report
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 148 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Cosmetology Instructor
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
Grand Island, NE
Probation 6/23/2013 6/23/2014 Alcohol Abuse
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Swiney-Free, Tiffany Danielle 1278
NORCROSS, GA
Probation 1/22/2014 7/22/2014 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Trew, Danielle Rae 1238
Kearney, NE
Probation 10/13/2011 4/13/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Vasquez, Joshua Sebastian 1259
Kearney, NE
Probation 11/6/2012 5/6/2013 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Esthetician
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 149 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Esthetician
Anderson, James LaFayette 787
Lincoln, NE
Probation 6/10/2012 11/1/2012 Controlled Substance Dependence
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
11/20/2014 11/20/2015
6/10/2012 11/1/2012 Practice in Unlicensed Premises
11/20/2014 11/20/2015 Probation Violation
xAlcohol Use Disorder - Mild
Atkins, Jacqueline Rae 773
Arnold, NE
Censure 12/12/2013 Permitting Aiding & Abetting
Civil Penalty 6/12/2014
Probation 12/22/2013 12/22/2014
Barnes, Shelly Ann 1040
Fremont, NE
Probation 8/18/2010 2/18/2011 Failure to Disclose Convictions
xCriminal Conviction(s)
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 150 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Esthetician
Bors, Taylor Ann 1897
Lincoln, NE
Probation 3/21/2018 8/13/2018 Failure to Disclose Convictions
8/14/2018 9/21/2018
3/21/2018 8/13/2018 Misdemeanor Conviction(s)
8/14/2018 9/21/2018
3/21/2018 8/13/2018 Probation Violation
8/14/2018 9/21/2018
Suspension 8/13/2018 8/14/2018 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Carlson, Lisa Marie 1605
Omaha, NE
Probation 9/18/2015 9/18/2016 Misdemeanor Conviction(s)
Unlicensed Practice
Chambers, Angela Marie 1698
Omaha, NE
Probation 6/27/2016 12/27/2016 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Christensen, Alexis Michaela 908
Oxford, NE
Revocation 12/24/2010 Probation Violation
Christenson, Stephanie Dawn 1694
Bennington, NE
Probation 6/16/2016 6/14/2018 Felony Conviction(s)
Misdemeanor Conviction(s)
Cloud, Catherine Ann 592
Omaha, NE
Probation 6/17/2013 12/17/2013 Unlicensed Practice
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 151 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Esthetician
Collett, Brittany Katlin 982
Lincoln, NE
Censure 9/22/2017 Misdemeanor Conviction(s)
Probation Violation
xAlcohol Use Disorder - Moderate
Probation 2/11/2017 2/11/2019 Misdemeanor Conviction(s)
Probation Violation
xAlcohol Use Disorder - Moderate
Donohoe, Karla Marie 1482
Lincoln, NE
Probation 5/16/2014 9/30/2014 Alcohol Abuse
Failure to Disclose Convictions
Misdemeanor Conviction(s)
Emery, Stacey Lenette 1016
Humble, TX
Probation 5/18/2010 xCourt Conviction
Feder, Samantha Leigh 1440
Omaha, NE
Probation 1/7/2014 8/20/2015 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
xMind-Altering Substance Dependence
Revocation 8/20/2015 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
xMind-Altering Substance Dependence
Ficenec, Mary Margaret 362
Omaha, NE
Probation 10/13/2011 Alcohol Dependency
Controlled Substance Abuse
Felony Conviction(s)
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 152 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Esthetician
Gartner, Amanda Rae 1245
Lincoln, NE
Probation 5/2/2012 11/2/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Revocation 11/20/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Gonzalez, Janeth Gonzalez 1557
South Sioux City, NE
Probation 3/26/2015 9/26/2015 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Guenther, Brooke Elizabeth 1578
Pierce, NE
Probation 6/17/2015 11/30/2015 Alcohol Abuse
Misdemeanor Conviction(s)
xMind-Altering Substance Abuse
Hall, Jill Nicole 1627
Lincoln, NE
Probation 3/18/2019 9/18/2019 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Hixson, Kristen Kay 1782
Bellevue, NE
Probation 5/11/2017 11/11/2017 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Suspension 10/6/2017 10/9/2017 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 153 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Esthetician
Knust, Sarah Marie 1687
Neligh, NE
Probation 6/3/2016 4/27/2017 Misdemeanor Conviction(s)
Kreitler, Mina Ton 1477
Omaha, NE
Censure 4/5/2019 Permitting Aiding & Abetting
Practice in Unlicensed Premises
Unprofessional Conduct
Violation of Dept Order
Civil Penalty 10/5/2019 Permitting Aiding & Abetting
Practice in Unlicensed Premises
Unprofessional Conduct
Violation of Dept Order
Suspension 8/14/2019 Permitting Aiding & Abetting
Practice in Unlicensed Premises
Unprofessional Conduct
Violation of Dept Order
Lampe, Amber Dawn 1203
Lincoln, NE
Probation 1/26/2012 7/26/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Larsen, Joilynn Marie 387
Gretna, NE
Probation 1/16/2017 1/16/2018 Misdemeanor Conviction(s)
xAlcohol Use Disorder - Moderate
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 154 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Esthetician
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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 155 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Esthetician
Naple, Elizabeth Mackenzie 1061
Omaha, NE
Censure 2/11/2011 Alcohol Abuse
Failure to Disclose Convictions
Probation Violation
xCriminal Conviction(s)
Civil Penalty 8/11/2011 Alcohol Abuse
Failure to Disclose Convictions
Probation Violation
xCriminal Conviction(s)
Probation 10/27/2010 4/12/2011 Alcohol Abuse
12/15/2015 6/30/2017
10/27/2010 4/12/2011 Failure to Disclose Convictions
12/15/2015 6/30/2017
10/27/2010 4/12/2011 Probation Violation
12/15/2015 6/30/2017
10/27/2010 4/12/2011 xCriminal Conviction(s)
12/15/2015 6/30/2017
Nguyen, Kim 714
Columbus, NE
Civil Penalty 4/25/2013 4/25/2014 Practice Beyond Scope
Practice in Unlicensed Premises
Probation 5/5/2013 11/5/2013 Practice Beyond Scope
Practice in Unlicensed Premises
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 156 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Esthetician
Nguyen, Vu Long 587
Lincoln, NE
Censure 4/20/2010 Failure to File Report-38-1,124,38-1,125
Felony Conviction(s)
Misrepresentation of Material Facts
Probation Violation
Civil Penalty 10/20/2010 Failure to File Report-38-1,124,38-1,125
1/12/2012 7/12/2012
4/20/2010 10/20/2010 Felony Conviction(s)
1/12/2012 7/12/2012
4/20/2010 10/20/2010 Misrepresentation of Material Facts
1/12/2012 7/12/2012
4/20/2010 10/20/2010 Probation Violation
1/12/2012 7/12/2012
Probation 4/30/2010 4/30/2014 Failure to File Report-38-1,124,38-1,125
Felony Conviction(s)
Misrepresentation of Material Facts
Probation Violation
O'Neill, Sara Lorraine 2054
Omaha, NE
Probation 3/27/2019 3/27/2020 Misdemeanor Conviction(s)
Partridge, Christine Marie 2016
Omaha, NE
Probation 1/10/2019 7/10/2019 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Perales, Veronica 1858
Omaha, NE
Probation 11/29/2017 5/29/2018 Failure to Disclose Convictions
Felony Conviction(s)
Misdemeanor Conviction(s)
Peterson, Fawn Rebecca 330
Papillion, NE
Probation 6/23/2013 Alcohol Dependency
Controlled Substance Abuse
Failure to File Report-38-1,124,38-1,125
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 157 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Esthetician
Piffner, Abbey Mae 1172
Omaha, NE
Probation 3/16/2020 9/16/2020 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Prittie, Megan Irene 1048
Sioux City, IA
Probation 8/8/2010 2/8/2011 Failure to Disclose Convictions
xCriminal Conviction(s)
Richardson, Eryn Rae 1433
Grand Island, NE
Probation 1/12/2015 7/12/2015 Practice in Unlicensed Premises
Violation of UCA
Rivera, Melody 1190
Lincoln, NE
Probation 12/1/2011 6/1/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Spicka, Erin Leigh, DA 1065
Crete, NE
Probation 11/17/2010 11/17/2011 Failure to Disclose Convictions
xCriminal Conviction(s)
Taulborg, Melissa Adair 1227
Omaha, NE
Probation 3/22/2012 3/22/2013 Alcohol Dependency
Misdemeanor Conviction(s)
Thompson, Karen Lynn 1010
Lincoln, NE
Probation 4/29/2010 xCourt Conviction
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 158 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Esthetician
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
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 5/17/2019 5/17/2023 Alcohol Use Disorder, Moderate
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Probation Violation
Substance Use Disorder, Moderate
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 159 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Esthetician
Vance, Jill Renee 1669
Omaha, NE
Probation 3/21/2016 9/21/2016 Failure to Disclose Convictions
Felony Conviction(s)
Misdemeanor Conviction(s)
Vandenberg, Nicole J 1105
Seward, NE
Probation 4/14/2011 10/14/2011 Failure to Disclose Convictions
xCriminal Conviction(s)
Vasquez, Angela Ann 1258
Hickman, NE
Probation 6/14/2012 12/14/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Veatch, Larissa Marie 1923
Prague, NE
Probation 5/30/2018 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Vo, Tu Anh Thi 1297
Elkhorn, NE
Probation 10/17/2012 4/17/2013 Other State Action
Wageman, Danielle Margaret 808
Omaha, NE
Revocation 12/24/2010 Probation Violation
Weakland, Jessica Marie 1194
Beatrice, NE
Probation 12/16/2011 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Suspension 6/13/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 160 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Esthetician
Wimmer, Anna Galina 673
LINCOLN, NE
Probation 2/18/2014 2/18/2017 Alcohol Dependency
Failure to Disclose Convictions
Misdemeanor Conviction(s)
Wrye, Vanella Flavia 1136
Orange Park, FL
Censure 4/5/2019 Permitting Aiding & Abetting
Practice in Unlicensed Premises
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
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)
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 161 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Dental Hygienist
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
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 162 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Dental Hygienist
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
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 163 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Dentist
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)
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 164 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Dentist
Ellingson, Daniel Lee, DDS 7004
Papillion, NE
Probation 12/29/2017 12/29/2022 Alcohol Use Disorder, Severe
Controlled Substance Dependence
Dishonorable Conduct
Felony Conviction(s)
Unprofessional Conduct
Violation of UCSA
Suspension 2/26/2018 Alcohol Use Disorder, Severe
Controlled Substance Dependence
Dishonorable Conduct
Felony Conviction(s)
Unprofessional Conduct
Violation of UCSA
Furst DDS, Henry C 4538
Eagle, NE
Limitation-Disciplinary 11/18/2015 12/1/2016 Pattern of Negligence
Unprofessional Conduct
Garro, Gregory Louis, Jr DDS 5751
Omaha, NE
Revocation 3/1/2019 Dishonorable Conduct
Felony Conviction(s)
Obtaining Fee by Fraud
Unprofessional Conduct
Green, Scott Stewart, DDS 6276
Omaha, NE
Censure 2/25/2015 Unprofessional Conduct
Civil Penalty 2/25/2020
Probation 2/2/2012 2/2/2013
Suspension 9/4/2011 2/2/2012
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 165 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Dentist
Hagen, Kenneth J, Jr, DDS 4646
Omaha, NE
Censure 4/14/2016 Failure to Comply w Federal or State Law
Misdemeanor Conviction(s)
Civil Penalty 10/14/2016 Failure to Comply w Federal or State Law
Misdemeanor Conviction(s)
Limitation-Disciplinary 8/21/2013 Failure to Comply w Federal or State Law
Misdemeanor Conviction(s)
Kirkland, Travis Zean, DDS 7057
Elko, NV
Censure 11/12/2014 Permitting Aiding & Abetting
Civil Penalty 5/12/2016
Revocation 3/16/2019 Failure to File Report-38-1,124,38-1,125
History of Disciplinary Action
Other State Action
Odorisio, Francis D, DDS 4706
Omaha, NE
Civil Penalty 2/9/2012 8/9/2012 Unprofessional Conduct
Pieper, Todd Bryant, DDS 6023
Scottsbluff, NE
Limitation-Disciplinary 11/20/2015 Failure to Keep Adequate Records
Pattern of Negligence
Unprofessional Conduct
Plate, Farrah Lynn, DDS 6546
Lincoln, NE
Probation 7/23/2018 7/23/2023 Dishonorable Conduct
Substance Use Disorder, Moderate
Violation of UCSA
Samuelson, Greg Stuart, DDS 5341
Omaha, NE
Probation 8/14/2017 8/4/2018 Failure to Keep Adequate Records
Pattern of Negligence
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 166 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Dentist
Secola, Lourdes Maria, DDS 5942
Omaha, NE
Probation 8/20/2017 8/20/2018 Failure to Keep Adequate Records
Violation of UCSA
Stacey, Richard A, DDS 5510
Bellevue, NE
Censure 8/20/2012 Failure to Keep Adequate Records
Prescribing CS to Person in Same Houshld
Unprofessional Conduct
Civil Penalty 8/28/2012 2/28/2013 Failure to Keep Adequate Records
Prescribing CS to Person in Same Houshld
Unprofessional Conduct
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 167 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Dentist
Swartz, Thomas Joseph, DDS 6665
Omaha, NE
Petition for Disp Action & Temp Susp 11/13/2013 12/18/2013 Controlled Substance Dependence
Dishonorable Conduct
Unprofessional Conduct
Violation of UCSA
Probation 7/23/2014 7/23/2019 Alcohol Dependency
Controlled Substance Dependence
Dishonorable Conduct
Misdemeanor Conviction(s)
Obtained Drug Unlawfully
Unprofessional Conduct
Violation of UCSA
Suspension 11/13/2013 5/13/2014 Controlled Substance Dependence
Dishonorable Conduct
Unprofessional Conduct
Violation of UCSA
Temporary Suspension 11/18/2013 12/18/2013 Controlled Substance Dependence
Dishonorable Conduct
Unprofessional Conduct
Violation of UCSA
Thalken, James Edward, DDS 6975
North Platte, NE
Revocation 10/20/2018 Failure to Comply With Aftercare
Other State Action
Zikmund DDS, Stephen Louis 5352
Omaha, NE
Petition for Disp Action & Temp Susp 10/25/2012 2/7/2013 Alcohol Dependency
Practice while Impaired
Unprofessional Conduct
Temporary Suspension 10/31/2012 2/6/2013 Alcohol Dependency
Practice while Impaired
Unprofessional Conduct
Local Anesthesia Certification
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 168 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Local Anesthesia Certification
Owens, Larry Dallas, DH 316
Bellevue, NE
Probation 1/4/2011 1/4/2013 Alcohol Abuse
Misdemeanor Conviction(s)
Minimal Sedation Permit
DiPrima, Katherine Marie, DDS 108
Omaha, NE
Censure 8/9/2019 Failure to Keep Adequate Records
Permitting Aiding & Abetting
Unprofessional Conduct
Plate, Farrah Lynn, DDS 256
Lincoln, NE
Probation 7/23/2018 7/23/2023 Dishonorable Conduct
Substance Use Disorder, Moderate
Violation of UCSA
Emergency Medical Care
EMS Instructor
Reynolds, Karen Marie 300
Kimball, NE
Revocation 11/2/2010 Misrepresentation of Material Facts
Permitting Aiding & Abetting
Thornton, Todd A 177
Long Pine, NE
Revocation 4/30/2014 Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
EMT
Auman, Kent R 21876
Seward, NE
Probation 3/11/2016 3/11/2017 Misdemeanor Conviction(s)
Beck, Thomas H 10087
Tekamah, NE
Probation 2/15/2018 8/14/2019 Misdemeanor Conviction(s)
Substance Use Disorder
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 169 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
EMT
Blake, Andrew L 20748
Bridgeport, NE
Revocation 6/10/2015 Felony Conviction(s)
Misdemeanor Conviction(s)
xCont Substance Use Disorder - Moderate
Blundell, Jenee Maxine 21163
Geneva, NE
Probation 7/10/2014 7/10/2019 Alcohol Dependency
7/10/2019 Controlled Substance Dependence
7/10/2019 Felony Conviction(s)
7/10/2019 Misdemeanor Conviction(s)
Bogatz, Robin K 16104
Central City, NE
Revocation 2/10/2016 Failed to Report Conviction in 30 days
Misdemeanor Conviction(s)
Bradley, Ted Alan 17610
North Platte, NE
Probation 3/18/2012 3/18/2016 Alcohol Dependency
Misdemeanor Conviction(s)
Brush, Alex Daniel 20500
Loomis, NE
Censure 11/12/2014 Unprofessional Conduct
Civil Penalty 11/12/2015
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 170 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
EMT
Buck, Joshua P 14738
Bennet, NE
Censure 6/25/2012 Alcohol Dependency
Failure to File Report-38-1,124,38-1,125
Failure to Pay Fees
Misdemeanor Conviction(s)
Probation Violation
Civil Penalty 12/25/2012 Alcohol Dependency
Failure to File Report-38-1,124,38-1,125
Failure to Pay Fees
Misdemeanor Conviction(s)
Probation Violation
Probation 4/18/2010 4/18/2013 Alcohol Dependency
Failure to File Report-38-1,124,38-1,125
Failure to Pay Fees
Misdemeanor Conviction(s)
Probation Violation
Revocation 4/25/2013 Alcohol Dependency
Failure to File Report-38-1,124,38-1,125
Failure to Pay Fees
Misdemeanor Conviction(s)
Probation Violation
Suspension 1/17/2013 4/24/2013 Alcohol Dependency
Failure to File Report-38-1,124,38-1,125
Failure to Pay Fees
Misdemeanor Conviction(s)
Probation Violation
Buller, Luke Russel 23333
La Vista, NE
Probation 6/24/2019 6/16/2020 Misdemeanor Conviction(s)
Substance Use Disorder
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 171 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
EMT
Christen, John 5710
Merna, NE
Revocation 9/30/2013 Dishonorable Conduct
Misrepresentation of Material Facts
Unprofessional Conduct
xFailure to Conform-Stndrds of Practice
Christiansen, Chad Michael 21845
Valentine, NE
Censure 11/16/2016 Felony Conviction(s)
Misdemeanor Conviction(s)
Probation Violation
xAlcohol Use Disorder - Moderate
xCont Substance Use Disorder - Mild
Civil Penalty 5/16/2017 Felony Conviction(s)
Misdemeanor Conviction(s)
Probation Violation
xAlcohol Use Disorder - Moderate
xCont Substance Use Disorder - Mild
Probation 2/4/2016 Felony Conviction(s)
Misdemeanor Conviction(s)
Probation Violation
xAlcohol Use Disorder - Moderate
xCont Substance Use Disorder - Mild
Ciancio, Sarah Lynn 22804
Fullerton, NE
Censure 5/31/2018 Misdemeanor Conviction(s)
Probation Violation
Substance Use Disorders-Multiple
Civil Penalty Misdemeanor Conviction(s)
Probation Violation
Substance Use Disorders-Multiple
Probation 3/1/2018 Misdemeanor Conviction(s)
Probation Violation
Substance Use Disorders-Multiple
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 172 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
EMT
Clark, James Michael 23508
Falls City, NE
Probation 10/3/2019 10/2/2020 Misdemeanor Conviction(s)
Substance Use Disorder
Colgrove, Jacob Richard 14015
Beatrice, NE
Probation 9/11/2010 8/19/2011 Alcohol Abuse
8/19/2011 8/19/2012
9/11/2010 8/19/2011 Failure to Disclose Convictions
8/19/2011 8/19/2012
9/11/2010 8/19/2011 Misdemeanor Conviction(s)
8/19/2011 8/19/2012
9/11/2010 8/19/2011 Unprofessional Conduct
8/19/2011 8/19/2012
Davison, Lyle V 19285
Norfolk, NE
Probation 4/11/2017 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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 173 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
EMT
Folken, Ashley S 18075
Leigh, NE
Suspension 9/3/2010 10/3/2010 Unprofessional Conduct
Grill, Justin A 19451
Blair, NE
Probation 9/27/2010 9/27/2011 Lacks Good Character
Misdemeanor Conviction(s)
Hansen, Jason T 15980
Omaha, NE
Censure 8/28/2014 Alcohol Dependency
Failure to Comply With Aftercare
Probation Violation
Civil Penalty 2/28/2015 Alcohol Dependency
Failure to Comply With Aftercare
Probation Violation
Probation 1/6/2013 1/6/2017 Alcohol Dependency
Failure to Comply With Aftercare
Probation Violation
Hart, Chad M 18492
Ashland, NE
Probation 3/31/2016 3/31/2017 Misdemeanor Conviction(s)
xCont Substance Use Disorder - Severe
xControlled Substance Addiction
Havener, Jami Renee 19452
Arapahoe, NE
Censure 4/14/2011 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Civil Penalty 10/14/2011 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Probation 9/27/2010 9/22/2011 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 174 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
EMT
Hendricksen, Justin L 16783
Merna, NE
Civil Penalty 9/16/2010 9/16/2011 Unprofessional Conduct
Herink, Luke J 19800
Meridian, ID
Probation 8/23/2011 8/23/2014 Alcohol Abuse
Misdemeanor Conviction(s)
Hermanson, Eric B 15313
Valley, NE
Probation 7/8/2015 7/8/2018 Alcohol Abuse
Misdemeanor Conviction(s)
Herrick, Len 7562
Franklin, NE
Censure 2/12/2018 Unprofessional Conduct
Hoover, Michael Wayne 10075
Louisville, NE
Probation 11/10/2017 11/10/2020 Alcohol Abuse
Practice while Impaired
Unprofessional Conduct
Houseman, Justin Dean 22212
Johnson, NE
Probation 11/2/2016 Misdemeanor Conviction(s)
xAlcohol Use Disorder - Moderate
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 175 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
EMT
Hurlburt, Brandi S 13929
Arcadia, NE
Petition for Disp Action & Temp Susp 4/23/2012 6/25/2012 Controlled Substance Abuse
Controlled Substance Dependence
Dishonorable Conduct
Violation of UCSA
xFraud,Forgery,Misrep Material Facts
Probation 6/21/2013 8/8/2016 Controlled Substance Abuse
3/15/2017 1/26/2019
6/21/2013 8/8/2016 Controlled Substance Dependence
3/15/2017 1/26/2019
6/21/2013 8/8/2016 Dishonorable Conduct
3/15/2017 1/26/2019
6/21/2013 8/8/2016 Violation of UCSA
3/15/2017 1/26/2019
6/21/2013 8/8/2016 xFraud,Forgery,Misrep Material Facts
3/15/2017 1/26/2019
Suspension 4/23/2012 4/23/2013 Controlled Substance Abuse
Controlled Substance Dependence
Dishonorable Conduct
Violation of UCSA
xFraud,Forgery,Misrep Material Facts
Temporary Suspension 4/25/2012 6/25/2012 Controlled Substance Abuse
Controlled Substance Dependence
Dishonorable Conduct
Violation of UCSA
xFraud,Forgery,Misrep Material Facts
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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 176 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
EMT
King, Daniel R 6336
Lincoln, NE
Revocation 5/29/2014 Felony Conviction(s)
Knotek-Wangberg, Nicholas Lee 22291
Council Bluffs, IA
Probation 2/16/2017 9/27/2017 Alcohol Abuse
Controlled Substance Abuse
Lacks Good Character
Misdemeanor Conviction(s)
Kraegel, Connor H 21149
Cody, WY
Probation 6/30/2014 6/30/2015 Misdemeanor Conviction(s)
Lambert, Daryl Gene 22572
Wayne, NE
Probation 7/31/2017 7/31/2018 Alcohol Abuse
Misdemeanor Conviction(s)
Lassley, Jessica Anne 19975
Omaha, NE
Revocation 4/16/2014 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Violation of UCSA
Luethge, Stephen Edward 18629
Gretna, NE
Probation 9/7/2014 9/7/2017 Alcohol Abuse
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 177 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
EMT
McClain, Travis J 19448
Norfolk, NE
Probation 9/24/2010 5/10/2012 Alcohol Dependency
9/24/2016
5/10/2012 Misdemeanor Conviction(s)
9/24/2016
5/10/2012 Probation Violation
9/24/2016
Revocation 5/10/2012 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
McIntosh, Toni 15413
Oakland, IA
Revocation 4/19/2012 Misdemeanor Conviction(s)
McKain, Ryan M 21379
Omaha, NE
Probation 1/23/2015 1/23/2020 Alcohol Dependency
Misdemeanor Conviction(s)
Mehringer, Christopher Lynn 17900
Mc Cook, NE
Revocation 1/31/2013 Abuse of Resident
Misdemeanor Conviction(s)
Monnahan, Brian A 21800
Palisade, NE
Probation 12/31/2015 12/31/2016 Misdemeanor Conviction(s)
xAlcohol Use Disorder - Mild
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 178 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
EMT
Moore, Derek Domonic 19861
Kearney, NE
Censure 4/16/2014 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Civil Penalty 10/16/2014 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Probation 9/29/2011 3/16/2015 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Suspension 3/16/2015 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Morgaridge, Scott 10569
Gretna, NE
Probation 5/30/2015 5/30/2020 Alcohol Dependency
5/30/2020 Misdemeanor Conviction(s)
Neideffer, Paul E 12948
Scottsbluff, NE
Probation 5/15/2014 5/15/2019 Alcohol Dependency
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Probation Violation
Unprofessional Conduct
Newton, Sara A.E. 23301
Bradshaw, NE
Probation 8/15/2016 8/15/2021 Alcohol Use Disorder, Moderate
Misdemeanor Conviction(s)
Substance Use Disorder
Nielsen, Bryce C 20702
Lincoln, NE
Probation 6/17/2013 6/17/2014 Alcohol Abuse
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 179 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
EMT
Nordstrom, Daniel Scott 19476
Omaha, NE
Probation 1/10/2016 1/10/2019 Alcohol Abuse
Misdemeanor Conviction(s)
O'Brien, Trever E 19745
Norfolk, NE
Probation 7/13/2011 1/13/2012 Lacks Good Character
Peterson, Michael B 22500
Gothenburg, NE
Probation 6/21/2017 6/21/2018 Misdemeanor Conviction(s)
xAlcohol Use Disorder - Mild
Pinkerton, Brandi Lea 20692
Callaway, NE
Probation 6/14/2013 6/14/2018 Controlled Substance Dependence
Felony Conviction(s)
Misdemeanor Conviction(s)
Poe, Nicholas Ray 20902
Omaha, NE
Probation 10/9/2013 8/20/2015 Probation Violation
xMind-Altering Substance Dependence
Porter, John A 15163
Lincoln, NE
Revocation 9/5/2014 Felony Conviction(s)
Ramsey-Dietlin, Jennifer K 18319
Bellevue, NE
Suspension 5/8/2012 5/8/2013 Unprofessional Conduct
Violation of UCA
Reed, Jonathan Jay 18478
Gretna, NE
Probation 12/31/2014 9/6/2017 Alcohol Dependency
Misdemeanor Conviction(s)
Reese, Dennis L, RP, PharmD 22209
Madison, NE
Probation 10/24/2016 1/8/2019 Controlled Substance Dependence
Obtained Drug Unlawfully
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 180 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
EMT
Reynolds, Karen Marie 9412
Kimball, NE
Censure 11/2/2010 Misrepresentation of Material Facts
Permitting Aiding & Abetting
Rosenthal, Kristofer M 19946
North Platte, NE
Probation 11/2/2014 11/2/2017 Alcohol Abuse
Misdemeanor Conviction(s)
Saxton, Renee M 19802
Lincoln, NE
Probation 11/22/2014 11/22/2016 Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Unprofessional Conduct
Sedivy, John L 20048
Bancroft, NE
Probation 2/24/2012 6/12/2015 Alcohol Dependency
Felony Conviction(s)
Misdemeanor Conviction(s)
Sena, Michael S 9259
Omaha, NE
Probation 12/24/2010 12/24/2011 Alcohol Abuse
Failure to Disclose Convictions
Misdemeanor Conviction(s)
Smith, Tricia Lea 19223
Center, NE
Censure 11/2/2010 Misrepresentation of Material Facts
Civil Penalty 11/2/2011
Suspension 11/12/2010 12/12/2010
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 181 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
EMT
Snowball, John Y 19986
Sioux City, IA
Probation 1/11/2012 2/28/2013 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Revocation 2/28/2013 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Staley, Tom D 14777
Lincoln, NE
Probation 8/11/2014 8/11/2015 Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Stithem, Travis G 23300
Cozad, NE
Probation 6/5/2019 6/4/2020 Misdemeanor Conviction(s)
Substance Use Disorder
Strawn, Tyler J 19679
Kansas City, MO
Censure 8/11/2011 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Civil Penalty 2/11/2012 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Probation 5/19/2011 2/24/2012 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Thornton, Todd A 12080
Long Pine, NE
Probation 5/10/2014 5/10/2015 Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
Turnbull, Jason A 19803
Pawnee City, NE
Probation 8/24/2011 11/19/2011 Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 182 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
EMT
Vieyra, Aaron Lewis 14183
North Platte, NE
Revocation 12/2/2013 12/2/2015 Alcohol Abuse
Controlled Substance Abuse
Dishonorable Conduct
Failure to File Report-38-1,124,38-1,125
Felony Conviction(s)
Violation of UCSA
Wiekhorst, Michael Scott 22111
Valley, NE
Probation 8/3/2016 8/3/2018 Misdemeanor Conviction(s)
Wonka, Alexandria Anne 21934
Weston, NE
Probation 12/5/2016 Misdemeanor Conviction(s)
xAlcohol Use Disorder - Moderate
xAlcohol Use Disorder - Severe
York, Michael J 17649
Omaha, NE
Censure 11/2/2010 Alcohol Dependency
8/11/2011
11/2/2010 Misdemeanor Conviction(s)
8/11/2011
11/2/2010 Probation Violation
8/11/2011
Civil Penalty 11/2/2010 11/2/2011 Alcohol Dependency
8/11/2011 2/11/2013
11/2/2010 11/2/2011 Misdemeanor Conviction(s)
8/11/2011 2/11/2013
11/2/2010 11/2/2011 Probation Violation
8/11/2011 2/11/2013
Zitterkopf, Rebecca Jean 18048
Gering, NE
Probation 9/3/2010 3/3/2011 Practice Beyond Scope
EMT-Intermediate
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 183 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
EMT-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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 184 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Paramedic
Andrade, Mario Alberto 4240
South Sioux City, NE
Censure 2/21/2019 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Unprofessional Conduct
Violation of UCSA
Civil Penalty 8/21/2019 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Unprofessional Conduct
Violation of UCSA
Probation 8/4/2017 8/4/2020 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Unprofessional Conduct
Violation of UCSA
Boettcher, Mindi Jo 3684
Lincoln, NE
Probation 3/7/2019 3/7/2020 Alcohol Use Disorder, Moderate
Misdemeanor Conviction(s)
Coyle, Michael F 3466
Sisseton, SD
Probation 9/15/2014 Controlled Substance Dependence
Fhuere, Mark A 2319
Grand Island, NE
Revocation 8/28/2014 Felony Conviction(s)
Gesell, Phillip J 2235
Norfolk, NE
Censure 8/28/2014 Failure to File Report-38-1,124,38-1,125
Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 185 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Paramedic
Guido, Frank J 3456
Bellevue, NE
Probation 8/4/2017 Alcohol Dependency
Controlled Substance Abuse
Violation of UCSA
Herink, Luke J 3983
Meridian, ID
Censure 8/28/2014 Probation Violation
Civil Penalty 2/28/2015
Probation 6/24/2013 8/23/2014 Alcohol Abuse
Misdemeanor Conviction(s)
Hillabrand, Scott D 3813
Lincoln, NE
Censure 4/16/2014 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Violation of Dept Order
Civil Penalty 5/1/2015 11/1/2015 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Violation of Dept Order
Holland, Christopher Martin 3560
Omaha, NE
Censure 10/21/2015 Unprofessional Conduct
Hynes, Kory Daniel 3593
Lino Lakes, MN
Probation 8/10/2010 11/5/2010 Alcohol Dependency
Misdemeanor Conviction(s)
Johnson, Jarrett D 2451
Holdrege, NE
Censure 12/8/2011 Failure to File Report-38-1,124,38-1,125
Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 186 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Paramedic
Jones, Brandee M 3176
Omaha, NE
Censure 4/30/2014 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Probation 5/10/2014 5/10/2015 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Knotek-Wangberg, Nicholas Lee 4625
Council Bluffs, IA
Probation 9/27/2017 Alcohol Abuse
Controlled Substance Abuse
Lacks Good Character
Misdemeanor Conviction(s)
Masoner, Sharon Kay 3373
Franklin, NE
Limitation-Disciplinary 2/9/2012 5/12/2012 Pattern of Negligence
Unprofessional Conduct
Mauro, Anthony R 3790
Spring Valley, CA
Probation 2/13/2012 Alcohol Abuse
Misdemeanor Conviction(s)
Newell, Corey D 3774
Salina, KS
Revocation 9/30/2013 Misdemeanor Conviction(s)
Unprofessional Conduct
Poe, Nicholas Ray 4313
Omaha, NE
Censure 10/24/2017 Probation Violation
xMind-Altering Substance Dependence
Civil Penalty 4/24/2018 Controlled Substance Dependence
Probation Violation
xMind-Altering Substance Dependence
Probation 8/20/2015 10/9/2018 Controlled Substance Dependence
Probation Violation
xMind-Altering Substance Dependence
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 187 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Paramedic
Reed, Jonathan Jay 3549
Gretna, NE
Probation 12/13/2014 12/31/2014 Alcohol Dependency
Misdemeanor Conviction(s)
Schlehuber, Patrick J 3682
Omaha, NE
Probation 6/8/2011 1/1/2012 Alcohol Dependency
6/22/2017
6/8/2011 1/1/2012 Failure to Comply With Aftercare
6/22/2017
6/8/2011 1/1/2012 xCriminal Conviction(s)
6/22/2017
Sindorf, Michael R 3701
Lincoln, NE
Probation 7/27/2011 7/27/2012 Misdemeanor Conviction(s)
Probation Violation
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 188 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Paramedic
Smith, Michael J 3402
Gering, NE
Censure 9/3/2010 Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Practice Beyond Scope
Probation Violation
Unprofessional Conduct
Probation 3/3/2011 Failure to File Report-38-1,124,38-1,125
9/16/2012 9/22/2013
9/3/2010 3/3/2011 Failure to Keep Adequate Records
9/16/2012 9/22/2013
9/3/2010 3/3/2011 Practice Beyond Scope
9/16/2012 9/22/2013
9/3/2010 3/3/2011 Probation Violation
9/16/2012 9/22/2013
9/3/2010 3/3/2011 Unprofessional Conduct
9/16/2012 9/22/2013
Revocation 4/3/2015 Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Practice Beyond Scope
Probation Violation
Unprofessional Conduct
Suspension 9/22/2013 4/3/2015 Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Practice Beyond Scope
Probation Violation
Unprofessional Conduct
Strawn, Tyler J 3826
Kansas City, MO
Probation 6/20/2012 9/12/2014 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 189 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Paramedic
Svejkowsky, Tammy L 3301
Raeford, NC
Limitation-Disciplinary 3/3/2011 Negligent Conduct
Unprofessional Conduct
Walling, Kyle A 2774
Papillion, NE
Probation 3/18/2012 3/18/2017 Alcohol Dependency
Misdemeanor Conviction(s)
Walsh, Sandy M 3705
Ravenna, NE
Probation 5/10/2017 5/10/2018 Failed to Report Conviction in 30 days
Misdemeanor Conviction(s)
Walters, Adam J 3479
Grand Island, NE
Censure 7/23/2012 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Wurdeman, Chad W 3363
Norfolk, NE
Probation 2/21/2015 9/6/2017 Misdemeanor Conviction(s)
xAlcohol Use Disorder - Moderate
York, Michael J 3941
Omaha, NE
Probation 2/28/2013 11/13/2014 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Funeral Directing
Apprentice-Full
Cuba, Lisa A 118
Omaha, NE
Probation 5/15/2013 Alcohol Dependency
Misdemeanor Conviction(s)
xMind-Altering Substance Dependence
Apprentice-Split 1
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 190 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Apprentice-Split 1
Reisig, Richard Craig 106
Scottsbluff, NE
Probation 12/12/2017 Misdemeanor Conviction(s)
Funeral Director and Embalmer
Collins, Eric Shawn 1453
Liberty, MO
Revocation 5/30/2016 Dishonorable Conduct
Failure to File Report-38-1,124,38-1,125
Misrepresentation of Material Facts
DeGeorge, Robert J 1190
Papillion, NE
Probation 11/3/2017 11/3/2018 Alcohol Abuse
Misdemeanor Conviction(s)
xCourt Conviction
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 191 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Funeral Director and Embalmer
Lauber, William J 1097
Milford, NE
Censure 10/23/2013 Alcohol Abuse
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Misrepresentation of Material Facts
Probation Violation
Civil Penalty 4/23/2014 Alcohol Abuse
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Misrepresentation of Material Facts
Probation Violation
Probation 1/17/2013 1/17/2015 Alcohol Abuse
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Misrepresentation of Material Facts
Probation Violation
Lewis, Terry G 1043
Great Bend, KS
Probation 8/12/2010 8/12/2015 xCriminal Conviction(s)
O'Brien, Stephen D 706
Kearney, NE
Suspension 8/12/2018 Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
Roby, Keith Leland 880
Plattsmouth, NE
Civil Penalty 12/27/2012 12/27/2013 Unprofessional Conduct
Suspension 1/6/2013 2/5/2013
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 192 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Funeral Director and Embalmer
Rozanek Rodney 666
Lincoln, NE
Censure 1/10/2014 Failure to File Report-38-1,124,38-1,125
10/4/2017 Permitting Aiding & Abetting
1/10/2014 Unprofessional Conduct
Violation Burial Pre-need Act
Civil Penalty 7/10/2014 Failure to File Report-38-1,124,38-1,125
10/4/2017 4/4/2018 Permitting Aiding & Abetting
1/10/2014 7/10/2014 Unprofessional Conduct
Violation Burial Pre-need Act
Probation 1/20/2014 7/20/2014 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Violation Burial Pre-need Act
Rozanek, R A 1155
Omaha, NE
Revocation 12/16/2016 Failed to Report Conviction in 30 days
Felony Conviction(s)
Misrepresentation of Material Facts
xAlcohol Use Disorder - Severe
xCont Substance Use Disorder - Moderate
Solt, Leslie Mitchell 1398
Central City, NE
Censure 4/12/2013 Alcohol Dependency
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Civil Penalty 10/12/2013 Alcohol Dependency
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Probation 4/22/2013 10/22/2014 Alcohol Dependency
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Stonacek, Todd William 1089
Pierce, NE
Censure 12/27/2012 Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 193 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Funeral Director and Embalmer
Stranglen, David Alan 1266
Papillion, NE
Censure 3/31/2011 Dishonorable Conduct
Unprofessional Conduct
Wilson, Murray, Jr 893
Hastings, NE
Censure 10/31/2014 Unprofessional Conduct
Lead
Lead Abatement Risk Assessor
Arens, Jamie R 104
Norfolk, NE
Civil Penalty 6/11/2014 7/11/2014 178 NAC 23 - Lead Based Paint
Lead Abatement Supervisor
Thompson, Joseph W 157
Omaha, NE
Suspension 7/8/2011 9/8/2011 Failure to Pay Fees
Massage Therapy
Massage Therapist
Abboud, Michael A 3207
Omaha, NE
Probation 8/20/2014 8/20/2015 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Suspension 12/19/2014 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Atkins, Jacqueline Rae 2248
Arnold, NE
Censure 12/12/2013 Permitting Aiding & Abetting
Civil Penalty 9/30/2014
Probation 12/22/2013 12/22/2014
Beckman, Natalie Ann 3482
Omaha, NE
Probation 8/15/2018 2/15/2019 Unlicensed Practice
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 194 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Massage Therapist
Benson, Abbie J 2265
Cambridge, NE
Probation 10/29/2012 4/29/2013 Unlicensed Practice
Bourke, Suzanne L. 3351
Omaha, NE
Probation 11/9/2015 5/9/2016 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Branigan, Taylor D 3663
Tucson, AZ
Probation 3/8/2018 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Substance Use Disorders-Multiple
Buffington, Melvin Raymond 3383
Omaha, NE
Petition for Disp Action & Temp Susp 3/14/2018 4/17/2018 Dishonorable Conduct
Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
Suspension 3/15/2018 Dishonorable Conduct
Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
Cai, Yun 2837
Park City, IL
Censure 3/14/2013 Permitting Aiding & Abetting
Civil Penalty 3/14/2014
Probation 3/24/2013 9/24/2013
Cameron, Bree E. 3146
Omaha, NE
Probation 3/5/2014 9/5/2014 Failure to Disclose Convictions
Carter, Saderia Alesha 2738
Bellevue, NE
Probation 1/23/2017 7/23/2017 Practice in Unlicensed Premises
Cederdahl, Erika Jo 2624
Lincoln, NE
Probation 10/1/2010 4/1/2011 Failure to Disclose Convictions
xCourt Conviction
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 195 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Massage Therapist
Church, Britta Dennise 2557
Lincoln, NE
Probation 5/20/2010 5/20/2011 xCourt Conviction
Cusatis, Tres Anthony 2616
Hastings, NE
Temporary Suspension 8/11/2011 7/26/2012 Dishonorable Conduct
Immoral Conduct
Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
Daugherty, Kristin E 2878
Omaha, NE
Probation 6/6/2012 12/6/2012 Misdemeanor Conviction(s)
Dawdy, Katherine E. 3027
Omaha, NE
Probation 5/16/2013 11/16/2013 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Dine, Stephanie Jean 2418
Omaha, NE
Probation 3/29/2013 Alcohol Dependency
Controlled Substance Dependence
Misdemeanor Conviction(s)
xMind-Altering Substance Abuse
Eastwood, Alicia Ann 2623
Fremont, NE
Probation 10/1/2010 10/1/2011 Alcohol Abuse
Failure to Disclose Convictions
xCriminal Conviction(s)
Furlong, Amy Jo 3389
Bertrand, NE
Probation 3/1/2016 Misdemeanor Conviction(s)
