Division of Public Health DISCIPLINARY ACTIONS AGAINST PROFESSIONAL AND OCCUPATIONAL LICENSES October 2013

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Division of Public Health DISCIPLINARY ACTIONS AGAINST AL AND OCCUPATIONAL LICENSES Alcohol and Drug Counselor Page 1 of 9 Provisional Alcohol and Drug Counselor Johnson, Terence Whitney P-700 Asbestos Asbestos Supervisor Erickson, Nicholas 5942 Lincoln, NE Body Art Tattoo Artist Szafrajda, James Dean 245 Hastings, NE Chiropractic Revocation 10/04/2013 Controlled Substance Dependence Civil Penalty 10/08/2013 10/08/2013 11.02D Appropriate Respirator Probation 10/07/2013 10/07/2014 Alcohol Abuse Controlled Substance Abuse Controlled Substance Dependence Chiropractor

DISCIPLINARY ACTIONS AGAINST AL AND OCCUPATIONAL LICENSES Page 2 of 9 Chiropractor Felsing DC, Richard Allen 989 Crete, NE Cosmetology Cosmetologist Belitz, Nathaniel John 45542 Norfolk, NE Blain, Shannon Rae 49660 Gering, NE Chlopek, Stacey Lynn 41016 Ogallala, NE Everroad, Terra Dill 41646 Goodwin, Michelle Denise 40813 Little Rock, AR Probation 10/08/2013 04/08/2014 Unlicensed Practice Probation 10/16/2013 10/16/2017 Alcohol Use Disorder - Severe Mind-Altering Substance Dependence Probation 10/30/2013 10/30/2014 Probation 10/11/2013 04/11/2014 Failure to Disclose Convictions Probation 10/04/2013 04/04/2014 Unlicensed Practice Suspension 10/11/2013 Failure to Disclose Convictions Violation of Dept Order xcriminal Conviction(s)

DISCIPLINARY ACTIONS AGAINST AL AND OCCUPATIONAL LICENSES Page 3 of 9 Cosmetologist Gregerson, Heather Michelle 49046 Plattsmouth, NE Hoffman, Shaunte Elizabeth 49276 Lincoln, NE Hortman, Wendy Jo 49629 Beatrice, NE Johnson, Andrew Joel 49641 Johnson, Julie Ann 41158 Bellevue, NE Romine, Ashlee Rene' 49611 Lemoyne, NE Censure 10/30/2013 Alcohol Dependency Mind-Altering Substance Dependence Civil Penalty 04/30/2014 Alcohol Dependency Mind-Altering Substance Dependence Censure 10/30/2013 Probation 10/11/2013 04/11/2014 Failure to Disclose Convictions Probation 10/21/2013 10/21/2016 Alcohol Dependency Civil Penalty 10/23/2013 04/23/2014 Practice in Unlicensed Premises Violation of UCA Probation 10/02/2013 04/02/2014 Failure to Disclose Convictions

DISCIPLINARY ACTIONS AGAINST AL AND OCCUPATIONAL LICENSES Page 4 of 9 Cosmetologist Salazar, Nathaniel Quinn 49228 Scottsbluff, NE Skinner, Nicole Gail 37286 Edgar, NE Snyder, Ellen Jean 49639 Blue Hill, NE Tanner, Laura Christine 47927 Elkhorn, NE Emergency Medical Care EMT Kenney, Sumner Elyse 20914 Poe, Nicholas Ray 20902 Funeral Directing Censure 10/17/2013 Alcohol Abuse Civil Penalty 04/17/2014 Alcohol Abuse Probation 10/16/2013 10/16/2014 Failure to Disclose Convictions Unlicensed Practice Probation 10/17/2013 04/17/2014 Failure to Disclose Convictions Probation 10/22/2013 10/22/2014 Alcohol Dependency xcriminal Conviction(s) Probation 10/30/2013 08/20/2014 Probation 10/09/2013 10/09/2018 Mind-Altering Substance Dependence Funeral Director and Embalmer

