Top Banner
Updated 2/13/2018 This list is updated as changes occur, and may be considered Primary Source Verification- Renewals submitted by Feb 9, 2018 Applied Licensee Last Name Licensee First Name Licensee Middle Name # of Locations NV License # Issue Date Certifications Status Disciplinary Expiration Able Gary William 1 316 8/2/1995 DPA/TPA ACTIVE NONE 2/28/2018 Adams Paul 0 538 8/24/2005 DPA EXPIRED NONE 8/31/2008 Adler Joel G. 0 104 12/1/1963 DPA EXPIRED NONE 2/28/2008 Adlington Cheryl Ann 1 250 9/28/1989 DPA/TPA ACTIVE NONE 2/28/2019 Adlington Patrick Travis 1 251 9/22/1989 DPA/TPA ACTIVE NONE 2/28/2019 Aguero Mario G 1 147 9/1/1975 DPA ACTIVE NONE 2/28/2018 Alamo-Leon Julieta C 1 306 8/10/1994 DPA/TPA ACTIVE NONE 2/28/2019 Alleman Kurt G 1 187 9/17/1981 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018 Anderson Brian K 1 285 8/17/1992 DPA/TPA ACTIVE NONE 2/28/2019 Andrus Kyle D 1 206 8/1/1983 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018 Angelini Ettore A 1 148 9/1/1975 DPA/TPA ACTIVE NONE 2/28/2018 Angell Todd C 1 360 7/9/1999 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019 Antonino Amanda A 0 824 6/23/2015 DPA/TPA INACTIVE NONE 2/28/2018 Antonio Amanda A. 0 735 6/26/2012 DPA EXPIRED NONE 12/31/2014 Arcemont Julie A 1 330 9/16/1997 DPA/TPA ACTIVE NONE 2/28/2019 Arentz Gary E. 0 125 7/30/1970 DPA/TPA EXPIRED NONE 12/31/2000 Arizala Garrett H 1 298 8/12/1993 DPA/TPA ACTIVE NONE 2/28/2019 Ashcraft Harold T 0 216 9/1/1984 DPA/TPA EXPIRED NONE 2/28/2017 Augustine Wynette C 0 226 9/1/1986 DPA EXPIRED NONE 2/28/2017 Austin Jeffrey K 4 220 8/1/1995 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019 Baer Sarah 2 826 6/25/2015 DPA/TPA ACTIVE NONE 2/28/2018 Bagley Melvin J. 0 78 7/29/1955 DPA EXPIRED NONE 12/31/1999 Banales Marianne V 0 954 12/28/2017 DPA ACTIVE NONE 2/28/2018 Banh Tu Noch Minh 0 795 4/7/2014 DPA/TPA EXPIRED NONE 2/28/2016 Baptiste David J 0 895 9/20/2016 DPA ACTIVE NONE 2/28/2018 Barber Merle I 0 135 9/1/1973 DPA/TPA/Glaucoma INACTIVE NONE 2/28/2018 Barclay Sallie L 0 724 3/12/2012 DPA EXPIRED NONE 2/28/2013 Barclay Ian D.R. 0 723 3/12/2012 DPA EXPIRED NONE 2/28/2013 Barron Mia S 2 738 7/3/2012 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018 Barry Ray D 0 106 7/1/1964 DPA/TPA EXPIRED NONE 2/28/2009 Batchelor Christine P. 1 953 12/26/2017 DPA ACTIVE NONE 2/28/2018 Baumann Richard W 0 136 9/1/1973 DPA/TPA EXPIRED NONE 2/28/2013 Bayerkohler Linda M 1 397 7/13/2000 DPA/TPA ACTIVE NONE 2/28/2018 Beaty Melissa A 2 580 7/9/2007 DPA/TPA ACTIVE NONE 2/28/2019 Beckwith James A 1 243 8/1/1995 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018 Beecher David J 0 636 1/29/2009 DPA/TPA REVOKED YES 2/28/2014 Belaustegui Amber L 1 626 7/14/2008 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019 Bengoa Cody S 1 497 6/28/2004 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019 Benitz Brian R 1 445 10/8/2001 DPA/TPA ACTIVE NONE 2/28/2018 Bennion Kent J 2 935 7/12/2017 DPA/TPA ACTIVE NONE 2/28/2019 Berger Gary David 0 514 7/27/2004 DPA EXPIRED NONE 2/28/2009 Berk William 0 205 8/1/1983 DPA EXPIRED NONE 2/28/2007 Bi Dzuy V. 2 919 6/5/2017 DPA ACTIVE NONE 2/28/2019 Blade Pamela Jiselle 0 718 10/14/2011 DPA EXPIRED NONE 2/28/2012
17

Updated 2/13/2018 This list is updated as changes occur ... · This list is updated as changes occur, and may be considered Primary Source Verification- Renewals submitted by Feb

Jun 12, 2018

Download

Documents

LêHạnh
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: Updated 2/13/2018 This list is updated as changes occur ... · This list is updated as changes occur, and may be considered Primary Source Verification- Renewals submitted by Feb

Updated 2/13/2018 This list is updated as changes occur, and may be considered Primary Source Verification- Renewals submitted by Feb 9, 2018 Applied

Licensee Last NameLicensee First

Name

Licensee

Middle Name

# of

Locations

NV License

#Issue Date Certifications Status Disciplinary Expiration

Able Gary William 1 316 8/2/1995 DPA/TPA ACTIVE NONE 2/28/2018Adams Paul 0 538 8/24/2005 DPA EXPIRED NONE 8/31/2008Adler Joel G. 0 104 12/1/1963 DPA EXPIRED NONE 2/28/2008Adlington Cheryl Ann 1 250 9/28/1989 DPA/TPA ACTIVE NONE 2/28/2019Adlington Patrick Travis 1 251 9/22/1989 DPA/TPA ACTIVE NONE 2/28/2019Aguero Mario G 1 147 9/1/1975 DPA ACTIVE NONE 2/28/2018Alamo-Leon Julieta C 1 306 8/10/1994 DPA/TPA ACTIVE NONE 2/28/2019Alleman Kurt G 1 187 9/17/1981 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Anderson Brian K 1 285 8/17/1992 DPA/TPA ACTIVE NONE 2/28/2019Andrus Kyle D 1 206 8/1/1983 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Angelini Ettore A 1 148 9/1/1975 DPA/TPA ACTIVE NONE 2/28/2018Angell Todd C 1 360 7/9/1999 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019Antonino Amanda A 0 824 6/23/2015 DPA/TPA INACTIVE NONE 2/28/2018Antonio Amanda A. 0 735 6/26/2012 DPA EXPIRED NONE 12/31/2014Arcemont Julie A 1 330 9/16/1997 DPA/TPA ACTIVE NONE 2/28/2019Arentz Gary E. 0 125 7/30/1970 DPA/TPA EXPIRED NONE 12/31/2000Arizala Garrett H 1 298 8/12/1993 DPA/TPA ACTIVE NONE 2/28/2019Ashcraft Harold T 0 216 9/1/1984 DPA/TPA EXPIRED NONE 2/28/2017Augustine Wynette C 0 226 9/1/1986 DPA EXPIRED NONE 2/28/2017Austin Jeffrey K 4 220 8/1/1995 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019Baer Sarah 2 826 6/25/2015 DPA/TPA ACTIVE NONE 2/28/2018Bagley Melvin J. 0 78 7/29/1955 DPA EXPIRED NONE 12/31/1999

Banales Marianne V 0 954 12/28/2017 DPA ACTIVE NONE 2/28/2018Banh Tu Noch Minh 0 795 4/7/2014 DPA/TPA EXPIRED NONE 2/28/2016Baptiste David J 0 895 9/20/2016 DPA ACTIVE NONE 2/28/2018Barber Merle I 0 135 9/1/1973 DPA/TPA/Glaucoma INACTIVE NONE 2/28/2018Barclay Sallie L 0 724 3/12/2012 DPA EXPIRED NONE 2/28/2013Barclay Ian D.R. 0 723 3/12/2012 DPA EXPIRED NONE 2/28/2013Barron Mia S 2 738 7/3/2012 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Barry Ray D 0 106 7/1/1964 DPA/TPA EXPIRED NONE 2/28/2009Batchelor Christine P. 1 953 12/26/2017 DPA ACTIVE NONE 2/28/2018Baumann Richard W 0 136 9/1/1973 DPA/TPA EXPIRED NONE 2/28/2013Bayerkohler Linda M 1 397 7/13/2000 DPA/TPA ACTIVE NONE 2/28/2018Beaty Melissa A 2 580 7/9/2007 DPA/TPA ACTIVE NONE 2/28/2019Beckwith James A 1 243 8/1/1995 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Beecher David J 0 636 1/29/2009 DPA/TPA REVOKED YES 2/28/2014Belaustegui Amber L 1 626 7/14/2008 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019Bengoa Cody S 1 497 6/28/2004 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019Benitz Brian R 1 445 10/8/2001 DPA/TPA ACTIVE NONE 2/28/2018Bennion Kent J 2 935 7/12/2017 DPA/TPA ACTIVE NONE 2/28/2019Berger Gary David 0 514 7/27/2004 DPA EXPIRED NONE 2/28/2009Berk William 0 205 8/1/1983 DPA EXPIRED NONE 2/28/2007Bi Dzuy V. 2 919 6/5/2017 DPA ACTIVE NONE 2/28/2019Blade Pamela Jiselle 0 718 10/14/2011 DPA EXPIRED NONE 2/28/2012

Page 2: Updated 2/13/2018 This list is updated as changes occur ... · This list is updated as changes occur, and may be considered Primary Source Verification- Renewals submitted by Feb