Other State Action
Violation of UCA
xAlcohol Use Disorder - Severe
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 196 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Massage Therapist
Glasgow, Kellye L 2583
Omaha, NE
Probation 7/27/2010 7/27/2011 Failure to Disclose Convictions
xCriminal Conviction(s)
Glick, Hazel Cecile 2774
Omaha, NE
Censure 9/14/2017 Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
Grace, Hannah Leigh 3025
Blair, NE
Probation 5/15/2013 11/15/2013 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Graydobbs, Ariel 3097
Bellevue, NE
Probation 11/4/2013 4/25/2016 Felony Conviction(s)
Greenwood, Sarah Renee 3101
Lincoln, NE
Probation 11/19/2013 Misdemeanor Conviction(s)
xMind-Altering Substance Abuse
Handy, Tracy M 3117
Omaha, NE
Probation 12/24/2013 6/24/2014 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Harrison, Carla June 2898
Omaha, NE
Probation 11/29/2014 5/29/2015 Practice in Unlicensed Premises
Violation of UCA
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 197 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Massage Therapist
Hatcher, Ethan Alan 3417
Lincoln, NE
Probation 4/22/2019 4/22/2021 Alcohol Use Disorder, Moderate
Failed to Report Conviction in 30 days
5/20/2016 11/20/2016 Failure to Disclose Convictions
4/22/2019 4/22/2021 Felony Conviction(s)
5/20/2016 11/20/2016 Misdemeanor Conviction(s)
4/22/2019 4/22/2021
Substance Use Disorder, Moderate
Havlat, Dawn Marie 2366
Dorchester, NE
Probation 11/2/2017 5/2/2018 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Hicken, Nathaniel Flemming 2793
Lincoln, NE
Probation 10/25/2011 4/25/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Hicks, Jessey Jayne 3256
Omaha, NE
Probation 1/20/2015 7/20/2015 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Hilger, Amy J. 3443
Omaha, NE
Probation 9/13/2016 3/13/2017 Felony Conviction(s)
Hillman, Dana R 2941
Omaha, NE
Probation 8/22/2014 2/22/2015 Unlicensed Practice
Hinton, Shelah A 2821
Omaha, NE
Probation 1/19/2012 1/19/2014 Misdemeanor Conviction(s)
xMind-Altering Substance Dependence
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 198 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Massage Therapist
Hobson, Anay Marie 3748
Omaha, NE
Probation 2/14/2019 9/4/2019 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Misrepresentation of Material Facts
Probation Violation
Suspension 6/27/2019 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Misrepresentation of Material Facts
Probation Violation
Holcombe, William J. 2895
Omaha, NE
Petition for Disp Action & Temp Susp 4/12/2013 Dishonorable Conduct
Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
Use of Sexual Stimulation as Mass Therpy
Revocation 5/24/2013 Dishonorable Conduct
Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
Use of Sexual Stimulation as Mass Therpy
Temporary Suspension 4/18/2013 5/23/2013 Dishonorable Conduct
Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
Use of Sexual Stimulation as Mass Therpy
Hollimon, Shana Frances 3313
Omaha, NE
Probation 7/21/2015 1/21/2016 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Honig, Elizabeth C 1562
Omaha, NE
Probation 12/30/2015 12/30/2019 Failure to Disclose Convictions
Felony Conviction(s)
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 199 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Massage Therapist
Huang, Rui 3278
OMAHA, NE
Civil Penalty 6/14/2016 12/14/2016 Permitting Aiding & Abetting
Practice in Unlicensed Premises
Probation 6/24/2016 6/24/2017 Permitting Aiding & Abetting
Practice in Unlicensed Premises
Humlicek, Robert Jason 3148
Omaha, NE
Probation 3/6/2014 9/6/2014 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Hunt, Roderick L 808
Gretna, NE
Censure 6/1/2017 Misdemeanor Conviction(s)
Jacob, Charla A. 3368
Omaha, NE
Probation 12/24/2015 6/24/2016 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Johnson, Brandi N. 3460
York, NE
Probation 11/1/2016 5/1/2017 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Jones II, Laveal 3521
Omaha, NE
Probation 4/24/2017 10/24/2017 Failure to Disclose Convictions
Felony Conviction(s)
Misdemeanor Conviction(s)
Kardell, Chelsea Breanne 2402
Gretna, NE
Civil Penalty 11/15/2010 5/15/2011 Misrepresentation of Material Facts
Permitting Aiding & Abetting
Violation of UCA
Kennedy, Tia Leigh 2900
Bellevue, NE
Probation 7/20/2012 7/20/2013 Failure to Disclose Convictions
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 200 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Massage Therapist
Knapp, Travis B 3094
Omaha, NE
Probation 10/25/2013 4/25/2014 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Li, Sharon 2879
Brooklyn, NY
Censure 6/5/2013 Practice in Unlicensed Premises
Civil Penalty 12/5/2013
Li, Yun 2699
Hacienda Heights, CA
Civil Penalty 3/12/2015 9/12/2015 Permitting Aiding & Abetting
Probation 3/22/2015 9/22/2015
Li, Zeng Dong 3181
Omaha, NE
Censure 1/28/2016 Permitting Aiding & Abetting
Practice in Unlicensed Premises
Previous Violations Resumed
Violation of UCA
Civil Penalty 1/28/2017 Permitting Aiding & Abetting
Practice in Unlicensed Premises
Previous Violations Resumed
Violation of UCA
Revocation 9/5/2016 Permitting Aiding & Abetting
Practice in Unlicensed Premises
Previous Violations Resumed
Violation of UCA
Libby, Wyatt Austin 2449
Bellevue, NE
Censure 4/28/2011 Probation Violation
xCourt Conviction
Liggins, Tranesa M. 2856
Omaha, NE
Probation 3/6/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 201 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Massage Therapist
Lin, Jenny 3257
Bellevue, NE
Revocation 12/8/2016 Permitting Aiding & Abetting
Violation of Dept Order
Liston, Wendy LeAnn 2937
Valley, NE
Civil Penalty 12/12/2013 12/1/2014 Misdemeanor Conviction(s)
Practice in Unlicensed Premises
Violation of UCA
Probation 10/9/2012 10/9/2013 Misdemeanor Conviction(s)
12/22/2013 6/22/2014
10/9/2012 10/9/2013 Practice in Unlicensed Premises
12/22/2013 6/22/2014
10/9/2012 10/9/2013 Violation of UCA
12/22/2013 6/22/2014
Liu, Wen Yan 3092
Sacramento, CA
Civil Penalty 10/7/2014 10/7/2015 Permitting Aiding & Abetting
Probation Violation
Probation 10/17/2014 10/17/2015 Permitting Aiding & Abetting
Probation Violation
Revocation 10/3/2015 Permitting Aiding & Abetting
Probation Violation
Stipulation 11/25/2014 5/25/2015 Permitting Aiding & Abetting
Probation Violation
Lord, Sophia Louise 3419
Omaha, NE
Probation 10/20/2018 10/20/2021 Alcohol Use Disorder, Severe
Misdemeanor Conviction(s)
Substance Use Disorder, Severe
Lovitt, Latisha Lea 3138
North Platte, NE
Civil Penalty 4/28/2016 10/28/2016 Practice in Unlicensed Premises
Probation 5/8/2016 2/14/2017
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 202 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Massage Therapist
Mackey, Terrell A 3432
Omaha, NE
Probation 7/1/2016 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Suspension 2/15/2017 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Malcom, Hanna Marie 3274
Rossville, GA
Probation 3/17/2015 3/17/2016 Misdemeanor Conviction(s)
xCont Substance Use Disorder - Moderate
Maricle, Sharon R 566
Lincoln, NE
Civil Penalty 8/28/2013 8/28/2014 Practice in Unlicensed Premises
Violation of UCA
Probation 9/7/2013 3/7/2014 Practice in Unlicensed Premises
Violation of UCA
Mitchell, Jamie Lynn 3309
OMAHA, NE
Probation 7/14/2015 5/2/2016 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Suspension 4/15/2016 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Moore, Angela M 3240
Brownsville, TX
Probation 11/3/2014 5/3/2015 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Mullin, Mary Katherine 3624
Papillion, NE
Probation 8/1/2019 8/1/2022 Alcohol Use Disorder, Severe
Failed to Report Conviction in 30 days
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 203 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Massage Therapist
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
Probation 7/30/2010 8/21/2011 Alcohol Dependency
Probation Violation
xCriminal Conviction(s)
Revocation 8/21/2011 Alcohol Dependency
Probation Violation
xCriminal Conviction(s)
Pfeiffer, Carly Jean 3735
Omaha, NE
Probation 1/2/2019 7/2/2019 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Phillips, Lisa A 2711
Omaha, NE
Probation 4/26/2011 12/26/2011 Alcohol Abuse
Failure to Disclose Convictions
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 204 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Massage Therapist
Pinkelman, Michelle L 3049
Hartington, NE
Probation 7/19/2013 1/19/2014 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Quirk, Breanna M 3115
Omaha, NE
Probation 12/19/2013 6/19/2014 Failure to Disclose Convictions
Felony Conviction(s)
Misdemeanor Conviction(s)
Rein, Kyle M. 2919
Lincoln, NE
Probation 9/12/2012 3/12/2013 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Robbins, Douglas Lowell 2646
Kila, MT
Probation 11/9/2010 11/9/2011 Failure to Disclose Convictions
xCriminal Conviction(s)
Sampson, Christopher Dwayne 2441
Omaha, NE
Revocation 3/3/2019 Dishonorable Conduct
Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
Use of Sexual Stimulation as Mass Therpy
Violation of AOC
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 205 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Massage Therapist
Schubauer, Danielle Ranae 2753
Valentine, NE
Censure 1/26/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Civil Penalty 7/26/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Probation 7/12/2011 1/12/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Suspension 4/2/2012 12/13/2013 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Schumacher, Natasha Nicole 2920
Hemingford, NE
Probation 9/6/2012 Alcohol Abuse
Misdemeanor Conviction(s)
xMind-Altering Substance Dependence
Scott, Sunday Lynn 2544
Omaha, NE
Probation 4/6/2010 10/6/2010 xCourt Conviction
Shelton, Jack O 2120
Omaha, NE
Revocation 5/27/2012 Dishonorable Conduct
Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
Skibinski, Kimberly Jo 2682
Lincoln, NE
Probation 11/10/2012 11/10/2013 Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 206 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Massage Therapist
Smart, Jeffrey Lynn 1017
Lincoln, NE
Revocation 5/31/2010 Controlled Substance Dependence
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Probation Violation
Snyder, Danielle Alyce 2942
Omaha, NE
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
Probation 4/6/2010 10/6/2010 xCourt Conviction
Revocation 9/6/2012 Dishonorable Conduct
Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
Temporary Suspension 7/26/2012 9/5/2012 Dishonorable Conduct
Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 207 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Massage Therapist
Spies, April A 2890
Lincoln, NE
Probation 7/5/2012 1/5/2013 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Suspension 3/1/2013 3/14/2013 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Probation Violation
Sundquist, Marvin Doug 2970
Fremont, NE
Probation 12/7/2012 12/7/2013 Alcohol Dependency
Misdemeanor Conviction(s)
Thoman, Holly A. 3363
Dwight, NE
Probation 12/9/2015 5/19/2016 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Tufts, Gabriel J 3150
Lincoln, NE
Probation 3/18/2014 9/18/2014 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Vogel, Robert Mitchell 3271
Omaha, NE
Petition for Disp Action & Temp Susp 6/14/2016 7/22/2016 Dishonorable Conduct
Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
Temporary Suspension 6/24/2016 Dishonorable Conduct
Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
Wamsley, Andrea Virginia 2581
Falls City, NE
Probation 7/23/2010 7/23/2011 Failure to Disclose Convictions
xCriminal Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 208 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Massage Therapist
Wassenberg, Jennifer Ann 3620
Omaha, NE
Probation 12/18/2017 6/18/2018 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Watkins, Katie Jo 3763
Kearney, NE
Probation 4/18/2019 10/18/2019 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Weber, Eva Mae 1012
Omaha, NE
Probation 8/5/2012 8/5/2013 Practice in Unlicensed Premises
West, Sarah J 2078
Omaha, NE
Censure 7/26/2012 Probation Violation
Probation 12/8/2011 12/8/2013 Alcohol Dependency
Failure to File Report-38-1,124,38-1,125
Misrepresentation of Material Facts
Williams, Anissa Lee 2893
La Vista, NE
Censure 2/12/2014 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
xMind-Altering Substance Abuse
Probation 7/12/2012 2/12/2014 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
xMind-Altering Substance Abuse
Wilson, Kirstin Grace 2621
Omaha, NE
Probation 9/30/2010 9/30/2011 Alcohol Dependency
xCriminal Conviction(s)
Wruble, Malisa Jade 3043
Lincoln, NE
Probation 7/2/2013 1/2/2014 Failure to Disclose Convictions
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 209 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Massage Therapist
Wu, Shuangyou 2838
CHICAGO, IL
Censure 3/14/2013 Permitting Aiding & Abetting
Civil Penalty 3/14/2014
Probation 3/24/2013 9/24/2013
Xu, Xiao Jun 2756
Omaha, NE
Civil Penalty 1/31/2013 1/31/2014 Permitting Aiding & Abetting
Unprofessional Conduct
Yoder, Jessica Ann 2542
Lincoln, NE
Probation 4/2/2010 10/2/2010 Failure to Disclose Convictions
xCriminal Conviction(s)
Zhao, Xiangju 3551
San Diego, CA
Revocation 1/27/2019 Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
Temporary Massage Therapist
Brown, Tawni Lynn 1712
Bellevue, NE
Probation 11/17/2010 xCriminal Conviction(s)
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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 210 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Temporary Massage Therapist
White, Brandis C 1837
Omaha, NE
Probation 3/21/2018 5/20/2018 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Medicine
Osteopathic Physician & Surgeon
Bowland, Terri Allison, DO 917
Commerce City, CO
Probation 5/11/2012 5/11/2014 Misrepresentation of Material Facts
Unprofessional Conduct
Carroll, Edward Scott, DO 288
North Platte, NE
Censure 5/6/2010 Misdemeanor Conviction(s)
Unprofessional Conduct
Civil Penalty 5/6/2012 Misdemeanor Conviction(s)
Unprofessional Conduct
Murphy Jr DO, James Francis 241
Omaha, NE
Censure 10/12/2011 Felony Conviction(s)
Other State Action
Unprofessional Conduct
Civil Penalty 4/12/2012 Felony Conviction(s)
Other State Action
Unprofessional Conduct
Revocation 3/11/2018 Felony Conviction(s)
Other State Action
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 211 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Osteopathic Physician & Surgeon
Patterson, Tiffany Nichole, DO 528
UPR Marlboro, MD
Censure 3/17/2011 Failure to Keep Adequate Records
Prescribing CS to Oneself
Unprofessional Conduct
Civil Penalty 9/17/2011 Failure to Keep Adequate Records
Prescribing CS to Oneself
Unprofessional Conduct
Rigler, Donald Edward, DO 86
Columbus, NE
Limitation-Disciplinary 3/27/2014 10/28/2016 Unprofessional Conduct
Violation of UCSA
Probation 3/27/2019 Unprofessional Conduct
Violation of UCSA
Suspension 8/1/2013 2/1/2014 Unprofessional Conduct
Violation of UCSA
Schmidt, Scott Eric, DO 350
Lincoln, NE
Probation 8/3/2014 8/3/2019 Alcohol Dependency
Failure to Comply With Aftercare
Practice while Impaired
Suspension 5/5/2014 8/2/2014 Alcohol Dependency
Failure to Comply With Aftercare
Practice while Impaired
Shnurman, Benjamin Ziskin, DO 1023
Moline, IL
Revocation 2/23/2018 Other State Action
Symonds, John Terrill, DO 77
Maryville, MO
Limitation-Disciplinary 8/24/2010 Gross Incompetence
Gross Negligence
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 212 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Osteopathic Physician & Surgeon
Wilkinson, Heather Lee, DO 425
Johns Island, SC
Suspension 8/6/2010 11/15/2010 Misrepresentation of Material Facts
11/15/2010 1/3/2011
8/6/2010 11/15/2010 Unprofessional Conduct
11/15/2010 1/3/2011
8/6/2010 11/15/2010 xControlled Substance Addiction/Depndncy
11/15/2010 1/3/2011
8/6/2010 11/15/2010 xFailure To File Mandatory Report
11/15/2010 1/3/2011
Physician
Agrawal MBBS, Narendrakumar Tejmal 13235
Galion, OH
Revocation 12/1/2011 Felony Conviction(s)
Unprofessional Conduct
Aguirre, Roberto Enrique, MD 13810
Enka, NC
Suspension 9/16/2010 11/2/2010 Alcohol Dependency
Misdemeanor Conviction(s)
Alarid, Richard Rupert, MD 16176
Omaha, NE
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 213 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician
Anit, Leandro Sapanlay, Jr. MD 26852
Omaha, NE
Civil Penalty 7/25/2017 7/25/2019 Dishonorable Conduct
Immoral Conduct
Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
Violation of Dept Order
Suspension 8/4/2017 9/2/2017 Dishonorable Conduct
5/30/2018 7/20/2018
8/14/2019
8/4/2017 9/2/2017 Immoral Conduct
5/30/2018 7/20/2018
8/14/2019
8/4/2017 9/2/2017 Sexual Abuse,Miscnduct,Exploit
5/30/2018 7/20/2018
8/14/2019
8/4/2017 9/2/2017 Unprofessional Conduct
5/30/2018 7/20/2018
8/14/2019
8/4/2017 9/2/2017 Violation of Dept Order
5/30/2018 7/20/2018
8/14/2019
Balter, Kevin Scott, MD 24699
Omaha, NE
Limitation-Disciplinary 6/24/2013 6/24/2014 Misdemeanor Conviction(s)
Prescribing CS to Oneself
Unprofessional Conduct
Violation of UCA
Violation of UCSA
Probation 8/23/2014 Misdemeanor Conviction(s)
Prescribing CS to Oneself
Unprofessional Conduct
Violation of UCA
Violation of UCSA
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 214 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician
Bauhard, Marlin Roy, MD 13817
Hebron, NE
Limitation-Disciplinary 10/11/2013 Alcohol Dependency
Controlled Substance Dependence
Probation Alcohol Dependency
Controlled Substance Dependence
Baus, Joseph Edward, MD 28631
Omaha, NE
Probation 6/18/2015 6/18/2019 Controlled Substance Dependence
Other State Action
Bespalec, Jason Lane, MD 20208
Geneva, NE
Probation 6/17/2016 6/17/2017 Pattern of Negligence
Unprofessional Conduct
Bottlinger MD, Bruce Jay 15311
Grand Island, NE
Probation 5/29/2013 12/6/2016 Alcohol Dependency
Misdemeanor Conviction(s)
Practice while Impaired
Probation Violation
Sexual Abuse,Miscnduct,Exploit
Revocation 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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 215 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician
Burton, Reginald Arthur, MD 22202
Omaha, NE
Petition for Disp Action & Temp Susp 8/3/2017 10/4/2017 Dishonorable Conduct
Failure to Keep Adequate Records
Pattern of Negligence
Unprofessional Conduct
Suspension 1/19/2017 9/19/2018 Dishonorable Conduct
Failure to Keep Adequate Records
Pattern of Negligence
Unprofessional Conduct
Temporary Suspension 8/7/2017 10/4/2017 Dishonorable Conduct
Failure to Keep Adequate Records
Pattern of Negligence
Unprofessional Conduct
Cabiling, Louis Charles, MD 18693
Pueblo, CO
Probation 12/16/2014 10/2/2019 Other State Action
Chavez, David Anthony, MD 28972
Broomfield, CO
Probation 12/21/2015 1/17/2018 Other State Action
Christiansen, Sara Lynn 19590
Lincoln, NE
Probation 10/6/2010 12/14/2010 Alcohol Dependency
Clark, Jason Christopher, MD 24024
Leavenworth, KS
Limitation-Disciplinary 3/14/2013 Practice while Impaired
Unprofessional Conduct
Probation 3/24/2013 3/24/2015 Practice while Impaired
Unprofessional Conduct
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 216 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 217 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician
Costello, Joseph Kennedy, IV, MD 25900
Boulder, CO
Censure 4/21/2014 Prescribing CS to Oneself
Probation Violation
Unprofessional Conduct
Violation of UCSA
Civil Penalty 10/21/2014 Prescribing CS to Oneself
Probation Violation
Unprofessional Conduct
Violation of UCSA
Limitation-Disciplinary 12/19/2013 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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 218 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician
Damme, Jeffrey Alan, MD 22565
Cook, NE
Censure 11/20/2018 Probation Violation
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 219 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician
De Los Angeles, Reynaldo Adrilliana, MD 18636
Kearney, NE
Civil Penalty 7/13/2010 1/13/2011 Unprofessional Conduct
Limitation-Disciplinary 5/2/2012
Petition for Disp Action & Temp Susp 4/30/2012 6/26/2012 Dishonorable Conduct
Excessive Treatment
Felony Conviction(s)
Unprofessional Conduct
Suspension 5/2/2012 Dishonorable Conduct
Excessive Treatment
Felony Conviction(s)
Unprofessional Conduct
Temporary Suspension 7/12/2012 Dishonorable Conduct
Excessive Treatment
Felony Conviction(s)
Unprofessional Conduct
Dymek, Maksym Stefan, MD 28519
West Lafayette, IN
Probation 3/7/2019 3/7/2024 Controlled Substance Dependence
Other State Action
Substance Use Disorder, Mild
Ehlers, Erik Tierney, MD 24954
Elkhorn, NE
Censure 3/17/2011 Alcohol Dependency
Probation Violation
xCourt Conviction
Civil Penalty 9/17/2011 Alcohol Dependency
Probation Violation
xCourt Conviction
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 220 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician
Fasse, Scott Jonathan, MD 16872
Omaha, NE
Censure 7/13/2011 Negligent Conduct
10/9/2013
7/13/2011 Pattern of Negligence
10/9/2013
7/13/2011 Unprofessional Conduct
10/9/2013
Civil Penalty 3/20/2012 9/20/2012 Negligent Conduct
10/9/2013 4/9/2014
3/20/2012 9/20/2012 Pattern of Negligence
10/9/2013 4/9/2014
3/20/2012 9/20/2012 Unprofessional Conduct
10/9/2013 4/9/2014
Ferris, Cynthia Ann, MD 19777
Onawa, IA
Probation 10/21/2019 10/21/2022 Alcohol Use Disorder, Moderate
Practice while Impaired
Fleming MD, Richard Max 17502
Reno, NV
Revocation 5/21/2010 Felony Conviction(s)
Unprofessional Conduct
Fleming, Alfred David, MD 17601
Omaha, NE
Probation 2/21/2011 2/21/2016 Alcohol Dependency
Folchert, Kevin John, MD 20197
Sioux City, IA
Censure 4/5/2019 Misdemeanor Conviction(s)
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 221 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician
Fox MD, Robert Scott 12440
Lincoln, NE
Censure 12/2/2013 Alcohol Dependency
Controlled Substance Dependence
Probation Violation
Civil Penalty 6/2/2014 Alcohol Dependency
Controlled Substance Dependence
Probation Violation
Limitation-Disciplinary 12/13/2012 Alcohol Dependency
Controlled Substance Dependence
Probation Violation
Probation 12/13/2017 Alcohol Dependency
Controlled Substance Dependence
Probation Violation
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 222 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician
Fraser, Jeffrey Loren, MD 19664
Lincoln, NE
Censure 3/2/2017 Controlled Substance Abuse
Failure to Keep Adequate Records
Immoral Conduct
Pattern of Negligence
Practice while Impaired
Unprofessional Conduct
Violation of Dept Order
Violation of UCSA
Civil Penalty 9/2/2018 Controlled Substance Abuse
Failure to Keep Adequate Records
Immoral Conduct
Pattern of Negligence
Practice while Impaired
Unprofessional Conduct
Violation of Dept Order
Violation of UCSA
Probation 3/12/2017 5/18/2018 Controlled Substance Abuse
7/25/2019 7/25/2024
3/12/2017 5/18/2018 Failure to Keep Adequate Records
7/25/2019 7/25/2024
3/12/2017 5/18/2018 Immoral Conduct
7/25/2019 7/25/2024
3/12/2017 5/18/2018 Pattern of Negligence
7/25/2019 7/25/2024
3/12/2017 5/18/2018 Practice while Impaired
7/25/2019 7/25/2024
3/12/2017 5/18/2018 Unprofessional Conduct
7/25/2019 7/25/2024
3/12/2017 5/18/2018 Violation of Dept Order
7/25/2019 7/25/2024
3/12/2017 5/18/2018 Violation of UCSA
7/25/2019 7/25/2024
Suspension 5/18/2018 Controlled Substance Abuse
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 223 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician
Suspension 5/18/2018 Failure to Keep Adequate Records
Immoral Conduct
Pattern of Negligence
Practice while Impaired
Unprofessional Conduct
Violation of Dept Order
Violation of UCSA
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
Civil Penalty 8/24/2010 2/24/2011 Unprofessional Conduct
Gobbo, Paul Nelson, MD 18104
Lincoln, NE
Probation 10/2/2011 11/29/2012 Failure to Keep Adequate Records
Pattern of Negligence
Unprofessional Conduct
Suspension 10/22/2011 11/5/2011 Failure to Keep Adequate Records
Pattern of Negligence
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 224 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 225 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 226 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician
Harkins, Daniel Thomas, MD 17710
Scottsbluff, NE
Censure 6/20/2011 Failure to File Report-38-1,124,38-1,125
10/30/2013
6/20/2011 Pattern of Negligence
10/30/2013
6/20/2011 Probation Violation
10/30/2013
6/20/2011 Unprofessional Conduct
10/30/2013
6/20/2011 Violation of UCSA
10/30/2013
Civil Penalty 4/30/2014 Failure to File Report-38-1,124,38-1,125
Pattern of Negligence
Probation Violation
Unprofessional Conduct
Violation of UCSA
Limitation-Disciplinary 8/3/2011 8/3/2016 Failure to File Report-38-1,124,38-1,125
Pattern of Negligence
Probation Violation
Unprofessional Conduct
Violation of UCSA
Probation 1/28/2014 Failure to File Report-38-1,124,38-1,125
Pattern of Negligence
Probation Violation
Unprofessional Conduct
Violation of UCSA
Suspension 7/8/2010 7/8/2011 Failure to File Report-38-1,124,38-1,125
1/29/2014
7/8/2010 7/8/2011 Pattern of Negligence
1/29/2014
7/8/2010 7/8/2011 Probation Violation
1/29/2014
7/8/2010 7/8/2011 Unprofessional Conduct
1/29/2014
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 227 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician
Suspension 7/8/2010 7/8/2011 Violation of UCSA
1/29/2014
Harrington, Alfred Randolph, MD-MPH-MBA 18926
Omaha, NE
Revocation 7/1/2010 Gross Incompetence
Gross Negligence
Practice Beyond Scope
Unprofessional Conduct
xFailure to Conform-Stndrds of Practice
xFraudulent Practice
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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 228 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician
Hinners Tiojanco, Cheryl Kay, MD 21560
Omaha, NE
Civil Penalty 10/1/2019 10/1/2020 Prescribing CS to Oneself
Substance Use Disorder, Mild
Unprofessional Conduct
Violation of UCSA
Probation 10/11/2019 10/11/2020 Prescribing CS to Oneself
Substance Use Disorder, Mild
Unprofessional Conduct
Violation of UCSA
Suspension 12/9/2019 Prescribing CS to Oneself
Substance Use Disorder, Mild
Unprofessional Conduct
Violation of UCSA
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 229 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician
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
Censure 8/6/2010 Failure to Keep Adequate Records
Unprofessional Conduct
Limitation-Disciplinary 12/3/2012 4/6/2016
Petition for Disp Action & Temp Susp 5/16/2012 11/29/2012
Probation 12/3/2012 4/6/2016
Temporary Suspension 5/16/2012 11/29/2012
Khan, Kulsoom Alvi, MBBS 21700
Cupertino, CA
Suspension 10/27/2011 1/24/2012 Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
Kim, Jasung, MD 21811
Lincoln, NE
Probation 11/3/2014 11/14/2017 Negligent Conduct
Unprofessional Conduct
xFailure to Conform-Stndrds of Practice
xSexual Misconduct
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 230 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician
Lanspa, Thomas John, MD 16808
Kearney, NE
Limitation-Disciplinary 11/19/2014 12/2/2015 Unprofessional Conduct
Violation of UCSA
xCont Substance Use Disorder - Severe
Probation 11/29/2014 11/29/2019 Unprofessional Conduct
Violation of UCSA
xCont Substance Use Disorder - Severe
Lawton, Richard Lawrence, MD 31558
Dakota Dunes, SD
Probation 2/28/2019 2/28/2021 Other State Action
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 231 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 232 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician
Misko, Justin Dean, MD 24755
Lincoln, NE
Censure 5/24/2013 Failed to Report Conviction in 30 days
Failure to Disclose Convictions
Unprofessional Conduct
Limitation-Disciplinary Failed to Report Conviction in 30 days
Failure to Disclose Convictions
Unprofessional Conduct
Probation 9/5/2016 9/5/2017 Failed to Report Conviction in 30 days
Failure to Disclose Convictions
Unprofessional Conduct
Montanez, Edward P, MD 17355
Elkhorn, NE
Censure 1/7/2013 Negligent Conduct
Unprofessional Conduct
Morin, Douglas John, MD 25466
Omaha, NE
Limitation-Disciplinary 6/21/2017 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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 233 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician
Okosun, Stanley Eromonsele, MD 25144
Lincoln, NE
Probation 7/24/2014 1/24/2015 Unprofessional Conduct
Omar, Mark David, MD 17837
omaha, NE
Civil Penalty 10/18/2019 1/1/2020 Dishonorable Conduct
Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
Limitation-Disciplinary 10/2/2019 Dishonorable Conduct
Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
Suspension 10/12/2019 12/10/2019 Dishonorable Conduct
Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
Oxford, Stuart Gordon, MD 15157
Omaha, NE
Censure 8/26/2015 Failure to Keep Adequate Records
Unprofessional Conduct
Padron, Ernesto Rogelio, MD 27859
Park Ridge, IL
Probation 3/21/2019 3/21/2022 Other State Action
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 234 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 235 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician
Rothenberg, Lawrence, MD 23130
West 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
Stottle, Matthew James, MD 26359
Omaha, NE
Probation 7/15/2011 8/16/2012 Alcohol Abuse
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 236 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician
Straka, Scott Daniel, MD 21821
Tecumseh, NE
Probation 10/7/2013 8/7/2014 Controlled Substance Dependence
Failure to Comply With Aftercare
Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Probation Violation
Unprofessional Conduct
Suspension 8/7/2014 Controlled Substance Dependence
Failure to Comply With Aftercare
Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Probation Violation
Unprofessional Conduct
Strasburger, Scott Edwin, MD 20145
Lincoln, NE
Probation 10/28/2016 10/28/2021 History of Disciplinary Action
Misdemeanor Conviction(s)
Suspension 11/26/2014 10/28/2016 Controlled Substance Abuse
Practice while Impaired
Stuckey MD, Charles Edward 11785
Overland Park, KS
Limitation-Disciplinary 5/17/2010 4/15/2014 Other State Action
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 237 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician
Taghavi, Seyyed Vahid, MD 24330
Lincoln, NE
Petition for Disp Action & Temp Susp 1/29/2013 5/1/2013 Prescribing CS to Oneself
Unprofessional Conduct
Violation of UCSA
Probation 5/13/2013 5/13/2018 Prescribing CS to Oneself
Unprofessional Conduct
Violation of UCSA
Temporary Suspension 1/31/2013 5/12/2013 Prescribing CS to Oneself
Unprofessional Conduct
Violation of UCSA
Thornton, Steven Leroy, MD 24541
Elkhart, IL
Suspension 5/8/2016 Dishonorable Conduct
Failure to File Report-38-1,124,38-1,125
Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
Tiemann, William Elmore, MD 24266
New Orleans, LA
Probation 5/6/2010 5/6/2013 Unprofessional Conduct
xControlled Substance Addiction/Depndncy
Tobin, Gregg Moran, MD 18734
Winner, SD
Probation 6/20/2011 3/6/2014 Alcohol Abuse
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 238 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician
Tobin, Robert Francis, MD 12232
Falls City, NE
Civil Penalty 6/20/2011 12/20/2011 Other State Action
2/7/2013 8/7/2013
6/20/2011 12/20/2011 Probation Violation
2/7/2013 8/7/2013
6/20/2011 12/20/2011 Unprofessional Conduct
2/7/2013 8/7/2013
6/20/2011 12/20/2011 Violation of AOC
2/7/2013 8/7/2013
Probation 6/20/2011 2/6/2013 Other State Action
Probation Violation
Unprofessional Conduct
Violation of AOC
Suspension 2/7/2013 8/7/2013 Other State Action
Probation Violation
Unprofessional Conduct
Violation of AOC
Tribulato, Martina Marie, MD 22117
Omaha, NE
Revocation 4/28/2014 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Trierweiler, Michael William, MD 18908
Maricopa, AZ
Civil Penalty 6/25/2012 12/25/2012 Felony Conviction(s)
Suspension 8/1/2012 9/29/2012
Utecht, Theodore Donald, MD 21672
Eureka, CA
Probation 6/20/2011 6/20/2015 Negligent Conduct
Other State Action
Unprofessional Conduct
xFailure to Conform-Stndrds of Practice
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 239 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician
Waddell, Julie L, MD 23224
Lincoln, NE
Censure 11/15/2010 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Civil Penalty 5/15/2011 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Wang, Ming Rung, MD 18650
Reinholds, PA
Probation 5/7/2010 Unprofessional Conduct
Violation of UCSA
xControlled Substance Addiction
xReinstatement - Previous Discipline
Ward, Richard Kim, MD 16675
Elkhorn, NE
Probation 9/17/2012 Alcohol Dependency
Practice while Impaired
Weaver, Deborah Renee, MD 20676
North Platte, NE
Civil Penalty 6/25/2012 12/25/2012 Felony Conviction(s)
Suspension 7/1/2012 8/29/2012
Weaver, Walter Robert, MD 18842
North Platte, NE
Civil Penalty 6/25/2012 12/25/2012 Felony Conviction(s)
Suspension 7/1/2012 8/29/2012
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
Williams, Stephen Hodges, MD 16482
Omaha, NE
Limitation-Disciplinary 9/15/2010 6/22/2011 Pattern of Negligence
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 240 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician
Yazdi, Navid Darius, MD 19029
Hillsboro, OR
Censure 7/7/2010 Unprofessional Conduct
xSexual Misconduct
Civil Penalty 7/7/2011 Unprofessional Conduct
xSexual Misconduct
Probation 9/14/2010 Unprofessional Conduct
xSexual Misconduct
Suspension 7/17/2010 9/14/2010 Unprofessional Conduct
xSexual Misconduct
Young, Mark Ridder, MD 21253
Omaha, NE
Probation 2/7/2015 2/7/2018 Alcohol Dependency
Misdemeanor Conviction(s)
Zoucha, Kenneth Allen, MD 17958
Omaha, NE
Censure 11/15/2010 Dishonorable Conduct
Probation Violation
Unprofessional Conduct
Violation of UCSA
Limitation-Disciplinary 12/2/2015 Dishonorable Conduct
Probation Violation
Unprofessional Conduct
Violation of UCSA
Probation 11/15/2015 Dishonorable Conduct
Probation Violation
Unprofessional Conduct
Violation of UCSA
Suspension 2/12/2011 Dishonorable Conduct
Probation Violation
Unprofessional Conduct
Violation of UCSA
Physician Assistant
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 241 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician Assistant
Anderson, Grant A, PA 592
Falls City, NE
Limitation-Disciplinary 2/23/2012 10/6/2014 Controlled Substance Dependence
Failure to Keep Adequate Records
Prescribing CS to Oneself
Prescribing CS to Spouse
Unprofessional Conduct
Violation of UCSA
Petition for Disp Action & Temp Susp 4/22/2011 2/14/2012 Controlled Substance Dependence
Failure to Keep Adequate Records
Prescribing CS to Oneself
Prescribing CS to Spouse
Unprofessional Conduct
Violation of UCSA
Probation 2/23/2012 2/23/2014 Controlled Substance Dependence
Failure to Keep Adequate Records
Prescribing CS to Oneself
Prescribing CS to Spouse
Unprofessional Conduct
Violation of UCSA
Temporary Suspension 4/28/2011 2/22/2012 Controlled Substance Dependence
Failure to Keep Adequate Records
Prescribing CS to Oneself
Prescribing CS to Spouse
Unprofessional Conduct
Violation of UCSA
Flinn, Cheryl Ruth, PA 435
Lincoln, NE
Censure 5/29/2014 Unprofessional Conduct
Civil Penalty 11/29/2014
Fowler, Rita L 1448
Omaha, NE
Civil Penalty 4/19/2012 10/19/2013 Failure to Keep Adequate Records
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 242 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician Assistant
Hays, Lisa Renae, PA 1460
Kearney, NE
Probation 8/19/2012 8/19/2017 Alcohol Dependency
Misdemeanor Conviction(s)
Krueger, Lance, PA 493
Marion, IA
Probation 8/5/2013 11/27/2017 Alcohol Abuse
Misdemeanor Conviction(s)
Kudron, Christopher Scott, PA-C 991
Bellwood, NE
Probation 3/7/2019 Alcohol Dependency
Controlled Substance Abuse
Failure to Comply With Aftercare
Misdemeanor Conviction(s)
Practice while Impaired
Substance Use Disorder, Severe
Violation of AOC
xAlcohol Use Disorder - Severe
Suspension 3/23/2013 1/28/2016 Alcohol Dependency
Controlled Substance Abuse
Failure to Comply With Aftercare
Misdemeanor Conviction(s)
Practice while Impaired
Substance Use Disorder, Severe
Violation of AOC
xAlcohol Use Disorder - Severe
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 243 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician Assistant
McAdam, Jillenne S, PA 626
Seward, NE
Censure 7/22/2016 Failed to Report Conviction in 30 days
Unprofessional Conduct
Violation of Dept Order
Civil Penalty 1/14/2015 7/14/2015 Failed to Report Conviction in 30 days
7/22/2016 7/22/2017
1/14/2015 7/14/2015 Unprofessional Conduct
7/22/2016 7/22/2017
1/14/2015 7/14/2015 Violation of Dept Order
7/22/2016 7/22/2017
Suspension 9/14/2017 10/3/2017 Failed to Report Conviction in 30 days
Unprofessional Conduct
Violation of Dept Order
Moore, Anne Marie, PA-C 977
Lincoln, NE
Limitation-Disciplinary 6/1/2012 9/1/2012 Unprofessional Conduct
Probation 9/2/2012 6/23/2014
Morgan, Christopher Paul, PA 1514
Cheyenne, WY
Censure 1/31/2013 Felony Conviction(s)
Civil Penalty 7/31/2013
Probation 2/10/2013 2/28/2014
Nice, Brian Barry, PA 1486
Omaha, NE
Probation 12/27/2014 3/11/2021 Alcohol Abuse
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 244 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician Assistant
O'Keefe, Maura Catherine, PA 1511
Omaha, NE
Censure 6/10/2015 Prescribing CS to Oneself
Probation Violation
Unprofessional Conduct
Violation of UCSA
Civil Penalty 12/10/2015 Prescribing CS to Oneself
Probation Violation
Unprofessional Conduct
Violation of UCSA
Probation 12/22/2014 Prescribing CS to Oneself
Probation Violation
Unprofessional Conduct
Violation of UCSA
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 245 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician Assistant
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 246 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physician Assistant
Woofter, Carl L, PA 982
Colby, KS
Probation 5/21/2010 5/21/2011 Failure to Keep Adequate Records
Other State Action
Unprofessional Conduct
Temporary Educational Permit
Baus, Joseph Edward, MD 7341
Omaha, NE
Probation 7/1/2014 6/18/2015 Controlled Substance Dependence
Other State Action
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 247 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Independent Mental Health Practitioner
Carde, Lori Lynn 1369
Lincoln, NE
Civil Penalty 1/19/2016 7/19/2016 Obtaining Fee by Fraud
Unprofessional Conduct
Probation 1/29/2016 7/29/2016 Obtaining Fee by Fraud
Unprofessional Conduct
Chartier, Angela Marie 1681
Omaha, NE
Probation 12/13/2016 10/5/2017 Alcohol Abuse
Misdemeanor Conviction(s)
Unprofessional Conduct
Circo, Deborah Kay 12
Omaha, NE
Censure 4/28/2016 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Probation 5/8/2016 11/8/2016 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 248 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Independent Mental Health Practitioner
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 4/7/2013 Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Unprofessional Conduct
Fritz, Maria Christine 225
Lincoln, NE
Censure 12/16/2015 Unprofessional Conduct
Limitation-Disciplinary
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 249 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Independent Mental Health Practitioner
Frost, Carol Ann Lanham 346
Omaha, NE
Censure 10/4/2013 Failure to Comply w Federal or State Law
Probation Violation
Unprofessional Conduct
Civil Penalty 4/4/2014 Failure to Comply w Federal or State Law
5/20/2016 11/20/2016
10/4/2013 4/4/2014 Probation Violation
5/20/2016 11/20/2016
10/4/2013 4/4/2014 Unprofessional Conduct
5/20/2016 11/20/2016
Probation 7/1/2013 7/1/2016 Failure to Comply w Federal or State Law
Probation Violation
Unprofessional Conduct