DISCIPLINARY ACTIONS AGAINST AL AND OCCUPATIONAL LICENSES Page 5 of 9 Funeral Director and Embalmer Lauber, William J 1097 Milford, NE Massage Therapy Massage Therapist Knapp, Travis B 3094 Medicine Physician Bauhard, Marlin Roy, MD 13817 Hebron, NE Censure 10/23/2013 Alcohol Abuse Misrepresentation of Material Facts Civil Penalty 04/23/2014 Alcohol Abuse Misrepresentation of Material Facts Probation 10/25/2013 04/25/2014 Failure to Disclose Convictions Limitation-Disciplinary 10/11/2013 Alcohol Dependency Controlled Substance Dependence Probation 10/11/2023 Alcohol Dependency Controlled Substance Dependence

DISCIPLINARY ACTIONS AGAINST AL AND OCCUPATIONAL LICENSES Page 6 of 9 Physician Fasse, Scott Jonathan, MD 16872 Harkins, Daniel Thomas, MD 17710 Scottsbluff, NE Straka, Scott Daniel, MD 21821 Tecumseh, NE Mental Health Practice Censure 10/09/2013 Negligent Conduct Pattern of Negligence Civil Penalty 04/09/2014 Negligent Conduct Pattern of Negligence Censure 10/30/2013 Pattern of Negligence Violation of UCSA Civil Penalty 04/30/2014 Pattern of Negligence Violation of UCSA Probation 10/07/2013 10/07/2017 Controlled Substance Dependence Failure to Comply With Aftercare Independent Mental Health Practitioner

DISCIPLINARY ACTIONS AGAINST AL AND OCCUPATIONAL LICENSES Page 7 of 9 Independent Mental Health Practitioner Frost, Carol Ann Lanham 346 Mental Health Practitioner Frost, Carol Ann Lanham 1557 Professional Counselor Frost, Carol Ann Lanham 963 Nail Technology Nail Technician Greenwood, Kerrin D 2888 North Platte, NE Censure 10/04/2013 Failure to Comply w Federal or State Law Civil Penalty 04/04/2014 Failure to Comply w Federal or State Law Censure 10/04/2013 Failure to Comply w Federal or State Law Civil Penalty 04/04/2014 Failure to Comply w Federal or State Law Censure 10/04/2013 Failure to Comply w Federal or State Law Civil Penalty 04/04/2014 Failure to Comply w Federal or State Law Civil Penalty 10/30/2013 04/30/2014 Practice Beyond Scope Unlicensed Practice

DISCIPLINARY ACTIONS AGAINST AL AND OCCUPATIONAL LICENSES Page 8 of 9 Nail Technician Nguyen, Dave 667 Hastings, NE Nursing Probation 10/22/2013 04/22/2014 Failure to Disclose Convictions Licensed Practical Nurse Foster, Tameka Arlene 21026 RN-Compact Privilege McNeil, Dawn Council Bluffs, IA Registered Nurse IA-118745 Chase, Nicole Lorayne 73148 Gretna, NE Kleopfer, Judith Marie 44379 North Bend, NE Lim, Carol Marie 50445 Montange, Jaka M 64313 Probation 10/28/2013 10/28/2016 Practice while Impaired Probation 10/24/2013 10/24/2015 Dishonorable Conduct Violation of UCSA Suspension 10/19/2013 10/19/2014 Controlled Substance Dependence Dishonorable Conduct Misappropriation of Resident Property Violation of UCSA Civil Penalty 10/17/2013 04/17/2014 Misrepresentation of Material Facts Civil Penalty 10/23/2013 04/23/2014 Misrepresentation of Material Facts Civil Penalty 10/23/2013 04/23/2014 Misrepresentation of Material Facts

DISCIPLINARY ACTIONS AGAINST AL AND OCCUPATIONAL LICENSES Page 9 of 9 Registered Nurse Partridge, Megan Marie 61275 Hastings, NE Ruble, Ashley Denae 69430 Grand Island, NE Smyth, Heidi Jean 67526 North Platte, NE Swanson, Lacey BJ 76977 Kearney, NE Respiratory Care Respiratory Care Practitioner Krutsinger, Allison Jean 1511 Cambridge, NE Malone, Kevin William 497 Probation 10/27/2013 10/27/2016 Alcohol Abuse Probation 10/27/2013 10/27/2018 Alcohol Dependency Civil Penalty 10/30/2013 04/30/2014 Misrepresentation of Material Facts Probation 10/22/2013 10/22/2018 Alcohol Dependency Probation 10/27/2013 04/27/2014 Failure to Keep Adequate Records Probation 10/27/2013 10/27/2015 Alcohol Dependency