Bodley Jennifer L. 0 426 6/7/2001 DPA EXPIRED NONE 12/31/2005Bolenbaker Jason 1 479 7/3/2003 DPA/TPA ACTIVE NONE 2/28/2018Boren Andrew Richard 1 354 4/22/1999 DPA/TPA ACTIVE NONE 2/28/2018Borges Nair E 1 615 6/3/2008 DPA/TPA ACTIVE YES 2/28/2018Boyer Albert B 1 233 10/1/1987 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019Boynton Dillon L. 0 12/4/2009 DPA/TPA EXPIRED NONE 2/28/2012Braganza Katrina M 2 927 6/20/2017 DPA/TPA ACTIVE NONE 2/28/2018Brennan Kristin E 1 605 10/2/2007 DPA/TPA ACTIVE NONE 2/28/2018Brewer Amanda 1 951 6/20/2017 DPA ACTIVE NONE 2/28/2018Brinley Noah D. 0 438 8/1/2001 DPA/TPA EXPIRED NONE 12/31/2004Broca Marie T 1 617 6/26/2008 DPA/TPA ACTIVE NONE 2/28/2018Brooker Eric T 2 439 8/1/2001 DPA/TPA ACTIVE NONE 2/28/2018Brotherson Scott K 1 327 9/16/1997 DPA/TPA ACTIVE NONE 2/28/2018Browne Joan E 1 828 7/1/2015 DPA/TPA ACTIVE NONE 2/28/2018Broza Daniel J 0 423 5/7/2001 DPA/TPA INACTIVE NONE 2/28/2018Budge Bradley Scott 0 806 7/17/2014 DPA/TPA EXPIRED NONE 2/28/2017Bulter Norman H 0 180 9/11/1980 DPA/TPA EXPIRED NONE 12/31/2002Burgess Matthew E 0 635 1/22/2009 DPA EXPIRED NONE 2/28/2010Burke Jennifer K 3 708 7/8/2011 DPA/TPA ACTIVE NONE 2/28/2018Burt Christopher 1 308 8/10/1994 DPA/TPA ACTIVE NONE 2/28/2019Bussa Steve T 0 627 7/21/2008 DPA EXPIRED NONE 2/28/2011Buu Thi 0 465 9/26/2004 DPA/TPA EXPIRED NONE 12/31/2004Byers Mark B 0 747 9/18/2012 DPA EXPIRED NONE 2/28/2014Cady Lisa M 1 259 9/24/1990 DPA ACTIVE NONE 2/28/2018Camara David F 0 407 8/9/2000 DPA/TPA INACTIVE NONE 2/28/2019Camp Jennifer J. 0 340 7/7/1998 DPA/TPA EXPIRED NONE 12/31/2002Campana Christopher P 3 766 7/2/2013 DPA/TPA ACTIVE NONE 2/28/2019Campbell Solomon R 0 759 6/18/2013 DPA/TPA EXPIRED NONE 2/28/2015Cannon Christopher R 0 582 7/9/2007 DPA/TPA EXPIRED NONE 2/28/2010Cantlon William 0 130 8/10/1972 DPA/TPA EXPIRED NONE 12/31/1999Capps Terry E 0 116 9/27/1954 DPA EXPIRED NONE 12/31/1996Cardona Annabelle 1 651 8/5/2009 DPA/TPA ACTIVE NONE 2/28/2018Carlson Jerry D 0 478 6/10/2003 DPA EXPIRED NONE 12/31/2004Carpi William L 1 159 1/10/1977 DPA/TPA ACTIVE NONE 2/28/2018Carpi Leonard W. 0 74 6/2/1954 DPA EXPIRED NONE 12/31/2005Carrick Katherine M. 0 518 10/12/2004 DPA EXPIRED NONE 12/31/2005Carroll Mary C 0 210 7/1/1984 DPA EXPIRED NONE 2/28/2015Carter Janet L 1 170 10/1/1979 DPA/TPA ACTIVE NONE 2/28/2018Carter Darrell B 0 82 1/1/1957 DPA/TPA EXPIRED NONE 2/28/2007Casey Joel T 0 347 9/25/1998 DPA/TPA EXPIRED NONE 12/31/2002Castleton Keith J. 0 885 8/9/2016 DPA/TPA EXPIRED NONE 2/28/2018Catlett Leslynn 1 297 8/12/1993 DPA/TPA ACTIVE NONE 2/28/2018Cervinski Theresa 0 639 5/27/2009 DPA/TPA EXPIRED NONE 2/28/2012Chan Fanny W 2 319 2/21/1996 DPA/TPA ACTIVE NONE 2/28/2018Chandler Shannon R 1 455 7/8/2002 DPA/TPA ACTIVE NONE 2/28/2018Chang Diana 1 933 6/28/2017 DPA/TPA ACTIVE NONE 2/28/2019Chang Troy H 1 410 10/2/2000 DPA/TPA ACTIVE NONE 2/28/2019

Page 3: Updated 2/13/2018 This list is updated as changes occur ... · This list is updated as changes occur, and may be considered Primary Source Verification- Renewals submitted by Feb

Chang Julie P 2 401 7/18/2000 DPA/TPA ACTIVE NONE 2/28/2019Chang Stephen K 0 762 6/26/2013 DPA EXPIRED NONE 2/28/2014Chang Kent J 0 494 5/25/2004 DPA EXPIRED NONE 2/28/2006Chant Wesley J 0 576 5/24/2007 DPA EXPIRED NONE 2/28/2012Charoenchote Wanwalee 1 593 7/20/2007 DPA/TPA ACTIVE NONE 2/28/2019Chen Michelle T 1 808 7/21/2014 DPA/TPA ACTIVE NONE 2/28/2019Chen Paul 2 746 8/21/2012 DPA/TPA ACTIVE NONE 2/28/2019Chen Bonnie P 0 351 3/1/1999 DPA/TPA EXPIRED NONE 12/31/2002Cheng Chester C 0 629 7/24/2008 DPA/TPA EXPIRED NONE 2/28/2010Cheung Ka-Yan "Sandi" 1 678 7/6/2010 DPA/TPA ACTIVE NONE 2/28/2018Chiara Geoffrey F 1 227 9/1/1986 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Chiodo Christopher C 4 294 8/12/1993 DPA/TPA ACTIVE NONE 2/28/2018Chiu Jerrin 2 744 8/7/2012 DPA/TPA ACTIVE NONE 2/28/2019Choi Yee L 2 807 7/21/2014 DPA/TPA ACTIVE NONE 2/28/2018Choi Chin Hee 1 562 8/22/2006 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019Cholico Bryan E. 2 877 8/3/2016 DPA/TPA ACTIVE NONE 2/28/2018Chong Henry H 0 370 8/9/1999 DPA EXPIRED NONE 12/31/2001Chow Jennifer 1 533 7/8/2005 DPA/TPA ACTIVE NONE 2/28/2018Chow Karen 0 604 8/29/2007 DPA EXPIRED NONE 2/28/2009Choy Alexander 2 879 8/4/2016 DPA/TPA ACTIVE NONE 2/28/2018Christiansen Jonathan 1 550 6/28/2006 DPA/TPA ACTIVE NONE 2/28/2018Chu Joanna N 0 493 4/7/2004 DPA EXPIRED NONE 4/7/2004Chuang Kevin K 0 799 6/16/2014 DPA EXPIRED NONE 2/2/2017Chung Elaine M 0 564 9/20/2006 DPA EXPIRED NONE 2/28/2011Clark Douglas R 4 890 8/31/2016 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Clark Kristen N 1 840 10/14/2015 DPA/TPA ACTIVE NONE 2/28/2018Clark Harold B 0 59 9/1/1950 DPA EXPIRED NONE 12/31/1992Cochrane Terance A 1 221 8/1/1985 DPA/TPA ACTIVE NONE 2/28/2019Coker Christopher D 1 641 7/7/2009 DPA/TPA ACTIVE NONE 2/28/2018Colon Robert A 1 149 9/1/1975 DPA/TPA ACTIVE NONE 2/28/2018Conkey James V 1 244 9/1/1988 DPA/TPA ACTIVE NONE 2/28/2018Conroy Bruce 0 209 11/14/1983 DPA EXPIRED NONE 12/31/1998Cooper Corinne L 3 559 7/18/2006 DPA/TPA ACTIVE NONE 2/28/2018Corbridge Kelly J 0 286 8/17/1992 DPA INACTIVE NONE 2/28/2019Coulson David M 0 607 10/24/2007 DPA/TPA EXPIRED NONE 2/28/2009Cox Grant D 1 156 9/1/1976 DPA/TPA ACTIVE NONE 2/28/2019Crisler Cromer Anne Bilyeu 3 586 7/11/2007 DPA/TPA ACTIVE NONE 2/28/2019Crutchfield Michael 1 181 9/1/1980 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Curtis Colby B 1 601 8/17/2007 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019Dadej Rhett L 2 402 7/20/2000 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019Dang Jennifer 0 786 10/21/2013 DPA/TPA EXPIRED NONE 2/28/2015Dang Vinh 0 389 7/7/2000 DPA/TPA EXPIRED NONE 12/31/2002Dang Anne V 0 358 7/7/1999 DPA/TPA EXPIRED NONE 2/28/2009

Daniels Gayle Y. 0 902 1/10/2017 DPA ACTIVE NONE 2/28/2018Dao Tina U 0 420 3/12/2001 DPA EXPIRED NONE 12/31/2003Davie Laurie R 2 612 4/24/2008 DPA/TPA ACTIVE NONE 2/28/2018Davis Lesa D 1 418 1/16/2001 DPA/TPA ACTIVE NONE 2/28/2019

Page 4: Updated 2/13/2018 This list is updated as changes occur ... · This list is updated as changes occur, and may be considered Primary Source Verification- Renewals submitted by Feb

Davis David S 1 245 9/1/1988 DPA/TPA ACTIVE NONE 2/28/2019Davis Larry L 1 203 8/1/1983 DPA/TPA ACTIVE NONE 2/28/2019Day Steven J 0 709 7/11/2011 DPA EXPIRED NONE 2/28/2014DeMasi Vera Gomes 0 602 8/17/2007 DPA/TPA EXPIRED NONE 2/28/2009DeMers Leslie L 1 556 7/10/2006 DPA/TPA ACTIVE NONE 2/28/2018DeMers Scott H 1 548 6/26/2006 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018DeMers Albert J. 0 83 6/20/1957 DPA EXPIRED NONE 12/31/2009Dennis Jessica N 1 715 7/29/2011 DPA/TPA ACTIVE NONE 2/28/2019Devries Douglas K 1 252 9/28/1989 DPA/TPA ACTIVE NONE 2/28/2019Dhillon Pardeep S 0 517 9/16/2004 DPA/TPA EXPIRED NONE 2/28/2006Dickerson Neil K 2 717 8/22/2011 DPA/TPA ACTIVE NONE 2/28/2018Diep Long Kevin 2 324 8/28/1996 DPA/TPA ACTIVE NONE 2/28/2019Dinh Nghiem 0 774 8/5/2013 DPA/TPA EXPIRED NONE 2/28/2017