Suspension 5/30/2016 Failure to Comply w Federal or State Law
Probation Violation
Unprofessional Conduct
Garcia, Arlene Jewell 468
Omaha, NE
Suspension 11/15/2019 Dishonorable Conduct
Exploitation of Another Person
Obtaining Fee by Fraud
Unprofessional Conduct
Violation of UCA
Gobel, Barbara Ann 1244
Fremont, NE
Censure 6/2/2017 Failure to File Report-38-1,124,38-1,125
Other State Action
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 250 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Independent Mental Health Practitioner
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 6/8/2020
6/8/2017 11/28/2017 Felony Conviction(s)
12/11/2017 6/8/2020
6/8/2017 11/28/2017 Misdemeanor Conviction(s)
12/11/2017 6/8/2020
6/8/2017 11/28/2017 Probation Violation
12/11/2017 6/8/2020
Suspension 11/28/2017 12/11/2017 Failure to File Report-38-1,124,38-1,125
Felony Conviction(s)
Misdemeanor Conviction(s)
Probation Violation
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 251 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Independent Mental Health Practitioner
Jackson, Heather A 1652
Lincoln, NE
Censure 10/18/2019 Dishonorable Conduct
Unprofessional Conduct
Probation 8/16/2017 8/16/2020 Dishonorable Conduct
Unprofessional Conduct
Martin, Jane Dodson 816
Omaha, NE
Probation 11/9/2013 11/9/2014 Failure to Keep Adequate Records
Unprofessional Conduct
Mickles, Justin M, Sr 57
Nashville, TN
Probation 9/9/2015 Obtaining Fee by Fraud
Unprofessional Conduct
Revocation 11/7/2012 Obtaining Fee by Fraud
Unprofessional Conduct
Myers, Suzanne Marie 1884
Omaha, NE
Revocation 10/2/2019 Dishonorable Conduct
Felony Conviction(s)
Nelson, Trever J 1222
Fremont, NE
Revocation 5/20/2016 Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
Nelson, William Joseph 1038
Omaha, NE
Censure 5/7/2015 Unprofessional Conduct
Novak, Lindsay J 93
Omaha, NE
Revocation 1/12/2013 Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 252 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Independent Mental Health Practitioner
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
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 253 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Independent Mental Health Practitioner
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
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 254 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Independent Mental Health Practitioner
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
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 255 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Master Social Worker
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
Holt, James Leonard 908
Omaha, NE
Probation 6/8/2017 11/28/2017 Failure to File Report-38-1,124,38-1,125
12/11/2017 6/8/2020
6/8/2017 11/28/2017 Felony Conviction(s)
12/11/2017 6/8/2020
6/8/2017 11/28/2017 Misdemeanor Conviction(s)
12/11/2017 6/8/2020
6/8/2017 11/28/2017 Probation Violation
12/11/2017 6/8/2020
Suspension 11/28/2017 12/11/2017 Failure to File Report-38-1,124,38-1,125
Felony Conviction(s)
Misdemeanor Conviction(s)
Probation Violation
Kyster, Theodore L 747
Omaha, NE
Probation 11/20/2011 Failure to Keep Adequate Records
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 256 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Master Social Worker
Lebow, Nancy Jo 878
Lincoln, NE
Probation 2/3/2014 Unprofessional Conduct
Myers, Suzanne Marie 541
Omaha, NE
Revocation 10/2/2019 Dishonorable Conduct
Felony Conviction(s)
Sammet, Frank D. 1534
Lincoln, NE
Suspension 7/20/2018 Alcohol Use Disorder, Moderate
Failed to Report Conviction in 30 days
Misdemeanor Conviction(s)
Schroeder, Ramona J 445
Kearney, NE
Probation 4/11/2010 4/11/2011 Dishonorable Conduct
Unprofessional Conduct
Schwartz, Marsha L 1332
Stanton, NE
Probation 7/8/2012 7/8/2015 Alcohol Dependency
Misdemeanor Conviction(s)
Steeb, Kelly Ann 1006
Omaha, NE
Censure 8/2/2018 Misdemeanor Conviction(s)
Probation Violation
Unprofessional Conduct
Probation 12/4/2014 1/27/2015 Misdemeanor Conviction(s)
11/13/2015 7/13/2018
12/4/2014 1/27/2015 Probation Violation
11/13/2015 7/13/2018
12/4/2014 1/27/2015 Unprofessional Conduct
11/13/2015 7/13/2018
Suspension 1/27/2015 11/13/2015 Misdemeanor Conviction(s)
Probation Violation
Unprofessional Conduct
Mental Health Practitioner
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 257 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Mental Health Practitioner
Bailey, 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
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
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 258 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Mental Health Practitioner
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
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
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 259 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Mental Health Practitioner
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 260 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Mental Health Practitioner
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 4/7/2013 Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Unprofessional Conduct
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 261 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Mental Health Practitioner
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 262 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Mental Health Practitioner
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 263 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Mental Health Practitioner
Holt, James Leonard 1923
Omaha, NE
Probation 6/8/2017 11/28/2017 Failure to File Report-38-1,124,38-1,125
12/11/2017 6/8/2020
6/8/2017 11/28/2017 Felony Conviction(s)
12/11/2017 6/8/2020
6/8/2017 11/28/2017 Misdemeanor Conviction(s)
12/11/2017 6/8/2020
6/8/2017 11/28/2017 Probation Violation
12/11/2017 6/8/2020
Suspension 11/28/2017 12/11/2017 Failure to File Report-38-1,124,38-1,125
Felony Conviction(s)
Misdemeanor Conviction(s)
Probation Violation
Hughes, Kristi L 2948
Wasilla, AK
Probation 4/7/2011 4/7/2014 Dishonorable Conduct
Unprofessional Conduct
xFailure to Conform-Stndrds of Practice
xFraud,Forgery,Misrep Material Facts
Jackson, Heather A 4653
Lincoln, NE
Censure 10/18/2019 Dishonorable Conduct
Unprofessional Conduct
Probation 8/16/2017 8/16/2020 Dishonorable Conduct
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 264 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Mental Health Practitioner
Jorden, Carole Anne 1131
Omaha, NE
Censure 6/5/2013 Failure to File Report-38-1,124,38-1,125
Probation Violation
Unprofessional Conduct
Limitation-Disciplinary 3/12/2014 Failure to File Report-38-1,124,38-1,125
Probation Violation
Unprofessional Conduct
Probation 6/30/2011 3/11/2014 Failure to File Report-38-1,124,38-1,125
Probation Violation
Unprofessional Conduct
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
Lyons-Meyer, Kathleen Ross 443
Omaha, NE
Revocation 10/28/2010 Dishonorable Conduct
Exploitation of Another Person
Failure to Safeguard Clients Diginity
Negligent Conduct
Unprofessional Conduct
Violation of AOC
xFailure to Conform-Stndrds of Practice
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 265 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Mental Health Practitioner
Martin, Jane Dodson 618
Omaha, NE
Probation 11/9/2013 11/9/2014 Failure to Keep Adequate Records
Unprofessional Conduct
McDougle, Eric Scott 2993
Omaha, NE
Revocation 6/18/2012 6/19/2012 Dishonorable Conduct
12/7/2012
6/18/2012 6/19/2012 Unprofessional Conduct
12/7/2012
Stayed Revocation 6/19/2012 12/7/2012 Dishonorable Conduct
Unprofessional Conduct
Meyer, Christy J 2423
Des Moines, IA
Probation 2/19/2012 2/28/2013 Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Probation Violation
Unprofessional Conduct
Mickles, Justin M, Sr 2816
Nashville, TN
Revocation 11/7/2012 Obtaining Fee by Fraud
Unprofessional Conduct
Myers, Suzanne Marie 726
Omaha, NE
Revocation 10/2/2019 Dishonorable Conduct
Felony Conviction(s)
Nelson, William Joseph 2951
Omaha, NE
Censure 5/7/2015 Unprofessional Conduct
Nelum, Betty Jane 981
Omaha, NE
Probation 4/11/2010 4/11/2011 Dishonorable Conduct
Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 266 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Mental Health Practitioner
Niedermeyer, Catherine Marie 4573
Cook, NE
Censure 4/5/2019 Dishonorable Conduct
Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Falsify Patient Records
Unprofessional Conduct
Civil Penalty 4/5/2020 Dishonorable Conduct
Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Falsify Patient Records
Unprofessional Conduct
Novak, Lindsay J 2870
Omaha, NE
Revocation 1/12/2013 Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
Offordirinwa, Stella Adachi 4436
Lincoln, NE
Probation 6/12/2014 1/9/2017 Felony Conviction(s)
Oltman, Pamela Jo 3016
Lincoln, NE
Censure 9/21/2015 Unprofessional Conduct
Civil Penalty 3/21/2016
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 267 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Mental Health Practitioner
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)
Schroeder, Ramona J 875
Kearney, NE
Probation 4/11/2010 4/11/2011 Dishonorable Conduct
Unprofessional Conduct
Schwartz, Marsha L 3591
Stanton, NE
Probation 7/8/2012 7/8/2015 Alcohol Dependency
Misdemeanor Conviction(s)
Sexton, Patricia Ann 2783
Omaha, NE
Probation 5/22/2011 5/22/2016 Practice while Impaired
Shum McAlpin, Rachel Hope 4238
Red Oak, IA
Suspension 7/1/2015 4/1/2016 Other State Action
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 268 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Mental Health Practitioner
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)
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 269 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Mental Health Practitioner
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
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 270 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Mental Health Practitioner
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
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
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 271 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Professional Counselor
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
Dowden, Linda Denise 1569
Omaha, NE
Probation 4/7/2013 Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Unprofessional Conduct
Fritz, Maria Christine 1179
Lincoln, NE
Censure 12/16/2015 Unprofessional Conduct
Limitation-Disciplinary
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 272 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Professional Counselor
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
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 273 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Professional Counselor
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
Lyons-Meyer, Kathleen Ross 321
Omaha, NE
Revocation 10/28/2010 Dishonorable Conduct
Exploitation of Another Person
Failure to Safeguard Clients Diginity
Negligent Conduct
Unprofessional Conduct
Violation of AOC
xFailure to Conform-Stndrds of Practice
Martin, Jane Dodson 205
Omaha, NE
Probation 11/9/2013 11/9/2014 Failure to Keep Adequate Records
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 274 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Professional Counselor
Meyer, Christy J 1325
Des Moines, IA
Probation 2/19/2012 2/28/2013 Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Probation Violation
Unprofessional Conduct
Mickles, Justin M, Sr 1485
Nashville, TN
Probation 9/9/2015 Obtaining Fee by Fraud
Unprofessional Conduct
Revocation 11/7/2012 Obtaining Fee by Fraud
Unprofessional Conduct
Nelson, Trever J 2190
Fremont, NE
Revocation 5/20/2016 Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
Nelson, William Joseph 1532
Omaha, NE
Censure 5/7/2015 Unprofessional Conduct
Nelum, Betty Jane 801
Omaha, NE
Probation 4/11/2010 4/11/2011 Dishonorable Conduct
Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Niedermeyer, Catherine Marie 2349
Cook, NE
Censure 4/5/2019 Dishonorable Conduct
Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Falsify Patient Records
Unprofessional Conduct
Novak, Lindsay J 1500
Omaha, NE
Revocation 1/12/2013 Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 275 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Professional Counselor
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 276 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Professional Counselor
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 277 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Provisional Master Social Worker
Cheatams, Tanesha Shirlon 7053
Omaha, NE
Probation 3/22/2016 3/18/2018 Failure to Disclose Convictions
Misdemeanor Conviction(s)
xAlcohol Use Disorder - Severe
xCont Substance Use Disorder - Mild
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)
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 278 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Provisional Mental Health Practitioner
Augustin, Joshua Adam 9542
Hastings, NE
Censure 4/19/2012 Alcohol Dependency
4/6/2017
4/19/2012 Misdemeanor Conviction(s)
4/6/2017
4/19/2012 Probation Violation
4/6/2017
Civil Penalty 4/19/2012 10/19/2012 Alcohol Dependency
4/6/2017 5/17/2018
4/19/2012 10/19/2012 Misdemeanor Conviction(s)
4/6/2017 5/17/2018
4/19/2012 10/19/2012 Probation Violation
4/6/2017 5/17/2018
Probation 4/13/2016 4/13/2018 Alcohol Dependency
11/21/2011
4/13/2016 4/13/2018 Misdemeanor Conviction(s)
11/21/2011
4/13/2016 4/13/2018 Probation Violation
11/21/2011
Revocation 2/25/2019 Alcohol Use Disorder, Mild
Failed to Report Conviction in 30 days
Misdemeanor Conviction(s)
Practice while Impaired
Substance Use Disorder
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 279 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Provisional Mental Health Practitioner
Brandt, Nicole M. 10183
Omaha, NE
Censure 9/25/2014 Misdemeanor Conviction(s)
Probation Violation
Violation of Dept Order
xAlcohol Use Disorder - Severe
Civil Penalty 3/25/2015 Misdemeanor Conviction(s)
Probation Violation
Violation of Dept Order
xAlcohol Use Disorder - Severe
Probation 2/4/2014 12/9/2014 Misdemeanor Conviction(s)
Probation Violation
Violation of Dept Order
xAlcohol Use Disorder - Severe
Suspension 12/9/2014 Misdemeanor Conviction(s)
Probation Violation
Violation of Dept Order
xAlcohol Use Disorder - Severe
Castro, Edna A 10239
Omaha, NE
Probation 11/30/2018 Failure to Comply w Federal or State Law
Failure to Keep Adequate Records
Practice Beyond Scope
Unprofessional Conduct
Cheatams, Tanesha Shirlon 10825
Omaha, NE
Probation 3/20/2016 3/18/2018 Failure to Disclose Convictions
Misdemeanor Conviction(s)
xAlcohol Use Disorder - Severe
xCont Substance Use Disorder - Mild
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 280 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Provisional Mental Health Practitioner
Claeys, Molly Erin 10109
Omaha, NE
Probation 5/8/2018 1/7/2019 Dishonorable Conduct
5/8/2020
1/7/2019 Substance Use Disorder
5/8/2020
1/7/2019 Substance Use Disorder, Mild
5/8/2020
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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 281 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Provisional Mental Health Practitioner
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
Foresman, Cynthia Ann 9850
Kearney, NE
Censure 7/19/2017 Unprofessional Conduct
Violation of UCA
Halstead, Samantha Marie 10371
Pleasanton, NE
Revocation 11/28/2017 Dishonorable Conduct
Felony Conviction(s)
Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
Hammer, Brenda Jo 9966
Auburn, NE
Revocation 9/14/2017 Dishonorable Conduct
Unprofessional Conduct
Violation of UCA
Kriesch, Shirley Marie 8779
Norfolk, NE
Censure 2/11/2011 Probation Violation
xCourt Conviction
Civil Penalty 8/11/2011 Probation Violation
xCourt Conviction
Kucera, Emma D 10165
Lincoln, NE
Probation 1/21/2014 Misdemeanor Conviction(s)
xAlcohol Use Disorder - Mild
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 282 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Provisional Mental Health Practitioner
Lange, Joseph Dale 9157
Omaha, NE
Probation 7/24/2014 12/21/2014 Alcohol Dependency
Controlled Substance Dependence
Failure to Comply With Aftercare
Misdemeanor Conviction(s)
Unprofessional Conduct
Lipker, Myra Jeanne 'Jeannie' 8145
Superior, NE
Civil Penalty 11/2/2010 5/2/2011 Failure to Pay Fees
Unprofessional Conduct
xFraudulent Practice
Probation 11/12/2010 5/22/2011 Failure to Pay Fees
Unprofessional Conduct
xFraudulent Practice
Suspension 5/23/2011 Failure to Pay Fees
Unprofessional Conduct
xFraudulent Practice
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 283 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Provisional Mental Health Practitioner
Rogers, Randall Joel 9808
Omaha, NE
Censure 5/5/2014 Alcohol Abuse
Felony Conviction(s)
Misdemeanor Conviction(s)
Probation Violation
xMind-Altering Substance Abuse
Civil Penalty 11/5/2014 Alcohol Abuse
Felony Conviction(s)
Misdemeanor Conviction(s)
Probation Violation
xMind-Altering Substance Abuse
Probation 10/19/2012 10/19/2015 Alcohol Abuse
Felony Conviction(s)
Misdemeanor Conviction(s)
Probation Violation
xMind-Altering Substance Abuse
Suspension 1/27/2015 2/20/2015 Alcohol Abuse
Felony Conviction(s)
Misdemeanor Conviction(s)
Probation Violation
xMind-Altering Substance Abuse
Roney, Marissa Ann 10026
Omaha, NE
Probation 7/24/2013 7/24/2014 Alcohol Dependency
Misdemeanor Conviction(s)
xMind-Altering Substance Dependence
Sewell, James D 9961
Omaha, NE
Probation 5/20/2013 Alcohol Dependency
Misdemeanor Conviction(s)
Smith, Tyler Edward 10460
Columbia, MO
Probation 3/12/2016 Misdemeanor Conviction(s)
xAlcohol Use Disorder - Moderate
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 284 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Provisional Mental Health Practitioner
Stephens, Johna Rachael 9624
Lincoln, NE
Probation 3/7/2012 3/7/2015 Alcohol Dependency
Controlled Substance Dependence
Misdemeanor Conviction(s)
Sully, Wendy Gagnon, PhD 9121
Omaha, NE
Probation 4/6/2010 4/6/2011 Unlicensed Practice
Ziemba, Thomas Charles 8048
Omaha, NE
Revocation 5/7/2010 Dishonorable Conduct
Unprofessional Conduct
Social Worker
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 285 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
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)
Fish, Markee Tee 2712
Gordon, NE
Probation 12/7/2010 6/7/2011 Failure to Disclose Convictions
xCriminal 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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 286 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Nail Technician
Ho, Brian 1322
Omaha, NE
Censure 12/2/2010 Practice in Unlicensed Premises
Violation of UCA
Civil Penalty 5/2/2011 Practice in Unlicensed Premises
Violation of UCA
Hoffman, Jamie Dee 3326
Omaha, NE
Probation 10/5/2017 4/5/2018 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Huynh, Chuong Van 2511
Columbus, NE
Civil Penalty 6/1/2012 12/1/2013 Permitting Aiding & Abetting
Probation 6/10/2012 6/10/2013
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 287 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Nail Technician
Larsen, Dianne 123
North Platte, NE
Censure 9/6/2013 Alcohol Dependency
Failure to Disclose Convictions
Probation Violation
xCriminal Conviction(s)
Probation 10/25/2010 5/29/2014 Alcohol Dependency
Failure to Disclose Convictions
Probation Violation
xCriminal Conviction(s)
Le, Quy 2789
Lincoln, NE
Probation 4/30/2018 10/30/2018 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Le, Thu Thi Bich 1564
Lincoln, NE
Probation 3/18/2013 9/18/2013 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Le, Tien Manh 519
Lincoln, NE
Probation 5/20/2012 11/20/2012 Failure to File Report-38-1,124,38-1,125
Leapaldt, Antoinette 532
Omaha, NE
Probation 9/20/2018 3/20/2019 Unlicensed Practice
McConnell, Stenisha Shada 2507
Kansas City, MO
Revocation 7/4/2010 Probation Violation
xCourt Conviction
Murry, Jovan Tay 2542
Omaha, NE
Censure 11/15/2010 Misrepresentation of Material Facts
Nguyen, Dave 667
Hastings, NE
Probation 10/22/2013 4/22/2014 Failure to Disclose Convictions
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 288 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Nail Technician
Nguyen, 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
Nguyen, Jimmy Quang 2736
Council Bluffs, IA
Censure 3/8/2012 Failure to Disclose Convictions
Failure to File Report-38-1,124,38-1,125
Failure to Pay Fees
Probation Violation
xCriminal Conviction(s)
Civil Penalty 9/8/2012 Failure to Disclose Convictions
Failure to File Report-38-1,124,38-1,125
Failure to Pay Fees
Probation Violation
xCriminal Conviction(s)
Probation 3/14/2011 3/14/2012 Failure to Disclose Convictions
Failure to File Report-38-1,124,38-1,125
Failure to Pay Fees
Probation Violation
xCriminal Conviction(s)
Suspension 10/17/2012 11/17/2014 Failure to Disclose Convictions
Failure to File Report-38-1,124,38-1,125
Failure to Pay Fees
Probation Violation
xCriminal Conviction(s)
Nguyen, Khoa 711
Elkhorn, NE
Probation 9/7/2013 3/7/2014 Failure to File Report-38-1,124,38-1,125
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 289 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Nail Technician
Nguyen, Kim 2223
Columbus, NE
Civil Penalty 4/25/2013 4/25/2014 Practice Beyond Scope
Practice in Unlicensed Premises
Probation 5/5/2013 11/5/2013 Practice Beyond Scope
Practice in Unlicensed Premises
Nguyen, Lieu Thi 3475
Columbus, NE
Probation 8/26/2019 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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 290 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Nail Technician
Nguyen, 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)
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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 291 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Nail Technician
Phan, Thuy Thanh 2277
Omaha, NE
Probation 9/16/2010 5/29/2011 Unlicensed Practice
Renteria, Emily Deana 3142
Gering, NE
Probation 10/18/2016 Misdemeanor Conviction(s)
Sanchez-Sullivan, Monica Rene 2328
Omaha, NE
Probation 7/23/2012 9/16/2013 Failure to Disclose Convictions
Lacks Good Character
Misdemeanor Conviction(s)
Sims, Harold Francis 2933
Omaha, NE
Probation 9/26/2012 3/26/2013 Failure to Disclose Convictions
Misdemeanor Conviction(s)
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 292 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Nail Technician
Tran, Thuy Thi 2568
Columbus, NE
Revocation 2/28/2013 Practice in Unlicensed Premises
Unlicensed Practice
Trauernicht-Sedam, Lana Marice 1338
Lincoln, NE
Censure 7/23/2014 Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Vasquez, Angela Ann 2050
Hickman, NE
Probation 10/6/2011 4/6/2012 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Vo, Andy Duy 2576
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
Probation 9/24/2010 8/25/2011 Failure to Disclose Convictions
Probation Violation
xCourt Conviction
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 293 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Nail Technician
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
APRN-CRNA
Behrens, Corrine Gayle 100836
Fort Calhoun, NE
Censure 11/21/2017 Misrepresentation of Material Facts
Unprofessional Conduct
Brugger, Cynthia Marie 100583
Omaha, NE
Revocation 4/8/2010 Alcohol Abuse
Failure to Comply With Aftercare
Failure to File Report-38-1,124,38-1,125
Practice while Impaired
Unprofessional Conduct
Violation of UCSA
Fortner, John Bruce 101556
Sidney, NE
Probation 2/12/2020 2/12/2023 History of Disciplinary Action
Substance Use Disorder
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 294 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
APRN-CRNA
Lyman, Suzanne Rene 101263
Dakota Dunes, SD
Probation 7/14/2014 Controlled Substance Dependence
Other State Action
Reifschneider, Janelle Denise 100740
Gering, NE
Revocation 12/2/2010 5/29/2018 Alcohol Dependency
Controlled Substance Dependence
Unprofessional Conduct
Violation of UCSA
xPractice Impaired by CS
Suspension 10/19/2010 12/2/2010 Alcohol Dependency
Controlled Substance Dependence
Unprofessional Conduct
Violation of UCSA
xPractice Impaired by CS
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 295 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
APRN-CRNA
Young, Jeremy Rexford 101435
Lincoln, NE
Petition for Disp Action & Temp Susp 5/17/2018 11/20/2018 Controlled Substance Abuse
Failure to Comply With Aftercare
Practice while Impaired
Unprofessional Conduct
Violation of UCSA
Suspension Controlled Substance Abuse
Failure to Comply With Aftercare
Practice while Impaired
Unprofessional Conduct
Violation of UCSA
Temporary Suspension 5/22/2018 11/20/2018 Controlled Substance Abuse
Failure to Comply With Aftercare
Practice while Impaired
Unprofessional Conduct
Violation of UCSA
APRN-Nurse Practitioner
Anderson, Ann Marie 110544
Windsor, CO
Civil Penalty 5/29/2014 11/29/2014 Misrepresentation of Material Facts
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 296 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
APRN-Nurse Practitioner
Blome-Weibel, Stephanie Lynn 110914
Abilene, KS
Suspension 10/19/2010 Alcohol Addiction
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Misrepresentation of Material Facts
xControlled Substance Addiction
xFailure to Conform-Stndrds of Practice
Carl, Annika Lynn 111425
Omaha, NE
Probation 5/7/2015 5/7/2020 Alcohol Dependency
Practice while Impaired
xAlcohol Use Disorder - Severe
Effle-Meyer, Kathy Jo 110523
Tilden, NE
Probation 6/28/2010 6/28/2015 Unprofessional Conduct
xAlcohol & Chemical
Dependence/AddictionKeller, Gayle Lynette 110530
Falls City, NE
Civil Penalty 5/29/2014 11/29/2014 Misrepresentation of Material Facts
Loftus, Keri Ann 110602
Omaha, NE
Probation 9/21/2015 9/21/2020 Alcohol Dependency
Unprofessional Conduct
Loshonkohl, Jill JoAnn 111428
Kearney, NE
Censure 5/23/2019 Negligent Conduct
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 297 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
APRN-Nurse Practitioner
Miller, Timothy Dutch 111076
Valparaiso, NE
Petition for Disp Action & Temp Susp 10/26/2011 7/26/2012 Failure to Keep Adequate Records
Prescribing CS to Spouse
Unprofessional Conduct
Violation of UCSA
xCont Substance Use Disorder - Mild
Probation 2/23/2015 3/20/2018 Controlled Substance Dependence
Unprofessional Conduct
Violation of UCSA
Suspension 10/27/2011 10/27/2012 Failure to Keep Adequate Records
Prescribing CS to Spouse
Unprofessional Conduct
Violation of UCSA
xCont Substance Use Disorder - Mild
Temporary Suspension 10/26/2011 7/26/2012 Failure to Keep Adequate Records
Prescribing CS to Spouse
Unprofessional Conduct
Violation of UCSA
xCont Substance Use Disorder - Mild
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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 298 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
APRN-Nurse Practitioner
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 11/15/2010 Misrepresentation of Material Facts
7/9/2014
11/15/2010 Unprofessional Conduct
7/9/2014
11/15/2010 Violation of Dept Order
7/9/2014
Limitation-Disciplinary 11/15/2010 Misrepresentation of Material Facts
Unprofessional Conduct
Violation of Dept Order
Suspension 2/15/2015 3/1/2015 Misrepresentation of Material Facts
Unprofessional Conduct
Violation of Dept Order
Weber, Kristi Marie 110909
Hampton, NE
Suspension 6/22/2014 7/21/2014 Failure to Keep Adequate Records
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 299 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
APRN-Nurse Practitioner
Weddingfeld, Megan Marie 112185
Yankton, SD
Probation 2/21/2017 Controlled Substance Dependence
Misdemeanor Conviction(s)
Certified Licensed Practical Nurse
Albrecht, Sheri L 672
Magnet, NE
Probation 11/25/2010 Emotional Disability
Unprofessional Conduct
Buhlmann, Rosemarie 1132
Albion, NE
Suspension 9/4/2011 10/4/2011 Falsify Patient Records
Unprofessional Conduct
Cearley, Angela Yvette 1255
Bellevue, NE
Revocation 12/7/2012 Failure to Keep Adequate Records
Unprofessional Conduct
Clinger, Patricia Ruth 1391
North Platte, NE
Censure 1/13/2017 Failure to Keep Adequate Records
Practice Beyond Scope
Unprofessional Conduct
Collins, Jennifer Lynn 1315
Beatrice, NE
Suspension 12/12/2010 6/12/2011 Dishonorable Conduct
Unprofessional Conduct
xControlled Substance Addiction
Dale, Laurie Kenney 393
Chappell, NE
Censure 12/1/2011 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Civil Penalty 12/1/2012 Failure to Safeguard Clients Diginity
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 300 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Certified Licensed Practical Nurse
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
Suspension 12/20/2010
Heilbrun, Mary Jean 929
Kimball, NE
Censure 6/28/2010 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Hessheimer, Madeline Ann 775
Lincoln, NE
Censure 8/28/2012 Failure to Keep Adequate Records
Unprofessional Conduct
Violation of UCSA
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 301 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Certified Licensed Practical Nurse
Hurlburt, Brandi S 1213
Arcadia, NE
Petition for Disp Action & Temp Susp 4/23/2012 6/25/2012 Controlled Substance Dependence
Dishonorable Conduct
Obtained Drug Unlawfully
Practice Fraudulently
Violation of UCSA
Petition for Temporary Suspension 4/23/2012 Controlled Substance Dependence
Dishonorable Conduct
Obtained Drug Unlawfully
Practice Fraudulently
Violation of UCSA
Probation 6/3/2013 Controlled Substance Dependence
Dishonorable Conduct
Obtained Drug Unlawfully
Practice Fraudulently
Violation of UCSA
Suspension 4/23/2012 4/23/2013 Controlled Substance Dependence
Dishonorable Conduct
Obtained Drug Unlawfully
Practice Fraudulently
Violation of UCSA
Temporary Suspension 4/25/2012 6/25/2012 Controlled Substance Dependence
Dishonorable Conduct
Obtained Drug Unlawfully
Practice Fraudulently
Violation of UCSA
Huxoll, Sarah L 1280
Omaha, NE
Probation 6/8/2014 6/8/2017 Alcohol Abuse
Practice while Impaired
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 302 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Certified Licensed Practical Nurse
Kapke, Darcy Kay 1250
Fairbury, NE
Probation 2/12/2014 5/12/2015 Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Unprofessional Conduct
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
Pitner, Dawn Renae 1042
North Platte, NE
Probation 10/14/2010 10/14/2011 Unprofessional Conduct
Violation of UCSA
Purintun, Dawn Lynn 1455
BAYARD, NE
Suspension 6/20/2015 Failure to Keep Adequate Records
Negligent Conduct
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 303 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Certified Licensed Practical Nurse
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 304 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Certified Licensed Practical Nurse
Tiemeyer, Ryan Jacob 1202
Omaha, NE
Censure 5/1/2015 Alcohol Dependency
10/18/2017
12/19/2017
5/1/2015 Failure to File Report-38-1,124,38-1,125
10/18/2017
12/19/2017
5/1/2015 Misdemeanor Conviction(s)
10/18/2017
12/19/2017
5/1/2015 Misrepresentation of Material Facts
10/18/2017
12/19/2017
5/1/2015 Probation Violation
10/18/2017
12/19/2017
5/1/2015 Violation of Dept Order
10/18/2017
12/19/2017
Civil Penalty 5/1/2015 11/1/2015 Alcohol Dependency
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Misrepresentation of Material Facts
Probation Violation
Violation of Dept Order
Probation 1/7/2015 Alcohol Dependency
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Misrepresentation of Material Facts
Probation Violation
Violation of Dept Order
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 305 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Certified Licensed Practical Nurse
Trimm, Keith Ray 1031
Fairbury, NE
Censure 3/3/2011 Unprofessional Conduct
Violation of AOC
VanDeWalle, Sheila Rae 558
Doniphan, NE
Censure 2/21/2011 Controlled Substance Dependence
Unprofessional Conduct
Wallace, Lorri Ann 1204
Omaha, NE
Suspension 9/25/2010 Alcohol Dependency
Controlled Substance Dependence
Failure to Comply With Aftercare
Waltemath, Stephanie Lynn 683
Holdrege, NE
Censure 6/20/2011 Unprofessional Conduct
xFailure to Conform-Stndrds of Practice
Walters, Andrea Lynn 1176
Lincoln, NE
Civil Penalty 7/1/2015 1/1/2016 Violation of UCA
Weeks, Ann Marie 848
Sparks, NE
Censure 5/21/2010 Misrepresentation of Material Facts
Civil Penalty 11/21/2010
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 306 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
LPN - Refresher Temporary
Bardales, Vanessa Marie LPNTREF295
Grand Island, NE
Probation 7/29/2013 8/13/2013 Alcohol Dependency
Controlled Substance Dependence
Failure to File Report-38-1,124,38-1,125
xUnlawful Possession of CS
Chappell, Susan Mary LPNTREF322
Omaha, NE
Probation 11/23/2015 12/22/2015 Dishonorable Conduct
Misrepresentation of Material Facts
Ferraguti, Donna Jo LPNTREF334
Omaha, NE
Probation 4/18/2017 5/3/2017 Violation of UCSA
xAlcohol Use Disorder - Severe
Noonan, Suzanne LPNTREF361
Omaha, NE
Probation 12/16/2019 2/10/2020 Substance Use Disorder
Oxtal, Karen Sue LPNTREF296
North Las Vegas, NV
Probation 8/5/2013 9/24/2013 Felony Conviction(s)
Urbano, Suzana Pilar LPNTREF321
Omaha, NE
Probation 11/23/2015 12/22/2015 Unprofessional Conduct
LPN-Compact Privilege
Burroughs, Elizabeth Ann IA-P38301
Council Bluffs, IA
Censure 4/1/2015 Unlicensed Practice
Unprofessional Conduct
Civil Penalty 4/1/2016 Unlicensed Practice
Unprofessional Conduct
Pet for Adv Act: Nurse Lic Compact filed 3/27/2015 4/1/2015 Unlicensed Practice
Unprofessional Conduct
Suspension 7/14/2016 Unlicensed Practice
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 307 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
LPN-Compact Privilege
Fritz, Shelly Lynn AZ-050499
Globe, AZ
Pet for Adv Act: Nurse Lic Compact filed 9/16/2016 11/16/2016 Dishonorable Conduct
Unprofessional Conduct
Violation of UCSA
Revocation of Practice Privilege 11/26/2016 Dishonorable Conduct
Unprofessional Conduct
Violation of UCSA
Gurule, Desiree Vanessa CO-0040324
Antonito, CO
Pet for Adv Act: Nurse Lic Compact filed 8/22/2016 9/28/2016 Dishonorable Conduct
Failure to Keep Adequate Records
Unprofessional Conduct
Revocation of Practice Privilege 10/20/2016 Dishonorable Conduct
Failure to Keep Adequate Records
Unprofessional Conduct
Heaton, Jackie Ann IA-P45848
South Sioux City, NE
Pet for Adv Act: Nurse Lic Compact filed 10/26/2010 Dishonorable Conduct
Unprofessional Conduct
Violation of UCSA
Revocation 3/10/2011 Dishonorable Conduct
Unprofessional Conduct
Violation of UCSA
Johnson, Aislinn Renee MO-2008032172
Kansas City, MO
Censure 6/21/2017 Misappropriation of Resident Property
Unprofessional Conduct
Civil Penalty 12/21/2017 Misappropriation of Resident Property
Unprofessional Conduct
Pet for Adv Act: Nurse Lic Compact filed 6/15/2017 6/21/2017 Misappropriation of Resident Property
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 308 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
LPN-Compact Privilege
Karis, Karen IA-P-53274
Council Bluffs, IA
Pet for Adv Act: Nurse Lic Compact filed 9/6/2012 9/20/2012 Practice while Impaired
Violation of UCSA
Rivers, James Francis IA-P32363
Council Bluffs, IA
Censure 12/2/2010 Unprofessional Conduct
Civil Penalty 10/21/2019 11/20/2019 Failure to Keep Adequate Records
Unprofessional Conduct
Pet for Adv Act: Nurse Lic Compact filed 4/2/2019 10/21/2019 Failure to Keep Adequate Records
11/19/2010 12/2/2010 Unprofessional Conduct
4/2/2019 10/21/2019
Suspension 10/21/2019 Failure to Keep Adequate Records
Unprofessional Conduct
Robinson, Charisma Theniqeka NC-066080
Omaha, NE
Pet for Adv Act: Nurse Lic Compact filed 6/27/2019 10/18/2019 Unlicensed Practice
Revocation 10/21/2019
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 309 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Adams, Akemi 21922
Omaha, NE
Probation 4/22/2013 10/2/2015 Negligent Conduct
Unprofessional Conduct
Adams, Alexandria Shada 23210
Kearney, NE
Petition for Disp Action & Temp Susp 8/9/2013 11/14/2013 Controlled Substance Dependence
Practice while Impaired
Suspension 2/9/2014 Controlled Substance Dependence
Practice while Impaired
Temporary Suspension 8/12/2013 11/13/2013 Controlled Substance Dependence
Practice while Impaired
Adams, Melissa 23331
Lincoln, NE
Petition for Disp Action & Temp Susp 2/28/2013 3/14/2013 Controlled Substance Dependence
Dishonorable Conduct
Failure to Comply With Aftercare
Misappropriation of Resident Property
Unprofessional Conduct
Suspension 3/14/2013 3/14/2014 Controlled Substance Dependence
Dishonorable Conduct
Failure to Comply With Aftercare
Misappropriation of Resident Property
Unprofessional Conduct
Temporary Suspension 3/4/2013 3/14/2013 Controlled Substance Dependence
Dishonorable Conduct
Failure to Comply With Aftercare
Misappropriation of Resident Property
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 310 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Adekunle, Paul Oluseyi 19767
Omaha, NE
Suspension 4/27/2011 9/1/2012 Alcohol Dependency
Failure to Comply With Aftercare
Felony Conviction(s)
Misdemeanor Conviction(s)
Practice while Impaired
Substance Use Disorder
Unprofessional Conduct
Albrecht, Sheri L 13218
Magnet, NE
Probation 11/25/2010 Emotional Disability
Unprofessional Conduct
Allen, Ellen Dawn 11600
Cairo, NE
Revocation 5/10/2012 Failure to Keep Adequate Records
Unprofessional Conduct
Allen, Judy Kay 11859
Omaha, NE
Censure 12/14/2017 Unlicensed Practice
Violation of UCA
Civil Penalty 6/14/2018 Unlicensed Practice
Violation of UCA
Amberson, Heidi 16863
Omaha, NE
Probation 2/12/2015 2/12/2016 Controlled Substance Dependence
Violation of UCSA
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 311 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Anderson, 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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 312 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Baker, Tanya Lanette 13820
Omaha, NE
Censure 4/25/2013 Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Unprofessional Conduct
Violation of Dept Order
Civil Penalty 10/25/2013 Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Unprofessional Conduct
Violation of Dept Order
Suspension 3/31/2012 4/30/2012 Failure to File Report-38-1,124,38-1,125
5/5/2013 7/3/2013
3/31/2012 4/30/2012 Failure to Keep Adequate Records
5/5/2013 7/3/2013
3/31/2012 4/30/2012 Unprofessional Conduct
5/5/2013 7/3/2013
3/31/2012 4/30/2012 Violation of Dept Order
5/5/2013 7/3/2013
Barba, Mark Damian 11563
Omaha, NE
Civil Penalty 11/15/2010 5/15/2011 Misrepresentation of Material Facts
Unlicensed Practice
Violation of UCA
Suspension 3/30/2014 4/29/2014 Misrepresentation of Material Facts
Unlicensed Practice
Violation of UCA
Bardales, Vanessa Marie 16695
Grand Island, NE
Probation 8/13/2013 8/13/2018 Alcohol Dependency
Controlled Substance Dependence
Unprofessional Conduct
Violation of UCSA
Bateman, Stephanie Jeanne 15132
Battle Creek, NE
Probation 5/18/2018 Emotional Disability
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 313 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Batiste, Anthony James 22084
Omaha, NE
Probation 10/28/2019 10/28/2023 Alcohol Use Disorder, Moderate
Misdemeanor Conviction(s)
Beatty, Kristen Pauline 15593
Omaha, NE
Censure 11/28/2017 Failure to Keep Adequate Records
Unprofessional Conduct
Bebout, Elizabeth Elaine 20782
Omaha, NE
Censure 6/28/2012 Failure to Keep Adequate Records
Falsify Patient Records
Practice Beyond Scope
Unprofessional Conduct
Civil Penalty 10/1/2013 Failure to Keep Adequate Records
Falsify Patient Records