Dishman William A 0 945 8/30/2017 DPA INACTIVE NONE 2/28/2019Dominick Michele 0 320 6/25/1996 DPA/TPA INACTIVE NONE 2/28/2018Donahue Jacqueline M 1 622 7/7/2008 DPA/TPA ACTIVE NONE 2/28/2018Drakulich Janet K 1 483 7/9/2003 DPA/TPA ACTIVE NONE 2/28/2018Drury William G 1 172 10/1/1979 DPA ACTIVE NONE 2/28/2018Du Tuan X 0 566 9/20/2006 DPA/TPA EXPIRED NONE 2/28/2008Duesing Pamela F 0 260 9/24/1990 DPA INACTIVE NONE 2/28/2019Duffield Patricia M 2 829 7/8/2015 DPA/TPA INACTIVE NONE 2/28/2018Duffus Umari 1 680 7/9/2010 DPA/TPA ACTIVE NONE 2/28/2018Dufur Albert 0 301 8/12/1993 DPA/TPA EXPIRED NONE 2/28/2016Duggan Erika L 1 501 7/2/2004 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019Duong Le My 0 649 7/28/2009 DPA/TPA EXPIRED NONE 2/28/2011Duran Phillip J 1 775 8/5/2013 DPA/TPA ACTIVE NONE 2/28/2018Dutton Ronald W 1 182 9/1/1980 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Dyer Gordon W. 0 271 9/12/1991 DPA EXPIRED NONE 12/31/2004

Earhart Matthew 1 950 10/12/2017 DPA/TPA ACTIVE NONE 2/28/2018Ehrlich Fred 0 99 7/1/1963 DPA EXPIRED NONE 2/28/2011Elder Kenneth H 0 425 6/7/2001 DPA/TPA EXPIRED NONE 2/28/2006Ellement Mary Ann 0 772 8/1/2013 DPA/TPA EXPIRED NONE 2/28/2015Elliott C. Richard 1 211 7/1/1984 DPA/TPA ACTIVE NONE 2/28/2018Enewold Taira L 0 760 6/24/2013 DPA/TPA INACTIVE NONE 2/28/2018Eng Joseph K 1 461 7/15/2002 DPA/TPA ACTIVE NONE 2/28/2018Erramouspe JC 1 561 7/21/2006 DPA/TPA ACTIVE NONE 2/28/2019Eusebio Richard L 1 801 7/16/2014 DPA/TPA ACTIVE NONE 2/28/2018Evans Lauren K 0 646 7/20/2009 DPA/TPA EXPIRED NONE 2/28/2014Evans James D 0 183 9/1/1983 DPA/TPA EXPIRED NONE 2/28/2013Evers Reeve R 1 591 7/20/2007 DPA/TPA ACTIVE NONE 2/28/2019Faccinto-Mayer Christina 1 500 7/1/2004 DPA/TPA ACTIVE NONE 2/28/2018Faia William A 0 138 9/1/1973 DPA EXPIRED NONE 2/28/2011Fakhra Sahba 2 913 5/30/2017 DPA/TPA ACTIVE NONE 2/28/2018Faldowski Gregory 14 896 9/20/2016 DPA ACTIVE NONE 2/28/2018Feinberg Bruce L. 1 938 8/1/2017 DPA/TPA ACTIVE NONE 2/28/2018Fermin Joseph N 2 555 7/5/2006 DPA/TPA ACTIVE NONE 2/28/2018Ferris Jeffrey D 2 246 9/8/1988 DPA/TPA ACTIVE NONE 2/28/2018

Page 5: Updated 2/13/2018 This list is updated as changes occur ... · This list is updated as changes occur, and may be considered Primary Source Verification- Renewals submitted by Feb

Fife Joseph W 0 434 7/16/2001 DPA EXPIRED NONE 12/31/2002Fitz Waldemar F 0 131 7/25/1972 DPA EXPIRED NONE 12/31/2001Fleming Craig A 0 679 7/7/2010 DPA/TPA EXPIRED NONE 2/28/2012Foster Jeffery W 0 876 8/3/2016 DPA/TPA ACTIVE NONE 2/28/2018Foster Summer L 1 672 6/28/2010 DPA/TPA ACTIVE NONE 2/28/2018Frillarte Erin V 2 768 7/3/2013 DPA/TPA ACTIVE NONE 2/28/2019Frischknecht Kurt 0 295 8/12/1993 DPA/TPA EXPIRED NONE 12/31/1999Fujimoto Lane T 1 332 9/16/1997 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Galantuomini Gail G 3 287 8/17/1992 DPA/TPA ACTIVE NONE 2/28/2019Gamble Luke C 0 714 7/29/2011 DPA/TPA EXPIRED NONE 2/28/2012Gammoh Nataly 1 716 8/9/2011 DPA/TPA ACTIVE NONE 2/28/2019Garcia Vanessa C 2 825 6/23/2015 DPA/TPA ACTIVE NONE 2/28/2018Garcia Jean M 1 451 3/14/2002 DPA/TPA ACTIVE NONE 2/28/2018Garner Michael Drew 0 307 8/10/1994 DPA EXPIRED NONE 12/31/2005Garrido Thomas S 0 419 3/12/2001 DPA/TPA ACTIVE NONE 2/28/2018Gassen Vincent A 2 364 7/12/1999 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Gaster Brian G 4 898 12/6/2016 DPA ACTIVE NONE 2/28/2018Gaus Kristen N 0 703 6/27/2011 DPA EXPIRED NONE 2/28/2015Gibbons Scott 2 727 5/22/2012 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Gibbons Thomas J 1 121 7/1/1970 DPA/TPA ACTIVE NONE 2/28/2018Gilbert Galen R 0 150 9/15/1975 DPA EXPIRED NONE 12/31/1999Gillespie Kyle M 0 657 11/9/2009 DPA/TPA EXPIRED NONE 2/28/2011Gingras Karen M 0 655 8/25/2009 DPA/TPA EXPIRED NONE 2/28/2011Girisgen Sefir 13 323 8/28/1996 DPA/TPA ACTIVE NONE 2/28/2019Goh Eeling E 1 660 12/1/2009 DPA/TPA ACTIVE NONE 2/28/2018Goldman Jessica R 0 684 7/19/2010 DPA/TPA EXPIRED NONE 2/28/2011Goldman Craig C 0 631 8/7/2008 DPA EXPIRED NONE 2/28/2017Gonzalez Marilyn S 3 375 3/14/2002 DPA/TPA ACTIVE NONE 2/28/2019Gori Vincent D 1 697 4/27/2011 DPA/TPA ACTIVE NONE 2/28/2019Goudge Robert J 0 162 1/1/1977 DPA/TPA EXPIRED NONE 2/28/2015Granata Dennis W 0 139 9/13/1979 DPA EXPIRED NONE 2/28/2010Grant Mary A 1 385 7/5/2000 DPA/TPA ACTIVE NONE 2/28/2019Grant Steven E 1 272 9/12/1991 DPA/TPA ACTIVE NONE 2/28/2018Gray Tammy J 0 573 3/5/2007 DPA/TPA EXPIRED NONE 2/28/2009Greenawalt Ashley N. 1 899 12/6/2016 DPA ACTIVE NONE 2/28/2018Gregerson Gary E 0 132 7/26/1972 DPA EXPIRED NONE 12/31/2002Griffith Robert A 2 552 6/29/2006 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019Gubler Kelly Boyd 0 653 8/17/2009 DPA/TPA EXPIRED NONE 2/28/2012Guerrero Lisa M 1 588 7/17/2007 DPA/TPA ACTIVE NONE 2/28/2018Guisti Russell R 1 123 7/1/1970 DPA ACTIVE NONE 2/28/2018Guisti Mark L 0 167 8/12/1993 DPA/TPA EXPIRED NONE 2/28/2016Gutierrez Tamara L 1 484 7/29/2003 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Guzman Sergio A 1 322 8/28/1996 DPA/TPA ACTIVE NONE 2/28/2019Ha Toan D 2 521 11/4/2004 DPA/TPA ACTIVE NONE 2/28/2019Ha Thomas T 2 459 7/15/2002 DPA/TPA ACTIVE NONE 2/28/2018Habib Am N 0 431 7/11/2001 DPA EXPIRED NONE 12/31/2002Hahn Angela 1 394 7/12/2000 DPA/TPA ACTIVE NONE 2/28/2018

Page 6: Updated 2/13/2018 This list is updated as changes occur ... · This list is updated as changes occur, and may be considered Primary Source Verification- Renewals submitted by Feb

Halling Ricki-Lee 1 722 3/7/2012 DPA ACTIVE NONE 2/28/2018Halperin Eric 0 247 9/1/1988 DPA EXPIRED NONE 2/28/2015Hamilton Craig R 1 140 8/24/1974 DPA/TPA ACTIVE NONE 2/28/2019Hammer Steven J 0 508 7/12/2004 DPA INACTIVE NONE 2/28/2018Hartman Todd A 2 632 10/9/2008 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Harvey William F 1 160 1/1/1977 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019Haven Jill M 0 467 10/2/2002 DPA EXPIRED NONE 12/31/2005

Hebert Todd R 1 943 8/21/2017 DPA ACTIVE NONE 2/28/2018Helman Andrew GC 0 645 7/15/2009 DPA EXPIRED NONE 2/28/2014Helmick Kent D 2 229 9/1/1988 DPA/TPA ACTIVE NONE 2/28/2019Hemmer Aaron J 1 511 7/14/2004 DPA/TPA ACTIVE NONE 2/28/2019Hemmer Melanie 1 495 7/14/2004 DPA/TPA ACTIVE NONE 2/28/2019Henderson Shawna M 0 435 7/18/2001 DPA EXPIRED NONE 12/31/2003Hendricks Gomesindo E 1 196 10/12/1982 DPA/TPA ACTIVE NONE 2/28/2018Hernandez Gabriel 1 557 7/18/2006 DPA/TPA ACTIVE NONE 2/28/2018Herzman James S 5 343 7/7/1998 DPA/TPA ACTIVE NONE 2/28/2018Hidalgo Janet O 0 719 11/29/2011 DPA/TPA EXPIRED NONE 2/28/2015Higbee Lance D. 1 906 2/13/2017 DPA ACTIVE NONE 2/28/2018Hills William L 0 288 8/17/1992 DPA EXPIRED NONE 12/31/2004Hillstead Robert D 1 261 9/24/1990 DPA/TPA ACTIVE NONE 2/28/2019Hitzeman Amy L 1 884 8/8/2016 DPA/TPA ACTIVE NONE 2/28/2018Ho Carrie 0 742 7/18/2012 DPA/TPA EXPIRED NONE 2/28/2015Ho Alina 0 547 6/2/2006 DPA EXPIRED NONE 2/28/2009Hoffbuhr Lindsay M 0 911 4/11/2017 DPA ACTIVE NONE 2/28/2018Holihan Nicole M 0 737 7/2/2012 DPA/TPA EXPIRED NONE 2/28/2014Hom Nicole T 0 743 7/18/2012 DPA/TPA EXPIRED NONE 2/28/2014Hopkin Christopher L 0 694 3/14/2011 DPA/TPA EXPIRED NONE 2/28/2012Horner Robert K 3 751 1/31/2013 DPA/TPA ACTIVE NONE 2/28/2018Hsu Amy S 0 430 7/10/2001 DPA EXPIRED NONE 12/31/2002Hsueh Karen J 1 536 8/8/2005 DPA/TPA ACTIVE YES 2/28/2019

Hua Jennifer 1 903 2/13/2017 DPA ACTIVE NONE 2/28/2018Huang Minna 0 393 7/10/2000 DPA/TPA EXPIRED NONE 12/31/2001Huang Andy C 0 377 3/10/2000 DPA EXPIRED NONE 12/31/2002

Hubbard Tonya 0 942 8/8/2017 DPA ACTIVE NONE 2/28/2018Hubbard David B 0 151 10/3/1975 DPA/TPA/Glaucoma EXPIRED NONE 6/30/2016Hughes Heidi 0 676 6/29/2010 DPA/TPA EXPIRED NONE 2/28/2014Hughes Kyle B 0 673 6/28/2010 DPA/TPA/Glaucoma EXPIRED NONE 2/28/2014Hui Allen C 1 569 10/24/2006 DPA/TPA ACTIVE NONE 2/28/2019Hui Jordan C 1 520 11/4/2004 DPA/TPA ACTIVE NONE 2/28/2018Hum Glenn Lucas 1 202 8/1/1983 DPA/TPA ACTIVE NONE 2/28/2018Humphrey Courtney K 0 699 6/8/2011 DPA/TPA EXPIRED NONE 2/28/2015Humphreys Troy M 4 384 6/30/2000 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Humphreys Becky 1 381 6/22/2000 DPA/TPA ACTIVE NONE 2/28/2018Humphreys Denis M 1 141 8/1/1974 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Hunt Mark Todd 2 361 7/12/1999 DPA/TPA ACTIVE NONE 2/28/2018Hutchins Taylor M 0 815 10/28/2014 DPA INACTIVE NONE 2/28/2018Huynh Hai 0 787 10/23/2013 DPA/TPA EXPIRED NONE 2/28/2015

Page 7: Updated 2/13/2018 This list is updated as changes occur ... · This list is updated as changes occur, and may be considered Primary Source Verification- Renewals submitted by Feb

Huynh Jessica T 0 721 12/19/2011 DPA/TPA EXPIRED NONE 2/28/2013Ito Colleen 0 475 6/2/2003 DPA/TPA EXPIRED NONE 2/28/2010Jackson Christine F 1 805 7/17/2014 DPA/TPA ACTIVE NONE 2/28/2018Jennings Mia J 0 530 7/9/2007 DPA/TPA EXPIRED NONE 2/28/2016Jensen Craig B. 1 845 3/1/2016 DPA/TPA ACTIVE NONE 2/28/2019Jensen Tony Jay 2 549 6/28/2006 DPA/TPA ACTIVE NONE 2/28/2018Jensen Randall L 1 194 10/10/1992 DPA/TPA ACTIVE NONE 2/28/2018Jensen Brian P 0 581 7/9/2007 DPA/TPA EXPIRED NONE 2/28/2016Jensen Jennifer 0 338 12/2/1997 DPA/TPA/Glaucoma REVOKED YES 2/28/2011Joe Tina L 0 380 4/24/2000 DPA EXPIRED NONE 12/31/2001Johnson Stephanie A 1 728 6/11/2012 DPA/TPA ACTIVE NONE 2/28/2019Johnson Curtiss R 1 687 8/18/2010 DPA/TPA ACTIVE NONE 2/28/2018Johnson Paul S 1 413 12/29/2000 DPA/TPA ACTIVE NONE 2/28/2018Johnson Timothy M 0 647 7/20/2009 DPA/TPA EXPIRED NONE 2/28/2011Johnson Gary E 0 460 7/15/2002 DPA EXPIRED NONE 2/28/2007Johnson Brian 0 436 7/20/2001 DPA/TPA EXPIRED NONE 12/31/2003Johnson Robert A 0 90 8/18/1960 DPA EXPIRED NONE 12/31/2000Jones Michael D 1 376 1/25/2000 DPA/TPA ACTIVE NONE 2/28/2019Jones (Capulong) Frances-Lynn D 2 731 6/18/2012 DPA/TPA ACTIVE NONE 2/28/2018Jordan Wess M 2 674 6/28/2010 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Jotie Jenalyn M. 0 907 3/13/2017 DPA ACTIVE NONE 2/28/2018Jung Jennifer 1 773 8/1/2013 DPA/TPA ACTIVE NONE 2/28/2018Jung Steve K 0 398 7/14/2000 DPA INACTIVE NONE 2/28/2018Kales Tyson F 0 185 9/1/1980 DPA/TPA ACTIVE NONE 2/28/2018Kalia Sonia 3 780 8/30/2013 DPA/TPA ACTIVE NONE 2/28/2018Kameoka Jiro 0 432 7/16/2001 DPA EXPIRED NONE 12/31/2002

Kamo Samantha F 1 946 9/12/2017 DPA ACTIVE NONE 2/28/2018Kanellos William E 0 94 9/1/1962 DPA EXPIRED NONE 12/31/2009Kao Kelly C 1 908 3/15/2017 DPA ACTIVE NONE 2/28/2019Kasden Trevor 1 496 6/24/2004 DPA/TPA ACTIVE NONE 2/28/2018Katschke Joseph V. 0 587 7/17/2007 DPA EXPIRED NONE 12/31/2015Katschke Joseph V 0 587 7/17/2007 DPA INACTIVE NONE 2/28/2018Katz Barry S 0 264 9/24/1990 DPA/TPA EXPIRED NONE 2/28/2017Kawakami Scott H. 1 889 8/22/2016 DPA ACTIVE NONE 2/28/2018Kawamoto Ian 0 512 7/23/2004 DPA/TPA EXPIRED NONE 12/31/2015Kawasaki Brian S 1 614 5/19/2008 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019Keel Danielle N 4 798 6/13/2014 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019Keller James L 3 174 10/1/1979 DPA/TPA ACTIVE NONE 2/28/2019Kellogg Raymond V 0 331 9/16/1997 DPA/TPA INACTIVE NONE 2/28/2018Keshishian Sevada G 3 823 6/15/2015 DPA/TPA ACTIVE NONE 2/28/2018Ketcher John 1 941 8/4/2017 DPA/TPA ACTIVE NONE 2/28/2018Ketteler Adam J 0 535 8/3/2005 DPA EXPIRED NONE 2/28/2006Keyes Michael 1 189 9/1/1981 DPA/TPA ACTIVE NONE 2/28/2019Khakshooy Angela 0 792 3/1/2014 DPA/TPA ACTIVE NONE 2/28/2018Khankhanian Farnaz 1 590 7/17/2007 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Khy Kaliline 0 769 7/12/2013 DPA/TPA EXPIRED NONE 2/28/2015Ki Brian S. 1 917 5/31/2017 DPA ACTIVE NONE 2/28/2018

Page 8: Updated 2/13/2018 This list is updated as changes occur ... · This list is updated as changes occur, and may be considered Primary Source Verification- Renewals submitted by Feb

Kiernan Cynthia A. 1 357 7/7/1999 DPA/TPA ACTIVE NONE 2/28/2019Kim Heidi 1 910 4/10/2017 DPA/TPA ACTIVE NONE 2/28/2018Kim Yura 16 790 12/2/2013 DPA/TPA ACTIVE NONE 2/28/2018Kim Jenny H 1 611 3/20/2008 DPA/TPA ACTIVE NONE 2/28/2018Kim Richard 1 404 7/21/2000 DPA/TPA ACTIVE NONE 2/28/2018Kim Vanessa k. 1 403 7/21/2000 DPA/TPA ACTIVE NONE 2/28/2019Kim Janette Jeanie 0 537 8/8/2005 DPA/TPA EXPIRED NONE 2/28/2010Kim Debbie J 0 656 10/19/2009 DPA REVOKED YES 2/28/2012Kinjo Colin K 3 827 6/29/2015 DPA/TPA ACTIVE NONE 2/28/2018Kline Steven L 1 399 7/14/2000 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019Knapp Munira 0 482 7/8/2003 DPA EXPIRED NONE 12/31/2004Knisley Helen M 1 454 7/8/2002 DPA/TPA ACTIVE NONE 2/28/2018Knuckles Rodney J 0 748 11/14/2012 DPA/TPA EXPIRED NONE 2/28/2014Koenig Gregory S 2 321 8/28/1996 DPA/TPA ACTIVE NONE 2/28/2018Kohorst Keith 2 253 9/28/1989 DPA/TPA ACTIVE NONE 2/28/2018Koning Steven B 3 733 6/25/2012 DPA/TPA ACTIVE NONE 2/28/2018Koo Derrick 0 579 7/6/2007 DPA EXPIRED NONE 2/25/2008Kopolow Harlan Kenneth 13 274 9/12/1991 DPA/TPA ACTIVE NONE 2/28/2019Korman Shana F 1 584 7/11/2007 DPA/TPA ACTIVE NONE 2/28/2018Krol Katherine 1 837 9/9/2015 DPA ACTIVE NONE 2/28/2018Kroll Kara R 1 729 6/11/2012 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Kroll Eric R 1 214 8/1/1984 DPA/TPA ACTIVE NONE 2/28/2018Kroll Thomas R 1 152 9/1/1975 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Kuntz Craig L 0 337 12/2/1997 DPA/TPA/Glaucoma EXPIRED NONE 2/28/2015