Practice Beyond Scope
Unprofessional Conduct
Suspension 6/6/2012 7/6/2012 Failure to Keep Adequate Records
Falsify Patient Records
Practice Beyond Scope
Unprofessional Conduct
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 314 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Benshoof, Keriane 18306
Plainview, NE
Censure 9/25/2014 Misappropriation of Resident Property
Unprofessional Conduct
Civil Penalty 3/25/2015 Misappropriation of Resident Property
Unprofessional Conduct
Bertrand, Tami A 16231
Seward, NE
Probation 12/27/2016 12/27/2018 Alcohol Dependency
Misdemeanor Conviction(s)
Suspension 3/18/2012 3/18/2013 Alcohol Dependency
Failure to Comply With Aftercare
Misdemeanor Conviction(s)
Bertschinger, Ajay Joseph 24380
Lincoln, NE
Probation 1/24/2014 11/14/2014 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Suspension 11/14/2014 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Blundell, Jenee Maxine 22542
Geneva, NE
Probation 5/5/2014 5/4/2018 Alcohol Dependency
Misdemeanor Conviction(s)
Blythe, Linda Kay 19770
Ogallala, NE
Suspension 7/3/2013 Failure to File Report-38-1,124,38-1,125
Falsify Patient Records
Unprofessional Conduct
Violation of UCSA
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 315 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 316 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Booth, Ronda Lovell 13819
Nebraska City, NE
Suspension 8/6/2012 9/4/2012 Failure to Keep Adequate Records
Falsify Patient Records
Unprofessional Conduct
Borzekofski, Jacqueline Denise 16963
Wymore, NE
Civil Penalty 11/2/2010 5/2/2011 Misrepresentation of Material Facts
Bouwens, Brianna Ashley 25834
Lincoln, NE
Probation 12/19/2017 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
Brown, Karen Sue 18073
Benkelman, NE
Revocation 4/20/2010 Unprofessional Conduct
Violation of UCSA
xReinstatement - Previous Discipline
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 317 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Brown, 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
Brunious, Ja'Nean Nicole 22787
Omaha, NE
Probation 7/12/2010 7/12/2011 Alcohol Abuse
xCourt Conviction
Brunkhorst, Ashley Gwen 22591
COLUMBUS, NE
Censure 5/29/2014 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Civil Penalty 5/29/2015 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Buhlmann, Rosemarie 19353
Albion, NE
Suspension 9/4/2011 10/4/2011 Falsify Patient Records
Unprofessional Conduct
Burger, Rhonda Hammond 11548
Alliance, NE
Civil Penalty 11/2/2010 5/2/2011 Misrepresentation of Material Facts
Burns, Larissa Marie 25215
Humboldt, NE
Censure 12/27/2017 Failure to Keep Adequate Records
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 318 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Butler, Lola Fern 19276
Omaha, NE
Censure 8/8/2014 Unprofessional Conduct
Cadwallader, Karri Marie 18250
Pender, NE
Civil Penalty 11/2/2010 5/2/2011 Misrepresentation of Material Facts
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
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 319 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
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
Clark, Alta Marie 19957
Scottsbluff, NE
Censure 8/6/2010 Unprofessional Conduct
Suspension 8/16/2010 9/16/2010
Clinger, Patricia Ruth 21232
North Platte, NE
Censure 1/13/2017 Failure to Keep Adequate Records
Practice Beyond Scope
Unprofessional Conduct
Clyne, Susan Barbara 12206
Lincoln, NE
Censure 3/30/2017 Dishonorable Conduct
Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Collins, Jennifer Lynn 21726
Beatrice, NE
Suspension 12/12/2010 6/12/2011 Dishonorable Conduct
Unprofessional Conduct
xControlled Substance Addiction
Collins, Sara F 21874
Omaha, NE
Probation 2/19/2012 Misrepresentation of Material Facts
Probation Violation
Suspension 4/18/2010 5/17/2010 Misrepresentation of Material Facts
Probation Violation
Condy, Billie Ann 22735
Grand Island, NE
Suspension 10/13/2019 Dishonorable Conduct
Misdemeanor Conviction(s)
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 320 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Coonce, Teresa Lynne 19555
Omaha, NE
Suspension 9/5/2016 Unprofessional Conduct
Violation of UCSA
xCont Substance Use Disorder - Mild
Covrig, Kelly K 20770
Lincoln, NE
Censure 4/8/2010 Unprofessional Conduct
Limitation-Disciplinary
Coy, Teresa Ann 9682
Omaha, NE
Censure 8/16/2017 Unprofessional Conduct
Craig, Amber Allyn 22618
Lincoln, NE
Probation 12/2/2013 Controlled Substance Dependence
Failure to Comply With Aftercare
Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Violation of UCSA
Craven, Brian Scott 18693
Ponca, NE
Civil Penalty 11/2/2010 5/2/2011 Misrepresentation of Material Facts
Crawford, Lynn Marie 15158
West Point, NE
Probation 1/24/2017 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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 321 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Crosby, Trisha Lyn 19483
Syracuse, NE
Probation 7/28/2018 Dishonorable Conduct
Substance Use Disorder, Severe
Dale, Laurie Kenney 14018
Chappell, NE
Censure 12/1/2011 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Civil Penalty 12/1/2012 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Dally, Diana Michelle 17949
Lincoln, NE
Probation 6/27/2011 Failure to File Report-38-1,124,38-1,125
Pattern of Negligence
Unprofessional Conduct
Daro, Lori Ann 18850
Lincoln, NE
Probation 11/30/2016 11/30/2021 Alcohol Use Disorder, Severe
Misappropriation of Resident Property
Unprofessional Conduct
xCont Substance Use Disorder - Severe
Suspension 9/9/2015 11/30/2016 Alcohol Use Disorder, Severe
Misappropriation of Resident Property
Unprofessional Conduct
xCont Substance Use Disorder - Severe
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 322 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Davis, Alicia Marie 20126
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 323 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
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
Dickson, Clarissa Jo 22976
Chadron, NE
Probation 10/12/2010 10/26/2010 Alcohol Abuse
Misdemeanor Conviction(s)
Dietz, Loretta Ann 17044
Humboldt, NE
Suspension 9/7/2014 10/7/2014 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Ditter, Mary Lou 6030
Scottsbluff, NE
Suspension 9/4/2017 10/3/2017 Failure to File Report-38-1,124,38-1,125
Practice Beyond Scope
Unprofessional Conduct
Doherty, Jewel Ann-Marie 24444
Omaha, NE
Probation 4/22/2014 4/22/2015 Misdemeanor Conviction(s)
Donley, Steven Shane 19682
Lincoln, NE
Censure 5/10/2012 Unprofessional Conduct
Dunn, Chantell Marie 21511
Omaha, NE
Probation 8/25/2011 4/11/2014 Alcohol Abuse
Failure to Comply With Aftercare
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 324 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
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, Jeannie Elvamarie 19511
chadron, NE
Suspension 10/22/2012 1/18/2013 Practice while Impaired
Dutra, Scott Richard 14299
Glenwood Springs, CO
Censure 3/4/2015 Failure to Keep Adequate Records
Falsify Patient Records
Unprofessional Conduct
Suspension 8/5/2012 9/3/2012 Failure to Keep Adequate Records
Falsify Patient Records
Unprofessional Conduct
Dyer, Shannon Ethel 19363
Bellevue, NE
Probation 10/3/2015 7/19/2018 Alcohol Dependency
Unprofessional Conduct
Ebert, Susan Elaine 19520
Elwood, NE
Revocation 5/21/2010 9/13/2012 Unprofessional Conduct
Edwards, Patricia Elaine 11072
Superior, NE
Suspension 11/25/2010 11/25/2011 Probation Violation
xReinstatement - Previous Discipline
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 325 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Entsminger, Brenda Sue 11604
Lincoln, NE
Revocation 3/16/2011 xControlled Substance Addiction
Suspension 12/20/2010
Erb, Crystal Renee 24791
Beatrice, NE
Censure 5/2/2018 Failure to File Report-38-1,124,38-1,125
Failure to Safeguard Clients Diginity
Misappropriation of Resident Property
Unprofessional Conduct
Civil Penalty Failure to File Report-38-1,124,38-1,125
Failure to Safeguard Clients Diginity
Misappropriation of Resident Property
Unprofessional Conduct
Escalante, Wendy Louise 18242
Winside, NE
Civil Penalty 9/21/2015 9/21/2016 Failed to Report Conviction in 30 days
Failure to Disclose Convictions
Misdemeanor Conviction(s)
Misrepresentation of Material Facts
Everett, Crystal Nicole 23283
Omaha, NE
Probation 7/27/2011 7/27/2013 Lacks Good Character
Misdemeanor Conviction(s)
Farrens, Miranda Elizabeth 22541
Decatur, NE
Probation 2/12/2014 7/1/2021 Controlled Substance Dependence
Practice while Impaired
Faulk, Kimberley Anne 14600
North Loup, NE
Censure 8/6/2010 Misrepresentation of Material Facts
Unlicensed Practice
Ferraguti, Donna Jo 11375
Omaha, NE
Probation 5/3/2017 4/18/2019 xReinstatement - Previous Discipline
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 326 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Fine, Tami RettaBette 22871
Valparaiso, NE
Probation 8/10/2010 8/10/2015 Misrepresentation of Material Facts
xAlcohol & Chemical
Dependence/AddictionxCriminal Conviction(s)
Fischer, Crista Lynne 22189
North Bend, NE
Civil Penalty 7/1/2015 1/1/2016 Misrepresentation of Material Facts
Fitting, Grace Anne 25094
Honolulu, HI
Probation 10/21/2015 Alcohol Abuse
Controlled Substance Abuse
Controlled Substance Dependence
Fitzgerald, Krystalynn Tamarra Dion 22316
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
Flores, Keri Lynne 18923
Council Bluffs, IA
Censure 6/28/2010 Unprofessional Conduct
Civil Penalty 12/28/2010
Suspension 7/7/2010 8/6/2010
Ford, Sheri Nicole 19317
Arlington, TX
Civil Penalty 11/2/2010 5/2/2011 Failed to Report Conviction in 30 days
Misrepresentation of Material Facts
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 327 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 328 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Friesen, Jamie Michele 23585
De Witt, NE
Probation 7/11/2015 10/31/2015 Dishonorable Conduct
Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Misappropriation of Resident Property
Misrepresentation of Material Facts
Unprofessional Conduct
Violation of AOC
Violation of UCSA
Revocation 3/14/2017 Dishonorable Conduct
Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Misappropriation of Resident Property
Misrepresentation of Material Facts
Unprofessional Conduct
Violation of AOC
Violation of UCSA
Suspension 9/27/2014 10/27/2014 Dishonorable Conduct
Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Misappropriation of Resident Property
Misrepresentation of Material Facts
Unprofessional Conduct
Violation of AOC
Violation of UCSA
Fritz, Shelly Lynn 15973
Globe, AZ
Censure 2/19/2013 Failure to File Report-38-1,124,38-1,125
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 329 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Fuh, Gerard 25893
Omaha, NE
Censure 3/7/2018 Failure to File Report-38-1,124,38-1,125
Misrepresentation of Material Facts
Unlicensed Practice
Unprofessional Conduct
Probation 5/6/2018 Failure to File Report-38-1,124,38-1,125
Misrepresentation of Material Facts
Unlicensed Practice
Unprofessional Conduct
Funk, Amber D 20814
Amarillo, TX
Censure 5/29/2014 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Violation of Dept Order
Suspension 8/26/2014 1/31/2016 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Violation of Dept Order
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
Genoways, Heidi L 17436
Bridgeport, NE
Censure 8/24/2010 Practice Beyond Scope
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 330 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Girard, Tami Sue 24763
Lincoln, NE
Probation 12/9/2014 12/9/2019 Misdemeanor Conviction(s)
xAlcohol Use Disorder - Moderate
xMind-Altering Substance Abuse
Goings, Peggy Leah 17564
Wauneta, NE
Censure 7/20/2018 Failed to Report Conviction in 30 days
Misrepresentation of Material Facts
Gollyhorn, Tammy Lee 22479
Wayne, NE
Revocation 2/8/2013 Failure to File Report-38-1,124,38-1,125
Other State Action
Graf, Jennifer Lynn 16071
Orleans, NE
Censure 2/9/2012 Failure to Keep Adequate Records
Falsify Patient Records
Unprofessional Conduct
Suspension 2/19/2012 3/19/2012 Failure to Keep Adequate Records
Falsify Patient Records
Unprofessional Conduct
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 331 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Graham, Lana Danielle 19865
Springfield, NE
Censure 5/10/2010 Failure to File Report-38-1,124,38-1,125
Misrepresentation of Material Facts
Grant, Barbara Jean 11364
Scottsbluff, NE
Censure 2/25/2019 Failed to Report Conviction in 30 days
Failure to Disclose Convictions
Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Grashorn, Jill Elaine 21238
Omaha, NE
Censure 12/14/2016 Failed to Report Conviction in 30 days
Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Misdemeanor Conviction(s)
Unprofessional Conduct
Greenwood, Sarah Renee 26186
Lincoln, NE
Probation 12/17/2018 7/17/2019 Misdemeanor Conviction(s)
Grell, Dawn Benson 16909
Grand Island, NE
Suspension 4/4/2015 5/4/2015 Failure to Keep Adequate Records
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 332 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Griger, Carolyn Leigh 17991
Omaha, NE
Probation 3/11/2011 3/11/2016 Alcohol Abuse
Controlled Substance Dependence
Failure to Keep Adequate Records
Practice Beyond Scope
Probation Violation
Unprofessional Conduct
Violation of UCSA
Suspension 12/12/2010 3/11/2011 Alcohol Abuse
Controlled Substance Dependence
Failure to Keep Adequate Records
Practice Beyond Scope
Probation Violation
Unprofessional Conduct
Violation of UCSA
Groeling, Kathleen Ann 19664
Malcolm, NE
Censure 8/11/2011 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Civil Penalty 2/11/2012 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Probation 6/28/2010 6/28/2013 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 333 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Guenther, Meri L 21262
Lincoln, NE
Revocation 2/16/2018 Dishonorable Conduct
Unprofessional Conduct
Guerrero, Joseph James 16232
Bellevue, NE
Censure 11/10/2011 Failure to Keep Adequate Records
Unprofessional Conduct
Gumm, Tamara Marie 19093
Dassel, MN
Censure 6/9/2011 Unprofessional Conduct
xFailure To File Mandatory Report
xFailure to Conform-Stndrds of Practice
Suspension 6/30/2011 7/29/2011 Unprofessional Conduct
xFailure To File Mandatory Report
xFailure to Conform-Stndrds of Practice
Hall, Barbara Anne 23473
Junction City, KS
Suspension 11/24/2017 Controlled Substance Abuse
Dishonorable Conduct
Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Violation of UCSA
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 334 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Hanway, Linda May 8643
Merriman, NE
Censure 6/20/2011 Unprofessional Conduct
xFailure to Conform-Stndrds of Practice
Suspension 6/30/2011 7/30/2011 Unprofessional Conduct
xFailure to Conform-Stndrds of Practice
Hardies, Mandy Ellen 22034
Gretna, NE
Probation 5/12/2017 5/12/2020 Misdemeanor Conviction(s)
xAlcohol Use Disorder - Mild
Harrington, Savitri Dai' 19966
Omaha, NE
Probation 6/10/2010 3/27/2012 Misdemeanor Conviction(s)
Probation Violation
xCourt Conviction
Harris, 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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 335 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Heidrick, Chelsea Anne 23002
Manhatten, KS
Censure 5/29/2014 Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Practice Beyond Scope
Unprofessional Conduct
Violation of Dept Order
Suspension 6/8/2014 7/8/2014 Failure to File Report-38-1,124,38-1,125
8/26/2014 10/2/2014
6/8/2014 7/8/2014 Failure to Keep Adequate Records
8/26/2014 10/2/2014
6/8/2014 7/8/2014 Practice Beyond Scope
8/26/2014 10/2/2014
6/8/2014 7/8/2014 Unprofessional Conduct
8/26/2014 10/2/2014
6/8/2014 7/8/2014 Violation of Dept Order
8/26/2014 10/2/2014
Heidzig, Nicol R 20680
Plattsmouth, NE
Censure 8/20/2015 Failure to File Report-38-1,124,38-1,125
Violation of UCSA
Heilbrun, Mary Jean 18093
Kimball, NE
Censure 6/28/2010 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Civil Penalty 12/28/2010 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Helleberg, Ashley Lynn 24074
Grand Island, NE
Censure 10/15/2018 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Violation of Work Policies & Procedures
Civil Penalty 10/15/2019 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Violation of Work Policies & Procedures
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 336 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Hendrickson, Timothy Allen 16249
Hamburg, IA
Probation 8/5/2010 Other State Action
xAlcohol & Controlled Substance Dependen
Hensley, Gloria A 16869
Elmwood, NE
Probation 10/2/2011 Failure to Keep Adequate Records
Unprofessional Conduct
Hensley, Jennie Rae 20610
Waverly, NE
Censure 1/25/2018 Failure to Keep Adequate Records
Unprofessional Conduct
Herring, Katie Marie 20145
Lincoln, NE
Civil Penalty 11/2/2010 5/2/2011 Misrepresentation of Material Facts
Herring, Sondra Lee 19203
Seward, NE
Censure 3/22/2012 Failure to Keep Adequate Records
Practice Beyond Scope
Unprofessional Conduct
Hessheimer, Madeline Ann 14842
Lincoln, NE
Censure 8/28/2012 Failure to Keep Adequate Records
Unprofessional Conduct
Violation of UCSA
Hettinger, Marlene Rose 19445
Bellevue, NE
Censure 2/9/2012 Failure to Keep Adequate Records
Unprofessional Conduct
Suspension 2/19/2012 3/20/2012 Failure to Keep Adequate Records
6/22/2012
2/19/2012 3/20/2012 Unprofessional Conduct
6/22/2012
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 337 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Hildenstein, Robert John 16855
Carter Lake, IA
Probation 4/27/2017 4/27/2019 Failure to Disclose Convictions
History of Disciplinary Action
Hintz, Jeannette Jones 11942
Norfolk, NE
Limitation-Disciplinary 6/28/2010 Practice while Impaired
Hixon, Rachael Jean 21114
Grand Island, NE
Censure 7/12/2017 Failed to Report Conviction in 30 days
Hodge, Jami Sue 21143
Hiawatha, KS
Civil Penalty 12/2/2010 5/2/2011 Misrepresentation of Material Facts
Suspension 7/1/2011 10/16/2014
Hoeft, Michelle Patricia 16029
Omaha, NE
Censure 2/9/2012 Failure to Pay Fees
10/7/2010 Probation Violation
Unprofessional Conduct
Civil Penalty 10/7/2011 Probation Violation
Unprofessional Conduct
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 338 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Hurlburt, Brandi S 17117
Arcadia, NE
Petition for Disp Action & Temp Susp 4/23/2012 6/25/2012 Controlled Substance Dependence
Dishonorable Conduct
Obtained Drug Unlawfully
Practice Fraudulently
Violation of UCSA
Probation 6/3/2013 Controlled Substance Dependence
Dishonorable Conduct
Obtained Drug Unlawfully
Practice Fraudulently
Violation of UCSA
Suspension 4/23/2012 4/23/2013 Controlled Substance Dependence
Dishonorable Conduct
Obtained Drug Unlawfully
Practice Fraudulently
Violation of UCSA
Temporary Suspension 4/25/2012 6/25/2012 Controlled Substance Dependence
Dishonorable Conduct
Obtained Drug Unlawfully
Practice Fraudulently
Violation of UCSA
Huxoll, Sarah L 21293
Omaha, NE
Probation 6/8/2014 6/8/2017 Alcohol Abuse
Practice while Impaired
Unprofessional Conduct
Ion, Sha Marie 19513
Cooperstown, PA
Civil Penalty 3/3/2011 5/2/2011 Misrepresentation of Material Facts
xFailure to Conform-Stndrds of Practice
xFalsified Application
Suspension 7/1/2011 Misrepresentation of Material Facts
xFailure to Conform-Stndrds of Practice
xFalsified Application
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 339 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Irving, Kierstin Jeanette 25380
Lincoln, NE
Probation 8/2/2016 8/2/2017 Misdemeanor Conviction(s)
Jacobs, Gertrude Marie 13387
Omaha, NE
Probation 1/17/2013 7/17/2014 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Jaeger, Clayton King 22659
Lincoln, NE
Probation 3/1/2014 3/1/2017 Misdemeanor Conviction(s)
Jarrett, Jennifer Michelle 19786
Gretna, NE
Censure 1/17/2019 Unlicensed Practice
Unprofessional Conduct
Jarzynka, Erin Marie 23752
Hastings, NE
Censure 2/19/2019 Failed to Report Conviction in 30 days
Jensen, Danielle Renee 24704
Nebraska City, NE
Censure 2/25/2019 Failure to Keep Adequate Records
Violation of UCA
Jisa, Hollie Anne 24115
Neligh, NE
Censure 1/28/2015 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Civil Penalty 1/28/2016 Failure to Safeguard Clients Diginity
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 340 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Johnson, Mandie Michelle 20886
Lincoln, NE
Censure 8/6/2010 Misdemeanor Conviction(s)
Probation Violation
3/14/2017
8/6/2010 Unprofessional Conduct
Civil Penalty 5/6/2011 Misdemeanor Conviction(s)
Probation Violation
3/14/2017 9/14/2017
8/6/2010 5/6/2011 Unprofessional Conduct
Probation 11/20/2012 11/20/2018 Misdemeanor Conviction(s)
Probation Violation
Unprofessional Conduct
Suspension 7/23/2011 11/20/2012 Misdemeanor Conviction(s)
Probation Violation
Unprofessional Conduct
Jones, Brandy Ann 21464
Papillion, NE
Probation 4/19/2016 4/19/2017 Misdemeanor Conviction(s)
Jones, Kylie Suzanne 21333
Kearney, NE
Censure 10/23/2014 Alcohol Abuse
Misdemeanor Conviction(s)
Suspension 11/2/2014 Alcohol Abuse
Misdemeanor Conviction(s)
Jones, Lindsey Marie 24918
Plattsmouth, NE
Probation 6/8/2015 5/4/2018 Alcohol Abuse
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 341 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Jorges, Sarah Marie 22210
Omaha, NE
Probation 1/20/2014 9/7/2014 Alcohol Abuse
Controlled Substance Abuse
Probation Violation
Unprofessional Conduct
Suspension 9/7/2014 Alcohol Abuse
Controlled Substance Abuse
Probation Violation
Unprofessional Conduct
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
Keller, Sheri Eileen 19934
Torrington, WY
Civil Penalty 11/2/2010 Misrepresentation of Material Facts
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 342 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Kelly, Nakia Lee 21013
Bennington, NE
Probation 6/10/2012 1/6/2016 Alcohol Dependency
Misdemeanor Conviction(s)
Kendall, Samantha Jay 25238
Falls City, NE
Probation 4/7/2016 10/7/2016 Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 343 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Kirby, Kerry Lee 16109
David City, NE
Censure 4/30/2014 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Civil Penalty 10/30/2014 Alcohol Abuse
Misdemeanor Conviction(s)
2/19/2019 8/19/2019
4/30/2014 10/30/2014 Probation Violation
2/19/2019 8/19/2019
Substance Use Disorder
Probation 2/26/2014 2/26/2016 Alcohol Abuse
Misdemeanor Conviction(s)
3/5/2018 3/5/2023
10/2/2019 10/2/2024
2/26/2014 2/26/2016 Probation Violation
3/5/2018 3/5/2023
10/2/2019 10/2/2024
3/5/2018 3/5/2023 Substance Use Disorder
10/2/2019 10/2/2024
Revocation 8/30/2015 3/4/2018 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Suspension 4/4/2015 5/4/2015 Alcohol Abuse
Misdemeanor Conviction(s)
3/1/2019 10/1/2019
4/4/2015 5/4/2015 Probation Violation
3/1/2019 10/1/2019
Substance Use Disorder
Knighten, April Christine 21894
Omaha, NE
Censure 6/24/2014 Failure to Disclose Convictions
Koffree, Joseph 21510
Lincoln, NE
Revocation 12/17/2014 Felony Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 344 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Kolasky, James Andrew 23355
Omaha, NE
Censure 8/30/2018 Failure to File Report-38-1,124,38-1,125
Kothe, Billie Jo 21317
LaVista, NE
Civil Penalty 11/2/2010 5/2/2011 Misrepresentation of Material Facts
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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 345 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Lang, Jolene Annette 13954
Papillion, NE
Probation 4/16/2018 2/19/2019 Alcohol Use Disorder, Severe
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Probation Violation
Revocation 2/19/2019 Alcohol Use Disorder, Severe
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Probation Violation
Leary, Ebony LaVonda 25433
Houston, TX
Probation 9/9/2016 2/21/2019 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Revocation 2/21/2019 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Lee, Mary Ann 14861
Omaha, NE
Censure 6/28/2010 Dishonorable Conduct
Failure to File Report-38-1,124,38-1,125
Civil Penalty 12/28/2010 Dishonorable Conduct
Failure to File Report-38-1,124,38-1,125
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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 346 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Love, Karen Marie 6674
Omaha, NE
Censure 5/23/2019 Misrepresentation of Material Facts
Unprofessional Conduct
Civil Penalty 5/23/2020 Misrepresentation of Material Facts
Unprofessional Conduct
Lovely, Anne Marie 21296
Omaha, NE
Civil Penalty 11/2/2010 5/2/2011 Misrepresentation of Material Facts
Luikens, Julie Irene 8847
Blair, NE
Revocation 10/23/2014 Alcohol Abuse
Controlled Substance Dependence
Misdemeanor Conviction(s)
Violation of Dept Order
Violation of UCSA
Suspension 7/22/2013 10/23/2014 Alcohol Abuse
Controlled Substance Dependence
Misdemeanor Conviction(s)
Violation of Dept Order
Violation of UCSA
Lutzow, Linda J 12116
Omaha, NE
Probation 6/3/2013 Controlled Substance Dependence
xCriminal Conviction(s)
Suspension 7/23/2010 Controlled Substance Dependence
Probation Violation
Violation of UCSA
xHabitual Intoxication
Mackenzie, Stacy Ann 16198
Lincoln, NE
Suspension 7/24/2010 8/24/2010 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 347 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Mackeprang, Sarah Jane 21066
Tyler, TX
Suspension 11/28/2015 Failure to File Report-38-1,124,38-1,125
Misappropriation of Resident Property
Markut, Kay Lynn 17607
McCook, NE
Civil Penalty 11/2/2010 5/2/2011 Misrepresentation of Material Facts
Marsh, Grant Alan 22811
Hastings, NE
Revocation 5/2/2017 Dishonorable Conduct
Failure to File Report-38-1,124,38-1,125
Pattern of Negligence
Unprofessional Conduct
Marsh, Tiffany Lynn 22943
Hastings, NE
Civil Penalty 5/1/2015 11/1/2015 Violation of Dept Order
Violation of UCA
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 348 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
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
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 349 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
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
Probation 10/28/2017 10/28/2020 Alcohol Abuse
Misdemeanor Conviction(s)
Meyer, Melissa Dawn 20328
Greenwood, NE
Suspension 6/23/2019 Failed to Report Conviction in 30 days
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Misrepresentation of Material Facts
Unprofessional Conduct
Meyer, Thomas Patrick, Jr 23185
Omaha, NE
Censure 7/29/2014 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 350 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
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)
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
Montelongo, Dixie Ivy 18868
Kannapolis, NC
Censure 6/28/2010 Unprofessional Conduct
Suspension 7/8/2010 8/8/2010
Montgomery, Sharon Louise 22269
Laramie, WY
Civil Penalty 11/2/2010 5/2/2011 Misrepresentation of Material Facts
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 351 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 352 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Neben, Cindy Marie 15989
Dunning, NE
Censure 9/5/2014 Failed to Report Conviction in 30 days
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Misrepresentation of Material Facts
Unprofessional Conduct
Civil Penalty 11/4/2014 Failed to Report Conviction in 30 days
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Misrepresentation of Material Facts
Unprofessional Conduct
Revocation 7/22/2017 Failed to Report Conviction in 30 days
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Misrepresentation of Material Facts
Unprofessional Conduct
Nesladek, Jill Adele 18279
West Point, NE
Revocation 12/6/2012 3/5/2016 Failure to Safeguard Clients Diginity
Falsify Patient Records
Misdemeanor Conviction(s)
Misrepresentation of Material Facts
Practice Beyond Scope
Unprofessional Conduct
Newill, Erika Christale 26175
Fremont, NE
Probation 11/27/2018 11/27/2023 Felony Conviction(s)
Misdemeanor Conviction(s)
Substance Use Disorder
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 353 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Newton, Sara A.E. 23966
Bradshaw, NE
Civil Penalty 2/17/2017 2/17/2018 Misdemeanor Conviction(s)
Probation Violation
xAlcohol Use Disorder - Moderate
xCont Substance Use Disorder - Severe
Probation 7/10/2016 7/10/2021 Misdemeanor Conviction(s)
Probation Violation
xAlcohol Use Disorder - Moderate
xCont Substance Use Disorder - Severe
Suspension 2/27/2017 4/28/2017 Misdemeanor Conviction(s)
Probation Violation
xAlcohol Use Disorder - Moderate
xCont Substance Use Disorder - Severe
Nhete, Johannes Alvin 18810
La Vista, NE
Censure 10/5/2016 Misdemeanor Conviction(s)
Nicholls, David Patrick 23805
Lincoln, NE
Revocation 3/15/2018 Controlled Substance Dependence
Failure to Comply With Aftercare
Misdemeanor Conviction(s)
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
Ohnoutka, Kelli Jo 17814
Wahoo, NE
Probation 11/12/2010 11/12/2015 xControlled Substance Addiction/Depndncy
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 354 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
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
Oxtal, Karen Sue 17622
North Las Vegas, NV
Probation 9/24/2013 12/6/2016 Felony Conviction(s)
Pacheco, Michael Gilbert 25390
Omaha, NE
Censure 2/1/2017 Misdemeanor Conviction(s)
Probation Violation
xAlcohol Use Disorder - Mild
Civil Penalty 8/1/2017 Misdemeanor Conviction(s)
Probation Violation
xAlcohol Use Disorder - Mild
Probation 8/8/2016 8/8/2017 Misdemeanor Conviction(s)
Probation Violation
xAlcohol Use Disorder - Mild
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 355 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Pagnano, Elsie Kim 17791
Omaha, NE
Censure 1/25/2018 Failure to Keep Adequate Records
Misappropriation of Resident Property
Unprofessional Conduct
Parker, Mary Jo 22319
Omaha, NE
Probation 2/13/2014 Controlled Substance Dependence
Misdemeanor Conviction(s)
Unprofessional Conduct
Suspension 7/8/2010 8/7/2010 Controlled Substance Dependence
Misdemeanor Conviction(s)
Unprofessional Conduct
Pebley, Debora Lee 7681
Scottsbluff, NE
Probation 10/17/2010 5/8/2011 Probation Violation
11/20/2012 11/20/2015
10/17/2010 5/8/2011 xControlled Substance Addiction/Depndncy
Suspension 5/8/2011 5/8/2012 Probation Violation
xControlled Substance Addiction/Depndncy
Peden, Amber Renee 24014
Cozad, NE
Probation 2/28/2013 2/28/2016 Alcohol Abuse
Misdemeanor Conviction(s)
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 356 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Perkins, Nicole Elizabeth 19250
Omaha, NE
Censure 5/15/2013 Misdemeanor Conviction(s)
Civil Penalty 11/15/2013
Perry, Jennifer Lynn 22546
Omaha, NE
Suspension 7/9/2012 10/7/2012 Alcohol Dependency
Controlled Substance Abuse
Misdemeanor Conviction(s)
Petersen, Kathleen Ellen 22473
Fremont, NE
Censure 11/17/2017 Unprofessional Conduct
Phillips, Carolyn Tiffany Dawn 20744
Lincoln, NE
Censure 4/20/2010 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Suspension 4/30/2010 5/30/2010 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Phipps, Gordon Donald, II 24624
Papillion, NE
Probation 2/20/2019 2/20/2024 Substance Use Disorder, Severe
Piontkowski, Shirley Joan 10964
Phillips, NE
Probation 7/12/2012 4/10/2013 Felony Conviction(s)
Pitner, Dawn Renae 16399
North Platte, NE
Censure 1/28/2016 Unprofessional Conduct
Violation of UCA
Civil Penalty 3/28/2016 Unprofessional Conduct
Violation of UCA
Probation 10/14/2010 10/14/2011 Unprofessional Conduct
Violation of UCSA
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 357 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Polenske, Stacy Lynette 18643
North Platte, NE
Probation 4/5/2010 4/5/2015 Failure to File Report-38-1,124,38-1,125
xHabitual Intoxication
Revocation 4/10/2011 Probation Violation
Porter, Essie Mae 3359
Lithonia, GA
Suspension 3/22/2014 4/20/2014 Failure to Keep Adequate Records
Falsify Patient Records
Unprofessional Conduct
Prettyman, Catherine Grace 20416
Bellevue, NE
Censure 9/22/2011 Unprofessional Conduct
Civil Penalty 3/22/2012
Prindle, Angela Dawn 24176
Glenwood, IA
Probation 7/22/2013 Alcohol Dependency
Controlled Substance Dependence
Purintun, Dawn Lynn 21049
BAYARD, NE
Suspension 6/20/2015 11/2/2015 Failure to Keep Adequate Records
Negligent Conduct
Unprofessional Conduct
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 358 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Quinlan, Sharon Jean 19620
Omaha, NE
Suspension 9/16/2013 12/14/2013 Unprofessional Conduct
Ralls, Cynthia Dawn 19055
Taylor, NE
Censure 10/12/2018 Alcohol Dependency
6/14/2019
10/12/2018 Misdemeanor Conviction(s)
6/14/2019
10/12/2018 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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 359 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Ramsey, Elena Marie 19687
Omaha, NE
Censure 4/20/2010 Unprofessional Conduct
Rasco, Queendolyn Lashell 24484
Omaha, NE
Censure 10/29/2019 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Violation of Work Policies & Procedures
Reis, Bridget Ann 19996
Genoa, NE
Censure 1/25/2018 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Civil Penalty 1/25/2019 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Reisig, Mary Jane 12288
Mitchell, NE
Suspension 3/27/2011 Unprofessional Conduct
xFailure To File Mandatory Report
Rhoads, Debra Jean 7552
Louisville, NE
Civil Penalty 10/7/2010 4/7/2011 Misrepresentation of Material Facts
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 360 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Roberson, Dawn Marie 23947
Omaha, NE
Probation 7/18/2018 7/18/2021 Failure to Keep Adequate Records
Misappropriation of Resident Property
Unprofessional Conduct
Violation of UCSA
Suspension 8/17/2018 Failure to Keep Adequate Records
Misappropriation of Resident Property
Unprofessional Conduct
Violation of UCSA
Robinson, Rachel Cummings 20609
Bellevue, NE
Probation 10/17/2010 Alcohol Dependency
Controlled Substance Dependence
Unprofessional Conduct
Violation of UCSA
Robinson, Tameka Arlene 21026
Omaha, NE
Probation 10/28/2013 Practice while Impaired
Robles, 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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 361 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Rockwell, Lorena Belle 24089
North Platte, NE
Probation 9/7/2018 9/7/2019 Alcohol Use Disorder, Mild
Misdemeanor Conviction(s)
Roebuck, Rose Ann 10107
Milford, NE
Limitation-Disciplinary 11/2/2010 Negligent Conduct
Unprofessional Conduct
Rohloff, Daresa DeeAnn 22458
Lincoln, NE
Revocation 4/24/2011 Unprofessional Conduct
xFailure To File Mandatory Report
Revocation of Practice Privilege Unprofessional Conduct
xFailure To File Mandatory Report
Rosane, Elaine Ann 14304
Alma, NE
Probation 9/23/2010 9/23/2011 Violation of AOC
Rosenberg, Jonathan Wayne 25111
Canon City, CO
Censure 5/11/2017 Failure to File Report-38-1,124,38-1,125
Practice Beyond Scope
Ross, Passion Kadija 23673
Converse, TX
Probation 6/13/2012 Other State Action
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
Rutan, Heather 14137
Kearney, NE
Revocation 6/20/2011 6/20/2013 Dishonorable Conduct
Violation of UCSA
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 362 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
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
Schincke, Rebecca Timmerman 12451
Wakefield, NE
Censure 6/28/2010 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Civil Penalty 12/28/2010 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Suspension 11/12/2010 11/16/2011 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Schlager, Kimberly Ann 23742
Valentine, NE
Censure 7/14/2014 Practice Beyond Scope
Unprofessional Conduct
Civil Penalty 1/14/2015 Practice Beyond Scope
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 363 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
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
Schmidt, Audra Jan 15430
Friend, NE
Civil Penalty 9/23/2010 3/23/2011 Misrepresentation of Material Facts
Unprofessional Conduct
Suspension 10/3/2010 11/2/2010 Misrepresentation of Material Facts
Unprofessional Conduct
Schroeder, Michelle Lynn 18164
Homer, NE
Probation 6/13/2012 Alcohol Dependency
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Schumacher, Diane Elaine 19311
Saint Edward, NE
Civil Penalty 11/2/2010 5/2/2011 Misrepresentation of Material Facts
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 364 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
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
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 365 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
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
Slizoski, Heather LeAnn 21142
Columbus, NE
Probation 2/21/2015 10/31/2015 Failure to Keep Adequate Records
Unprofessional Conduct
Sloter, Julie Lynn 17636
Omaha, NE
Censure 3/4/2015 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Probation 7/3/2013 7/3/2017 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Smith, Anna Marie 7419
North Platte, NE
Civil Penalty 6/30/2016 12/30/2016 Violation of UCA
Smith, Nicole Kathrine 20109
Lincoln, NE
Revocation 10/2/2011 Failure to Pay Fees
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 366 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Smith, Patrick Scott, Jr 20467
Omaha, NE
Probation 7/8/2010 Unprofessional Conduct
Snyder, Jennifer Marie 20805
Lincoln, NE
Revocation 8/6/2010 Dishonorable Conduct
Felony Conviction(s)
Probation Violation
Unprofessional Conduct
Violation of UCSA
xAlcohol & Chemical
Dependence/AddictionSokolik, Joyce A 9822
Papillion, NE
Revocation 7/4/2010 Failure to Comply With Aftercare
Unprofessional Conduct
Sollars, Joanna Jo 20722
Ash Grove, MO
Censure 1/12/2012 Failure to Keep Adequate Records
Misrepresentation of Material Facts
Unprofessional Conduct
Suspension 1/22/2012 2/20/2012 Failure to Keep Adequate Records
Misrepresentation of Material Facts
Unprofessional Conduct
Song, Jeannie 22673
Omaha, NE
Suspension 2/21/2011 12/6/2011 Practice while Impaired
Unprofessional Conduct
xFailure To File Mandatory Report
xFailure to Conform-Stndrds of Practice
Souder, Michael Anthony 21921
Omaha, NE
Revocation 4/20/2010 Misdemeanor Conviction(s)
Probation Violation
xHabitual Intoxication
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 367 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Soule, Judy Jean 14822
Oshkosh, NE
Censure 7/26/2012 Unprofessional Conduct
Stahl, Kassandra Rose 24700
North Platte, NE
Censure 2/8/2019 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Violation of Work Policies & Procedures
Civil Penalty 8/8/2019 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Violation of Work Policies & Procedures
Starman, Christine Marie 24161
Elgin, NE
Probation 8/26/2017 8/26/2019 Misdemeanor Conviction(s)
Stawniak, Jacob Anthony 26477
Omaha, NE
Probation 9/20/2019 9/20/2021 Misdemeanor Conviction(s)
Steinbach, Sandra Lorraine 19619
Fremont, NE
Limitation-Disciplinary 9/23/2010 Negligent Conduct
Unprofessional Conduct
xFailure To File Mandatory Report
Stirn, Robin Leigh 16392
Grand Island, NE
Probation 10/12/2011 10/12/2016 Alcohol Dependency
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 368 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Stodieck, Lorah Lynn 21170
David City, NE
Censure 12/16/2015 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Civil Penalty 6/16/2016 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Probation 4/30/2014 4/30/2016 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Stutzman, Ashley Ann 24153
Lincoln, NE
Probation 3/30/2017 2/22/2019 Alcohol Dependency