Kwong Andrew P. 4 901 12/19/2016 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019Lacy Malkishuana M 0 637 5/7/2009 DPA/TPA EXPIRED NONE 2/28/2011Lam Limm Diep 0 789 11/25/2003 DPA/TPA EXPIRED NONE 2/28/2015Lammert Dannette Lee 0 739 7/10/2012 DPA/TPA EXPIRED NONE 2/28/2014Langford Jefferson R 0 554 7/5/2006 DPA/TPA/Glaucoma EXPIRED NONE 2/28/2017Lao Joseph 2 796 5/2/2014 DPA/TPA ACTIVE NONE 2/28/2019Larsen Eric N 1 223 8/1/1985 DPA/TPA ACTIVE NONE 2/28/2018Larsen Karl M 1 112 7/1/1967 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Larsen Shaun D 0 695 3/17/2011 DPA EXPIRED NONE 2/28/2014Lau Stella K 1 589 7/17/2007 DPA/TPA ACTIVE NONE 2/28/2018Lavine Alaina L 1 791 1/14/2014 DPA/TPA ACTIVE NONE 2/28/2019Lawyer John C 1 254 9/28/1989 DPA/TPA ACTIVE NONE 2/28/2018Le Tami T 1 701 6/24/2011 DPA/TPA ACTIVE NONE 2/28/2018Duyen Le Susie B 2 644 7/14/2009 DPA/TPA ACTIVE NONE 2/28/2019Le Anhton Q 1 462 7/22/2002 DPA/TPA ACTIVE NONE 2/28/2019Le Khanh 0 492 1/22/2004 DPA EXPIRED NONE 2/28/2017Le Dong Q 0 693 10/1/2010 DPA/TPA INACTIVE NONE 2/28/2018Lea Dorothy D 0 783 10/8/2013 DPA EXPIRED NONE 2/28/2014Leaks George D 4 224 8/1/1985 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Lee Mark R 1 390 7/7/2000 DPA/TPA ACTIVE YES 2/28/2019Lee Stephanie P 4 289 8/17/1992 DPA/TPA ACTIVE NONE 2/28/2019Lee Douglas D 1 234 10/10/1987 DPA/TPA ACTIVE NONE 2/28/2018Lee Anne 0 778 8/22/2013 DPA/TPA EXPIRED NONE 2/28/2015

Page 9: Updated 2/13/2018 This list is updated as changes occur ... · This list is updated as changes occur, and may be considered Primary Source Verification- Renewals submitted by Feb

Lee Kristen A 0 563 8/23/2006 DPA EXPIRED NONE 12/31/2012Lee Helen K. 0 842 11/2/2015 DPA INACTIVE NONE 2/28/2018Lee Rachel J 0 814 10/16/2014 DPA/TPA INACTIVE NONE 2/28/2018Lee Suzanne P 0 255 9/28/1989 DPA/TPA INACTIVE NONE 2/28/2018Lee/Wong Claire M 0 736 6/26/2012 DPA/TPA INACTIVE NONE 2/28/2019Lehmann Mark M 0 452 4/8/2002 DPA/TPA INACTIVE NONE 2/28/2018Lehrner Marilyn J 4 230 9/11/1986 DPA/TPA ACTIVE NONE 2/28/2019Lent Gerald A 0 157 9/1/1976 DPA EXPIRED NONE 12/31/2009Leonard David E 1 344 7/7/1998 DPA/TPA ACTIVE NONE 2/28/2019Leung Dennis w 0 541 9/29/2005 DPA EXPIRED NONE 12/31/2012Levin Arthur B 3 897 10/31/2016 DPA ACTIVE NONE 2/28/2018Lew Felicia 0 560 7/20/2006 DPA EXPIRED NONE 12/31/2007Lewandowski-Walker Kimberly 0 334 9/16/1997 DPA/TPA INACTIVE NONE 2/28/2019Lewis Hersel 939 8/1/2017 DPA/TPA ACTIVE NONE 2/28/2018Licina Tina 5 915 5/31/2017 DPA/TPA ACTIVE NONE 2/28/2019Lighthouse Christy 1 356 6/30/1999 DPA/TPA ACTIVE NONE 2/28/2018Lipparelli Matthew H 1 265 9/24/1990 DPA/TPA ACTIVE NONE 2/28/2019Liu Wenshan 0 771 7/29/2013 DPA/TPA EXPIRED NONE 12/31/2016Liu Catherine Chia-Yu 0 830 7/15/2015 DPA INACTIVE NONE 2/28/2018Lochner Conrad III 1 256 9/28/1989 DPA/TPA ACTIVE NONE 2/28/2019Lofgran Adam J. 0 661 12/1/2009 DPA EXPIRED NONE 12/31/2011Lovaas Dean L 0 105 10/1/1963 DPA EXPIRED NONE 12/31/2012Lu Eleline J 0 575 4/4/2007 DPA EXPIRED NONE 12/31/2009

Lum Michael 2 904 1/25/2017 DPA ACTIVE NONE 2/28/2019Lum Cindy F 2 613 5/19/2008 DPA/TPA ACTIVE NONE 2/28/2018Lunchick Eric J. 929 6/20/2017 DPA ACTIVE NONE 2/28/2019Lundin Bruce L 1 726 4/2/2012 DPA/TPA ACTIVE NONE 2/28/2018Lundin Bruce L 0 412 12/26/2000 DPA/TPA REVOKED YES 2/28/2009Luong Linda 0 652 8/17/2009 DPA EXPIRED NONE 12/31/2010Lupa Staci R 0 480 7/7/2003 DPA EXPIRED NONE 12/31/2005Lupei Carl V 1 218 8/1/1985 DPA/TPA ACTIVE NONE 2/28/2018Lupei Victoria M 1 142 8/1/1974 DPA/TPA ACTIVE NONE 2/28/2018Luu Jenny W 0 711 7/18/2011 DPA EXPIRED NONE 12/31/2013Ly Emma K. 940 8/4/2017 DPA ACTIVE NONE 2/28/2018Ly Son 0 784 10/8/2013 DPA/TPA EXPIRED NONE 2/28/2015Lyons Robert D 1 542 12/16/2005 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Lyons Somer J 1 489 11/3/2003 DPA/TPA ACTIVE NONE 2/28/2018Ma Yen M 0 525 5/24/2005 DPA EXPIRED NONE 2/28/2006Macintyre Mackenzie III 1 843 11/12/2015 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Mack Carla Lee 0 276 9/12/1991 DPA REVOKED YES 10/7/2008Magdato Jeimelie 1 572 12/5/2006 DPA/TPA ACTIVE NONE 2/28/2018

Mai Thuytien 0 947 10/4/2017 DPA ACTIVE NONE 2/28/2018Mai Loi Thanh 1 894 9/1/2016 DPA ACTIVE NONE 2/28/2019Mai Jessica L 0 816 11/3/2014 DPA EXPIRED NONE 2/28/2016Majda Renata M 0 597 7/25/2007 DPA EXPIRED NONE 12/31/2008Mak Ronnie C 0 891 8/31/2016 DPA EXPIRED NONE 2/28/2017Malik Edward J 1 236 10/1/1987 DPA/TPA ACTIVE NONE 2/28/2018

Page 10: Updated 2/13/2018 This list is updated as changes occur ... · This list is updated as changes occur, and may be considered Primary Source Verification- Renewals submitted by Feb

Mallinger McCormick Jennifer C 1 328 9/16/1997 DPA/TPA ACTIVE NONE 2/28/2019Maloney Laura 1 326 3/5/1997 DPA/TPA ACTIVE NONE 2/28/2019Mancuso Aaron 2 237 10/10/1987 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Manos Chrys A 1 369 8/3/1999 DPA/TPA ACTIVE NONE 2/28/2018Mar Victoria Lew 1 414 1/2/2001 DPA/TPA ACTIVE NONE 2/28/2018Marayan Rohit Mather 0 474 5/28/2003 DPA EXPIRED NONE 12/31/2008Marchant Evan R 2 277 9/12/1991 DPA/TPA ACTIVE NONE 2/28/2018Margitza L Russell 1 275 9/12/1991 DPA/TPA ACTIVE NONE 2/28/2018Marquez Mark A. 912 5/30/2017 DPA/TPA ACTIVE NONE 2/28/2018Marsala Dawn M 0 594 7/23/2007 DPA EXPIRED NONE 12/31/2013Mateossian Roger 2 126 7/1/1971 DPA/TPA ACTIVE NONE 2/28/2019Mather Jonathan D 2 776 8/13/2013 DPA/TPA ACTIVE NONE 2/28/2018Mathis James A 0 504 7/6/2004 DPA EXPIRED NONE 12/31/2005Matson Michelle E 1 670 5/13/2010 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Maxon Tyler 914 5/30/2017 DPA ACTIVE NONE 2/28/2018Mayer Michael 1 499 7/1/2004 DPA/TPA ACTIVE NONE 2/28/2019Mayer John 0 666 12/21/2009 DPA EXPIRED NONE 12/31/2011Mazzulla Shauna M 0 698 5/24/2011 DPA EXPIRED NONE 2/28/2016Mazzulla Donald 0 231 9/1/1986 DPA/TPA/Glaucoma EXPIRED NONE 2/28/2017McAllister Bennett 1 339 2/9/1998 DPA/TPA ACTIVE NONE 2/28/2018McBee Ryan T 0 585 7/11/2007 DPA EXPIRED NONE 12/31/2011McCafferty Ashley M 1 932 6/28/2017 DPA ACTIVE NONE 2/28/2018McCaffrey Civia E 1 551 6/28/2006 DPA/TPA ACTIVE NONE 2/28/2018McCandless Kenneth C 2 553 7/5/2006 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018McCartney Myles A 0 281 9/12/1991 DPA EXPIRED NONE 2/28/2017McKnight Lara 1 481 7/8/2003 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019McLaughlin Kelli A 5 453 7/2/2002 DPA/TPA ACTIVE NONE 2/28/2019Meharry Candria Elyse 0 683 7/19/2010 DPA EXPIRED NONE 12/31/2013Meier Richard F 0 175 10/1/1979 DPA/TPA/Glaucoma INACTIVE NONE 2/28/2018Melton Timothy F 2 777 8/22/2013 DPA/TPA ACTIVE NONE 2/28/2018Mendez Jaime H. 930 6/19/2017 DPA ACTIVE NONE 2/28/2019Mendoza Billy G 1 671 6/25/2010 DPA/TPA ACTIVE NONE 2/28/2018Merkin Ellen P 1 219 8/1/1985 DPA/TPA ACTIVE NONE 2/28/2019Michaels Justin B 0 498 7/1/2004 DPA EXPIRED NONE 12/31/2008Michel Beatrice H 0 238 10/10/1987 DPA EXPIRED NONE 2/28/2015Michitish Mark 2 278 9/12/1991 DPA/TPA ACTIVE NONE 2/28/2018Mietzner David John 1 665 12/15/2009 DPA/TPA ACTIVE NONE 2/28/2019Miller Brian L 1 304 8/12/1993 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Miller Michelle 1 290 8/17/1992 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019Miller Mark 1 279 9/12/1991 DPA/TPA ACTIVE NONE 2/28/2019Miller Mary Sarah 0 600 8/9/2007 DPA/TPA EXPIRED NONE 2/28/2017Millie Elise A 0 544 3/1/2006 DPA/TPA INACTIVE NONE 2/28/2018Minnix Julie A 2 880 8/4/2016 DPA/TPA ACTIVE NONE 2/28/2019Miranda Nissa D 1 809 7/21/2014 DPA/TPA ACTIVE NONE 2/28/2018Mirbaha Leyla 2 634 12/1/2008 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Miro Leonardo J. 0 916 5/31/2017 DPA INACTIVE NONE 2/28/2019Mitchell Romea E 0 753 3/8/2013 DPA/TPA EXPIRED NONE 2/28/2015

Page 11: Updated 2/13/2018 This list is updated as changes occur ... · This list is updated as changes occur, and may be considered Primary Source Verification- Renewals submitted by Feb

Mitchell Mark G 0 374 1/13/2000 DPA/TPA/Glaucoma EXPIRED NONE 2/28/2016Moffett Stephen J 1 388 7/6/2000 DPA/TPA ACTIVE NONE 2/28/2018Mok Allen J 0 546 5/23/2006 DPA EXPIRED NONE 2/28/2014Mok Amy 0 373 9/3/1999 DPA/TPA INACTIVE NONE 2/28/2018Monarrez Jennifer L 1 702 6/27/2011 DPA/TPA ACTIVE NONE 2/28/2018Montero Joseph A 0 642 7/7/2009 DPA EXPIRED NONE 12/31/2013Moore Timothy B 7 811 8/11/2014 DPA/TPA ACTIVE NONE 2/28/2018Moore Pamela D 1 190 9/1/1981 DPA/TPA ACTIVE NONE 2/28/2018Moore Kathy J 0 201 8/1/1983 DPA EXPIRED NONE 12/31/2006Morris Dexter A 1 239 10/6/1987 DPA/TPA ACTIVE NONE 2/28/2019Morrison Robert Douglas 0 118 7/1/1969 DPA/TPA EXPIRED NONE 2/28/2017Mortensen David D 2 700 6/16/2011 DPA/TPA ACTIVE NONE 2/28/2018Mosiman Corwyn A 1 835 9/1/2015 DPA/TPA ACTIVE NONE 2/28/2018Mu Andy Yingju 4 793 3/1/2014 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Mulder Daniel H. 1 926 6/20/2017 DPA ACTIVE NONE 2/28/2018Murphy Rory B 2 688 8/16/2010 DPA/TPA ACTIVE NONE 2/28/2018Murray Rodney A 4 329 9/16/1997 DPA/TPA ACTIVE NONE 2/28/2018Myers Stephen L 2 280 9/12/1991 DPA/TPA ACTIVE NONE 2/28/2018Myers Robert T 0 61 DPA EXPIRED NONE 2/28/2006Nagel Alissa D 2 603 8/17/2007 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019Nakano Greyson Y. 4 818 3/23/2015 DPA/TPA ACTIVE NONE 2/28/2018Nakatani Dennis Y 0 881 8/4/2016 DPA ACTIVE NONE 2/28/2018Nannini Christopher Michael 3 741 7/11/2012 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Nannini Brittany W 1 681 7/9/2010 DPA/TPA ACTIVE NONE 2/28/2018Narula Rachna 0 471 12/30/2002 DPA/TPA EXPIRED NONE 12/31/2012Nassar Joanne L 1 433 7/16/2001 DPA/TPA ACTIVE NONE 2/28/2018Nevett Stephen D 0 372 8/20/1999 DPA EXPIRED NONE 12/31/2011Ng Kant 2 503 7/2/2004 DPA/TPA ACTIVE NONE 2/28/2019Ng Zhao Pinto F 3 883 8/9/2016 DPA/TPA ACTIVE NONE 2/28/2018Ngo Julie MT 1 765 7/2/2013 DPA/TPA ACTIVE NONE 2/28/2019Ngo Christopher B. 0 705 6/27/2011 DPA/TPA EXPIRED NONE 12/31/2013Ngo Thuy-Diem N 0 689 8/23/2010 DPA EXPIRED NONE 12/31/2013Ngo Khanh Van 0 570 12/13/2006 DPA EXPIRED NONE 12/31/2011Nguyen Wendy T 1 882 8/8/2016 DPA/TPA ACTIVE NONE 2/28/2018Nguyen Kenneth 3 832 8/3/2015 DPA/TPA ACTIVE NONE 2/28/2018Nguyen Steve T 2 417 1/11/2002 DPA/TPA ACTIVE NONE 2/28/2018Nguyen Cindy P 0 770 7/26/2013 DPA/TPA EXPIRED NONE 2/28/2015Nguyen Jasmine T 0 750 12/31/2012 DPA EXPIRED NONE 2/28/2014Nguyen Newton 1 706 6/27/2011 DPA/TPA EXPIRED NONE 2/28/2017Nguyen Hong Thuy 0 685 7/22/2010 DPA EXPIRED NONE 12/31/2014Nguyen Nikki L 0 659 11/24/2009 DPT/TPA EXPIRED NONE 2/28/2013Nguyen Trung 0 650 6/28/2009 DPA EXPIRED NONE 12/31/2011Nguyen Christine 0 589 7/30/2007 DPA EXPIRED NONE 12/31/2008Nguyen Trang B.P. 0 577 6/15/2007 DPA EXPIRED NONE 12/31/2008Nguyen Peter H 0 571 11/14/2006 DPA/TPA EXPIRED NONE 12/31/2008Nguyen Howard Hai Tuan 0 567 10/17/2006 DPA EXPIRED NONE 12/31/2008Nguyen Audrey N 0 565 9/20/2006 DPA EXPIRED NONE 2/28/2008

Page 12: Updated 2/13/2018 This list is updated as changes occur ... · This list is updated as changes occur, and may be considered Primary Source Verification- Renewals submitted by Feb

Nguyen Thy T 0 527 6/23/2005 DPA/TPA EXPIRED NONE 12/31/2011Nguyen Cam-tu Hoang 0 348 11/18/1998 DPA/TPA INACTIVE NONE 2/28/2019Nguyen Don Jr. 0 346 7/14/1998 DPA/TPA INACTIVE NONE 2/28/2019Nicholls Eric O 0 466 10/1/2002 DPA EXPIRED NONE 12/31/2007Nichols III Lorenzo L 0 763 6/28/2013 DPA/TPA INACTIVE NONE 2/28/2018Noll Amiee L. 1 850 5/13/2016 DPA/TPA ACTIVE NONE 2/28/2019Nyon Pamela 1 505 7/6/2004 DPA/TPA ACTIVE NONE 2/28/2018O'Brien Jenna 2 834 8/24/2015 DPA/TPA ACTIVE NONE 2/28/2018O'Brien Erin C 1 752 1/31/2013 DPA/TPA ACTIVE NONE 2/28/2018Ogden Troy 1 782 9/30/2013 DPA/TPA ACTIVE NONE 2/28/2018Ogden Troy R 0 677 3/23/2010 DPA EXPIRED NONE 12/31/2011Ohriner Mark 1 249 12/1/1988 DPA/TPA ACTIVE NONE 2/28/2018Ohriner Harvey 4 120 7/1/1970 DPA/TPA ACTIVE NONE 2/28/2019Old Tamara S 1 415 1/8/2001 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Ora John 934 6/28/2017 DPA ACTIVE NONE 2/28/2019Ornstein Erik S 0 405 7/27/2000 DPA/TPA EXPIRED NONE 12/13/2003Ortiz Isaac Jacob 2 831 7/20/2015 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019Orton Douglas D 2 282 9/12/1991 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019Osborne Kevin D 0 367 8/3/1999 DPA EXPIRED NONE 12/31/2007O'Shea Timothy J 1 633 10/22/2008 DPA/TPA ACTIVE NONE 2/28/2019Paez Roger 0 507 7/6/2004 DPA/TPA INACTIVE NONE 2/28/2018Palazzolo Stephen S 1 225 8/1/1985 DPA/TPA ACTIVE NONE 2/28/2018Park Silvia 3 819 4/21/2015 DPA/TPA ACTIVE NONE 2/28/2019Park Romy 2 522 11/30/2004 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019Park Peter 1 422 4/24/2001 DPA/TPA ACTIVE NONE 2/28/2018Parsons Jami B 0 654 8/18/2009 DPA/TPA EXPIRED NONE 12/31/2011Patel Jemini R 0 794 3/27/2014 DPA/TPA ACTIVE NONE 2/28/2018Patel Kirtesh M 0 691 9/14/2010 DPA EXPIRED NONE 2/28/2015Patterson Laura F 2 528 6/28/2005 DPA/TPA ACTIVE NONE 2/28/2019Payne Cynthia S 4 574 3/8/2007 DPA/TPA ACTIVE NONE 2/28/2018Pearson Robert A 3 232 9/1/1986 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Peguese Elizabeth M 2 820 6/15/2015 DPA/TPA ACTIVE NONE 2/28/2018Peller Mark W 1 928 6/20/2017 DPA ACTIVE NONE 2/28/2019Pena Julene T 0 523 12/13/2004 DPA EXPIRED NONE 2/28/2015Perez Larry C 1 616 6/3/2008 DPA/TPA ACTIVE NONE 2/28/2018Peterson Ryan K 3 532 7/6/2005 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Peterson Jennifer L 3 486 9/2/2003 DPA/TPA ACTIVE NONE 2/28/2018Peterson Darrin 0 740 7/11/2012 DPA EXPIRED NONE 12/31/2013Pfondevida Joseph C 1 342 7/7/1998 DPA/TPA ACTIVE NONE 2/28/2018