Failed to Report Conviction in 30 days
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Misrepresentation of Material Facts
Probation Violation
Unprofessional Conduct
Revocation 2/22/2019 Alcohol Dependency
Failed to Report Conviction in 30 days
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Misrepresentation of Material Facts
Probation Violation
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 369 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Svoboda, Melissa McKee 20743
Lincoln, NE
Censure 6/12/2014 Probation Violation
6/21/2017
Civil Penalty 6/12/2014 12/12/2014
6/21/2017 12/21/2017
Probation 4/9/2012 4/9/2017 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
xHabitual Intoxication
Swanson, Kathryn Ann 21299
Nebraska City, NE
Suspension 7/7/2010 12/28/2010 Unprofessional Conduct
xControlled Substance Addiction/Depndncy
xPractice Impaired by CS
Swearengin, Jennie Mae 16083
Nebraska City, NE
Censure 8/26/2016 Failure to Keep Adequate Records
Unprofessional Conduct
Talton, Erin Nicole 23352
Bayard, NE
Censure 6/24/2014 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Civil Penalty 6/24/2015 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Tarman, Shereamore Ann 24174
Pender, NE
Suspension 10/11/2019 Dishonorable Conduct
Failure to File Report-38-1,124,38-1,125
Falsify Patient Records
Misappropriation of Resident Property
Substance Use Disorder, Mild
Unprofessional Conduct
Violation of UCSA
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 370 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Tast, Sarah Lessley 19593
Lincoln, NE
Censure 1/26/2012 Abuse of Resident
Unprofessional Conduct
Taylor, Lorena Kay 21571
Omaha, NE
Revocation 1/12/2012 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Taylor, Patricia Ann 22417
Bellevue, NE
Suspension 5/27/2018 6/26/2018 Unprofessional Conduct
Tetschner, Benjamin James 25038
Barlett, NE
Suspension 1/21/2018 2/19/2018 Failure to File Report-38-1,124,38-1,125
Falsify Patient Records
Unprofessional Conduct
Thelen, Laura June 13952
Denton, NE
Revocation 10/3/2015 2/5/2018 Misrepresentation of Material Facts
Violation of UCA
Thomas, Linda Anne 16522
Lincoln, NE
Suspension 9/13/2010 10/13/2010 Failure to Keep Adequate Records
Unprofessional Conduct
Thompson, Chelsea Lynn 23672
Alliance, NE
Suspension 7/28/2018 Dishonorable Conduct
Failed to Report Conviction in 30 days
Failure to File Report-38-1,124,38-1,125
Misappropriation of Resident Property
Misdemeanor Conviction(s)
Unprofessional Conduct
Violation of UCSA
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 371 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Thompson, Karen Lynn 15683
Lincoln, NE
Probation 5/13/2010 Mental Disability
Misdemeanor Conviction(s)
xReinstatement - Previous Discipline
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 372 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Tiemeyer, Ryan Jacob 17589
Omaha, NE
Censure 5/1/2015 Alcohol Dependency
10/18/2017
12/19/2017
5/1/2015 Failure to File Report-38-1,124,38-1,125
10/18/2017
12/19/2017
5/1/2015 Misdemeanor Conviction(s)
10/18/2017
12/19/2017
5/1/2015 Misrepresentation of Material Facts
10/18/2017
12/19/2017
5/1/2015 Probation Violation
10/18/2017
12/19/2017
5/1/2015 Violation of Dept Order
10/18/2017
12/19/2017
Civil Penalty 5/1/2015 11/1/2015 Alcohol Dependency
4/6/2017 10/6/2017
10/18/2017 4/18/2018
12/19/2017 12/19/2018
5/1/2015 11/1/2015 Failure to File Report-38-1,124,38-1,125
4/6/2017 10/6/2017
10/18/2017 4/18/2018
12/19/2017 12/19/2018
5/1/2015 11/1/2015 Misdemeanor Conviction(s)
4/6/2017 10/6/2017
10/18/2017 4/18/2018
12/19/2017 12/19/2018
5/1/2015 11/1/2015 Misrepresentation of Material Facts
4/6/2017 10/6/2017
10/18/2017 4/18/2018
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 373 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Civil Penalty 12/19/2017 12/19/2018 Misrepresentation of Material Facts
5/1/2015 11/1/2015 Probation Violation
4/6/2017 10/6/2017
10/18/2017 4/18/2018
12/19/2017 12/19/2018
5/1/2015 11/1/2015 Violation of Dept Order
4/6/2017 10/6/2017
10/18/2017 4/18/2018
12/19/2017 12/19/2018
Probation 1/7/2015 Alcohol Dependency
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Misrepresentation of Material Facts
Probation Violation
Violation of Dept Order
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 374 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Tostenson, Amy Michelle 20632
Omaha, NE
Probation 6/24/2010 4/7/2015 Alcohol Abuse
Misdemeanor Conviction(s)
Trimm, Keith Ray 18731
Fairbury, NE
Censure 3/3/2011 Unprofessional Conduct
Violation of AOC
Turrentine-Sims, Dinah Faye 17079
Lincoln, NE
Revocation 6/20/2011 6/20/2013 xCourt Conviction
Tweedy, Traci Marie 19334
Fremont, NE
Civil Penalty 4/1/2016 10/1/2016 Violation of UCA
Ulrich, Virginia Marie 11839
Omaha, NE
Probation 10/28/2017 10/28/2022 Alcohol Abuse
Misdemeanor Conviction(s)
Unprofessional Conduct
Urbano, Suzana Pilar 18921
Omaha, NE
Probation 12/30/2015 11/30/2017 Misdemeanor Conviction(s)
Violation of UCA
xMind-Altering Substance Abuse
Van Loggerenberg, Malissa Michelle 23567
Beatrice, NE
Censure 2/12/2019 Misappropriation of Resident Property
Unprofessional Conduct
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 375 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
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
Wallace, Lorri Ann 20148
Omaha, NE
Suspension 9/25/2010 Alcohol Dependency
Controlled Substance Dependence
Failure to Comply With Aftercare
Waltemath, Stephanie Lynn 17784
Holdrege, NE
Censure 6/20/2011 Unprofessional Conduct
xFailure to Conform-Stndrds of Practice
Walters, Andrea Lynn 19299
Lincoln, NE
Civil Penalty 7/1/2015 1/1/2016 Violation of UCA
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 376 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Walters, Carla Kay 10346
Beatrice, NE
Censure 12/14/2010 Practice Beyond Scope
Unprofessional Conduct
Civil Penalty 6/14/2011 Practice Beyond Scope
Unprofessional Conduct
Ward, Debra Kay 14560
Norfolk, NE
Censure 8/25/2011 Dishonorable Conduct
Failure to Disclose Convictions
Misdemeanor Conviction(s)
Civil Penalty 2/25/2012 Dishonorable Conduct
Failure to Disclose Convictions
Misdemeanor Conviction(s)
Watson, Gena Leigh 22815
ROCA, NE
Probation 5/12/2011 5/12/2016 Alcohol Abuse
Controlled Substance Dependence
Unprofessional Conduct
xFailure to Conform-Stndrds of Practice
Weeks, Ann Marie 18035
Sparks, NE
Censure 5/21/2010 Misrepresentation of Material Facts
Civil Penalty 11/21/2010
West, Frances Evelyn 18381
Omaha, NE
Civil Penalty 11/2/2010 5/2/2011 Failure to Keep Adequate Records
Misrepresentation of Material Facts
Unprofessional Conduct
West, Samantha Marie 25915
Beatrice, NE
Probation 4/18/2018 4/18/2020 Misdemeanor Conviction(s)
Substance Use Disorders-Multiple
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 377 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
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, Deanna Rae 20234
Omaha, NE
Probation 10/7/2014 10/31/2015 Misdemeanor Conviction(s)
4/18/2018 9/25/2018
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 378 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Williams, 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
Willis, LaQuita Marie 22604
Omaha, NE
Censure 7/7/2011 Failure to Pay Fees
1/21/2014
7/7/2011 Probation Violation
1/21/2014
7/7/2011 Unprofessional Conduct
1/21/2014
7/7/2011 Violation of Dept Order
1/21/2014
Civil Penalty 7/7/2011 8/12/2013 Failure to Pay Fees
Probation Violation
Unprofessional Conduct
Violation of Dept Order
Probation 10/22/2012 10/22/2013 Failure to Pay Fees
Probation Violation
Unprofessional Conduct
Violation of Dept Order
Willits, Rebecca Lynne 25323
Omaha, NE
Probation 6/23/2016 6/23/2021 Misdemeanor Conviction(s)
xAlcohol Use Disorder - Severe
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 379 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
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
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 380 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Licensed Practical Nurse
Wright, Patressa Lee 23782
Omaha, NE
Censure 10/31/2014 Unprofessional Conduct
Yearling, Mandy Kay 18397
Alliance, NE
Probation 10/23/2014 10/23/2015 Misdemeanor Conviction(s)
Yoder, Beverli Elizabeth Solterbeck 14446
Lyman, NE
Civil Penalty 11/2/2010 5/2/2011 Misrepresentation of Material Facts
Young, Angela Jean 10293
North Platte, NE
Civil Penalty 11/2/2010 5/2/2011 Misrepresentation of Material Facts
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 381 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
RN - Refresher Temporary
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
Cornell, Linda Eleanor RNTREF486
Omaha, NE
Probation 4/5/2010 4/30/2010 Probation Violation
Cully, Julie Kaye RNTREF794
Lincoln, NE
Probation 1/31/2020 2/9/2020 Felony Conviction(s)
Misdemeanor Conviction(s)
Substance Use Disorders-Multiple
Dedic, Anna S RNTREF511
Auburn, NE
Probation 7/26/2010 8/16/2010 Dishonorable Conduct
Unprofessional Conduct
xAlcohol & Chemical
Dependence/AddictionxControlled Substance Addiction
xPractice Impaired by CS
Drelicharz, Alison Jill RNTREF670
Omaha, NE
Probation 11/23/2015 12/22/2015 Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 382 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
RN - Refresher Temporary
Hartley, Jody Lou RNTREF692
Lincoln, NE
Probation 11/15/2016 1/30/2017 Alcohol Dependency
Misdemeanor Conviction(s)
Johnson, Mandy Jo RNTREF755
Spalding, NE
Probation 12/14/2018 12/16/2018 Misdemeanor Conviction(s)
Substance Use Disorders-Multiple
Violation of UCSA
Lepant, Jane Ellen RNTREF640
Lincoln, NE
Probation 5/23/2014 8/15/2014 Controlled Substance Dependence
Other State Action
Loecker, Jodi Lea RNTREF649
Oneill, NE
Probation 1/2/2015 3/2/2015 Controlled Substance Dependence
Violation of UCSA
Marcano, Jami Lyn RNTREF580
Lincoln, NE
Probation 6/11/2012 9/7/2012 Dishonorable Conduct
Misrepresentation of Material Facts
Practice while Impaired
Probation Violation
1/9/2013 6/11/2013
6/11/2012 9/7/2012 Unprofessional Conduct
Violation of UCSA
xFailure To File Mandatory Report
Partridge, Roxanna Marie RNTREF735
Fremont, NE
Probation 4/20/2018 4/22/2018 Misdemeanor Conviction(s)
Substance Use Disorders-Multiple
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 383 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
RN - Refresher Temporary
Pollard, Julie Ann RNTREF560
La Vista, NE
Probation 12/7/2011 12/21/2011 Controlled Substance Dependence
Unprofessional Conduct
Violation of UCSA
Salsbury, Julie Marie RNTREF724
Omaha, NE
Probation 12/8/2017 12/10/2017 Misdemeanor Conviction(s)
Substance Use Disorder
Violation of UCSA
Standish, Susan Kay RNTREF779
La Vista, NE
Probation 8/2/2019 8/4/2019 History of Disciplinary Action
Substance Use Disorders-Multiple
Sweeney-Pakiz, Patricia Margaret RNTREF484
Omaha, NE
Limitation-Disciplinary 4/5/2010 4/22/2010 Unprofessional Conduct
RN-Compact Privilege
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 384 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
RN-Compact Privilege
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
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 385 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
RN-Compact Privilege
Cogdill, Billy Eugene, Jr 144541
Saint Joseph, MO
Censure 4/29/2013 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Violation of Dept Order
Violation of UCSA
Civil Penalty 10/29/2013 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Violation of Dept Order
Violation of UCSA
Pet for Adv Act: Nurse Lic Compact filed 1/17/2013 4/29/2013 Failure to File Report-38-1,124,38-1,125
12/5/2013 3/12/2014
1/17/2013 4/29/2013 Unprofessional Conduct
12/5/2013 3/12/2014
1/17/2013 4/29/2013 Violation of Dept Order
12/5/2013 3/12/2014
1/17/2013 4/29/2013 Violation of UCSA
12/5/2013 3/12/2014
Revocation of Practice Privilege 3/12/2014 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Violation of Dept Order
Violation of UCSA
Dubois, William S IA-088318
Sioux City, IA
Censure 3/7/2017 Unprofessional Conduct
Violation of Dept Order
Pet for Adv Act: Nurse Lic Compact filed 2/23/2017 3/7/2017 Unprofessional Conduct
Violation of Dept Order
Suspension 5/25/2017 7/6/2017 Unprofessional Conduct
Violation of Dept Order
Duncan, Ashly Nicole IA-139374
Council Bluffs, IA
Censure 8/16/2017 Unprofessional Conduct
Pet for Adv Act: Nurse Lic Compact filed 8/14/2017 8/16/2017
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 386 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
RN-Compact Privilege
EVEZIC, SUSANNE INGEBORG IA-104207
Council Bluffs, IA
Censure 4/21/2014 Unprofessional Conduct
Pet for Adv Act: Nurse Lic Compact filed 12/20/2013 4/17/2014
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
Pet for Adv Act: Nurse Lic Compact filed 6/7/2010 3/17/2011 Unprofessional Conduct
Revocation 3/17/2011
Hagan, Patricia Kay CO-129248
Grant, NE
Pet for Adv Act: Nurse Lic Compact filed 1/26/2015 1/28/2015 Failure to Keep Adequate Records
Falsify Patient Records
Unprofessional Conduct
Hamill, Vanessa Marie 111603
McClelland, IA
Pet for Adv Act: Nurse Lic Compact filed 5/10/2013 Dishonorable Conduct
Misappropriation of Resident Property
Unprofessional Conduct
Violation of UCSA
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 387 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
RN-Compact Privilege
Hill, Breanna Marie IA-128312
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 388 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
RN-Compact Privilege
Kollbaum, James IA-122414
Sioux City, IA
Pet for Adv Act: Nurse Lic Compact filed 4/5/2017 4/26/2017 Dishonorable Conduct
Practice while Impaired
Unprofessional Conduct
Violation of UCSA
Revocation 5/2/2017 Dishonorable Conduct
Practice while Impaired
Unprofessional Conduct
Violation of UCSA
Lanham, Rachelle Renee KY-1094678
Owensboro, KY
Pet for Adv Act: Nurse Lic Compact filed 7/28/2017 8/10/2017 Unprofessional Conduct
Revocation 8/10/2017
Larsen, Bradley Scot IA-110862
Sioux City, IA
Suspension 4/4/2015 Alcohol Dependency
Controlled Substance Dependence
Dishonorable Conduct
Misappropriation of Resident Property
Unprofessional Conduct
Mattes, Andrew John IA-137299
Council Bluffs, IA
Pet for Adv Act: Nurse Lic Compact filed 5/12/2017 5/29/2017 Misdemeanor Conviction(s)
xAlcohol Use Disorder - Severe
Probation 6/8/2017 1/30/2019 Misdemeanor Conviction(s)
xAlcohol Use Disorder - Severe
McNeil, Dawn Marie IA-118745
Council Bluffs, IA
Pet for Adv Act: Nurse Lic Compact filed 5/20/2013 10/18/2013 Dishonorable Conduct
Unprofessional Conduct
Violation of UCSA
Probation 10/24/2013 10/24/2015 Dishonorable Conduct
Unprofessional Conduct
Violation of UCSA
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 389 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
RN-Compact Privilege
Reese, Jenny Rena IA-100658
Council Bluffs, IA
Revocation 1/24/2014 Alcohol Dependency
Saunders, Joann WI-83482
Scottsbluff, NE
Censure 1/31/2013 Unprofessional Conduct
Violation of UCSA
Pet for Adv Act: Nurse Lic Compact filed 6/6/2012 1/31/2013 Unprofessional Conduct
Violation of UCSA
Schneider, Erin 117608
Omaha, NE
Revocation 11/5/2013 11/5/2015 Dishonorable Conduct
Unprofessional Conduct
Violation of UCSA
Sims, Amber Jo IA-118634
Council Bluffs, IA
Censure 5/26/2011 Failure to Keep Adequate Records
Unprofessional Conduct
Pet for Adv Act: Nurse Lic Compact filed 8/26/2010 5/26/2011 Failure to Keep Adequate Records
Unprofessional Conduct
Sockrider, Amanda Leann IA-098847
Council Bluffs, IA
Censure 12/31/2015 Practice Beyond Scope
Unprofessional Conduct
Pet for Adv Act: Nurse Lic Compact filed 11/20/2015 12/31/2015 Practice Beyond Scope
Unprofessional Conduct
White, Heather Elizabeth IA-117505
Hamburg, IA
Censure 3/14/2017 Unprofessional Conduct
Pet for Adv Act: Nurse Lic Compact filed 3/13/2017 3/14/2017
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 390 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
RN-Compact Privilege
Wood, Patricia IA-083134
Sioux City, IA
Censure 5/29/2014 Practice Beyond Scope
Unprofessional Conduct
Pet for Adv Act: Nurse Lic Compact filed 5/16/2014 5/29/2014 Practice Beyond Scope
Unprofessional Conduct
Registered Nurse
Aherns, Nancy Anne 55397
Elkhorn, NE
Censure 4/5/2019 Failure to Keep Adequate Records
Unprofessional Conduct
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
Alm, Shelly Lynn 65499
Beatrice, NE
Probation 12/14/2010 12/14/2015 Alcohol Dependency
Misdemeanor Conviction(s)
Misrepresentation of Material Facts
Unprofessional Conduct
Suspension 4/11/2010 12/14/2010 Alcohol Dependency
Misdemeanor Conviction(s)
Misrepresentation of Material Facts
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 391 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Alred, Roxie Idell 34151
Omaha, NE
Censure 10/27/2011 Unprofessional Conduct
Althaus, Margaret Sara 60116
Omaha, NE
Probation 9/13/2010 9/13/2014 Other State Action
xAlcohol & Controlled Substance Dependen
Amenta, Michael A 60132
Omaha, NE
Probation 9/17/2010 9/17/2014 Controlled Substance Dependence
Dishonorable Conduct
Practice while Impaired
Unprofessional Conduct
Violation of UCSA
Amouzou, Koffi 77254
Omaha, NE
Censure 6/2/2017 Failure to Keep Adequate Records
Falsify Patient Records
Unprofessional Conduct
Andrews, Crystal Anne 69478
Fremont, NE
Civil Penalty 5/12/2016 11/12/2016 Violation of UCA
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 392 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
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
Hyde Park, VT
Probation 1/19/2016 8/5/2019 Other State Action
Bagley, JoAnn Frazier 62146
Omaha, NE
Censure 4/8/2014 Practice Beyond Scope
Unprofessional Conduct
Baker, Jay Kevin 68592
Plattsmouth, NE
Revocation 8/11/2011 Controlled Substance Dependence
Dishonorable Conduct
Unprofessional Conduct
Violation of UCSA
Baker, Kevin Wayne 52284
Elkhorn, NE
Probation 10/4/2017 10/4/2018 Alcohol Abuse
Controlled Substance Abuse
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 393 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
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
Bashara, Karla Lea 52668
Bennington, NE
Probation 12/27/2017 12/8/2022 Alcohol Dependency
Felony Conviction(s)
Misdemeanor Conviction(s)
Violation of Dept Order
Violation of UCSA
Baxa, Michelle Renae 52839
Nebraska City, NE
Probation 10/14/2017 10/14/2022 Controlled Substance Abuse
Dishonorable Conduct
Unprofessional Conduct
Violation of UCSA
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 394 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Bayless, James Lawrence 63858
Lincoln, NE
Civil Penalty 10/23/2014 4/23/2015 Misrepresentation of Material Facts
Unprofessional Conduct
Bean, Nicholette Kay 57100
Gothenburg, NE
Censure 4/11/2017 Failure to Keep Adequate Records
Falsify Patient Records
Unprofessional Conduct
Beatty, Kristen Pauline 69962
Omaha, NE
Censure 11/28/2017 Failure to Keep Adequate Records
Unprofessional Conduct
Becker, Malissa Marie 74122
norfolk, NE
Probation 6/4/2012 6/4/2014 Alcohol Abuse
Misdemeanor Conviction(s)
Behrens, Corrine Gayle 53604
Fort Calhoun, NE
Censure 11/21/2017 Misrepresentation of Material Facts
Unprofessional Conduct
Bengier, Julia Ann 44220
Omaha, NE
Limitation-Disciplinary 4/4/2019 Dishonorable Conduct
Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Suspension 11/30/2018 4/4/2019 Dishonorable Conduct
Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 395 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
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)
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
Betts, Audra Lynn 63213
Omaha, NE
Probation 11/2/2010 12/18/2011 Alcohol Dependency
Misdemeanor Conviction(s)
Practice while Impaired
Probation Violation
Unprofessional Conduct
Suspension 9/3/2010 11/2/2010 Alcohol Dependency
Misdemeanor Conviction(s)
Practice while Impaired
Probation Violation
Unprofessional Conduct
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 396 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
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
Blome-Weibel, Stephanie Lynn 65744
Abilene, KS
Probation 5/10/2012 5/10/2017 Alcohol Addiction
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Misrepresentation of Material Facts
xControlled Substance Addiction
xFailure to Conform-Stndrds of Practice
Suspension 10/19/2010 5/10/2012 Alcohol Addiction
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Misrepresentation of Material Facts
xControlled Substance Addiction
xFailure to Conform-Stndrds of Practice
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 397 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Boltinghouse, Brianne Lee 77409
Ankeny, IA
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
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 398 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Brewer, Kallie Jean 66405
Lincoln, NE
Probation 10/2/2017 3/4/2019 Controlled Substance Abuse
Misdemeanor Conviction(s)
Brewer-McAfee, Nicole Marie 57488
Falls City, NE
Limitation-Disciplinary 11/2/2010 Negligent Conduct
Unprofessional Conduct
Bridges, Kimberly Sue 62437
Burwell, NE
Suspension 3/5/2018 Misdemeanor Conviction(s)
Unprofessional Conduct
Bronson, Tiffany Marvin 54226
Gretna, NE
Censure 8/7/2013 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Civil Penalty 8/7/2014 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Brown, Dezeree Lenea 58417
Omaha, NE
Probation 12/10/2013 12/10/2018 Alcohol Dependency
Controlled Substance Dependence
Dishonorable Conduct
Practice while Impaired
Unprofessional Conduct
Violation of UCSA
xAlcohol & Chemical
Dependence/AddictionBruckner, Kenneth Claude 38823
Gering, NE
Censure 4/28/2011 Practice Beyond Scope
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 399 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Brugger, Cynthia Marie 39671
Omaha, NE
Probation 3/20/2013 3/20/2018 Alcohol Abuse
Controlled Substance Dependence
Failure to File Report-38-1,124,38-1,125
Practice while Impaired
Unprofessional Conduct
Violation of UCSA
Suspension 4/18/2010 3/20/2013 Alcohol Abuse
Failure to Comply With Aftercare
Failure to File Report-38-1,124,38-1,125
Practice while Impaired
Unprofessional Conduct
Violation of UCSA
Bruhn, Nicholle Shalene 65301
Elkhorn, NE
Censure 6/28/2010 Practice Beyond Scope
Unprofessional Conduct
Civil Penalty 12/28/2010 Practice Beyond Scope
Unprofessional Conduct
Buchholtz, Vicki Beth 48433
Fremont, NE
Censure 1/26/2012 Unprofessional Conduct
Budke, Meagan Kristine 74055
Lincoln, NE
Probation 4/26/2014 6/26/2015 Failure to File Report-38-1,124,38-1,125
Pattern of Negligence
Unprofessional Conduct
Bullington, Lena Jean 63172
Omaha, NE
Suspension 10/15/2011 10/15/2012 Alcohol Addiction
Alcohol Dependency
Practice while Impaired
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 400 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Burival, Janel Danette 74689
Norfolk, NE
Revocation 2/4/2018 Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Falsify Patient Records
Misrepresentation of Material Facts
Pattern of Incompentence
Unprofessional Conduct
Burks, Erin Mary 64032
Bellevue, NE
Censure 12/13/2019 Unprofessional Conduct
Violation of Work Policies & Procedures
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 401 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Burns, Angela Jo 63280
Bellevue, NE
Probation 10/12/2011 2/7/2013 Controlled Substance Abuse
Dishonorable Conduct
Failure to File Report-38-1,124,38-1,125
Felony Conviction(s)
Obtained Drug Unlawfully
Prescribing CS to Oneself
Probation Violation
Violation of UCSA
Revocation 2/7/2013 Controlled Substance Abuse
Dishonorable Conduct
Failure to File Report-38-1,124,38-1,125
Felony Conviction(s)
Obtained Drug Unlawfully
Prescribing CS to Oneself
Probation Violation
Violation of UCSA
Suspension 10/12/2011 11/11/2011 Controlled Substance Abuse
Dishonorable Conduct
Failure to File Report-38-1,124,38-1,125
Felony Conviction(s)
Obtained Drug Unlawfully
Prescribing CS to Oneself
Probation Violation
Violation of UCSA
Burris, Karla Sue 52617
Omaha, NE
Suspension 10/1/2015 10/30/2015 Unprofessional Conduct
Burrus, Bennett Todd 30946
Omaha, NE
Censure 7/27/2012 Practice Beyond Scope
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 402 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Burton, Douglas Dean 46971
Hallam, NE
Censure 7/26/2012 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Civil Penalty 7/26/2013 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Buttner, Kristin Jean 73489
Waterloo, NE
Probation 10/31/2015 7/4/2019 Alcohol Dependency
Dishonorable Conduct
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Probation Violation
Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
Violation of UCA
Revocation 7/4/2019 Alcohol Dependency
Dishonorable Conduct
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Probation Violation
Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
Violation of UCA
Buxton, Crystal Nicole 55025
Lincoln, NE
Censure 8/28/2018 Unprofessional Conduct
Civil Penalty 2/28/2019
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 403 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Carey, Michele Marie 48440
Grand Island, NE
Censure 5/1/2015 Failure to File Report-38-1,124,38-1,125
Practice Beyond Scope
Unprofessional Conduct
Civil Penalty 11/1/2015 Failure to File Report-38-1,124,38-1,125
Practice Beyond Scope
Unprofessional Conduct
Carl, Annika Lynn 68145
Omaha, NE
Probation 5/7/2015 5/7/2020 Alcohol Dependency
Practice while Impaired
xAlcohol Use Disorder - Severe
Carroll, Michael Scott 68727
Cheyenne, WY
Revocation 8/24/2010 Felony Conviction(s)
xCriminal Conviction(s)
Carstens, Brenda Lynn 49171
Kearney, NE
Suspension 7/13/2014 10/13/2014 Failure to Keep Adequate Records
Unprofessional Conduct
Casperson, Angela Mae 75149
Norfolk, NE
Revocation 11/24/2017 Controlled Substance Abuse
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Unprofessional Conduct
Caverzagie, Joseph Adam 73186
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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 404 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Chandler, Tracy Lyn 67233
Gansevoort, NY
Revocation 4/20/2010 Failure to File Report-38-1,124,38-1,125
Chase, Raymond Russell 71760
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 405 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Chunn, Deborah D 34160
Omaha, NE
Censure 9/22/2011 Unprofessional Conduct
Church, Robin Michelle 77365
York, NE
Probation 2/6/2014 4/19/2016 Alcohol Abuse
Misrepresentation of Material Facts
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 406 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Clouatre, Kimberly Jan 40196
North Platte, NE
Probation 7/12/2012 7/12/2017 Alcohol Dependency
Controlled Substance Dependence
Dishonorable Conduct
Immoral Conduct
Practice Fraudulently
xUnlawful Invasion of Medical Practice
xWillful ULL Violation
Suspension 7/23/2010 Practice while Impaired
Unprofessional Conduct
xAlcohol & Chemical
Dependence/AddictionCoen, 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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 407 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Conner, Bonnie Lou 63815
Amherst, NE
Censure 3/30/2017 Probation Violation
Unprofessional Conduct
xCont Substance Use Disorder - Moderate
Civil Penalty 9/30/2017 Probation Violation
Unprofessional Conduct
xCont Substance Use Disorder - Moderate
Probation 11/28/2015 11/28/2021 Probation Violation
Unprofessional Conduct
xCont Substance Use Disorder - Moderate
Revocation 7/1/2018 Probation Violation
Unprofessional Conduct
xCont Substance Use Disorder - Moderate
Cook, Elizabeth Kay 60804
Brady, NE
Probation 9/20/2019 9/20/2021 Dishonorable Conduct
Failure to File Report-38-1,124,38-1,125
Misrepresentation of Material Facts
Practice while Impaired
Unprofessional Conduct
Violation of Work Policies & Procedures
Cool, Jeanne Anne 50071
Omaha, NE
Civil Penalty 12/12/2013 6/12/2014 Misrepresentation of Material Facts
Coop, Courtney Rachel 78354
Oak Creek, CO
Revocation 4/15/2019 Dishonorable Conduct
Failed to Report Conviction in 30 days
Failure to File Report-38-1,124,38-1,125
Misappropriation of Resident Property
Unprofessional Conduct
Violation of UCSA
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 408 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Corlett, Chelsey Gail 72507
Lincoln, NE
Censure 7/12/2016 Misappropriation of Resident Property
Practice Beyond Scope
Unprofessional Conduct
Cornell, Linda Eleanor 37848
Omaha, NE
Probation 9/30/2013 Alcohol Dependency
Controlled Substance Dependence
5/4/2010 2/20/2011 Probation Violation
Suspension 2/21/2011 2/21/2012
Courson, Steven Ray 72288
Omaha, NE
Probation 5/3/2011 Controlled Substance Dependence
Probation Violation
Unprofessional Conduct
Violation of UCSA
xHabitual Intoxication
Cox, Ashlee Lynn 72567
Grand Island, NE
Censure 9/14/2017 Dishonorable Conduct
Unprofessional Conduct
Cramer, Cynthia Denise 69149
Scottsbluff, NE
Probation 1/24/2013 6/18/2014 Dishonorable Conduct
Felony Conviction(s)
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 409 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Creekmore, Lindsey Rochelle 69665
Council Bluffs, IA
Probation 7/24/2014 7/24/2016 Failure to Keep Adequate Records
Falsify Patient Records
Negligent Conduct
Permitting Aiding & Abetting
Unprofessional Conduct
Violation of UCA
Suspension 9/21/2014 Failure to Keep Adequate Records
Falsify Patient Records
Negligent Conduct
Permitting Aiding & Abetting
Unprofessional Conduct
Violation of UCA
Cully, Julie Kaye 50165
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
Cunningham, Samantha Marie 67319
Omaha, NE
Censure 9/15/2010 Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 410 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Daniels, Cynthia Renee 60111
Council Bluffs, IA
Censure 7/7/2011 Alcohol Dependency
Failure to Comply With Aftercare
Probation Violation
Civil Penalty 7/7/2012 Alcohol Dependency
Failure to Comply With Aftercare
Probation Violation
Probation 9/3/2010 5/10/2012 Alcohol Dependency
Failure to Comply With Aftercare
Probation Violation
Suspension 5/20/2012 8/18/2012 Alcohol Dependency
Failure to Comply With Aftercare
Probation Violation
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 411 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
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
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/AddictionCivil Penalty 8/9/2012 Probation Violation
xAlcohol & Chemical
Dependence/AddictionProbation 8/16/2010 12/13/2016 Controlled Substance Dependence
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 412 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Dengel, Kayla Lee 68137
Omaha, NE
Censure 10/14/2010 Unprofessional Conduct
Dentlinger, Jeri Lynn 58304
Omaha, NE
Probation 10/14/2010 10/14/2011 Alcohol Abuse
xCourt Conviction
xFailure To File Mandatory Report
Denton, Patrick Dean 58721
Omaha, NE
Censure 8/28/2012 Failure to Keep Adequate Records
Falsify Patient Records
Practice Beyond Scope
Civil Penalty 8/28/2013 Failure to Keep Adequate Records
Falsify Patient Records
Practice Beyond Scope
Dewing, Kelly Michelle 64296
Eagle, NE
Censure 3/11/2019 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Violation of Work Policies & Procedures
Civil Penalty 9/11/2019 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Violation of Work Policies & Procedures
Dickmeyer, Heidi Ann 50980
Omaha, NE
Censure 8/10/2017 Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 413 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Dillenburg, Corri Sue 63528
Nickerson, NE
Censure 12/19/2013 Alcohol Dependency
12/17/2014
12/19/2013 Misdemeanor Conviction(s)
12/17/2014
12/19/2013 Probation Violation
12/17/2014
Civil Penalty 12/19/2013 6/19/2014 Alcohol Dependency
12/17/2014 6/17/2015
12/19/2013 6/19/2014 Misdemeanor Conviction(s)
12/17/2014 6/17/2015
12/19/2013 6/19/2014 Probation Violation
12/17/2014 6/17/2015
Probation 6/13/2013 6/13/2018 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Diller, Alysia Dawn 62572
Fairbury, NE
Probation 12/7/2019 12/7/2022 Alcohol Use Disorder, Severe
Unprofessional Conduct
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 414 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Dilocker, Lori Jane 41935
Omaha, NE
Suspension 10/2/2011 11/1/2011 Failure to File Report-38-1,124,38-1,125
1/10/2012 3/16/2012
6/17/2013
10/2/2011 11/1/2011 Failure to Keep Adequate Records
1/10/2012 3/16/2012
6/17/2013
10/2/2011 11/1/2011 Unprofessional Conduct
1/10/2012 3/16/2012
6/17/2013
10/2/2011 11/1/2011 Violation of Dept Order
1/10/2012 3/16/2012
6/17/2013
Distefano, Jennifer Grace 62082
Omaha, NE
Civil Penalty 1/10/2014 7/10/2014 Misrepresentation of Material Facts
Ditzler, Cheila Marie 64412
Lincoln, NE
Censure 1/4/2011 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Civil Penalty 7/4/2011 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Probation 1/14/2011 1/14/2013 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Do, Kathy 89307
Westminster, CA
Censure 2/5/2020 Violation of Work Policies & Procedures
Dolezal, Joan Eileen 47429
Omaha, NE
Censure 6/28/2010 Probation Violation
Unprofessional Conduct
Civil Penalty 6/28/2011 Probation Violation
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 415 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
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
Drelicharz, Alison Jill 69371
Omaha, NE
Probation 7/28/2014 8/26/2020 Unprofessional Conduct
xMind-Altering Substance Dependence
Revocation 12/14/2010 Unprofessional Conduct
Dull, Judith Carol 37820
Omaha, NE
Suspension 7/23/2010 2/21/2011 Dishonorable Conduct
Misdemeanor Conviction(s)
Unprofessional Conduct
Dumond, Dorinda Rose 61965
Bellevue, NE
Suspension 12/12/2013 Controlled Substance Abuse
Dishonorable Conduct
Practice while Impaired
Unprofessional Conduct
Violation of UCSA
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 416 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Duncan, Haley Marie 70685
Stromsburg, NE
Censure 8/10/2017 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Violation of Dept Order
Civil Penalty 8/10/2018 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Violation of Dept Order
Suspension 12/5/2017 12/19/2017 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Violation of Dept Order
Dunning, Abigail F 63580
Omaha, NE
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 417 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
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/AddictionCivil Penalty 2/21/2014 Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Probation Violation
Unprofessional Conduct
xAlcohol & Chemical
Dependence/AddictionProbation 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/AddictionDyer, 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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 418 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
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
Effle-Meyer, Kathy Jo 51815
Tilden, NE
Probation 6/28/2010 6/28/2015 Unprofessional Conduct
xAlcohol & Chemical
Dependence/AddictionElliott, 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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 419 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Ellis, Cristina Lynn 69789
Kearney, NE
Probation 3/13/2014 3/13/2017 Controlled Substance Dependence
Dishonorable Conduct
Unprofessional Conduct
Violation of UCSA
Suspension 2/21/2011 2/21/2012 Controlled Substance Dependence
Dishonorable Conduct
Unprofessional Conduct
Violation of UCSA
xFailure to Conform-Stndrds of Practice
Emken, Trina JoAnn 54104
Grand Island, NE
Probation 7/12/2017 Substance Use Disorders-Multiple
Violation of UCSA
Suspension 9/5/2016 7/12/2017 Unprofessional Conduct
Violation of UCSA
xAlcohol Use Disorder - Severe
xCont Substance Use Disorder - Moderate
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 420 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Esch, Nancy Ann 60825
Spalding, NE
Censure 7/22/2015 Controlled Substance Dependence
Dishonorable Conduct
Probation Violation
Violation of UCA
Civil Penalty 1/22/2016 Controlled Substance Dependence
Dishonorable Conduct
Probation Violation
Violation of UCA
Probation 4/30/2013 6/8/2018 Controlled Substance Dependence
Dishonorable Conduct
Probation Violation
Violation of UCA
Suspension 9/28/2011 9/28/2012 Controlled Substance Dependence
Dishonorable Conduct
Unprofessional Conduct
Violation of UCSA
Espinoza, Nicole Juree 73724
Lincoln, NE
Censure 6/8/2015 Misdemeanor Conviction(s)
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 421 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Feddeler, Samantha Morgan 66412
Bellevue, NE
Censure 5/21/2010 Dishonorable Conduct
Misappropriation of Resident Property
Unprofessional Conduct
Violation of UCSA
xAlcohol Use Disorder - Severe
xCont Substance Use Disorder - Mild
Probation 2/6/2018 2/6/2023 Misdemeanor Conviction(s)
Substance Use Disorder
Violation of UCSA
Suspension 10/15/2016 2/5/2018 Dishonorable Conduct
Misappropriation of Resident Property
Unprofessional Conduct
Violation of UCSA
xAlcohol Use Disorder - Severe
xCont Substance Use Disorder - Mild
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 422 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Finch, Mary Elizabeth 42171
Fremont, NE
Censure 10/21/2015 Alcohol Dependency
2/19/2019
10/21/2015 Failure to Comply With Aftercare
2/19/2019
10/21/2015 Misdemeanor Conviction(s)
2/19/2019
10/21/2015 Probation Violation
2/19/2019
Civil Penalty 10/21/2015 4/21/2016 Alcohol Dependency
2/19/2019 2/19/2020
10/21/2015 4/21/2016 Failure to Comply With Aftercare
2/19/2019 2/19/2020
10/21/2015 4/21/2016 Misdemeanor Conviction(s)
2/19/2019 2/19/2020
10/21/2015 4/21/2016 Probation Violation
2/19/2019 2/19/2020
Probation 4/9/2015 4/9/2021 Alcohol Dependency
Failure to Comply With Aftercare
Misdemeanor Conviction(s)
Probation Violation
Fischer, Jennifer Kay 52686
Omaha, NE
Probation 6/30/2015 Alcohol Dependency
Misdemeanor Conviction(s)
Violation of UCA
Violation of UCSA
Suspension 2/22/2014 2/22/2015 Alcohol Dependency
Misdemeanor Conviction(s)
Violation of UCA
Violation of UCSA
Fischer, Jolene Marie 55103
Grand Island, NE
Civil Penalty 3/24/2016 9/24/2016 Violation of UCA
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 423 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Fitzgerald, Sandra Lea 47000
Crete, NE
Censure 1/31/2013 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Civil Penalty 1/31/2014 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Fleischhacker, Bethany Ruth 69354
Lincoln, NE
Suspension 9/10/2017 Alcohol Abuse
Dishonorable Conduct
Failed to Report Conviction in 30 days
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Unprofessional Conduct
Violation of UCSA
Fleissner, Judith Ann 38787
Clearwater, NE
Civil Penalty 4/7/2016 10/7/2016 Violation of UCA
Flessner, Laura Marie 61940
Lincoln, NE
Censure 5/29/2014 Unprofessional Conduct
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 424 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Fowler, Heather Louise 67973
Omaha, NE
Censure 8/6/2010 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Civil Penalty 8/6/2011 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Revocation 3/3/2012 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Suspension 4/26/2011 3/3/2012 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 425 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Fox, Jaime Nicole 68652
Omaha, NE
Censure 7/26/2012 Failure to Keep Adequate Records
9/29/2014
7/26/2012 Falsify Patient Records
9/29/2014
7/26/2012 Unlicensed Practice
9/29/2014
7/26/2012 Unprofessional Conduct
9/29/2014
7/26/2012 Violation of Dept Order
9/29/2014
Civil Penalty 7/26/2012 1/26/2013 Failure to Keep Adequate Records
9/29/2014 11/28/2014
7/26/2012 1/26/2013 Falsify Patient Records
9/29/2014 11/28/2014
7/26/2012 1/26/2013 Unlicensed Practice
9/29/2014 11/28/2014
7/26/2012 1/26/2013 Unprofessional Conduct
9/29/2014 11/28/2014
7/26/2012 1/26/2013 Violation of Dept Order
9/29/2014 11/28/2014
Suspension 8/5/2012 9/3/2012 Failure to Keep Adequate Records
3/11/2013 6/23/2014
8/5/2012 9/3/2012 Falsify Patient Records
3/11/2013 6/23/2014
8/5/2012 9/3/2012 Unlicensed Practice
3/11/2013 6/23/2014
8/5/2012 9/3/2012 Unprofessional Conduct
3/11/2013 6/23/2014
8/5/2012 9/3/2012 Violation of Dept Order
3/11/2013 6/23/2014
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 426 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Foyt, Merry Ellen 35400
Omaha, NE
Censure 2/1/2017 Probation Violation
Civil Penalty 8/1/2017
Probation 3/19/2012 3/19/2017 Controlled Substance Dependence
Dishonorable Conduct
Unprofessional Conduct
Violation of UCSA
xFailure to Conform-Stndrds of Practice
xReinstatement - Previous Discipline
Suspension 2/21/2011 3/19/2012 Controlled Substance Dependence
Dishonorable Conduct
Unprofessional Conduct
Violation of UCSA
xFailure to Conform-Stndrds of Practice
xReinstatement - Previous Discipline
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 427 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 428 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Gaona, Nicole Lynn 56324
Brady, NE
Censure 3/7/2017 Controlled Substance Dependence
Dishonorable Conduct
Felony Conviction(s)
Probation Violation
Unprofessional Conduct
Violation of UCSA
Civil Penalty 9/7/2017 Controlled Substance Dependence
Dishonorable Conduct
Felony Conviction(s)
Probation Violation
Unprofessional Conduct
Violation of UCSA
Probation 2/23/2012 2/23/2017 Controlled Substance Dependence
Dishonorable Conduct
Felony Conviction(s)
Probation Violation
Unprofessional Conduct
Violation of UCSA
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
Gengler, Bonnie Sue 75926
Tekamah, NE
Censure 3/19/2020 Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 429 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Gentleman, Debra Sue 34631
Omaha, NE
Suspension 10/22/2011 10/22/2012 Controlled Substance Dependence
Dishonorable Conduct
Practice Fraudulently
Violation of UCSA
Ginkens, Amanda Lynne 67861
Omaha, NE
Probation 10/17/2014 10/17/2017 Alcohol Dependency
Misdemeanor Conviction(s)
Givens, Kylee Marie 70164
Gretna, NE
Suspension 11/7/2016 1/5/2017 Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Falsify Patient Records
Unprofessional Conduct
Glandt, Linda Elaine 45527
Scottsbluff, NE
Censure 11/19/2014 Abuse of Resident
Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Violation of Dept Order
Suspension 11/29/2014 12/29/2014 Abuse of Resident
3/23/2015
11/29/2014 12/29/2014 Failure to File Report-38-1,124,38-1,125
3/23/2015
11/29/2014 12/29/2014 Unprofessional Conduct
3/23/2015
11/29/2014 12/29/2014 Violation of Dept Order
3/23/2015
Glenn, Cassidy Anne 69062
Lincoln, NE
Probation 11/28/2015 11/28/2016 Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 430 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Gloe, Janet Lynne 69109
Council Bluffs, IA
Probation 9/17/2014 9/17/2015 Misdemeanor Conviction(s)
Gloyne, Alice Schultz 38462
Grand Island, NE
Censure 2/25/2019 Misdemeanor Conviction(s)
Golden, Kristin Jo 71362
Omaha, NE
Probation 8/24/2010 8/24/2012 Alcohol Abuse
Misdemeanor Conviction(s)
Golden, Michelle Marie 71038
Kearney, NE
Civil Penalty 3/24/2016 9/24/2016 Violation of UCA
Goul, Jennifer Nicole 78756
Saint Robert, MO
Probation 3/6/2017 Alcohol Dependency
Controlled Substance Dependence
Dishonorable Conduct
Misappropriation of Resident Property
Practice while Impaired
Unprofessional Conduct
Violation of UCSA
Suspension 9/5/2016 3/5/2017 Alcohol Dependency
Controlled Substance Dependence
Dishonorable Conduct
Misappropriation of Resident Property
Practice while Impaired
Unprofessional Conduct
Violation of UCSA
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 431 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Grant, Rebecca Lynn 50108
Onawa, IA
Censure 8/6/2010 Violation of UCA
Graves, Rosalyn Marie 47236
Council Bluffs, IA
Censure 1/12/2012 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Civil Penalty 1/12/2013 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Pet for Adv Act: Nurse Lic Compact filed 1/5/2012 1/12/2012 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Green, Lisa Rae 69449
Louisville, NE
Censure 3/30/2017 Probation Violation
Violation of UCSA
xCont Substance Use Disorder - Severe
Civil Penalty 9/30/2017 Probation Violation
Violation of UCSA
xCont Substance Use Disorder - Severe
Probation 12/27/2016 Probation Violation
Violation of UCSA
xCont Substance Use Disorder - Severe
Suspension 8/11/2014 Controlled Substance Dependence
Dishonorable Conduct
Misappropriation of Resident Property
Unprofessional Conduct
Violation of UCSA
Griggs-Stewart, Donna Jean 23600
Omaha, NE
Limitation-Disciplinary 9/15/2010 Negligent Conduct
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 432 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Grim, Tanisha Shantell 60417
Grand Island, NE
Censure 12/2/2010 Controlled Substance Dependence
3/18/2013
12/2/2010 Failure to Comply With Aftercare
3/18/2013
12/2/2010 Probation Violation
3/18/2013
12/2/2010 Violation of UCSA
3/18/2013
Civil Penalty 12/2/2010 9/2/2011 Controlled Substance Dependence
3/18/2013 9/18/2013
12/2/2010 9/2/2011 Failure to Comply With Aftercare
3/18/2013 9/18/2013
12/2/2010 9/2/2011 Probation Violation
3/18/2013 9/18/2013
12/2/2010 9/2/2011 Violation of UCSA
3/18/2013 9/18/2013
Probation 9/15/2010 9/15/2015 Controlled Substance Dependence
Failure to Comply With Aftercare
Probation Violation
Violation of UCSA
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 433 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
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
Hahn, Suzanne Louise 47491
Mesa, AZ
Limitation-Disciplinary 10/7/2010 Unprofessional Conduct
Pet for Adv Act: Nurse Lic Compact filed 8/23/2010
Hall, Ashlee Nicole 68768
Bennington, NE
Civil Penalty 11/14/2013 5/14/2014 Misrepresentation of Material Facts
Hall, 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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 434 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 435 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Hamm, 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
Hart, Rita Rae 25764
Ogallala, NE
Suspension 7/8/2010 1/8/2011 Practice while Impaired
Unprofessional Conduct
Hartley, Jody Lou 45159
Lincoln, NE
Probation 1/31/2017 11/15/2021 Alcohol Dependency
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 436 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Hartman, Kassandra Rhea 67231
Chadron, NE
Censure 8/2/2018 Failure to File Report-38-1,124,38-1,125
Failure to Safeguard Clients Diginity
Unprofessional Conduct
Civil Penalty 2/2/2019 Failure to File Report-38-1,124,38-1,125
Failure to Safeguard Clients Diginity
Unprofessional Conduct
Hasselmann, Christina Kay 79031
Hastings, NE
Revocation 7/22/2019 Failed to Report Conviction in 30 days
Failure to File Report-38-1,124,38-1,125
Felony Conviction(s)
Misdemeanor Conviction(s)
Other State Action
Hawkins, Cheryl Margaret 63353
Johnson Lake, NE
Probation 11/2/2010 11/2/2015 Alcohol Dependency
Failure to Comply With Aftercare
Violation of UCSA
Haynes, Angela Marie 82667
Lincoln, NE
Probation 10/11/2019 10/11/2021 Alcohol Abuse
Controlled Substance Abuse
Dishonorable Conduct
Felony Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 437 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Heiden, Amanda Kay 60297
Omaha, NE
Censure 10/18/2019 Alcohol Use Disorder, Moderate
Misdemeanor Conviction(s)
Probation Violation
Civil Penalty 4/18/2020 Alcohol Use Disorder, Moderate
Misdemeanor Conviction(s)
Probation Violation
Probation 1/21/2018 1/21/2023 Alcohol Use Disorder, Moderate
Misdemeanor Conviction(s)
Probation Violation
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 438 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Hieber, Janette Kay 70048
Imperial, NE
Civil Penalty 4/7/2016 10/7/2016 Violation of UCA
Stipulation 5/12/2016
Hill, 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
Hill, Melinda Kay 49629
North Platte, NE
Suspension 7/19/2014 Controlled Substance Dependence
Failure to Comply With Aftercare
Violation of UCSA
Hilts, Tina M 58462
Logan, IA
Censure 9/10/2019 Alcohol Use Disorder, Severe
Practice while Impaired
Probation Violation
Substance Use Disorder
12/1/2011 Unprofessional Conduct
Civil Penalty 9/10/2019 3/10/2020 Alcohol Use Disorder, Severe
Practice while Impaired
Probation Violation
Substance Use Disorder
Probation 1/29/2018 1/29/2023 Alcohol Use Disorder, Severe
Practice while Impaired
Probation Violation
Substance Use Disorder
12/1/2011 12/1/2012 Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 439 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Hinrikus, Adam Daniel 59621
Grand Island, NE
Censure 5/12/2011 Practice while Impaired
5/29/2014
5/12/2011 Probation Violation
5/29/2014
5/12/2011 Unprofessional Conduct
5/29/2014
5/12/2011 Violation of UCSA
5/29/2014
5/12/2011 xReinstatement - Previous Discipline
5/29/2014
Suspension 6/8/2014 7/8/2014 Practice while Impaired
Probation Violation
Unprofessional Conduct
Violation of UCSA
xReinstatement - Previous Discipline
Hinzmann, Zak Jared 68811
Minden, IA
Censure 9/15/2010 Dishonorable Conduct
Unprofessional Conduct
Hobbs, Cynthia Mae 45164
Red Cloud, NE
Censure 5/6/2010 Probation Violation
Violation of UCSA
xControlled Substance Addiction/Depndncy
xReinstatement - Previous Discipline
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 440 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Hobbs, Shawn Edward 56633
Bellevue, NE
Censure 4/9/2015 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Civil Penalty 10/9/2015 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Probation 9/5/2014 9/5/2017 Alcohol Abuse
4/16/2018 4/16/2021 Alcohol Use Disorder, Severe
Failed to Report Conviction in 30 days
9/5/2014 9/5/2017 Misdemeanor Conviction(s)
4/16/2018 4/16/2021
Misrepresentation of Material Facts
9/5/2014 9/5/2017 Probation Violation
Suspension 4/16/2018 5/15/2018 Alcohol Use Disorder, Severe
Failed to Report Conviction in 30 days
Misdemeanor Conviction(s)
Misrepresentation of Material Facts
Hoffmann, Kristina Marie 75596
OMAHA, NE
Suspension 3/1/2019 Dishonorable Conduct
Failure to Comply With Aftercare
Substance Use Disorder
Hogan, Elizabeth A 74608
Aurora, CO
Probation 11/21/2018 Substance Use Disorder
Violation of UCSA
Suspension 3/12/2017 Controlled Substance Dependence
Dishonorable Conduct
Unprofessional Conduct
Violation of UCSA
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 441 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Hoover, Michael Wayne 75165
Louisville, NE
Probation 11/10/2017 11/10/2020 Alcohol Abuse
Practice while Impaired
Unprofessional Conduct
Horacek, Sharon Ann 29736
Kearney, NE
Censure 2/19/2014 Unprofessional Conduct
Horner, Toni Nicole 63417
Omaha, NE
Suspension 11/29/2014 12/29/2014 Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Falsify Patient Records
Unprofessional Conduct
Hoskins, Cassandra Marie 78694
Bayard, NE
Censure 8/25/2017 Failure to Keep Adequate Records
Unprofessional Conduct
Hountondji 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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 442 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Hruska, Danielle Victoria 76841
Schuyler, NE
Suspension 12/23/2017 1/21/2018 Failure to File Report-38-1,124,38-1,125
3/19/2018 4/13/2018
12/23/2017 1/21/2018 Misrepresentation of Material Facts
3/19/2018 4/13/2018
12/23/2017 1/21/2018 Unprofessional Conduct
3/19/2018 4/13/2018
12/23/2017 1/21/2018 Violation of Dept Order
3/19/2018 4/13/2018
Hudgins, Misty Michelle 80924
Hastings, NE
Probation 12/8/2015 10/31/2016 Failure to File Report-38-1,124,38-1,125
Felony Conviction(s)
Other State Action
Substance Use Disorder, Severe
Unprofessional Conduct
Violation of UCSA
Revocation 10/10/2018 Failure to File Report-38-1,124,38-1,125
Felony Conviction(s)
Other State Action
Substance Use Disorder, Severe
Unprofessional Conduct
Violation of UCSA
Hughes, Sara Kay 59178
Lincoln, NE
Censure 8/11/2011 Felony Conviction(s)
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 443 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Huxoll, Sarah L 78068
Omaha, NE
Probation 6/27/2014 6/27/2017 Alcohol Abuse
Practice while Impaired
Unprofessional Conduct
Izokaitis, Jennifer Lynn 55160
Lavista, NE
Censure 3/25/2015 Misappropriation of Resident Property
Unprofessional Conduct
Violation of Dept Order
Probation 5/29/2014 5/29/2016 Misappropriation of Resident Property
Unprofessional Conduct
Violation of Dept Order
Jackman, Maureen Kay 54341
Ainsworth, NE
Probation 5/12/2018 5/12/2020 Failed to Report Conviction in 30 days
Misdemeanor Conviction(s)
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 444 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Jenkins, Jamie Lynn 59878
Kearney, NE
Probation 5/21/2010 5/21/2013 Alcohol Dependency
Jensen, Marsha Kay 27739
Lincoln, NE
Suspension 11/29/2014 12/29/2014 Failure to Keep Adequate Records
Falsify Patient Records
Misrepresentation of Material Facts
Unprofessional Conduct
Jilek, Joan Marie 65067
Lincoln, NE
Suspension 6/2/2019 Controlled Substance Dependence
Dishonorable Conduct
Falsify Patient Records
Felony Conviction(s)
Misappropriation of Resident Property
Unprofessional Conduct
Violation of UCSA
Johnson, Mandy Jo 63043
Spalding, NE
Probation 12/18/2018 12/18/2023 Misdemeanor Conviction(s)
Substance Use Disorders-Multiple
Violation of UCSA
Revocation 9/7/2012 12/18/2018 Controlled Substance Dependence
Dishonorable Conduct
Violation of UCSA
Johnson, Nancy Joy 55265
Lincoln, NE
Civil Penalty 4/9/2015 4/9/2016 Failure to Keep Adequate Records
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 445 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Johnson-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
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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 446 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Judd, Heather Jo 63120
Central City, NE
Civil Penalty 1/21/2014 7/21/2014 Misrepresentation of Material Facts
Judt, Genevieve Erin 77075
Tekamah, NE
Suspension 7/28/2018 Alcohol Use Disorder, Severe
Dishonorable Conduct
Misdemeanor Conviction(s)
Substance Use Disorder, Severe
Violation of UCSA
Julian, Cynthia Kay 52483
Omaha, NE
Censure 6/20/2011 Unprofessional Conduct
xFailure to Conform-Stndrds of Practice
Jurgensen, Matthew Lee 71642
Wayne, NE
Probation 12/2/2010 2/24/2012 xAlcohol & Controlled Substance Dependen
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 447 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
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
Kettler, Kelly Renee 62735
Sidney, NE
Suspension 3/13/2011 4/12/2011 Failure to Keep Adequate Records
Unprofessional Conduct
Kieny, Donnis Ann 47539
Omaha, NE
Revocation 5/31/2010 Unprofessional Conduct
Kilpatrick, Heather Michelle 54154
Thurman, IA
Pet for Adv Act: Nurse Lic Compact filed 2/16/2011 3/3/2011 Dishonorable Conduct
Unprofessional Conduct
Violation of UCSA
Revocation 3/3/2011 3/3/2013 Dishonorable Conduct
Unprofessional Conduct
Violation of UCSA
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 448 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
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
Kopecky, Amy Christine 70904
Elkhorn, NE
Censure 12/29/2011 Failure to Safeguard Clients Diginity
Civil Penalty 12/29/2012
Kopsi, Andrea Denise 51479
Fremont, NE
Censure 8/24/2010 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Kothe, Rose Mary 49513
Juniata, NE
Censure 8/24/2010 Unprofessional Conduct
xSexual Misconduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 449 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Kraling, Eric Stephen 67992
Friend, NE
Probation 5/16/2010 1/4/2011 Dishonorable Conduct
Failure to File Report-38-1,124,38-1,125
Other State Action
Probation Violation
Unprofessional Conduct
Revocation 1/4/2011 Dishonorable Conduct
Failure to File Report-38-1,124,38-1,125
Other State Action
Probation Violation
Unprofessional Conduct
Kreikemeier, Bobbi Jo 67644
Omaha, NE
Censure 7/17/2013 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Civil Penalty 7/17/2014 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Kreutz, Gretchen Elaine 83964
Lincoln, NE
Suspension 11/21/2019 Misappropriation of Resident Property
Substance Use Disorder, Mild
Unprofessional Conduct
Violation of UCSA
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 450 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 451 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 452 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Larson, Anne Marie 32036
Blair, NE
Censure 3/4/2015 Unprofessional Conduct
Civil Penalty 9/4/2015
Larson-Pilloud, Catherine Ann 52214
Bennington, NE
Censure 6/13/2012 Controlled Substance Dependence
Probation Violation
Unprofessional Conduct
Civil Penalty 12/13/2012 Controlled Substance Dependence
Probation Violation
Unprofessional Conduct
Laughlin, Barbara Ann 37907
Nelson, NE
Revocation 5/31/2010 Failure to Comply With Aftercare
Misdemeanor Conviction(s)
Probation Violation
xFailure To File Mandatory Report
xHabitual Intoxication
Lepant, Jane Ellen 78638
Lincoln, NE
Probation 9/2/2014 4/9/2018 Controlled Substance Dependence
Other State Action
Lim, Carol Marie 50445
Omaha, NE
Civil Penalty 10/23/2013 4/23/2014 Misrepresentation of Material Facts
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 453 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
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
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 454 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
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
Lofgren, Philip John 49210
Omaha, NE
Censure 8/6/2010 Dishonorable Conduct
Misdemeanor Conviction(s)
Probation Violation
xHabitual Intoxication
Civil Penalty 8/6/2011 Dishonorable Conduct
Misdemeanor Conviction(s)
Probation Violation
xHabitual Intoxication
Loftus, Keri Ann 53339
Omaha, NE
Probation 9/21/2015 9/21/2020 Alcohol Dependency
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 455 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 456 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Ludwick, Carol Lynn 44855
Omaha, NE
Censure 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 9/23/2019 Alcohol Use Disorder, Severe
Failed to Report Conviction in 30 days
Misdemeanor Conviction(s)
Probation Violation
Unprofessional Conduct
Violation of Dept Order
Suspension 9/23/2019 Alcohol Use Disorder, Severe
Failed to Report Conviction in 30 days
Misdemeanor Conviction(s)
Probation Violation
Unprofessional Conduct
Violation of Dept Order
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 457 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Magnuson Larkins, Susan Kay 37968
Auburn, AL
Probation 12/14/2010 8/31/2016 Practice while Impaired
Unprofessional Conduct
xAlcohol & Chemical
Dependence/AddictionSuspension 4/8/2010 12/14/2010 Practice while Impaired
Unprofessional Conduct
xAlcohol & Chemical
Dependence/AddictionMancuso, Michele Renee 78670
Bellevue, NE
Probation 8/1/2019 8/1/2022 Failure to File Report-38-1,124,38-1,125
Falsify Patient Records
Unprofessional Conduct
Violation of Work Policies & Procedures
Marcano, Jami Lyn 50119
Lincoln, NE
Probation 6/11/2013 11/16/2016 Probation Violation
Violation of Dept Order
Suspension 7/4/2010 1/1/2011 Probation Violation
xReinstatement - Previous Discipline
Mares, Sara Kristine 61103
Lincoln, NE
Censure 1/24/2017 Misdemeanor Conviction(s)
Unprofessional Conduct
Suspension 2/3/2017 3/4/2017 Misdemeanor Conviction(s)
Unprofessional Conduct
Marks, Jessica Jo 77611
Omaha, NE
Limitation-Disciplinary 4/6/2018 Failure to File Report-38-1,124,38-1,125
Practice while Impaired
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 458 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 459 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Matsumura, Kathie Faith 31505
Omaha, NE
Civil Penalty 3/24/2016 9/24/2016 Violation of UCA
McCarthy, Megan Mary 47581
Omaha, NE
Censure 6/10/2015 Failure to File Report-38-1,124,38-1,125
Misrepresentation of Material Facts
Unprofessional Conduct
Civil Penalty 6/10/2016 Failure to File Report-38-1,124,38-1,125
Misrepresentation of Material Facts
Unprofessional Conduct
McDonald, Jason A 66220
Aurora, NE
Probation 5/5/2013 2/25/2014 Failure to Safeguard Clients Diginity
Probation Violation
Unprofessional Conduct
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 460 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
McGee, Mark Kovar, RN 36379
Omaha, NE
Civil Penalty 11/20/2013 5/20/2014 Misrepresentation of Material Facts
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 461 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
McNeal, Baxter Shane 65184
Atlantic, IA
Probation 12/14/2010 4/18/2014 Alcohol Dependency
8/25/2017 Felony Conviction(s)
12/14/2010 4/18/2014 Misdemeanor Conviction(s)
8/25/2017
12/14/2010 4/18/2014 Probation Violation
8/25/2017 Substance Use Disorder
Suspension 4/18/2014 8/24/2017 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Meier, Sarah Ann 89680
Lincoln, NE
Probation 8/14/2019 8/14/2022 Misdemeanor Conviction(s)
Substance Use Disorder
Meraz-Brown, Rose Marie 55412
Omaha, NE
Censure 1/26/2012 Alcohol Dependency
Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Civil Penalty 10/26/2012 Alcohol Dependency
Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Suspension 10/30/2012 4/30/2013 Alcohol Dependency
Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Meyer, Christina Elizabeth 59940
Ewing, NE
Civil Penalty 11/25/2014 5/25/2015 Violation of UCA
Miller, Amanda Kay 60073
Lincoln, NE
Censure 2/8/2019 Misrepresentation of Material Facts
Unprofessional Conduct
Civil Penalty 8/8/2019 Misrepresentation of Material Facts
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 462 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Miller, Emily Ryan 65519
Norfolk, NE
Probation 2/7/2015 2/7/2016 Misdemeanor Conviction(s)
Miller, Gina Ann 68864
Colby, KS
Suspension 7/8/2010 7/8/2011 Dishonorable Conduct
Misdemeanor Conviction(s)
Violation of UCSA
xControlled Substance Addiction
Miller, Ramona Rae 63389
Herman, NE
Censure 5/10/2012 Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Unprofessional Conduct
Civil Penalty 5/10/2013 Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Unprofessional Conduct
Miller, Rebecca Anne 81114
Lincoln, NE
Censure 6/28/2019 Misappropriation of Resident Property
Practice Beyond Scope
Unprofessional Conduct
Civil Penalty 12/28/2019 Misappropriation of Resident Property
Practice Beyond Scope
Unprofessional Conduct
Miller, Stephanie Marie 60910
Omaha, NE
Censure 9/25/2014 Dishonorable Conduct
Violation of UCSA
Civil Penalty 3/25/2015 Dishonorable Conduct
Violation of UCSA
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 463 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Miller, Timothy Dutch 61869
Valparaiso, NE
Censure 1/10/2014 Controlled Substance Dependence
Misdemeanor Conviction(s)
Probation Violation
Violation of UCSA
Civil Penalty 7/10/2014 Controlled Substance Dependence
Misdemeanor Conviction(s)
Probation Violation
Violation of UCSA
Petition for Disp Action & Temp Susp 10/26/2011 7/26/2012 Failure to Keep Adequate Records
Prescribing CS to Spouse
Unprofessional Conduct
Violation of UCSA
xCont Substance Use Disorder - Mild
Probation 3/20/2013 3/20/2018 Controlled Substance Dependence
Failure to Keep Adequate Records
Misdemeanor Conviction(s)
Prescribing CS to Spouse
Probation Violation
Unprofessional Conduct
Violation of UCSA
xCont Substance Use Disorder - Mild
Suspension 10/27/2011 10/27/2012 Failure to Keep Adequate Records
Prescribing CS to Spouse
Unprofessional Conduct
Violation of UCSA
xCont Substance Use Disorder - Mild
Temporary Suspension 7/26/2012 Failure to Keep Adequate Records
Prescribing CS to Spouse
Unprofessional Conduct
Violation of UCSA
xCont Substance Use Disorder - Mild
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 464 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Miller, Vanessa Joy 71102
Kearney, NE
Probation 7/23/2015 7/23/2020 Controlled Substance Dependence
Dishonorable Conduct
Probation Violation
Unprofessional Conduct
Mink, Jean Norma 45193
Lincoln, NE
Censure 7/13/2010 Practice while Impaired
Probation Violation
Unprofessional Conduct
Violation of UCSA
xHabitual Intoxication
Civil Penalty 1/13/2011 Practice while Impaired
Probation Violation
Unprofessional Conduct
Violation of UCSA
xHabitual Intoxication
Probation 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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 465 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Mohr, Sarah Lynne 62801
Haltom City, TX
Censure 7/13/2010 Unprofessional Conduct
Montange, Jaka M 64313
Omaha, NE
Civil Penalty 10/23/2013 4/23/2014 Misrepresentation of Material Facts
Moore, Jennifer Lynn 47260
La Habra, CA
Censure 2/9/2012 Failure to Keep Adequate Records
Falsify Patient Records
Pattern of Negligence
Unprofessional Conduct
Suspension 2/19/2012 3/19/2012 Failure to Keep Adequate Records
Falsify Patient Records
Pattern of Negligence
Unprofessional Conduct
Moore, Jody Lynn 63361
Omaha, NE
Suspension 8/16/2010 12/13/2010 Unprofessional Conduct
Morgan, Krista Lee 72846
Lincoln, NE
Probation 5/23/2019 5/23/2024 Felony Conviction(s)
Substance Use Disorder
Suspension 5/3/2018 5/23/2019 Alcohol Use Disorder, Severe
Dishonorable Conduct
Misappropriation of Resident Property
Substance Use Disorder, Severe
Unprofessional Conduct
Violation of UCSA
Morris, Joanne Marie 41199
Omaha, NE
Probation 7/12/2016 7/12/2021 Alcohol Dependency
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 466 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Morton, Amber Lynn 76293
Omaha, NE
Censure 2/12/2018 Failure to Keep Adequate Records
Unprofessional Conduct
Moss, Kristan Leigh 65689
Bellevue, NE
Limitation-Disciplinary 10/7/2010 Failure to File Report-38-1,124,38-1,125
Negligent Conduct
Unprofessional Conduct
Probation 10/17/2010 10/17/2011 Failure to File Report-38-1,124,38-1,125
Negligent Conduct
Unprofessional Conduct
Mowery, Morgan Leigh 74727
Lincoln, NE
Censure 7/13/2018 Practice Beyond Scope
Murphy, McKenna Jo 71006
Kearney, NE
Suspension 12/24/2017 Controlled Substance Dependence
Dishonorable Conduct
Violation of UCSA
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
Nekola, Kelly J 69616
Lincoln, NE
Suspension 8/1/2010 Controlled Substance Dependence
Failure to File Report-38-1,124,38-1,125
Practice while Impaired
Unprofessional Conduct
Violation of UCSA
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 467 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
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, Katina Marie 54103
Lincoln, NE
Censure 9/22/2011 Misrepresentation of Material Facts
Nelson, Pamela L 57183
Lincoln, NE
Civil Penalty 7/26/2012 7/26/2013 Dishonorable Conduct
Violation of UCSA
Suspension 8/5/2012 9/3/2012 Dishonorable Conduct
Violation of UCSA
Newton, Brittany Leah 80818
Omaha, NE
Probation 8/1/2019 8/1/2024 Dishonorable Conduct
Failure to File Report-38-1,124,38-1,125
Misappropriation of Resident Property
Practice Fraudulently
Substance Use Disorder, Severe
Unprofessional Conduct
Violation of UCSA
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 468 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 469 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Norstadt, Hope Rae 68759
Wahoo, NE
Censure 7/26/2012 Controlled Substance Abuse
Controlled Substance Dependence
Failure to Comply With Aftercare
Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Probation Violation
Unprofessional Conduct
Violation of UCSA
Petition for Disp Action & Temp Susp 9/21/2012 11/29/2012 Controlled Substance Abuse
Controlled Substance Dependence
Failure to Comply With Aftercare
Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Probation Violation
Unprofessional Conduct
Violation of UCSA
Probation 9/4/2012 9/27/2012 Controlled Substance Abuse
Controlled Substance Dependence
Failure to Comply With Aftercare
Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
11/14/2016 11/14/2021 Felony Conviction(s)
Misdemeanor Conviction(s)
9/4/2012 9/27/2012 Probation Violation
Unprofessional Conduct
Violation of UCSA
11/14/2016 11/14/2021 xCont Substance Use Disorder - Severe
Suspension 8/5/2012 9/3/2012 Controlled Substance Abuse
11/29/2012 11/29/2013
8/5/2012 9/3/2012 Controlled Substance Dependence
11/29/2012 11/29/2013
8/5/2012 9/3/2012 Failure to Comply With Aftercare
11/29/2012 11/29/2013
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 470 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Suspension 8/5/2012 9/3/2012 Failure to File Report-38-1,124,38-1,125
11/29/2012 11/29/2013
8/5/2012 9/3/2012 Failure to Keep Adequate Records
11/29/2012 11/29/2013
8/5/2012 9/3/2012 Probation Violation
11/29/2012 11/29/2013
8/5/2012 9/3/2012 Unprofessional Conduct
11/29/2012 11/29/2013
8/5/2012 9/3/2012 Violation of UCSA
11/29/2012 11/29/2013
Temporary Suspension 9/28/2012 11/28/2012 Controlled Substance Abuse
Controlled Substance Dependence
Failure to Comply With Aftercare
Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Probation Violation
Unprofessional Conduct
Violation of UCSA
Novakovic, Sofija 65998
Indian Head Park, IL
Civil Penalty 4/1/2016 10/1/2016 Violation of UCA
Nowden, Tiara Sade 73420
Merrillville, IN
Civil Penalty 7/12/2012 1/12/2013 Misrepresentation of Material Facts
Suspension 7/22/2012 8/21/2012
O'Connor, Cynthia Sue 38044
Lincoln, NE
Censure 2/9/2012 Abuse of Resident
Unprofessional Conduct
O'Connor, Elise Adel 84452
Omaha, NE
Censure 7/20/2018 Unprofessional Conduct
O'Neil, Dana Katherine 68260
Lincoln, NE
Civil Penalty 11/14/2013 5/14/2014 Misrepresentation of Material Facts
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 471 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Oliver-Petersen, Alicia Marie 54062
Omaha, NE
Censure 3/6/2013 Failure to Keep Adequate Records
Unprofessional Conduct
Paasch, Kerri Lynn 66788
Omaha, NE
Censure 10/12/2011 Failure to Keep Adequate Records
Unprofessional Conduct
Violation of Dept Order
Suspension 3/19/2018 4/5/2018 Failure to Keep Adequate Records
Unprofessional Conduct
Violation of Dept Order
Palik, Lori B 57406
David City, NE
Censure 3/30/2017 Failure to Keep Adequate Records
Unprofessional Conduct
Palser, Kristen Rae 50503
Scottsbluff, NE
Probation 9/22/2011 9/22/2016 Alcohol Dependency
Parde, Heather C 64157
Odell, NE
Censure 11/20/2015 Alcohol Abuse
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Probation Violation
Probation 6/4/2014 6/4/2016 Alcohol Abuse
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Probation Violation
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 472 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Parde, Skye Cherie 77631
Nebraska City, NE
Probation 8/19/2019 8/19/2024 Dishonorable Conduct
Misappropriation of Resident Property
Substance Use Disorder, Severe
Unprofessional Conduct
Violation of UCSA
Park, Hanna Lee 68108
Norcross, GA
Censure 6/28/2010 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Civil Penalty 6/28/2011 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Partridge, Roxanna Marie 52363
Fremont, NE
Probation 5/25/2018 5/22/2021 Misdemeanor Conviction(s)
Substance Use Disorders-Multiple
Revocation 9/3/2010 5/24/2018 Failure to Comply With Aftercare
Probation Violation
Paslawski, Adriann Marie 77596
Lincoln, NE
Censure 5/17/2018 Failure to Keep Adequate Records
Unprofessional Conduct
Peacock, Tara Lynn 55329
Lincoln, NE
Civil Penalty 3/24/2016 9/24/2016 Violation of UCA
Pearrow, Michele Lynn 70487
Omaha, NE
Probation 10/17/2010 4/17/2012 Unprofessional Conduct
Pearson, Ann Elizabeth 41985
Ralston, NE
Censure 4/28/2011 Practice Beyond Scope
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 473 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Peers, Nicole Lorayne 73148
Omaha, NE
Probation 3/18/2015 9/6/2017 Controlled Substance Dependence
Unprofessional Conduct
Violation of UCSA
Suspension 10/19/2013 10/19/2014 Controlled Substance Dependence
Dishonorable Conduct
Misappropriation of Resident Property
Unprofessional Conduct
Violation of UCSA
Pelland, Tina Lynn 48103
North Platte, NE
Censure 1/8/2013 Failure to Keep Adequate Records
9/6/2013
1/8/2013 Permitting Aiding & Abetting
9/6/2013
1/8/2013 Violation of Dept Order
9/6/2013
Peppmuller, Ashley Jo 87297
Fremont, NE
Probation 7/27/2018 7/27/2021 Misdemeanor Conviction(s)
Substance Use Disorder
Peprah, Michael Yaw 64291
Omaha, NE
Civil Penalty 12/12/2013 6/12/2014 Misrepresentation of Material Facts
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 474 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Perez, Pamela Dianne 43873
Lincoln, NE
Censure 7/19/2019 Failed to Report Conviction in 30 days
Failure to Safeguard Clients Diginity
Unprofessional Conduct
Violation of Dept Order
Violation of Work Policies & Procedures
Civil Penalty 1/19/2020 Failed to Report Conviction in 30 days
Failure to Safeguard Clients Diginity
Unprofessional Conduct
Violation of Dept Order
Violation of Work Policies & Procedures
Petersen, Jayme Lynne 75904
Lincoln, NE
Probation 5/16/2013 5/16/2014 Misdemeanor Conviction(s)
Peterson, Aaron Jay 63746
Boynton Beach, FL
Revocation 7/29/2019 Failed to Report Conviction in 30 days
Felony Conviction(s)
Peterson, Shon Rae 59281
Idaho Falls, ID
Censure 9/22/2011 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Civil Penalty 3/22/2012 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Pettengill, Pamela Kay 54982
Taylor, TX
Censure 6/28/2010 Practice Beyond Scope
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 475 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Phelps, Megan Marie 61275
Omaha, NE
Censure 1/30/2014 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Civil Penalty 10/31/2014 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Probation 10/27/2013 10/27/2017 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Revocation 8/30/2015 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Suspension 5/11/2015 6/9/2015 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Philips, Wendie Jean 63853
Omaha, NE
Civil Penalty 4/1/2016 10/1/2016 Violation of UCA
Phillips, Michelle Jenae 68340
Lincoln, NE
Probation 3/18/2014 8/7/2018 Unprofessional Conduct
Suspension 10/17/2010 3/18/2014 Negligent Conduct
Unprofessional Conduct
Pierce, Megan Katherine 55226
Papillion, NE
Censure 7/12/2017 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Civil Penalty 7/12/2018 Failure to Safeguard Clients Diginity
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 476 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Pirraglia, Ryan Nicholas 70909
Omaha, NE
Probation 12/6/2016 11/27/2019 Dishonorable Conduct
Misappropriation of Resident Property
Unprofessional Conduct
Violation of UCSA
xAlcohol Use Disorder - Severe
xCont Substance Use Disorder - Severe
Pistillo, Katharine Rose 73987
Omaha, NE
Probation 2/7/2016 8/4/2017 Misdemeanor Conviction(s)
xAlcohol Use Disorder - Moderate
Podkovich, Julie Ann 46705
Omaha, NE
Probation 11/2/2015 11/2/2020 Failed to Report Conviction in 30 days
Misdemeanor Conviction(s)
Misrepresentation of Material Facts
Probation Violation
xAlcohol Use Disorder - Mild
Revocation 4/6/2017 Failed to Report Conviction in 30 days
Misdemeanor Conviction(s)
Misrepresentation of Material Facts
Probation Violation
xAlcohol Use Disorder - Mild
Pollard, Julie Ann 61060
La Vista, NE
Probation 12/30/2011 12/30/2016 Alcohol Dependency
Controlled Substance Dependence
Dishonorable Conduct
Unprofessional Conduct
Violation of UCSA
xWillful ULL Violation
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 477 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Polzin, Theresa Lynn 67781
Alden, IA
Pet for Adv Act: Nurse Lic Compact filed 2/23/2012 3/8/2012 Felony Conviction(s)
Other State Action
Revocation 3/8/2012 Felony Conviction(s)
Other State Action
Pontti, Timothy John 67696
Papillion, NE
Censure 8/9/2010 Unprofessional Conduct
Poppe, Micayla Anne 56635
Lincoln, NE
Probation 1/7/2015 1/7/2020 Controlled Substance Dependence
Unprofessional Conduct
Violation of UCSA
Suspension 11/30/2013 11/30/2014 Controlled Substance Dependence
Dishonorable Conduct
Unprofessional Conduct
Violation of UCSA
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
Rapier, Janie Faye 58919
Omaha, NE
Censure 9/23/2010 Unprofessional Conduct
Limitation-Disciplinary
Rea, Mark Jeffrey 41898
Las Vegas, NV
Revocation 9/23/2010 Felony Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 478 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
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
Revocation 12/2/2010 3/28/2013 Alcohol Dependency
Controlled Substance Dependence
Unprofessional Conduct
Violation of UCSA
xPractice Impaired by CS
Suspension 10/19/2010 12/2/2010 Alcohol Dependency
Controlled Substance Dependence
Unprofessional Conduct
Violation of UCSA
xPractice Impaired by CS
Reinke, Karina Lynn 63753
Lincoln, NE
Revocation 12/14/2010 Unprofessional Conduct
Violation of UCSA
xControlled Substance Addiction
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 479 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Remmers-Hamner, LeAnn Marie 63723
Hickman, NE
Probation 7/26/2012 3/30/2018 Alcohol Abuse
Controlled Substance Dependence
Dishonorable Conduct
Obtained Drug Unlawfully
Unprofessional Conduct
Violation of UCSA
xControlled Substance Addiction/Depndncy
Suspension 5/15/2011 5/15/2012 Alcohol Abuse
Controlled Substance Dependence
Dishonorable Conduct
Obtained Drug Unlawfully
Unprofessional Conduct
Violation of UCSA
xControlled Substance Addiction/Depndncy
Reyes, Gayle Mary 60859
Omaha, NE
Censure 7/1/2019 Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Unprofessional Conduct
Violation of Dept Order
Violation of Work Policies & Procedures
Suspension 10/15/2019 Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Unprofessional Conduct
Violation of Dept Order
Violation of Work Policies & Procedures
Reynolds, Jennifer Elaine 62530
Omaha, NE
Civil Penalty 3/20/2015 9/20/2015 Violation of Competency Standard
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 480 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Richardson, Joelle M 66073
North Platte, NE
Censure 6/5/2018 Misdemeanor Conviction(s)
Probation Violation
Civil Penalty 12/5/2018 Misdemeanor Conviction(s)
Probation Violation
Probation 11/1/2016 11/1/2019 Misdemeanor Conviction(s)
Probation Violation
Ridenoure Chastain, Lauren Brynn 78192
Omaha, NE
Probation 4/22/2019 Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Unprofessional Conduct
Roane, James Rice, III 48761
Lexington, KY
Censure 6/30/2016 Misrepresentation of Material Facts
Unprofessional Conduct
Suspension 4/1/2016 5/1/2016 Misrepresentation of Material Facts
Unprofessional Conduct
Roby, Angie Lynn 53240
Bennet, NE
Censure 6/28/2010 Unprofessional Conduct
Civil Penalty 8/11/2011 2/11/2012
Suspension 7/7/2010 8/6/2010
8/21/2011 10/19/2011
Rodriguez, Amy Elise 63252
Omaha, NE
Suspension 8/5/2012 9/3/2012 Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 481 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Rodriguez, Brandi Marie 71174
Bloomfield, NE
Censure 7/19/2019 Dishonorable Conduct
Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Civil Penalty 1/19/2020 Dishonorable Conduct
Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Rohde, Jerome C 47804
Lincoln, NE
Censure 10/5/2016 Failure to Keep Adequate Records
Falsify Patient Records
Unprofessional Conduct