Phan Tiffany H 0 949 10/12/2017 DPA ACTIVE NONE 2/28/2018Phillips Katherine Hess 0 529 7/5/2005 DPA/TPA EXPIRED NONE 12/31/2010Pinon Monica N 2 692 10/1/2010 DPA/TPA ACTIVE NONE 2/28/2019Pittman James W 1 925 6/20/2017 DPA/TPA ACTIVE NONE 2/28/2019Plecha Marla F 1 472 1/23/2003 DPA ACTIVE NONE 2/28/2018Podloski Anthony G 4 448 12/14/2001 DPA/TPA ACTIVE NONE 2/28/2018Polatis Steven M 1 749 11/27/2012 DPA ACTIVE NONE 2/28/2018Polukoshko Erin D 1 463 7/24/2002 DPA/TPA ACTIVE NONE 2/28/2018

Page 13: Updated 2/13/2018 This list is updated as changes occur ... · This list is updated as changes occur, and may be considered Primary Source Verification- Renewals submitted by Feb

Potter Sheryl Lee 0 317 8/2/1995 DPA/TPA EXPIRED NONE 12/31/2012Prado Efrem Jonathan 1 758 5/22/2013 DPA/TPA ACTIVE NONE 2/28/2018Prado Efrem J. 0 758 5/22/2013 DPA EXPIRED NONE 12/31/2016Pressley Hilaire A 1 457 7/9/2002 DPA/TPA ACTIVE NONE 2/28/2018Pritchett Evan 1 341 7/7/1998 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Provost Drew A 0 696 4/11/2011 DPA INACTIVE NONE 2/28/2018Qadeer Kashir 0 625 7/14/2008 DPA/TPA/Glaucoma INACTIVE NONE 2/28/2018Quach Laura 0 624 7/14/2008 DPA EXPIRED NONE 12/31/2011Quinton Spencer J 1 362 7/12/1999 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019Radtke Andrea C 2 675 6/28/2010 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Raffaele Thomas 0 144 8/1/1974 DPA EXPIRED NONE 12/31/2010Ramirez Natalie 0 785 10/14/2013 DPA/TPA EXPIRED NONE 2/28/2014Ramsey C Rush 0 114 7/1/1967 DPA/TPA EXPIRED NONE 2/28/2015Rasmussen Keith O 0 485 8/28/2003 DPA/TPA EXPIRED NONE 12/31/2006Rath D Cory 2 359 7/9/1999 DPA/TPA ACTIVE NONE 2/28/2018Raulino Margaret D 3 677 7/1/2010 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019Rearwin David T 0 416 1/8/2001 DPA INACTIVE NONE 2/28/2018Reed Courtney L 1 473 5/14/2003 DPA/TPA ACTIVE NONE 2/28/2018Rehal Manpreet 3 936 7/19/2017 DPA/TPA ACTIVE NONE 2/28/2018Reinholdt Renee S. 2 900 12/6/2016 DPA/TPA ACTIVE NONE 2/28/2019Rhodes Kristina J 1 686 7/26/2010 DPA/TPA ACTIVE NONE 2/28/2019Richardson Brett 1 918 5/31/2017 DPA/TPA ACTIVE NONE 2/28/2018Richardson Stuart E 1 176 10/1/1979 DPA/TPA ACTIVE NONE 2/28/2018Riffel Suzanne E 1 450 3/5/2002 DPA/TPA ACTIVE NONE 2/28/2018Ritter Emilie P 2 291 8/17/1992 DPA/TPA ACTIVE NONE 2/28/2019Robertson Tyler J 0 924 6/9/2017 DPA ACTIVE NONE 2/28/2018Robertson Carl D 3 292 8/17/1992 DPA/TPA ACTIVE NONE 2/28/2019Robertson Kent M 2 257 9/28/1989 DPA/TPA ACTIVE NONE 2/28/2018Robertson Lee W 0 628 7/21/2008 DPA EXPIRED NONE 12/31/2011Robinson Gerald O 0 103 7/1/1963 DPA EXPIRED NONE 12/31/2010Robison Colin Asa 0 491 12/11/2003 DPA EXPIRED NONE 12/31/2011Rocchi Marina L 0 712 7/18/2011 DPA INACTIVE NONE 2/28/2018Rose Tyler S 3 905 2/13/2017 DPA/TPA ACTIVE NONE 2/28/2018Rosenblum Charlotte A 1 887 8/17/2016 DPA/TPA ACTIVE NONE 2/28/2018Roshan Nadia 1 690 9/10/2010 DPA/TPA ACTIVE NONE 2/28/2019Roter Glenn K 1 411 12/21/2000 DPA/TPA ACTIVE NONE 2/28/2019Rowan Daniel T 3 437 7/26/2001 DPA/TPA ACTIVE NONE 2/28/2018Rowe Kevin C 0 352 1/21/1999 DPA/TPA INACTIVE YES 2/28/2018Ruckman David J 2 767 7/3/2013 DPA/TPA ACTIVE NONE 2/28/2018Ruckman Raymond J 2 638 5/18/2009 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Ryan Terry L 0 155 9/1/1975 DPA EXPIRED NONE 2/28/2014Saboo Frances J 1 477 6/5/2003 DPA/TPA ACTIVE NONE 2/28/2018Sasani Mriam E 0 669 5/3/2010 DPA/TPA EXPIRED NONE 2/28/2013Satija Neil 0 720 12/6/2011 DPA EXPIRED NONE 12/31/2012Savery Douglas M 0 240 10/10/1987 DPA INACTIVE NONE 2/28/2018Schirber Scott S 0 534 7/27/2005 DPA/TPA EXPIRED NONE 12/31/2008Schneider Carmen J 1 623 7/14/2008 DPA/TPA ACTIVE NONE 2/28/2018

Page 14: Updated 2/13/2018 This list is updated as changes occur ... · This list is updated as changes occur, and may be considered Primary Source Verification- Renewals submitted by Feb

Schneider Frank E 1 186 9/1/1980 DPA/TPA ACTIVE NONE 2/28/2018Schore Donald B 0 955 1/4/2018 DPA ACTIVE NONE 2/28/2018Schroedl Michael R 0 817 3/6/2015 DPA EXPIRED NONE 2/28/2017Schwartz Adam A 2 382 6/26/2000 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Seljestad Benjamin 2 490 11/5/2003 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Shaba Phdra Natalie 0 909 3/28/2017 DPA ACTIVE NONE 2/28/2018Shah Sonal 0 608 11/1/2007 DPA/TPA ACTIVE NONE 2/28/2018Shane Jennifer 1 379 3/13/2000 DPA/TPA ACTIVE NONE 2/28/2019Shen Patricia 0 606 10/22/2007 DPA INACTIVE NONE 2/28/2018Shenk Jennifer M 0 663 12/10/2009 DPA/TPA EXPIRED NONE 12/31/2013Shih Brian 3 878 8/3/2016 DPA/TPA ACTIVE NONE 2/28/2018Shimizu Keith S 5 803 7/16/2014 DPA/TPA ACTIVE NONE 2/28/2018Shin David Sung 0 488 10/21/2003 DPA EXPIRED NONE 12/31/2005Shiraishi Kimberly M 1 757 5/7/2013 DPA/TPA ACTIVE NONE 2/28/2019Siebert Christine C 0 349 1/21/1999 DPA/TPA EXPIRED NONE 2/28/2017Singer Ronald M 0 192 9/1/1981 DPA/TPA INACTIVE NONE 2/28/2019Singleton Isaac C 1 311 8/1/1994 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019Sirintr Neesha 1 788 11/19/2009 DPA/TPA ACTIVE NONE 2/28/2018Sisson Matthew C 1 812 8/15/2014 DPA/TPA ACTIVE NONE 2/28/2018Sisson Lonnie 0 133 7/1/1972 DPA EXPIRED NONE 12/31/2008Smith Joseph Aaron 0 937 7/19/2017 DPA ACTIVE NONE 2/28/2018Smith Mariah L 1 730 6/12/2012 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019Smith Kelli Ann 1 704 6/27/2011 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Smith Jonathan P 1 267 9/4/1990 DPA/TPA ACTIVE NONE 2/28/2019Smith David P 1 128 7/1/1971 DPA/TPA ACTIVE NONE 2/28/2018Smith Amy D 0 353 3/2/1999 DPA/TPA EXPIRED NONE 12/31/2007Snyder Elliott H 0 713 7/18/2011 DPA/TPA EXPIRED NONE 2/28/2017Snyder Howard L 0 134 7/1/1972 DPA EXPIRED NONE 12/31/2009Solberg Cynthia A 1 468 10/15/2002 DPA/TPA ACTIVE NONE 2/28/2018Somers William M 0 163 7/1/1977 DPA/TPA EXPIRED NONE 12/31/2006Soumbeniotis James A 1 115 7/1/1967 DPA/TPA ACTIVE NONE 2/28/2018Sousa Dean Anthony 0 268 9/24/1990 DPA EXPIRED NONE 12/31/2008Southam Brant Michael 1 779 8/27/2013 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Speakman Paul A 1 169 10/6/1997 DPA/TPA ACTIVE NONE 2/28/2019Spindel Donald Gilbert 0 841 10/14/2015 DPA INACTIVE NONE 2/28/2019Squire Jeffrey C 0 248 9/23/1997 DPA/TPA INACTIVE NONE 2/28/2018Stanley Maria 1 312 8/10/1994 DPA/TPA ACTIVE NONE 2/28/2018Stanley Anna F 0 464 8/8/2002 DPA/TPA EXPIRED NONE 2/28/2017Starlin Herbert 1 258 9/28/1989 DPA/TPA ACTIVE NONE 2/28/2019Staten Donald D 2 168 9/1/1978 DPA/TPA ACTIVE NONE 2/28/2018Staub John H 0 145 8/1/1974 DPA/TPA INACTIVE NONE 2/28/2018Steed Cory T 1 440 8/3/2001 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019Steidley Trevor 0 476 6/3/2003 DPA EXPIRED NONE 12/31/2010Steinberg Frank 0 241 10/1/1987 DPA INACTIVE NONE 2/28/2018Stetson Kelly 0 519 11/1/2004 DPA/TPA ACTIVE NONE 2/28/2019Stewart Brad C 4 217 9/24/1984 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019Stewart Richard 0 242 10/1/1987 DPA/TPA INACTIVE NONE 2/28/2019