Suspension 10/15/2016 11/13/2016 Failure to Keep Adequate Records
Falsify Patient Records
Unprofessional Conduct
Romero, Adrian Frederick 74726
Kearney, NE
Probation 7/10/2014 3/30/2018 Controlled Substance Dependence
Practice while Impaired
Unprofessional Conduct
Ruble, Ashley Denae 69430
Grand Island, NE
Probation 10/27/2013 3/30/2018 Alcohol Dependency
Unprofessional Conduct
Rush, Yvette Quentella 80583
Omaha, NE
Limitation-Disciplinary 9/15/2015 10/28/2016 Misdemeanor Conviction(s)
Sadler, Martina Ann 66398
Elkhorn, NE
Probation 5/12/2017 5/12/2019 Misdemeanor Conviction(s)
Violation of UCSA
xAlcohol Use Disorder - Mild
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 482 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Salsbury, Julie Marie 67719
Omaha, NE
Probation 12/15/2017 12/12/2022 Misdemeanor Conviction(s)
Substance Use Disorder
Violation of UCSA
Suspension 6/10/2012 6/10/2013 Unprofessional Conduct
Sandin, Sandra Beth 75853
Omaha, NE
Censure 4/23/2018 Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 483 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Sausaman, Katie Elizabeth 76911
Lincoln, NE
Censure 3/1/2018 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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 484 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Suspension 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 11/5/2023 Misdemeanor Conviction(s)
Substance Use Disorders-Multiple
Schlimgen, Lori L 69345
Omaha, NE
Probation 9/12/2014 9/12/2016 Alcohol Dependency
Misdemeanor Conviction(s)
Schmit, Sara Rose 40513
Fremont, NE
Suspension 9/22/2013 10/21/2013 Failure to Keep Adequate Records
Unprofessional Conduct
Schneider, Matthew Paul 76123
West Point, NE
Censure 5/31/2018 Failure to Keep Adequate Records
Falsify Patient Records
Civil Penalty 11/30/2018 Failure to Keep Adequate Records
Falsify Patient Records
Schreiber, Chad William 62449
Tucson, AZ
Civil Penalty 9/25/2014 3/25/2015 Misrepresentation of Material Facts
Violation of UCA
Schroeder, Brenda Lea 40683
Omaha, NE
Censure 5/5/2014 Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 485 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
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
Omaha, 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
Scott, Mary Ellen 28108
Greeley, NE
Censure 5/5/2014 Unprofessional Conduct
Selig Polzien, Elaine 64220
Lincoln, NE
Censure 8/16/2010 Unprofessional Conduct
Civil Penalty 8/6/2010 2/5/2011
Shavlik, Traci Ann 53708
North Platte, NE
Probation 9/7/2018 9/7/2019 Alcohol Use Disorder, Severe
Misdemeanor Conviction(s)
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 486 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
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
Silliman, Timothy 55986
Omaha, NE
Probation 8/1/2019 8/1/2020 Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 487 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Skrdlant, Teresa Renee 61637
Hastings, NE
Probation 5/29/2014 5/29/2019 Alcohol Dependency
Sloan, Nicole Helen 68877
Lincoln, NE
Revocation 6/24/2010 Failure to File Report-38-1,124,38-1,125
Violation of UCSA
Smalley, Diana Louise 26991
Edmond, OK
Civil Penalty 5/29/2014 11/29/2014 Violation of UCA
Smith, Bernadette Susan 55186
North Platte, NE
Censure 8/25/2011 Failure to Keep Adequate Records
Unprofessional Conduct
Suspension 9/4/2011 10/4/2011 Failure to Keep Adequate Records
Unprofessional Conduct
Smith, Carol Ann 62158
Terlton, OK
Probation 7/6/2010 xPrevious Discipline
Smith, Carrie Lynne 58264
Omaha, NE
Revocation 9/25/2010 Failure to File Report-38-1,124,38-1,125
Violation of UCSA
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 488 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Snyder, Benjamin Lawrence 79359
Grand Island, NE
Probation 4/16/2018 4/16/2023 Alcohol Use Disorder, Severe
Misdemeanor Conviction(s)
Sonntag, Grace Ann 67047
Nixa, MO
Censure 10/7/2010 Dishonorable Conduct
Unprofessional Conduct
Suspension 10/17/2010 11/16/2010 Dishonorable Conduct
Unprofessional Conduct
Spilker, Jay Cecil 38150
Lincoln, NE
Censure 6/20/2011 Unprofessional Conduct
Stander, Rhonda Dee 48964
Holdrege, NE
Censure 8/21/2013 Alcohol Addiction
Dishonorable Conduct
Misdemeanor Conviction(s)
Other State Action
Probation Violation
xHabitual Intoxication
Civil Penalty 2/21/2014 Alcohol Addiction
Dishonorable Conduct
Misdemeanor Conviction(s)
Other State Action
Probation Violation
xHabitual Intoxication
Probation 7/31/2012 Alcohol Addiction
Dishonorable Conduct
Misdemeanor Conviction(s)
Other State Action
Probation Violation
xHabitual Intoxication
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 489 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
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
Hooper, NE
Probation 7/26/2012 10/14/2017 Controlled Substance Dependence
Unprofessional Conduct
Violation of UCSA
xCourt Conviction
Revocation 4/8/2010 7/26/2012 Controlled Substance Dependence
Unprofessional Conduct
Violation of UCSA
xCourt Conviction
Steager, Chelsea Rae 65993
David City, NE
Probation 12/16/2014 12/16/2019 Controlled Substance Dependence
Dishonorable Conduct
Misappropriation of Resident Property
Unprofessional Conduct
Violation of UCSA
Suspension 8/31/2013 8/31/2014 Controlled Substance Dependence
Dishonorable Conduct
Misappropriation of Resident Property
Unprofessional Conduct
Violation of UCSA
Stear, KC Jo 74934
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 490 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Stegemann, Kayla Donna 77399
Lincoln, NE
Probation 12/27/2017 2/18/2019 Alcohol Use Disorder, Severe
Misdemeanor Conviction(s)
Probation Violation
Revocation 2/18/2019 Alcohol Use Disorder, Severe
Misdemeanor Conviction(s)
Probation Violation
Steinacher, Cortnie Marie 75857
Omaha, NE
Censure 12/19/2013 Alcohol Dependency
Probation Violation
xCriminal Conviction(s)
Civil Penalty 6/19/2014 Alcohol Dependency
Probation Violation
xCriminal Conviction(s)
Probation 4/25/2013 4/25/2018 Alcohol Dependency
Probation Violation
xCriminal Conviction(s)
Steiner, Abigail Courtney 71360
Omaha, NE
Probation 4/15/2019 4/15/2020 Failed to Report Conviction in 30 days
Misdemeanor Conviction(s)
Steinke, Kimberly Sue 58419
Lincoln, NE
Probation 10/17/2010 Unprofessional Conduct
Steinkraus, Lori Anne 42117
Omaha, NE
Censure 4/5/2012 Failure to Disclose Convictions
Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Probation 12/8/2015 12/8/2020 Misdemeanor Conviction(s)
xAlcohol Use Disorder - Severe
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 491 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Stephens, Leah Kristine 68112
Carleton, NE
Probation 5/8/2016 5/8/2021 Alcohol Abuse
Controlled Substance Dependence
Failure to File Report-38-1,124,38-1,125
Falsify Patient Records
Unprofessional Conduct
Stevenson, Nicole Marie 77182
Greenfield, OH
Revocation 12/4/2014 Controlled Substance Dependence
Dishonorable Conduct
Practice while Impaired
Unprofessional Conduct
Violation of UCSA
Stutzman, Victoria Louise 30720
Cairo, NE
Probation 3/26/2012 Alcohol Dependency
Practice while Impaired
Unprofessional Conduct
Suspension 3/4/2012 3/17/2012 Alcohol Dependency
4/1/2012 4/14/2012
4/29/2012 5/12/2012
5/27/2012 7/14/2012
3/4/2012 3/17/2012 Practice while Impaired
4/1/2012 4/14/2012
4/29/2012 5/12/2012
5/27/2012 7/14/2012
3/4/2012 3/17/2012 Unprofessional Conduct
4/1/2012 4/14/2012
4/29/2012 5/12/2012
5/27/2012 7/14/2012
Sullivan, Jenilee Frances 71688
Gretna, NE
Probation 8/12/2018 8/12/2020 Alcohol Use Disorder, Mild
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 492 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Svoboda, Barbara Josephine 33259
Lincoln, NE
Probation 1/14/2015 4/22/2019 Practice while Impaired
xAlcohol Use Disorder - Severe
Swanda, Kathy Lynn 56679
Tecumseh, NE
Probation 4/16/2018 4/16/2019 Alcohol Use Disorder, Mild
Misdemeanor Conviction(s)
Swanson, Lacey BJ 76977
Gothenburg, NE
Probation 10/22/2013 10/22/2018 Alcohol Dependency
Misdemeanor Conviction(s)
Tegels, Amy Jill 59304
Plattsmouth, NE
Censure 11/15/2010 Misrepresentation of Material Facts
7/9/2014
11/15/2010 Unprofessional Conduct
7/9/2014
11/15/2010 Violation of Dept Order
7/9/2014
Civil Penalty 11/15/2010 5/15/2011 Misrepresentation of Material Facts
Unprofessional Conduct
Violation of Dept Order
Limitation-Disciplinary Misrepresentation of Material Facts
Unprofessional Conduct
Violation of Dept Order
Suspension 2/15/2015 3/1/2015 Misrepresentation of Material Facts
Unprofessional Conduct
Violation of Dept Order
Theobald, Sara Ruth 58223
Seward, NE
Probation 12/24/2017 12/24/2022 Alcohol Use Disorder, Severe
Misappropriation of Resident Property
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 493 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 494 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Thomas, Heidi Irene 54909
Clermont, FL
Censure 12/8/2011 Failure to File Report-38-1,124,38-1,125
1/30/2014
3/12/2014
12/8/2011 Probation Violation
1/30/2014
3/12/2014
12/8/2011 Unprofessional Conduct
1/30/2014
3/12/2014
12/8/2011 xHabitual Intoxication
1/30/2014
3/12/2014
Civil Penalty 12/8/2011 6/8/2012 Failure to File Report-38-1,124,38-1,125
1/30/2014 7/30/2014
3/12/2014 9/12/2014
12/8/2011 6/8/2012 Probation Violation
1/30/2014 7/30/2014
3/12/2014 9/12/2014
12/8/2011 6/8/2012 Unprofessional Conduct
1/30/2014 7/30/2014
3/12/2014 9/12/2014
12/8/2011 6/8/2012 xHabitual Intoxication
1/30/2014 7/30/2014
3/12/2014 9/12/2014
Revocation 4/19/2015 Failure to File Report-38-1,124,38-1,125
Probation Violation
Unprofessional Conduct
xHabitual Intoxication
Suspension 3/22/2014 4/20/2014 Failure to File Report-38-1,124,38-1,125
Probation Violation
Unprofessional Conduct
xHabitual Intoxication
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 495 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Thomas, Verla Kaye 75283
Omaha, NE
Probation 9/15/2014 Dishonorable Conduct
Misappropriation of Resident Property
Violation of UCSA
xAlcohol Use Disorder - Mild
xCont Substance Use Disorder - Mild
Suspension 10/15/2014 Dishonorable Conduct
Misappropriation of Resident Property
Violation of UCSA
xAlcohol Use Disorder - Mild
xCont Substance Use Disorder - Mild
Tietz, Sandra Dee 66810
Omaha, NE
Civil Penalty 3/24/2016 9/24/2016 Violation of UCA
Tieu, Lisa Thanh 69724
Minnetonka, MN
Censure 7/26/2013 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Civil Penalty 7/26/2014 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Toelle, Sarah Denise 69242
Pender, NE
Probation 2/7/2016 6/27/2017 Controlled Substance Dependence
Probation Violation
Violation of UCSA
Revocation 6/27/2017 Controlled Substance Dependence
Probation Violation
Violation of UCSA
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 496 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Tolen, Andrea Nicole 82151
Omaha, NE
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
Substance Use Disorders-Multiple
Violation of UCSA
Suspension 3/12/2016 8/3/2017 Unprofessional Conduct
Violation of UCSA
xCont Substance Use Disorder - Moderate
Troshynski, Larry James 49830
Overland Park, KS
Suspension 8/25/2011 9/24/2011 Failure to File Report-38-1,124,38-1,125
Other State Action
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 497 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
True, Julie Anne 70514
Scottsbluff, NE
Civil Penalty 11/20/2013 5/20/2014 Misrepresentation of Material Facts
Turner, Ann Marie 74409
Hastings, NE
Probation 2/11/2015 2/11/2020 Controlled Substance Dependence
Uglow, Shelley Ann 43715
Lincoln, NE
Probation 4/19/2012 Controlled Substance Dependence
Unprofessional Conduct
Suspension 9/3/2010 4/19/2012 Controlled Substance Dependence
Unprofessional Conduct
Veskerna, Letitia Jade 75742
Fremont, NE
Censure 11/28/2017 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Vieselmeyer, Judy Ann 64661
Beatrice, NE
Censure 6/28/2010 Failure to Keep Adequate Records
Vodicka, Stephanie Frances 70972
David City, NE
Suspension 10/3/2015 11/1/2015 Misrepresentation of Material Facts
Unprofessional Conduct
Vu, MaryClare Hong-Mai 55502
Lincoln, NE
Censure 8/6/2010 Unprofessional Conduct
Wachter, Jessica Marie 66575
Lincoln, NE
Probation 2/3/2020 2/3/2023 Failure to File Report-38-1,124,38-1,125
Substance Use Disorder, Mild
Violation of UCSA
Violation of Work Policies & Procedures
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 498 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
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
Elkhorn, NE
Censure 4/23/2018 Misrepresentation of Material Facts
Unprofessional Conduct
Civil Penalty 10/23/2018 Misrepresentation of Material Facts
Unprofessional Conduct
Watters, Cynthia L 58972
Lincoln, NE
Civil Penalty 4/9/2015 4/9/2016 Violation of UCA
Weaver, Lila Linette 52168
Papillion, NE
Censure 7/18/2018 Unprofessional Conduct
Weber, Kristi Marie 37491
Hampton, NE
Suspension 6/22/2014 7/21/2014 Failure to Keep Adequate Records
Unprofessional Conduct
Weckwerth, Holly Marie 67425
Montevideo, MN
Suspension 7/23/2010 Failure to Comply With Aftercare
Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Violation of UCSA
xControlled Substance Addiction
Weimer, Paula Anne 33293
Scottsbluff, NE
Probation 12/14/2010 6/14/2012 Felony Conviction(s)
Suspension 4/26/2020 Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 499 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Wells, Rachel Christine 60748
Holdrege, NE
Probation 11/21/2015 Dishonorable Conduct
Unprofessional Conduct
Violation of UCSA
xCont Substance Use Disorder - Moderate
Suspension 11/20/2015 12/20/2015 Dishonorable Conduct
Unprofessional Conduct
Violation of UCSA
xCont Substance Use Disorder - Moderate
West, Jenna Beth 76607
Omaha, NE
Probation 5/27/2018 5/27/2023 Dishonorable Conduct
Misappropriation of Resident Property
Substance Use Disorder, Severe
Unprofessional Conduct
Violation of UCA
Violation of UCSA
White, Jennifer Sherwood 75621
Omaha, NE
Probation 11/21/2018 11/21/2023 Substance Use Disorders-Multiple
Violation of UCSA
Suspension 10/2/2017 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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 500 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Wilken, Mary Ann 39709
Omaha, NE
Probation 5/31/2010 5/31/2015 Dishonorable Conduct
Violation of UCSA
Williams, Carla Dawn 49643
Omaha, NE
Censure 2/12/2014 Alcohol Dependency
2/25/2015
2/12/2014 Misdemeanor Conviction(s)
2/25/2015
2/12/2014 Probation Violation
2/25/2015
Civil Penalty 2/12/2014 8/12/2014 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Probation 9/3/2010 9/3/2016 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Suspension 3/7/2015 4/5/2015 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Willits, Rebecca Lynne 87841
Omaha, NE
Probation 11/29/2018 6/23/2021 Misdemeanor Conviction(s)
Substance Use Disorder
Wilson, Christine Ann 47503
Lincoln, NE
Probation 6/21/2011 6/21/2013 xCourt Conviction
Wit, Alison Amelia 75010
Omaha, NE
Probation 3/30/2014 3/30/2017 Alcohol Dependency
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 501 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Wolfe, Laura K 65046
Hastings, NE
Probation 2/9/2012 2/9/2016 Alcohol Dependency
Misdemeanor Conviction(s)
Wolfe, Lynn M 56612
Omaha, NE
Probation 11/30/2018 11/30/2020 Alcohol Use Disorder, Severe
Misdemeanor Conviction(s)
Woods, Melissa Dawn 56884
Omaha, NE
Censure 9/22/2017 Failure to Safeguard Clients Diginity
Unprofessional Conduct
Civil Penalty 9/22/2018 Failure to Safeguard Clients Diginity
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 502 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Woolley, Kathleen Elizabeth 78853
Omaha, NE
Censure 7/25/2017 Alcohol Use Disorder, Moderate
Failure to Disclose Convictions
Failure to File Report-38-1,124,38-1,125
Other State Action
Probation Violation
Substance Use Disorder, Severe
Unprofessional Conduct
Violation of Dept Order
Civil Penalty 1/25/2018 Alcohol Use Disorder, Moderate
Failure to Disclose Convictions
Failure to File Report-38-1,124,38-1,125
Other State Action
Probation Violation
Substance Use Disorder, Severe
Unprofessional Conduct
Violation of Dept Order
Probation 10/5/2016 10/10/2018 Alcohol Use Disorder, Moderate
Failure to Disclose Convictions
Failure to File Report-38-1,124,38-1,125
Other State Action
Probation Violation
Substance Use Disorder, Severe
Unprofessional Conduct
Violation of Dept Order
Revocation 10/10/2018 Alcohol Use Disorder, Moderate
Failure to Disclose Convictions
Failure to File Report-38-1,124,38-1,125
Other State Action
Probation Violation
Substance Use Disorder, Severe
Unprofessional Conduct
Violation of Dept Order
Suspension 3/1/2018 3/20/2018 Alcohol Use Disorder, Moderate
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 503 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Suspension 3/1/2018 3/20/2018 Failure to Disclose Convictions
Failure to File Report-38-1,124,38-1,125
Other State Action
Probation Violation
Substance Use Disorder, Severe
Unprofessional Conduct
Violation of Dept Order
Wulf, Kellie J 56434
Kearney, NE
Stipulation 9/15/2010 Dishonorable Conduct
Failure to File Report-38-1,124,38-1,125
Practice Beyond Scope
Unprofessional Conduct
Violation of UCSA
Yoachim, Collin David 74902
Lincoln, NE
Probation 8/3/2012 8/3/2014 Alcohol Abuse
Misdemeanor Conviction(s)
York, Karrie Jo 69129
Endicott, NE
Censure 10/1/2019 Alcohol Use Disorder, Severe
Failure to Comply With Aftercare
Misdemeanor Conviction(s)
Probation Violation
Civil Penalty 4/1/2020 Alcohol Use Disorder, Severe
Failure to Comply With Aftercare
Misdemeanor Conviction(s)
Probation Violation
Probation 1/27/2019 1/27/2023 Alcohol Use Disorder, Severe
Failure to Comply With Aftercare
Misdemeanor Conviction(s)
Probation Violation
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 504 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Young, Carrie Anne 67972
Kimball, NE
Probation 6/16/2017 6/16/2022 Unprofessional Conduct
xAlcohol Use Disorder - Severe
Revocation 10/21/2019 Probation Violation
Suspension 6/16/2017 8/14/2017 Unprofessional Conduct
xAlcohol Use Disorder - Severe
Young, Jeremy Rexford 85394
Lincoln, NE
Petition for Disp Action & Temp Susp 5/17/2018 11/20/2018 Controlled Substance Abuse
Failure to Comply With Aftercare
Practice while Impaired
Unprofessional Conduct
Violation of UCSA
Suspension Controlled Substance Abuse
Failure to Comply With Aftercare
Practice while Impaired
Unprofessional Conduct
Violation of UCSA
Temporary Suspension 5/22/2018 11/20/2018 Controlled Substance Abuse
Failure to Comply With Aftercare
Practice while Impaired
Unprofessional Conduct
Violation of UCSA
Ziemer, Shauna Rae 53041
Bayard, NE
Censure 3/20/2013 Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Other State Action
Unprofessional Conduct
Civil Penalty 9/20/2013 Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Other State Action
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 505 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Registered Nurse
Zuchegna, Anthony Wayne 66667
Lincoln, NE
Censure 4/24/2011 Probation Violation
Unprofessional Conduct
Probation 7/8/2010 7/8/2012 Probation Violation
Unprofessional Conduct
Zuroski, Angela Kay 48159
Blair, NE
Civil Penalty 1/31/2013 1/31/2014 Dishonorable Conduct
Misdemeanor Conviction(s)
Probation Violation
Unprofessional Conduct
xHabitual Intoxication
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
Beck, Adam Stephen 105
Lincoln, NE
Probation 7/13/2010 12/31/2010 Alcohol Abuse
xCourt Conviction
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 506 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
NHA Mentoring Trainee
Hale, Katelyn Jeanne 291
Lincoln, NE
Probation 12/10/2015 5/1/2016 Alcohol Dependency
Misdemeanor Conviction(s)
Saunsoci, Shannon E. 343
South Sioux City, NE
Probation 8/17/2017 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Nursing Home Administrator
Alderman, Kelly D. 2413
Hastings, NE
Civil Penalty 4/1/2016 5/31/2016 Misdemeanor Conviction(s)
Violation of UCA
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 507 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Medication Aide
Austin, Jennifer Lynne 92722
Bellevue, NE
Civil Penalty 9/20/2018 3/20/2019 Unlicensed Practice
Barber, Brandon Leigh 83414
Omaha, NE
Suspension - Non-Child Support Payment 5/12/2017 Delinquent Child Support Payment
Berry, Theresa L 91110
La Vista, NE
Civil Penalty 3/16/2018 9/21/2018 Unlicensed Practice
Bonnell, Kathleen Veronica 43918
Kearney, NE
Competency Violation 3/14/2011 xFailure to Demonstrate Competency
Borreson, Whitney Ann 66512
Wahoo, NE
Competency Violation 4/23/2013 xFailure to Demonstrate Competency
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 508 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Medication Aide
Escobar, Iliana Elizabeth 89543
Omaha, NE
Civil Penalty 9/22/2017 3/22/2018 Unlicensed Practice
Fobie, Paul 53224
Lincoln, NE
Competency Violation 11/2/2010 Gross Incompetence
Gross Negligence
Gartner, Elizabeth M 69681
Lincoln, NE
Competency Violation 12/3/2012 xFailure to Demonstrate Competency
Glebe, Erica Preston 90286
Grand Island, NE
Civil Penalty 12/15/2017 6/15/2018 Unlicensed Practice
Goodwin, Susan Rae 71916
Kearney, NE
Competency Violation 12/31/2012 xFailure to Demonstrate Competency
Graham, David M 56035
Kearney, NE
Competency Violation 1/3/2011 Violation of Competency Standard
Groves, Dorla Imee 89678
Hastings, NE
Civil Penalty 10/6/2017 4/6/2018 Unlicensed Practice
Hanson, Donna Mae 92560
Oakdale, NE
Civil Penalty 8/23/2018 2/23/2019 Unlicensed Practice
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 509 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Medication Aide
Kuwa, Mengistu Jousif 70610
Lincoln, NE
Competency Violation 12/3/2012 xFailure to Demonstrate Competency
Lindsay, Willetta K 92562
Oakdale, NE
Civil Penalty 8/23/2018 2/23/2019 Unlicensed Practice
Markvicka, Renae L 65957
Ord, NE
Competency Violation 4/14/2011 xFailure to Demonstrate Competency
Martinez, Monica 89523
Bellevue, NE
Civil Penalty 9/21/2017 3/21/2018 Unlicensed Practice
Maynard, Tammy Len 92469
Norfolk, NE
Civil Penalty 8/20/2018 2/20/2019 Unlicensed Practice
McGhee, Lisa Anita 90043
Omaha, NE
Civil Penalty 11/16/2017 5/16/2018 Unlicensed Practice
McSorley, Sarah E 89544
Council Bluffs, IA
Civil Penalty 9/25/2017 10/19/2017 Unlicensed Practice
Meyer, Debbie Sue 89881
Omaha, NE
Civil Penalty 11/1/2017 5/1/2018 Unlicensed Practice
Miller, Kristi Daniel 88227
Omaha, NE
Civil Penalty 3/30/2017 9/30/2017 Unlicensed Practice
Monroe, Shena Rae 61994
Grand Island, NE
Failure to pay Fees 11/12/2010 12/1/2010 Failure to Pay Fees
Ollendick, Katheryn Rebecca 92468
Tilden, NE
Civil Penalty 8/20/2018 2/20/2019 Unlicensed Practice
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 510 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Medication Aide
Page, Kristian Renee 89726
Omaha, NE
Civil Penalty 10/25/2017 4/25/2018 Unlicensed Practice
Payne, Rachel Ann 90180
Kenesaw, NE
Civil Penalty 12/4/2017 6/4/2018 Unlicensed Practice
Peters, Callie D 91108
Walton, NE
Civil Penalty 3/16/2018 9/21/2018 Unlicensed Practice
Ridge, Curtis A R 62631
La Vista, NE
Competency Violation 6/28/2010 Violation of Competency Standard
Royal, Monica Regina 66449
Lincoln, NE
Failure to pay Fees 7/30/2010 Failure to Pay Fees
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
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 511 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Medication Aide
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
Beitel, Joyce Louise 64337
Clarks, NE
Competency Violation 7/28/2010 Violation of Competency Standard
Borgeson, Michaella Ann 84687
Bennington, NE
Civil Penalty 3/23/2018 9/23/2018 Unlicensed Practice
Brown, Erika Shawn 84494
Benkelman, NE
Civil Penalty 3/1/2018 9/1/2018 Unlicensed Practice
Buirst, Kimberly Sonya 62175
Omaha, NE
Competency Violation 4/14/2011 Abuse of Resident
xFailure to Demonstrate Competency
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 512 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Medication Aide - 40 Hour
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
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 513 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Medication Aide - 40 Hour
Forsberg, Kimberly Jo 60319
Chadron, NE
Competency Violation 1/9/2013 xFailure to Demonstrate Competency
Frazier, Shirley Deloyce 5956
Omaha, NE
Competency Violation 8/1/2012 xFailure to Demonstrate Competency
Hall, David Warnen 61841
Beatrice, NE
Competency Violation 12/17/2011 xFailure to Demonstrate Competency
Hardin, Rosa 47552
Axtell, NE
Competency Violation 4/9/2010 Violation of Competency Standard
Harms, Michelle Lynn 54499
Beatrice, NE
Competency Violation 1/31/2013 xFailure to Demonstrate Competency
Hill, Justin Charles 66318
Beatrice, NE
Competency Violation 8/20/2012 xFailure to Demonstrate Competency
Hines, Chelsea Marie 68870
Nickerson, NE
Falsification of Application 1/13/2012 xFalsified Application
Hogancamp, Patricia Ann 45947
Lorton, NE
Competency Violation 6/24/2013 Violation of Competency Standard
Hope, Dorothea JoAnn 83450
Omaha, NE
Civil Penalty 9/22/2017 3/22/2018 Unlicensed Practice
Hughes, Courtney Sue 84669
Lincoln, NE
Civil Penalty 3/16/2018 9/21/2018 Unlicensed Practice
Jacobs, Jana Marie 56973
Orleans, NE
Competency Violation 8/4/2010 Violation of Competency Standard
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 514 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Medication Aide - 40 Hour
Job, Jae Starr 65759
Lincoln, NE
Failure to pay Fees 11/12/2010 Failure to Pay Fees
Jones, Emily Ann 68061
Omaha, NE
Competency Violation 3/14/2013 xFailure to Demonstrate Competency
LaDue, Bobbi Jo 46325
Bellevue, NE
Competency Violation 3/14/2013 xFailure to Demonstrate Competency
Lampson, Alicia Ann 83547
Mitchell, NE
Civil Penalty 10/6/2017 4/6/2018 Unlicensed Practice
Leal, Sandra Louise 62379
North Platte, NE
Competency Violation 8/12/2010 Violation of Competency Standard
Longoria, Veronica Leonidez 62604
Scottsbluff, NE
Competency Violation 4/14/2011 xFailure to Demonstrate Competency
Luebe, Hailey Justine 83600
Norfolk, NE
Civil Penalty 10/25/2017 4/25/2018 Unlicensed Practice
Mangelsen, Teri Lynn 83882
Saint Edward, NE
Civil Penalty 11/16/2017 5/16/2018 Unlicensed Practice
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 515 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Medication Aide - 40 Hour
Minnick, Stacy Marie 64037
Kearney, NE
Failure to pay Fees 1/25/2012 Failure to Pay Fees
Moninger, Erin Pamela 83548
Omaha, NE
Civil Penalty 10/6/2017 4/6/2018 Unlicensed Practice
Morrill, Libia Caye 84093
Royal, NE
Civil Penalty 12/15/2017 6/15/2018 Unlicensed Practice
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 516 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Medication Aide - 40 Hour
Potter, Kindra Ann 83971
Broken Bow, NE
Civil Penalty 11/29/2017 5/29/2018 Unlicensed Practice
Quednau, Julie Ann 83445
Saint Libory, NE
Civil Penalty 9/22/2017 3/22/2018 Unlicensed Practice
Rosenboom, Rebecca Jean 68523
Lincoln, NE
Failure to pay Fees 12/6/2011 Failure to Pay Fees
Schroeder, Anna Maxine 56988
Kearney, NE
Competency Violation 11/5/2010 Violation of Competency Standard
Sloan, Cedric Lamarr 83437
Omaha, NE
Civil Penalty 9/21/2017 3/21/2018 Unlicensed Practice
Smith, Phyllis Marie 84667
Omaha, NE
Civil Penalty 3/16/2018 9/21/2018 Unlicensed Practice
Smith, Tenee Elizabeth 84686
Creston, NE
Civil Penalty 3/23/2018 9/23/2018 Unlicensed Practice
Thompson, Amanda Leah 84186
Mitchell, NE
Civil Penalty 12/29/2017 6/29/2018 Unlicensed Practice
Usman, Terry Lee 55827
Omaha, NE
Competency Violation 4/24/2012 xFailure to Demonstrate Competency
Velder, Elizabeth S 83435
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 517 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Medication Aide - 40 Hour
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
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
Beller, Karin Leslie 36019
Lincoln, NE
Finding of Misappropriation 8/6/2010 Misappropriation of Resident Property
Berger, Matthew John 89758
Fremont, NE
Finding of Abuse 11/22/2013 Abuse of Resident
Crime of Moral Turpitude
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 518 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Nurse Aide
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
Burke, Celeste P 50502
Stromsburg, NE
Finding of Abuse 4/19/2012 Abuse of Resident
Carson, Anna D 90459
Mc Cook, NE
Finding of Misappropriation 2/11/2011 Misappropriation of Resident Property
Conant, Jennifer N 89239
Lincoln, NE
Finding of Neglect 1/6/2012 Neglect of Resident
Corley, Kathleen Ann 77793
Omaha, NE
Suspension - Non-Child Support Payment 7/9/2017 7/24/2018 Delinquent Child Support Payment
Dancy, Dana Annette 71046
Lincoln, NE
Finding of Abuse 11/29/2018 Abuse of Resident
Edgar, Danielle
Wallace, NE
Finding of Abuse 5/25/2011 Abuse of Resident
Edwards, Mia Janay 91153
Omaha, NE
Finding of Misappropriation 2/14/2011 Misappropriation of Resident Property
Erickson, Kimberly 75979
Tekamah, NE
Finding of Misappropriation 5/23/2011 Misappropriation of Resident Property
Esch, Nancy Fernandez 123175
Fremont, NE
Finding of Abuse 3/25/2020 Abuse of Resident
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 519 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Nurse Aide
Fallon, Barbara G 57975
Lincoln, NE
Finding of Abuse 5/26/2016 Abuse of Resident
Geiger, Janelle Rene 91719
Wichita, KS
Finding of Neglect 5/7/2012 Neglect of Resident
Gerdes, Audrey Jean 10216
Marquette, NE
Finding of Misappropriation 1/4/2013 Misappropriation of Resident Property
Ghumm, Hailey KyLeah 95670
York, NE
Finding of Misappropriation 1/4/2013 Crime of Moral Turpitude
Misappropriation of Resident Property
Gonzalez, Gabriella M 83212
Fairview, KS
Finding of Abuse 2/7/2019 Abuse of Resident
Hainowski, Brandi Paige 108120
Omaha, NE
Finding of Abuse 7/8/2014 Abuse of Resident
Hartung, Heather Louise 83895
Table Rock, NE
Finding of Misappropriation 3/16/2011 Violation of Competency Standard
Hein, Taylur Ann 99901
Stanton, NE
Finding of Abuse 8/12/2016 Abuse of Resident
Holmes, Princess Renee 92276
Omaha, NE
Finding of Abuse 8/11/2011 Abuse of Resident
Holt, Nikki Marie 40257
Gothenburg, NE
Finding of Misappropriation 11/29/2018 Misappropriation of Resident Property
Kepford, Chloe Elizabeth 61487
Hastings, NE
Finding of Abuse 3/31/2011 Abuse of Resident
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 520 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Nurse Aide
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
Masikini, Peter 84997
Omaha, NE
Finding of Misappropriation 12/3/2010 Misappropriation of Resident Property
McCafferty, Erin Kathleen 27295
Omaha, NE
Finding of Misappropriation 1/3/2013 Crime of Moral Turpitude
Misappropriation of Resident Property
McDowell, Sherry Mae 47370
Falls City, NE
Finding of Abuse 1/6/2012 Abuse of Resident
Medina Lara, Oscar Manuel 119817
Omaha, NE
Finding of Abuse 8/13/2019 Abuse of Resident
Mehringer, Christopher Lynn 49703
Mc Cook, NE
Finding of Abuse 8/16/2012 Abuse of Resident
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 521 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Nurse Aide
Mejia, Rosa Isela 70191
Norfolk, NE
Finding of Abuse 5/23/2011 Abuse of Resident
Morehead, Cathy L 89490
Burwell, NE
Finding of Abuse 1/5/2012 Abuse of Resident
Olson, Ashley Lynn 79275
Red Cloud, NE
Finding of Abuse 7/7/2011 Abuse of Resident
Page, Kristian Renee 76030
Omaha, NE
Finding of Neglect 7/11/2011 Neglect of Resident
Penny, Remmington D 61243
Elm Creek, NE
Finding of Neglect 3/28/2017 Neglect of Resident
Rappolt, Ian Durran 112436
Sioux City, IA
Finding of Neglect 8/12/2016 Neglect of Resident
Rash, Cheryl Marie 64851
Oneill, NE
Finding of Abuse 6/11/2019 Abuse of Resident
Robertson, Tameka Yvonne 93826
Omaha, NE
Finding of Abuse 12/12/2018 Abuse of Resident
Schneider, Francene Susan 76591
Fullerton, NE
Finding of Abuse 2/11/2011 Abuse of Resident
Seng, Shawnee B 82351
Wellfleet, NE
Finding of Abuse 7/7/2011 Abuse of Resident
Sloan, Cedric Lamarr 25473
Omaha, NE
Suspension 12/27/2013 3/10/2014 Delinquent Child Support Payment
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 522 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Nurse Aide
Smith, LaVisha Robin LaTrace 41606
Lincoln, NE
Finding of Abuse 6/14/2016 Abuse of Resident
Story, Kylee B 106162
Central City, NE
Finding of Neglect 11/10/2016 Neglect of Resident
Sykes, Justin N 93875
Omaha, NE
Finding of Abuse 5/20/2011 Abuse of Resident
Togbey, Kodjovi Mawuena 88180
Papillion, NE
Finding of Abuse 11/5/2010 Abuse of Resident
Neglect of Resident
Turco, Kristina Marie 53623
York, NE
Finding of Misappropriation 1/17/2013 Crime of Moral Turpitude
Lacks Good Character
Misappropriation of Resident Property
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
Ward, Jon Andrew 16567
Omaha, NE
Finding of Abuse 12/3/2010 Abuse of Resident
Winchester, Jamie M 137400
Missouri Valley, IA
Finding of Abuse 8/28/2019 Abuse of Resident
Winston-Percy, Isis 91164
Omaha, NE
Finding of Abuse 5/24/2011 Abuse of Resident
Lacks Good Character
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 523 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Nurse Aide
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
Alexander, Molly Ann DTA585
Kearney, NE
Probation 9/2/2015 9/2/2016 Unlicensed Practice
Bredemeier, Amanda S DTA583
Falls City, NE
Probation 8/28/2015 8/28/2016 Unlicensed Practice
Brinegar, Erin R DTA580
Kearney, NE
Probation 8/25/2015 8/25/2016 Unlicensed Practice
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 524 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Deep Thermal Agents
Ervin, Deslie D DTA601
Lincoln, NE
Probation 1/27/2016 1/27/2017 Unlicensed Practice
Hauer, Megan Louise DTA559
Sherrard, IL
Probation 4/8/2015 4/8/2016 Unlicensed Practice
Huppert, Shelley Lynn DTA586
Falls City, NE
Probation 9/2/2015 9/2/2016 Unlicensed Practice
Krajewski, Sara Rachel DTA420
Mc Cook, NE
Probation 8/22/2012 8/22/2013 Unlicensed Practice
Krause, Mary Pedersen DTA577
Tekamah, NE
Probation 8/12/2015 8/12/2016 Unlicensed Practice
McDermott, Rosalyn M DTA587
Doniphan, NE
Probation 9/2/2015 9/2/2016 Unlicensed Practice
O'Neill, Sara Marie DTA341
Kearney, NE
Probation 8/5/2010 1/11/2011 Limited License
Pena, Susan K DTA595
Gering, NE
Probation 11/19/2015 11/19/2016 Unlicensed Practice
Provisional
Rath, Bridget Ann DTA557
Yutan, NE
Probation 4/8/2015 4/8/2016 Unlicensed Practice
Rimpley, Sarah L DTA582
Holdrege, NE
Probation 8/28/2015 8/28/2016 Unlicensed Practice
Rolls, Janelle Jo DTA591
Alliance, NE
Probation 10/1/2015 10/1/2016 Unlicensed Practice
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 525 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Deep Thermal Agents
Torrentez, Emily Pinkerton DTA581
Papillion, NE
Probation 8/25/2015 8/25/2016 Unlicensed Practice
Wragge, Nicole M DTA558
Omaha, NE
Probation 4/8/2015 4/8/2016 Unlicensed Practice
Electrotherapeutic Agents
Albrecht, Bruce Allen EA575
Kearney, NE
Probation 8/12/2015 8/12/2016 Unlicensed Practice
Alexander, Molly Ann EA584
Kearney, NE
Probation 9/2/2015 9/2/2016 Unlicensed Practice
Bredemeier, Amanda S EA582
Falls City, NE
Probation 8/28/2015 8/28/2016 Unlicensed Practice
Brinegar, Erin R EA579
Kearney, NE
Probation 8/25/2015 8/25/2016 Unlicensed Practice
Dawson, Eva Louise EA500
Grand Island, NE
Probation 3/10/2014 3/10/2015 Unlicensed Practice
Dinslage, Paige Christine EA556
Omaha, NE
Probation 4/8/2015 4/8/2016 Unlicensed Practice
Erickson, Lauren Kay EA587
Kearney, NE
Probation 9/10/2015 9/10/2016 Unlicensed Practice
Ervin, Deslie D EA600
Lincoln, NE
Probation 1/27/2016 1/27/2017 Unlicensed Practice
Hauer, Megan Louise EA559
Sherrard, IL
Probation 4/8/2015 4/8/2016 Unlicensed Practice
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 526 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Electrotherapeutic Agents
Huppert, Shelley Lynn EA585
Falls City, NE
Probation 9/2/2015 9/2/2016 Unlicensed Practice
Krajewski, Sara Rachel EA421
Mc Cook, NE
Probation 8/22/2012 8/22/2013 Unlicensed Practice
Krause, Mary Pedersen EA576
Tekamah, NE
Probation 8/12/2015 8/12/2016 Unlicensed Practice
McDermott, Rosalyn M EA586
Doniphan, NE
Probation 9/2/2015 9/2/2016 Unlicensed Practice
O'Neill, Sara Marie EA340
Kearney, NE
Probation 8/5/2010 1/11/2011 Limited License
Pena, Susan K EA594
Gering, NE
Probation 11/19/2015 11/19/2016 Unlicensed Practice
Rath, Bridget Ann EA557
Yutan, NE
Probation 4/8/2015 4/8/2016 Unlicensed Practice
Rimpley, Sarah L EA581
Holdrege, NE
Probation 8/28/2015 8/28/2016 Unlicensed Practice
Rolls, Janelle Jo EA590
Alliance, NE
Probation 10/1/2015 10/1/2016 Unlicensed Practice
Torrentez, Emily Pinkerton EA580
Papillion, NE
Probation 8/25/2015 8/25/2016 Unlicensed Practice
Wragge, Nicole M EA558
Omaha, NE
Probation 4/8/2015 4/8/2016 Unlicensed Practice
Occupational Therapist
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 527 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Occupational Therapist
Blake, Kathryn Marie 1578
Omaha, NE
Probation 8/9/2011 11/29/2011 Alcohol Abuse
Misdemeanor Conviction(s)
Gesiriech-King, Diane 84
Lincoln, NE
Probation 1/24/2011 2/10/2011 Unlicensed Practice
Heldmann, Brian 1996
Omaha, NE
Censure 1/8/2019 Failure to File Report-38-1,124,38-1,125
Other State Action
Holt, Jenna Leigh 1980
Elkhorn, NE
Probation 2/26/2016 2/26/2017 Failure to Disclose Convictions
Misdemeanor Conviction(s)
Lehmann, Kelli Leann 2311
Lincoln, NE
Probation 3/15/2019 3/15/2022 History of Disciplinary Action
Other State Action
Substance Use Disorder
Meyer, Jessica Aaron 1248
Lincoln, NE
Probation 1/20/2011 2/10/2011 Unlicensed Practice
Talich, Debra Sue 790
Glenwood, IA
Probation 1/5/2017 1/5/2018 Unlicensed Practice
Occupational Therapy Assistant
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 528 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Occupational Therapy Assistant
Pohl, Megan LeRae 945
Shelton, NE
Probation 8/29/2014 1/16/2015 Misdemeanor Conviction(s)
Superficial Thermal Agents
Albrecht, Bruce Allen STA659
Kearney, NE
Probation 8/12/2015 8/12/2016 Unlicensed Practice
Alexander, Molly Ann STA670
Kearney, NE
Probation 9/2/2015 9/2/2016 Unlicensed Practice
Bredemeier, Amanda S STA668
Falls City, NE
Probation 8/28/2015 8/28/2016 Unlicensed Practice
Brinegar, Erin R STA664
Kearney, NE
Probation 8/25/2015 8/25/2016 Unlicensed Practice
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
Ervin, Deslie D STA691
Lincoln, NE
Probation 1/27/2016 1/27/2017 Unlicensed Practice
Hauer, Megan Louise STA642
Sherrard, IL
Probation 4/8/2015 4/8/2016 Unlicensed Practice
Huppert, Shelley Lynn STA671
Falls City, NE
Probation 9/2/2015 9/2/2016 Unlicensed Practice
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 529 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Superficial Thermal Agents
Keller, Allison Lee STA684
Grand Island, NE
Probation 11/10/2015 11/10/2016 Unlicensed Practice
Krajewski, Sara Rachel STA489
Mc Cook, NE
Probation 8/22/2012 8/22/2013 Unlicensed Practice
Krause, Mary Pedersen STA660
Tekamah, NE
Probation 8/12/2015 8/12/2016 Unlicensed Practice
McDermott, Rosalyn M STA672
Doniphan, NE
Probation 9/2/2015 9/2/2016 Unlicensed Practice
O'Neill, Sara Marie STA402
Kearney, NE
Probation 8/5/2010 1/11/2011 Limited License
Pena, Susan K STA685
Gering, NE
Probation 11/19/2015 11/19/2016 Unlicensed Practice
Rath, Bridget Ann STA640
Yutan, NE
Probation 4/8/2015 4/8/2016 Unlicensed Practice
Rimpley, Sarah L STA667
Holdrege, NE
Probation 8/28/2015 8/28/2016 Unlicensed Practice
Rolls, Janelle Jo STA678
Alliance, NE
Probation 10/1/2015 10/1/2016 Unlicensed Practice
Splitt, Robyn Lynelle STA677
Juniata, NE
Probation 9/28/2015 9/28/2016 Unlicensed Practice
Torrentez, Emily Pinkerton STA665
Papillion, NE
Probation 8/25/2015 8/25/2016 Unlicensed Practice
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 530 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Superficial Thermal Agents
Wragge, Nicole M STA641
Omaha, NE
Probation 4/8/2015 4/8/2016 Unlicensed Practice
Temp OTA
Pohl, Megan LeRae 900336
Shelton, NE
Probation 7/30/2014 8/29/2014 Misdemeanor Conviction(s)
Optometry
Optometrist
Brown, Thomas Dean, OD 1019
Fremont, NE
Probation 1/10/2016 1/10/2021 Alcohol 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)
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 531 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Pharmacist
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
Camp, Nicole Ann, RP 12906
Bennington, NE
Suspension 3/4/2019 Substance Use Disorder, Severe
Unprofessional Conduct
Violation of UCSA
Casebeer, James Sylvester, RP 8252
Lawton, OK
Censure 7/22/2016 Failure to File Report-38-1,124,38-1,125
Other State Action
Civil Penalty 1/22/2017 Failure to File Report-38-1,124,38-1,125
Other State Action
Colgrove, Anthony Dean, RP 11112
Gretna, NE
Limitation-Disciplinary 6/8/2015 6/8/2020 Unprofessional Conduct
Violation of UCSA
xCont Substance Use Disorder - Severe
Probation Unprofessional Conduct
Violation of UCSA
xCont Substance Use Disorder - Severe
Congtang, Lena Thaotramhuyen, PharmD 14066
High Bridge, NJ
Revocation 9/25/2017 Failure to File Report-38-1,124,38-1,125
Felony Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 532 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Pharmacist
Dolejs RP Gerald T 7164
Omaha, NE
Civil Penalty 7/7/2011 1/7/2012 Permitting Aiding & Abetting
Unprofessional Conduct
xFailure To Maintain CS Prescriptions
xFailure to Conform-Stndrds of Practice
xFailure to Keep Accurate CS Records
Limitation-Disciplinary Permitting Aiding & Abetting
Unprofessional Conduct
xFailure To Maintain CS Prescriptions
xFailure to Conform-Stndrds of Practice
xFailure to Keep Accurate CS Records
Dvorak-Segobia, Mary Elizabeth, RP 10445
Omaha, NE
Censure 7/26/2012 Unprofessional Conduct
Suspension 9/13/2013
Fabisiak, Gary Lee, RP 10158
Elkhorn, NE
Limitation-Disciplinary 1/25/2018 Dishonorable Conduct
Failure to Comply w Federal or State Law
Pattern of Negligence
Unprofessional Conduct
Galuski, Patrick James, PharmD 13792
Omaha, NE
Probation 11/7/2013 8/4/2016 Controlled Substance Dependence
Dishonorable Conduct
Violation of UCSA
Suspension 9/30/2012 3/30/2013 Controlled Substance Dependence
Dishonorable Conduct
Violation of UCSA
Gerber, Cody Lane, RP 12928
Omaha, NE
Censure 9/23/2015 Permitting Aiding & Abetting
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 533 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Pharmacist
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
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 534 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Pharmacist
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
Jackson, Hillary Ann, PharmDRPh 13797
Sedalia, MO
Suspension 12/31/2015 Other State Action
Prescribing CS to Oneself
Unprofessional Conduct
Violation of UCSA
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 535 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Pharmacist
Kucera, Joseph Daniel, RP 10474
Omaha, NE
Censure 4/28/2011 Gross Negligence
Civil Penalty 10/28/2011
Kwapniowski, Lisa Ann, RP 10867
Elkhorn, NE
Revocation 1/8/2019 Dishonorable Conduct
Immoral Conduct
Practice Fraudulently
Unprofessional Conduct
Lawton, Thomas James, RP 10004
Omaha, NE
Probation 3/31/2011 Unprofessional Conduct
Violation of UCSA
Lerner, George Michael, RP 9802
Elkhorn, NE
Probation 9/22/2017 Dishonorable Conduct
Unprofessional Conduct
Violation of UCSA
xCont Substance Use Disorder - Severe
Suspension 5/30/2016 9/22/2017 Dishonorable Conduct
Unprofessional Conduct
Violation of UCSA
xCont Substance Use Disorder - Severe
Leung, Lin, RP 13657
South Richmond Hill, NY
Censure 1/31/2013 Permitting Aiding & Abetting
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 536 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Pharmacist
Levin, Steven Arthur, PharmD 14820
Woodland Hills, CA
Censure 2/7/2017 Failure to File Report-38-1,124,38-1,125
Misrepresentation of Material Facts
Other State Action
Violation of Dept Order
Civil Penalty 8/7/2017 Failure to File Report-38-1,124,38-1,125
Misrepresentation of Material Facts
Other State Action
Violation of Dept Order
Suspension 9/14/2017 Failure to File Report-38-1,124,38-1,125
Misrepresentation of Material Facts
Other State Action
Violation of Dept Order
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 537 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Pharmacist
Lieske, David Lynn, RP 8468
Grand Island, NE
Petition for Disp Action & Temp Susp 7/16/2014 1/13/2015 Negligent Conduct
Practice while Impaired
Probation Violation
Unprofessional Conduct
Probation 1/23/2015 11/30/2015 Negligent Conduct
9/22/2017
1/23/2015 11/30/2015 Practice while Impaired
9/22/2017
1/23/2015 11/30/2015 Probation Violation
9/22/2017
1/23/2015 11/30/2015 Unprofessional Conduct
9/22/2017
Suspension 11/30/2015 9/22/2017 Negligent Conduct
Practice while Impaired
Probation Violation
Unprofessional Conduct
Temporary Suspension 7/16/2014 1/23/2015 Negligent Conduct
Practice while Impaired
Probation Violation
Unprofessional Conduct
Linders, Scott Allen, RP 11024
Bridgeport, NE
Censure 3/12/2014 Permitting Aiding & Abetting
Louderback, Brett J, RP 12363
Madison, NE
Censure 10/12/2012 Misdemeanor Conviction(s)
Lowe, Teresa Ann, RP 15757
Blue Springs, MO
Probation 7/5/2017 5/17/2018 History of Disciplinary Action
Marquez, Elizabeth, RP 13724
Omaha, NE
Censure 7/12/2016 Permitting Aiding & Abetting
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 538 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Pharmacist
Maydew, Brandon Paul, PharmD 15918
Omaha, NE
Probation 11/13/2017 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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 539 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Pharmacist
Morrissey, Robert Timothy, RP 12075
La Vista, NE
Censure 5/10/2012 Permitting Aiding & Abetting
Moser, Robert L, Jr, RP 12252
Nebraska City, NE
Censure 2/6/2018 Misdemeanor Conviction(s)
Mumm, Maggie Leigh, RP 11932
Fairfax, VA
Probation 8/31/2010 8/31/2011 Unprofessional Conduct
Violation of UCA
Nagengast, David Joel, RP 10562
Verdigre, NE
Limitation-Disciplinary 2/15/2011 2/11/2013 Practice Beyond Scope
Olsen, Taylor D, RP 12868
Phillips, NE
Censure 2/23/2012 Permitting Aiding & Abetting
Olson, Matthew Alan, PharmD 14717
Omaha, NE
Probation 10/29/2014 10/29/2017 Alcohol Dependency
Misdemeanor Conviction(s)
Packett, Scott Edward, RP 9047
Lincoln, NE
Censure 12/13/2012 Permitting Aiding & Abetting
Pierson, Alyssa Danielle, Pharm.D. 11140
Omaha, NE
Censure 12/31/2015 Permitting Aiding & Abetting
Civil Penalty 6/30/2016
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 540 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Pharmacist
Recek, Matthew J, PharmD 13175
Columbus, NE
Censure 8/24/2010 Probation Violation
Unprofessional Conduct
Violation of UCSA
Civil Penalty 2/24/2011 Probation Violation
Unprofessional Conduct
Violation of UCSA
Probation 12/17/2012 3/16/2014 Alcohol Dependency
12/17/2017
3/16/2014 Controlled Substance Dependence
12/17/2017
3/16/2014 Probation Violation
12/17/2017
Suspension 3/17/2014 Alcohol Dependency
Controlled Substance Dependence
10/19/2010 12/17/2012 Probation Violation
3/17/2014
10/19/2010 12/17/2012 Unprofessional Conduct
Violation of UCSA
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 541 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Pharmacist
Rihanek, Larry, RP 8043
Lincoln, NE
Censure 5/5/2014 Permitting Aiding & Abetting
Unprofessional Conduct
Civil Penalty 5/5/2015 Permitting Aiding & Abetting
Unprofessional Conduct
Ritchie, Kristen Leigh, PharmD 14065
Omaha, NE
Probation 11/8/2012 5/8/2013 Misrepresentation of Material Facts
Rolf, Kathleen Rose, RP 12501
Albion, NE
Censure 8/11/2011 Unprofessional Conduct
Civil Penalty 2/11/2012
Sapone, Derek Anthony, RP 14070
Virginia Beach, VA
Civil Penalty 3/12/2015 3/12/2016 Controlled Substance Dependence
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Misrepresentation of Material Facts
Scheele, Monty Lee, RP 10294
Hickman, NE
Censure 8/29/2018 Unprofessional Conduct
Violation of UCSA
Civil Penalty 2/28/2019 Unprofessional Conduct
Violation of UCSA
Schmit, Lee Robert, RP 10834
Pleasant Dale, NE
Censure 3/12/2014 Permitting Aiding & Abetting
Schneider, Susan Ann, RP 10731
Omaha, NE
Censure 9/21/2015 Permitting Aiding & Abetting
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 542 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Pharmacist
Shoopman, Richard Eugene, RP 10778
Lincoln, NE
Probation 5/12/2017 12/5/2017 Failed to Report Conviction in 30 days
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Probation Violation
Unprofessional Conduct
Violation of AOC
Suspension 12/5/2017 Failed to Report Conviction in 30 days
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Probation Violation
Unprofessional Conduct
Violation of AOC
Solarana, Alan Rene, RP 10470
Omaha, NE
Censure 6/14/2019 Misdemeanor Conviction(s)
Spurgeon, David Patrick, RP 9826
Omaha, NE
Revocation 12/14/2010 Dishonorable Conduct
Immoral Conduct
Violation of UCA
Violation of UCSA
xFailure to Conform-Stndrds of Practice
xFraud,Forgery,Misrep Material Facts
xUnlawful CS Dispensing
xUnlawful Drug Distribution
xUnlawful Invasion of Medical Practice
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 543 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Pharmacist
Stankiewicz, Kelly Lynn, RP 11795
Omaha, NE
Censure 5/10/2012 Alcohol Dependency
Controlled Substance Dependence
Obtained Drug Unlawfully
Practice while Impaired
Unprofessional Conduct
Violation of UCSA
Probation 6/1/2012 7/25/2013 Alcohol Dependency
Controlled Substance Dependence
Obtained Drug Unlawfully
Practice while Impaired
Unprofessional Conduct
Violation of UCSA
Tolstedt, Lance 12880
Omaha, NE
Probation 6/20/2011 6/20/2016 Alcohol Dependency
Upton, Richard Randall, RP 9300
Omaha, NE
Probation 6/29/2016 Other State Action
Prescribing CS to Oneself
Unprofessional Conduct
Violation of UCSA
xCont Substance Use Disorder - Severe
Suspension 1/6/2015 Other State Action
Prescribing CS to Oneself
Unprofessional Conduct
Violation of UCSA
xCont Substance Use Disorder - Severe
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 544 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Pharmacist
Weeks, Mark Todd, RP 9915
Omaha, NE
Probation 1/27/2014 12/19/2017 Alcohol Dependency
Practice while Impaired
Welke, Thomas Lee, RP 9597
Tomahawk, WI
Probation 10/28/2016 Failed to Report Conviction in 30 days
Misdemeanor Conviction(s)
xAlcohol Use Disorder - Moderate
Zaccarelli, Kelly Jean, RP 13633
Lexington, KY
Probation 10/11/2016 6/20/2020 Other State Action
Pharmacist Intern
Emerson, Jesse Daniel 7796
Lincoln, NE
Censure 5/9/2013 Alcohol Abuse
8/28/2014
5/9/2013 Misdemeanor Conviction(s)
8/28/2014
5/9/2013 Probation Violation
8/28/2014
Civil Penalty 5/9/2013 11/9/2013 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Probation 1/4/2012 1/7/2016 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Kivett, Lewis 6170
Newburgh, IN
Probation 1/12/2012 7/30/2013 Alcohol Dependency
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 545 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Pharmacist Intern
Mai, Khanh, PharmD 7683
Corpus Christi, TX
Probation 11/24/2017 5/8/2019 Alcohol Addiction
Controlled Substance Dependence
Failure to Comply With Aftercare
Misdemeanor Conviction(s)
Tate, Kortnee Linn 7799
Morton, IL
Probation 1/12/2012 8/16/2016 Lacks Good Character
Misrepresentation of Material Facts
Truong, Dan Doan 8253
Mukilteo, WA
Suspension 11/18/2015 Unprofessional Conduct
Violation of UCSA
Pharmacy Technician
Adekunle, Paul Oluseyi 10504
Omaha, NE
Probation 8/5/2019 8/5/2022 Felony Conviction(s)
Misdemeanor Conviction(s)
Other State Action
Anderson, Alexe Lorraine 6886
Omaha, NE
Probation 8/10/2015 Misdemeanor Conviction(s)
xAlcohol Use Disorder - Moderate
Bell, Daniel 136
Omaha, NE
Probation 7/25/2011 7/25/2012 Misdemeanor Conviction(s)
Revocation 8/21/2012
Beumer, Nicole Kristina 4478
Laramie, WY
Revocation 4/25/2015 Felony Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 546 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Pharmacy Technician
Braniff, Bonnie J 3171
Tekamah, NE
Censure 6/25/2012 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Probation 6/8/2010 6/8/2015 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Suspension 5/15/2015 5/21/2015 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Broekemeier, Nathan Orville 8373
Norfolk, NE
Revocation 9/16/2017 Violation of UCA
Violation of UCSA
Butler, Adam Taylor 3665
Lincoln, NE
Revocation 5/29/2015 Practice while Impaired
Carl, Danielle Rae 5548
North Platte, NE
Civil Penalty 4/21/2017 Failed to Report Conviction in 30 days
Misdemeanor Conviction(s)
Cieloha, Miranda Koci 3194
Fremont, NE
Revocation 8/23/2015 Felony Conviction(s)
Colson, Brooke Cheri 2335
Omaha, NE
Revocation 7/28/2014 Violation of UCA
Eads, Shannon Marie 78
Grand Island, NE
Probation 5/16/2016 2/3/2017 Misdemeanor Conviction(s)
xAlcohol Use Disorder - Severe
Fehr, Steven Bradley 8689
Omaha, NE
Censure 4/17/2018 Unlicensed Practice
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 547 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Pharmacy Technician
Fisher, Lori Ann 7373
Fremont, NE
Probation 12/18/2015 12/18/2017 Misdemeanor Conviction(s)
Garza, Ruben 792
Imperial, NE
Probation 10/25/2015 Alcohol Abuse
Misdemeanor Conviction(s)
Revocation 5/11/2017 Alcohol Abuse
Misdemeanor Conviction(s)
Gerdes, Lindsey Kaye 7479
Omaha, NE
Civil Penalty 6/1/2018 Unlicensed Practice
Harrison, Katisha Vaughnshay 10297
Omaha, NE
Probation 5/3/2019 5/3/2021 Misdemeanor Conviction(s)
Hartman, Jason Cleve 5853
Lincoln, NE
Probation 5/16/2014 Lacks Good Character
Misdemeanor Conviction(s)
xAlcohol Use Disorder - Moderate
Hicks, Miya SeVille 6970
Lincoln, NE
Probation 8/26/2015 8/26/2016 Lacks Good Character
Misdemeanor Conviction(s)
Hubbard, Kristine Louise 1598
Lincoln, NE
Revocation 9/16/2017 Unprofessional Conduct
Violation of UCSA
Violation of the UCA
Jensen, Sandra Kay 9125
Ralston, NE
Censure 5/16/2018 Unlicensed Practice
Jones, Angel Alexandria 10298
Omaha, NE
Probation 5/6/2019 5/6/2021 Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 548 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Pharmacy Technician
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
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 549 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Pharmacy Technician
Nunez, Johnetta Louise 1329
Omaha, NE
Suspension 4/18/2016 10/18/2016 Immoral Conduct
Practice Beyond Scope
Violation of UCA
Ostendorf, Andrea Kay 3509
Gothenburg, NE
Probation 12/2/2010 12/2/2011 Alcohol Dependency
Page, Heidi A 2517
Fullerton, NE
Revocation 5/16/2018 Violation of UCSA
Violation of the UCA
Penrod, Kelsey LeAnn 3987
Omaha, NE
Probation 8/17/2011 8/17/2012 Alcohol Abuse
Misdemeanor Conviction(s)
Revocation 8/21/2012 Alcohol Abuse
Misdemeanor Conviction(s)
Scheele, Robin Renee 1547
Kearney, NE
Revocation 12/20/2012 Lacks Good Character
Violation of UCA
Smith, Patrick Scott, Jr 3508
Omaha, NE
Probation 12/2/2010 6/2/2012 xPrevious Discipline
Stewart, Reileigh Anne 6102
Omaha, NE
Censure 8/23/2016 Unprofessional Conduct
Violation of UCA
Takougnadi, Tarah A 7017
Papillion, NE
Probation 9/4/2015 9/22/2017 Misdemeanor Conviction(s)
xAlcohol Use Disorder - Severe
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 550 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Pharmacy Technician
Werner, Chastity Dawn 3325
Alliance, NE
Probation 8/30/2010 12/2/2010 Alcohol Dependency
Controlled Substance Dependence
Misdemeanor Conviction(s)
Probation Violation
Zelasney, Trent Kevin 4978
Papillion, NE
Revocation 10/21/2015 Unprofessional Conduct
Violation of UCSA
Physical Therapy
Physical Therapist
Bader, Lindsay Lee 2900
Broken Bow, NE
Probation 7/8/2010 12/23/2011 Alcohol Abuse
xCourt Conviction
Beiermann, Tiffany Anne 1750
Lincoln, NE
Civil Penalty 7/26/2012 1/26/2013 Unlicensed Practice
Unprofessional Conduct
Violation of UCA
Burr, Jay W 256
Provo, UT
Probation 3/18/2012 3/18/2014 Alcohol Dependency
Controlled Substance Abuse
Misdemeanor Conviction(s)
Unprofessional Conduct
Chrisinger, Micah Jordan 3151
Elm Creek, NE
Probation 7/30/2012 7/30/2013 Alcohol Abuse
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 551 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physical Therapist
Creal, Jeffrey G 835
Lincoln, NE
Probation 3/15/2014 3/15/2019 Alcohol Abuse
Controlled Substance Abuse
Dishonorable Conduct
Violation of UCSA
xAlcohol & Controlled Substance Dependen
xPossession of CS wo Prescription
Cromer, Gregory Scot 1416
Beatrice, NE
Censure 2/11/2011 xFailure To File Mandatory Report
Civil Penalty 8/11/2011
Davis, Eric James 3181
Hastings, NE
Probation 11/1/2012 11/1/2013 Alcohol Abuse
Misdemeanor Conviction(s)
Eckmann, Kristen Ann 3052
Shenandoah, IA
Probation 10/12/2011 10/12/2012 Mental Disability
Frey, James Hopper 3539
Lincoln, NE
Probation 12/16/2015 12/16/2017 Misdemeanor Conviction(s)
Hockett, Kathleen Joann 1031
Council Bluffs, IA
Censure 8/9/2012 Failure to File Report-38-1,124,38-1,125
Janssen, Matthew Don 3030
Sidney, NE
Probation 6/30/2011 6/30/2012 Alcohol Dependency
Misdemeanor Conviction(s)
Keller, Kurtis Eugene 2210
Omaha, NE
Probation 12/16/2016 12/16/2017 Alcohol Abuse
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 552 of 580April 2010-April 2020 Print Date: 5/8/2020
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The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physical Therapist
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
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 553 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physical Therapist
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
Berry, Shawn Michael 751
Bridgeport, NE
Censure 12/2/2010 Probation Violation
Revocation 2/11/2017
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 554 of 580April 2010-April 2020 Print Date: 5/8/2020
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The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physical Therapist Assistant
Carpenter, Sarah Lynn 1749
Lincoln, NE
Probation 12/27/2018 12/27/2019 Misdemeanor Conviction(s)
Elting, Mallory Loretta 816
Carleton, NE
Probation 5/20/2012 5/20/2013 Alcohol Dependency
Faust, Jane Marie 355
Petersburg, NE
Censure 12/13/2012 Unprofessional Conduct
Civil Penalty 6/13/2013
Probation 12/23/2012 6/23/2013
Gerih, Amanda May 964
Ogallala, NE
Probation 9/24/2010 9/24/2011 Misdemeanor Conviction(s)
xControlled Substance Addiction/Depndncy
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
Klaus, Kristen Blair 1069
Bellevue, NE
Probation 10/4/2011 10/4/2013 Alcohol Dependency
Misdemeanor Conviction(s)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 555 of 580April 2010-April 2020 Print Date: 5/8/2020
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The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Physical Therapist Assistant
Lofberg, Cas Carol 525
Ashland, NE
Probation 3/11/2018 3/11/2019 Misdemeanor Conviction(s)
Nigro, Vincent James 786
Omaha, NE
Probation 4/18/2014 4/18/2016 Alcohol Abuse
Misdemeanor Conviction(s)
Reinert, Jacob Charles 966
Colby, KS
Probation 9/30/2010 9/30/2011 Alcohol Abuse
Misdemeanor Conviction(s)
Stevens, Katelyn Sue 1219
Lincoln, NE
Probation 7/19/2013 7/19/2014 Alcohol Abuse
Misdemeanor Conviction(s)
Suckstorf, Jordan James 1535
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
Woehl, Cody DeAyne 1178
Fremont, NE
Censure 11/28/2016 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Podiatry
Podiatrist
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 556 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Podiatrist
Cornell, David Elsworth, DPM 164
Omaha, NE
Censure 2/4/2015 Failure to Keep Adequate Records
Misrepresentation of Material Facts
Civil Penalty 8/4/2015 Failure to Keep Adequate Records
Misrepresentation of Material Facts
Evans, Erica Lynn, DPM 354
Grimes, IA
Probation 9/7/2018 9/7/2023 Controlled Substance Dependence
Dishonorable Conduct
Substance Use Disorder, Severe
Violation of UCSA
Suspension 10/7/2018 Controlled Substance Dependence
Dishonorable Conduct
Substance Use Disorder, Severe
Violation of UCSA
James, Fred Miller, DPM 185
Las Vegas, NV
Civil Penalty 6/30/2016 6/30/2017 Failed to Report Conviction in 30 days
Violation of AOC
xFailure To File Mandatory Report
Klawitter, Elizabeth Marie, DPM 280
Omaha, NE
Limitation-Disciplinary 11/25/2010 Practice Beyond Scope
Unprofessional Conduct
Probation 11/25/2013 Practice Beyond Scope
Unprofessional Conduct
Psychology
Psychologist
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 557 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Psychologist
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
Ernst, Ryan C, PsyD 750
Lincoln, NE
Probation 7/1/2010 6/25/2012 xViolation of Practice Act
Huls, Andrew James, PsyD 947
Lincoln, NE
Censure 5/17/2018 Misdemeanor Conviction(s)
Probation Violation
Substance Use Disorder
Probation 9/26/2017 Misdemeanor Conviction(s)
Probation Violation
Substance Use Disorder
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 558 of 580April 2010-April 2020 Print Date: 5/8/2020
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The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Psychologist
Piske, Kevin Ray, PhD 306
Lawrence, KS
Probation 11/27/2016 11/27/2021 Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
Suspension 4/20/2015 11/27/2016 Sexual Abuse,Miscnduct,Exploit
Unprofessional Conduct
Sanders, Christopher Edwin, PhD 927
Omaha, NE
Probation 6/7/2017 10/24/2017 History of Disciplinary Action
Misdemeanor Conviction(s)
Other State Action
xAlcohol Use Disorder - Mild
Smith, Alan Jay, PhD 296
Gering, NE
Petition for Disp Action & Temp Susp 5/19/2015 7/30/2015 Dishonorable Conduct
Failure to Keep Adequate Records
Negligent Conduct
Unprofessional Conduct
Temporary Suspension 5/21/2015 8/6/2015 Dishonorable Conduct
Failure to Keep Adequate Records
Negligent Conduct
Unprofessional Conduct
Tamayo, Kelly L, PsyD 748
Omaha, NE
Probation 5/25/2010 11/25/2010 Failure to Disclose Convictions
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 559 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Psychologist
Vidlak, Nicole K 605
Scottsbluff, NE
Censure 6/21/2013 Failure to File Report-38-1,124,38-1,125
Probation Violation
Unprofessional Conduct
Violation of Dept Order
Civil Penalty 6/21/2014 Failure to File Report-38-1,124,38-1,125
Probation Violation
Unprofessional Conduct
Violation of Dept Order
Probation 6/10/2012 6/10/2014 Failure to File Report-38-1,124,38-1,125
Probation Violation
Unprofessional Conduct
Violation of Dept Order
Suspension 7/7/2014 7/21/2014 Failure to File Report-38-1,124,38-1,125
7/21/2014 Probation Violation
7/21/2014 Unprofessional Conduct
7/21/2014 Violation of Dept Order
Willcockson, James C, PhD 247
Omaha, NE
Limitation-Disciplinary 8/5/2013 8/5/2015 Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Unprofessional Conduct
Probation Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Unprofessional Conduct
Temporary Psychologist
Sanders, Christopher Edwin, PhD 300520
Omaha, NE
Probation 11/23/2016 6/7/2017 History of Disciplinary Action
Misdemeanor Conviction(s)
Other State Action
xAlcohol Use Disorder - Mild
Radiography
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 560 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
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
Akins, Lisa Marie, RT 1149
Lincoln, NE
Censure 10/20/2019 Misdemeanor Conviction(s)
Probation 10/20/2020
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 561 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Medical Radiographer
Bishop, Lauren Nicole, RT 4265
Omaha, NE
Probation 4/22/2018 4/22/2020 Alcohol Use Disorder, Mild
Misdemeanor Conviction(s)
Carroll, Nicole Leigh, RT 4506
Denver, CO
Probation 1/13/2016 Misdemeanor Conviction(s)
Chrastil, Michelle D, RT 4405
Martell, NE
Probation 3/4/2013 3/27/2014 Misdemeanor Conviction(s)
Confer, Elizabeth Lea, RT 3935
Fremont, NE
Suspension 6/8/2015 6/7/2016 Failure to File Report-38-1,124,38-1,125
Deckard, Chelsie Nicole, RT 4256
Blair, NE
Probation 4/25/2012 4/25/2015 Misdemeanor Conviction(s)
Dietz, Paul, RT 582
Central City, NE
Revocation 5/16/2015 Felony Conviction(s)
Dillman, Michael Dale, RT 4185
Kearney, NE
Censure 11/13/2011 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Probation 8/25/2011 8/25/2015 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Doser, Amber Renee 3890
Eagle, NE
Probation 2/22/2017 5/22/2020 Misdemeanor Conviction(s)
Probation Violation
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 562 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Medical Radiographer
Fanning, Brent Thomas, RT 4191
Colorado Springs, CO
Probation 9/2/2011 11/2/2012 Alcohol Abuse
Misdemeanor Conviction(s)
Probation Violation
Revocation 11/2/2012 3/5/2013
Fromme, Lindsey Renae, RT 2549
North Platte, NE
Censure 9/20/2016 Failure to Comply w Federal or State Law
Unprofessional Conduct
Violation of UCA
Civil Penalty 9/20/2017 Failure to Comply w Federal or State Law
Unprofessional Conduct
Violation of UCA
Georges, Joshua Wayne, RT 3355
Shubert, NE
Probation 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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 563 of 580April 2010-April 2020 Print Date: 5/8/2020
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The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Medical Radiographer
Miller, Ned Andrew 3648
Norfolk, NE
Revocation 1/4/2011 Dishonorable Conduct
Failure to Comply With Aftercare
Unprofessional Conduct
Violation of UCA
Violation of UCSA
xAlcohol & Controlled Substance Dependen
xCourt Conviction
xPractice Impaired by CS
Muller, Gina Laree, RT 4336
Gregory, SD
Probation 9/10/2012 9/10/2014 Misdemeanor Conviction(s)
Schmader, Daniel Joseph, RT 4254
Omaha, NE
Probation 4/6/2012 4/6/2014 Misdemeanor Conviction(s)
Tritz, Lindsay Jo, RT 4273
Omaha, NE
Probation 6/13/2012 6/13/2014 Misdemeanor Conviction(s)
Whitehead, John B 4834
Muskogee, OK
Revocation 2/22/2017 Failure to File Report-38-1,124,38-1,125
Other State Action
Podiatric Limited Radiographer
Havel, Trisha Ann 120
Lincoln, NE
Probation 4/9/2014 Controlled Substance Dependence
Misdemeanor Conviction(s)
Hongsermeier, Melisa Ellen 124
North Platte, NE
Probation 8/5/2014 2/5/2015 Misrepresentation of Material Facts
Radon
Radon Measurement Specialist
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 564 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Radon Measurement Specialist
Carter, William R 202
Lincoln, NE
Probation 7/8/2010 1/8/2011 Unlicensed Practice
Violation of UCA
Gray, Ken L 365
La Vista, NE
Revocation 9/15/2018 180 NAC 11 - Radiation Control Act
Keillor, Kevin J 75
Omaha, NE
Civil Penalty 3/8/2012 9/8/2012 Unlicensed Practice
Marthaler, Ryan D 384
La Vista, NE
Civil Penalty 3/4/2019 4/3/2019 Violation of Work Policies & Procedures
Petersen, Holly A 434
La Vista, NE
Civil Penalty 3/4/2019 4/3/2019 Violation of Work Policies & Procedures
Pratt, Peyton T 197
Omaha, NE
Probation 5/4/2010 11/4/2010 Misdemeanor Conviction(s)
Ruskamp, Aaron W 193
La Vista, NE
Civil Penalty 6/7/2017 7/7/2017 180 NAC 11 - Radiation Control Act
Radon Mitigation Specialist
Gray, Ken L 141
La Vista, NE
Revocation 9/15/2018 180 NAC 11 - Radiation Control Act
Respiratory Care
Respiratory Care Practitioner
Boysen, Kyle Kenneth 2248
Omaha, NE
Probation 4/22/2013 Failure to File Report-38-1,124,38-1,125
Failure to Keep Adequate Records
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 565 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Respiratory Care Practitioner
Dirkse, Brittney Lynn 3057
Omaha, NE
Probation 8/21/2017 2/21/2018 Misdemeanor Conviction(s)
Doucette, Melanie Ann 2243
Papillion, NE
Probation 12/14/2014 12/14/2015 Abuse of Resident
Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Edwardson, Roberta Pauline 1994
Kansas City, MO
Limitation-Disciplinary 6/13/2012 Unprofessional Conduct
Probation 6/23/2012 12/23/2012
Ellingson, Jennifer 2570
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 566 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Respiratory Care Practitioner
Koller, Robert Paul 2425
Omaha, NE
Probation 6/22/2010 6/22/2011 xCriminal Conviction(s)
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)
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 567 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Respiratory Care Practitioner
Marik, Shane Michael 1164
Gretna, NE
Censure 9/6/2013 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Civil Penalty 3/6/2014 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Probation 6/13/2012 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Mason, Tiffani Brianne 2718
Lincoln, NE
Censure 9/21/2015 Unprofessional Conduct
Probation 10/1/2015 10/1/2016
Nastasi, Antonino Gregorio 2956
Omaha, NE
Probation 8/3/2016 8/3/2021 Misdemeanor Conviction(s)
xAlcohol Use Disorder - Moderate
Niebaum, David Dean 371
Blair, NE
Probation 3/30/2014 Failure to File Report-38-1,124,38-1,125
Unprofessional Conduct
Patera, Rachel Ann 2606
Omaha, NE
Probation 3/31/2019 3/31/2020 Misdemeanor Conviction(s)
Sequenzia, Michael Ross 2423
Omaha, NE
Probation 7/1/2017 7/1/2020 Misdemeanor Conviction(s)
xAlcohol Use Disorder - Severe
xCont Substance Use Disorder - Moderate
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 568 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Respiratory Care Practitioner
Shouse, Robert 2952
Lincoln, NE
Probation 1/27/2019 Alcohol Use Disorder, Severe
Failure to File Report-38-1,124,38-1,125
Other State Action
Spaulding, Justin Allen 2439
Kearney, NE
Probation 8/9/2010 8/30/2011 xCourt Conviction
Stork, Lisa Kay 463
Tekamah, NE
Probation 1/24/2015 3/21/2016 Felony Conviction(s)
2/24/2017 8/6/2019
Villegas, Christine Ann 2645
Lincoln, NE
Probation 9/4/2015 9/4/2017 Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
xAlcohol Use Disorder - Moderate
Westemeier, Traci A 1080
Chadron, NE
Probation 3/21/2019 3/21/2022 Misdemeanor Conviction(s)
Substance Use Disorder, Moderate
Wilcox, Julie Larae 540
Falls City, NE
Civil Penalty 1/17/2019 Failure to File Report-38-1,124,38-1,125
Practice Beyond Scope
Williams, David Dee, Jr. 2635
Grand Island, NE
Civil Penalty 5/7/2015 11/7/2015 Misdemeanor Conviction(s)
Swimming Pool Operator
Swimming Pool Operator
Onken, Kent G 980302
Sidney, NE
Revocation 9/23/2013 Pattern of Negligence
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 569 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Veterinary Medicine
Veterinarian
Berryman, Larry Dean, DVM 1673
Cedar Creek, NE
Civil Penalty 3/19/2012 3/19/2013 Alcohol Dependency
Dishonorable Conduct
Other State Action
Unprofessional Conduct
Probation 3/29/2012 3/29/2017 Alcohol Dependency
Dishonorable Conduct
Other State Action
Unprofessional Conduct
Bohlender, Robert Eugene, DVM 1090
North Platte, NE
Censure 8/28/2018 Permitting Aiding & Abetting
Violation of Dept Order
Civil Penalty 8/28/2019 Permitting Aiding & Abetting
Violation of Dept Order
Suspension 9/23/2019 Permitting Aiding & Abetting
Violation of Dept Order
Campbell, Jacquelyn Jeanne, DVM 3333
Colorado Springs, CO
Stipulation 6/11/2013 Other State Action
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 570 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Veterinarian
Cornett, Malori Mae, DVM 3492
Wisner, NE
Censure 9/22/2017 Alcohol Dependency
Prescribing CS to Oneself
Probation Violation
Unprofessional Conduct
Violation of UCSA
xAlcohol Use Disorder - Severe
Civil Penalty 3/22/2018 Alcohol Dependency
Prescribing CS to Oneself
Probation Violation
Unprofessional Conduct
Violation of UCSA
xAlcohol Use Disorder - Severe
Probation 4/12/2016 4/12/2019 Alcohol Dependency
Prescribing CS to Oneself
Probation Violation
Unprofessional Conduct
Violation of UCSA
xAlcohol Use Disorder - Severe
Suspension 3/27/2015 4/12/2016 Alcohol Dependency
Prescribing CS to Oneself
Probation Violation
Unprofessional Conduct
Violation of UCSA
xAlcohol Use Disorder - Severe
Craig, Tammy Lynn, DVM 2769
Hastings, NE
Censure 7/12/2016 Failure to Keep Adequate Records
Unprofessional Conduct
Civil Penalty 1/12/2017 Failure to Keep Adequate Records
Unprofessional Conduct
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 571 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Veterinarian
Dobesh, 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
Fingland, Roger B, DVM 3275
Manhattan, KS
Censure 10/7/2010 Permitting Aiding & Abetting
Civil Penalty 4/7/2011
Probation 10/17/2010 1/15/2011
Geiselhardt DVM, Thomas Joseph 2183
Scottsbluff, NE
Stipulation 5/31/2012 Other State Action
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 572 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Veterinarian
Krull, Steven Roger, DVM 2182
Curtis, NE
Civil Penalty 12/8/2015 6/8/2016 Failure to Keep Adequate Records
Falsify Patient Records
Practice Beyond Scope
Unprofessional Conduct
Probation 12/18/2015 3/31/2017 Failure to Keep Adequate Records
Falsify Patient Records
Practice Beyond Scope
Unprofessional Conduct
Lange, Harold Nickolas, DVM 1222
Columbus, NE
Censure 10/14/2010 Permitting Aiding & Abetting
Civil Penalty 4/14/2011
Lionberger, John Matthew, DVM 2624
Lincoln, NE
Censure 10/10/2018 Obtaining Fee by Fraud
Unprofessional Conduct
Civil Penalty 4/10/2019 Obtaining Fee by Fraud
Unprofessional Conduct
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 573 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Veterinarian
Otto, Daniel L, DVM 2222
Lincoln, NE
Probation 12/16/2012 12/16/2013 Unprofessional Conduct
6/14/2014 6/14/2015
12/16/2012 12/16/2013 Violation of AOC
6/14/2014 6/14/2015
12/16/2012 12/16/2013 Violation of UCSA
6/14/2014 6/14/2015
Parde, Michele Kay, DVM 3040
Adams, NE
Censure 1/31/2020 Failure to Keep Adequate Records
Pattern of Negligence
Practice Beyond Scope
12/14/2010 Unprofessional Conduct
1/31/2020
Civil Penalty 12/14/2010 6/14/2011
Probation 2/10/2020 2/10/2022 Failure to Keep Adequate Records
Pattern of Negligence
Practice Beyond Scope
Unprofessional Conduct
Porter, Richard Leon, DVM 1746
Ashland, NE
Civil Penalty 9/23/2010 3/23/2011 Permitting Aiding & Abetting
Probation 10/3/2010 10/3/2011
Schlothauer, Darcy Rae, DVM 3081
Gering, NE
Probation 4/16/2018 10/16/2020 Alcohol Use Disorder, Severe
Practice while Impaired
Searcy, Wayne Edward, DVM 3609
Sioux Center, IA
Censure 10/5/2016 Failure to File Report-38-1,124,38-1,125
Other State Action
Skavdahl, Elizabeth Ann, DVM 3250
Sidney, NE
Censure 2/25/2019 Other State Action
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 574 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Veterinarian
Thoma DVM, Kelli Sue 2895
Sioux City, IA
Probation 7/17/2012 1/17/2013 Controlled Substance Dependence
Felony Conviction(s)
Revocation 1/17/2013 Other State Action
Probation Violation
Trembly, Kent J, DVM 1847
Wahoo, NE
Revocation 1/17/2019 Failed to Report Conviction in 30 days
Felony Conviction(s)
Wingert DVM, James Michael 1778
Aurora, CO
Probation 6/19/2013 Other State Action
Veterinary Technician
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 575 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Veterinary Technician
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
Hunter, Bradley Scott 177
Firth, NE
Censure 5/12/2011 Alcohol Abuse
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Probation Violation
Civil Penalty 11/12/2011 Alcohol Abuse
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Probation Violation
Probation 11/12/2010 11/2/2012 Alcohol Abuse
Failure to File Report-38-1,124,38-1,125
Misdemeanor Conviction(s)
Probation Violation
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 576 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Veterinary Technician
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
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 577 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Veterinary Technician
Ramirez, Angela Rae 1084
Bellevue, NE
Censure 1/13/2017 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Violation of Dept Order
Civil Penalty 7/13/2017 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Violation of Dept Order
Probation 7/11/2016 7/11/2017 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Violation of Dept Order
Revocation 10/24/2017 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Violation of Dept Order
Suspension 10/6/2017 10/24/2017 Alcohol Dependency
Misdemeanor Conviction(s)
Probation Violation
Violation of Dept Order
Tamayo, Molly Marie 198
wahoo, NE
Censure 11/2/2010 Permitting Aiding & Abetting
Civil Penalty 5/2/2011
Probation 11/12/2010 2/10/2011
Thompson, Dawn Elena 178
Talmage, NE
Probation 7/7/2010 7/7/2011 Misrepresentation of Material Facts
Unlicensed Practice
Townsend, Tyla C 776
Mitchell, NE
Probation 6/1/2010 12/1/2010 Unlicensed Practice
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 578 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Veterinary Technician
Wagner, Leah Michelle 715
Omaha, NE
Censure 6/28/2010 Misrepresentation of Material Facts
Civil Penalty 12/28/2010
Water Operator
Grade III Water Operator
Kaliff, Dale R 2841
Stromsburg, NE
Probation 3/7/2018 3/7/2020 Misdemeanor Conviction(s)
Unprofessional Conduct
Spaulding, Dan R 1772
Elmwood, NE
Revocation 3/30/2011 Failure to Keep Adequate Records
xFailure to Conform-Stndrds of Practice
Grade IV Water Operator
Groteluschen, Todd D 3497
Creston, NE
Administrative Penalty (fine) 4/30/2011 Unlicensed Practice
Jackson, Kelly Jo 4042
Riverton, NE
Probation 11/30/2012 11/30/2014 Previous Violations Resumed
Unprofessional Conduct
Revocation 10/8/2014 Previous Violations Resumed
Unprofessional Conduct
Schmidt, Orley J 609
Riverton, NE
Revocation 12/1/2013 Failure to Keep Adequate Records
Unprofessional Conduct
Grade VI Water Operator
Spaulding, Dan R 6607
Elmwood, NE
Revocation 3/30/2011 Failure to Keep Adequate Records
xFailure to Conform-Stndrds of Practice
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 579 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
Well Driller
Pump Installation Contractor
Boyer, Ryan F 29409
Valparaiso, NE
Probation 5/18/2010 5/18/2012 xCourt Conviction
White, Dustin L 29458
Alliance, NE
Probation 5/20/2016 12/31/2016 Unlicensed Practice
WD-PIC
Cahoy, Darin 39476
Sumner, IA
Civil Penalty 6/27/2010 8/26/2010 Unlicensed Practice
Unprofessional Conduct
xViolation of Practice Act
Suspension Unlicensed Practice
Unprofessional Conduct
xViolation of Practice Act
Heine, Samuel J 39524
Saint Helena, NE
Probation 2/8/2011 2/9/2012 Misdemeanor Conviction(s)
Moser, Jon Scott 39531
Imperial, NE
Probation 5/20/2016 12/31/2016 Permitting Aiding & Abetting
Nelson, Rick L 39318
Alliance, NE
Civil Penalty 10/9/2010 11/8/2010 xFailure To File Mandatory Report
Suspension 12/31/2010
Paul, William Rex 39162
Kearney, NE
Revocation 12/25/2015 Failure to Comply w Federal or State Law
Probation Violation
Violation of UCA
Turner, Shad N 39555
Geneva, NE
Probation 4/25/2013 4/25/2015 Failure to Disclose Convictions
PROFESSION
LICENSE TYPE
NAME LIC NO
TYPE OF
DISCIPLINARY ACTION START DATE END DATE VIOLATION
DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES
Page 580 of 580April 2010-April 2020 Print Date: 5/8/2020
To review the disciplinary action document for any licensee on this report , you may go to our license lookup web site at: http://www.nebraska.gov/LISSearch/search.cgi
The disciplinary action documents are located in the 'Disciplinary/Non-Disciplinary Information' section of the licensee's record.
WD-PIC
Walsh, Dennis E 39205
Dakota City, NE
Civil Penalty 5/31/2010 xViolation of Practice Act
Probation 5/31/2012