Page 15: Updated 2/13/2018 This list is updated as changes occur ... · This list is updated as changes occur, and may be considered Primary Source Verification- Renewals submitted by Feb

Steyn Lori 1 313 8/10/1994 DPA/TPA ACTIVE NONE 2/28/2018Stone William F. 0 193 9/1/1981 DPA EXPIRED NONE 12/31/2009Streifel Norman Douglas 13 682 7/9/2010 DPA/TPA ACTIVE NONE 2/28/2018Subramanian Priya 0 664 12/11/2009 DPA/TPA EXPIRED NONE 12/31/2010Sugimoto Jean Shoko 1 888 8/17/2016 DPA/TPA ACTIVE NONE 2/28/2018Suh Elizabeth D 2 802 7/16/2014 DPA ACTIVE NONE 2/28/2018Suk Dong Chan 1 800 6/24/2014 DPA/TPA ACTIVE NONE 2/28/2018Sullivan Amy E 2 797 6/10/2014 DPA/TPA ACTIVE NONE 2/28/2018Sullivan Matthew Ryan 0 387 7/5/2000 DPA EXPIRED NONE 12/31/2007Sutton John H 1 146 8/1/1974 DPA/TPA ACTIVE NONE 2/28/2018Svoboda Bela L 1 314 1/25/1995 DPA/TPA ACTIVE NONE 2/28/2018Swan Elisabeth S 0 293 8/17/1992 DPA/TPA INACTIVE NONE 2/28/2018Swedberg James W 1 458 7/10/2002 DPA/TPA ACTIVE NONE 2/28/2018Sy Ellen Vong 2 838 9/15/2015 DPA ACTIVE NONE 2/28/2018Szymanowicz Dora G 0 836 9/8/2015 DPA INACTIVE NONE 2/28/2019Tan Esther H 2 428 6/26/2001 DPA/TPA ACTIVE NONE 2/28/2018Terry Joshua J 1 596 7/25/2007 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019Thanos Crystal N 2 821 6/15/2015 DPA/TPA ACTIVE NONE 2/28/2018Thomas Jonathon 0 336 12/2/1997 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Thomas Lindy A 0 350 1/21/1999 DPA/TPA/Glaucoma INACTIVE NONE 2/28/2018Thompson Paul J 1 391 7/7/2000 DPA/TPA ACTIVE NONE 2/28/2019Thumm Michael Sterling 0 592 7/20/2007 DPA/TPA/Glaucoma EXPIRED NONE 12/31/2013Thunyalukul Vorapas 2 447 11/28/2001 DPA/TPA ACTIVE NONE 2/28/2018Tiriveedhi Sumavamsi 0 409 8/11/2000 DPA/TPA INACTIVE NONE 2/28/2018Tiu-Lim Julius W 0 710 7/11/2011 DPA/TPA EXPIRED NONE 12/31/2013Tong Sharon 1 921 6/8/2017 DPA/TPA ACTIVE NONE 2/28/2018Tradup Nicole A 1 595 7/23/2007 DPA/TPA ACTIVE NONE 2/28/2018Tran Jenny 1 886 8/16/2016 DPA/TPA ACTIVE NONE 2/28/2018Tran Hai M 3 386 7/5/2000 DPA/TPA ACTIVE NONE 2/28/2018Tran Trang T 1 378 3/13/2000 DPA/TPA ACTIVE NONE 2/28/2019Tran Janet N 1 371 8/12/1999 DPA/TPA ACTIVE NONE 2/28/2019Tran Van T 1 363 7/12/1999 DPA/TPA ACTIVE NONE 2/28/2018Tran Vu Q 0 668 4/27/2010 DPA EXPIRED NONE 12/31/2011Tran Jennifer N 0 643 7/7/2009 DPA EXPIRED NONE 2/28/2017Tran Jennifer Mynhile 0 643 7/7/2009 DPA EXPIRED NONE 12/31/2011Tran Trisha T 0 619 7/1/2008 DPA EXPIRED NONE 12/31/2011Tran Suzanne N 0 506 7/6/2004 DPA/TPA EXPIRED NONE 2/28/2016Tran Tracy T 0 578 6/19/2007 DPA/TPA INACTIVE NONE 2/28/2018Trinh Bich Ngoc 0 707 7/6/2011 DPA/TPA EXPIRED NONE 12/31/2013Trinidad Charlene A 1 804 7/17/2014 DPA/TPA ACTIVE NONE 2/28/2018Truong Henry 2 839 9/16/2015 DPA/TPA ACTIVE NONE 2/28/2019Truong Tresca 0 734 6/25/2012 DPA EXPIRED NONE 2/28/2014Tse-Riehl Jessica 0 470 11/26/2002 DPA/TPA EXPIRED NONE 12/31/2005Tung Jacqueline Hang 0 513 7/23/2004 DPA/TPA EXPIRED NONE 12/31/2009Ueshiro Lynn H 0 333 9/16/1997 DPA/TPA INACTIVE NONE 2/28/2018Van Patten Katrina 1 200 8/1/1983 DPA/TPA ACTIVE NONE 2/28/2019Vander Veldt David M 2 509 7/12/2004 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019

Page 16: Updated 2/13/2018 This list is updated as changes occur ... · This list is updated as changes occur, and may be considered Primary Source Verification- Renewals submitted by Feb

Vathanasaynee Michael 1 609 12/20/2007 DPA/TPA ACTIVE NONE 2/28/2019Velasco Vivienne 1 543 12/29/2005 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018

Vermeulen Dustin 0 948 10/4/2017 DPA ACTIVE NONE 2/28/2018Vi Chau N 2 822 6/15/2015 DPA/TPA ACTIVE NONE 2/28/2018Vicuna Emma C 1 599 8/6/2007 DPA/TPA ACTIVE NONE 2/28/2018Vidacic Sandra 2 844 12/2/2015 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Vo Dana L 2 516 9/13/2004 DPA/TPA ACTIVE NONE 2/28/2018Vu Josephine T. 0 526 6/13/2005 DPA/TPA EXPIRED NONE 12/31/2008Vu Tan D 0 502 7/2/2004 DPA/TPA INACTIVE NONE 2/28/2018Vuong My M 1 558 7/18/2006 DPA/TPA ACTIVE NONE 2/28/2019Wadoski Joseph P 3 310 8/10/1994 DPA/TPA ACTIVE NONE 2/28/2019Wahlstedt Christine L 0 761 6/25/2013 DPA/TPA EXPIRED NONE 2/28/2017Wai Patricia 3 846 3/11/2016 DPA/TPA ACTIVE NONE 2/28/2019Waite Bradley S 2 764 7/2/2013 DPA/TPA ACTIVE NONE 2/28/2018Walker Terry H 1 540 8/29/2005 DPA/TPA ACTIVE NONE 2/28/2018Walker Terry H 0 540 8/29/2005 DPA/TPA EXPIRED NONE 1/1/2006Wallace Shaune 0 931 6/28/2017 DPA/TPA ACTIVE NONE 2/28/2018Wang Lawrence 1 392 7/7/2000 DPA/TPA ACTIVE NONE 2/28/2019Ward Deborah J 1 309 8/10/1994 DPA/TPA ACTIVE NONE 2/28/2018Washington Stacy M 1 732 6/25/2012 DPA/TPA ACTIVE NONE 2/28/2018Watson Matthew L 0 658 11/9/2009 DPA EXPIRED NONE 2/28/2010Wayment Scott B 0 524 4/6/2005 DPA/TPA REVOKED YES 2/28/2014Wells Tascha D 2 648 7/20/2009 DPA/TPA ACTIVE NONE 2/28/2019Whitley Warren J 1 810 8/1/2004 DPA/TPA ACTIVE NONE 2/28/2018Whitley Walter O 0 456 9/7/2002 DPA/TPA/Glaucoma EXPIRED NONE 2/28/2016Wiggins Ryan 1 952 12/26/2017 DPA ACTIVE NONE 2/28/2019William Margot 0 539 8/26/2005 DPA EXPIRED NONE 12/31/2011Williams Grady J 2 296 8/10/1993 DPA/TPA ACTIVE NONE 2/28/2018Williams Margot 0 539 8/26/2005 DPA EXPIRED NONE 2/28/2011Williams Salisa K 0 284 12/9/1991 DPA/TPA INACTIVE NONE 2/28/2018Williamson James F 1 640 6/30/2009 DPA/TPA ACTIVE NONE 2/28/2018Wilson Paul D 1 305 12/8/1993 DPA/TPA ACTIVE NONE 2/28/2019Winkelman Rick G 1 400 7/18/2000 DPA/TPA ACTIVE NONE 2/28/2018Winkelman Ronald H 0 429 7/10/2001 DPA EXPIRED NONE 12/31/2009Wlodek Robert M 1 421 4/16/2002 DPA/TPA ACTIVE NONE 2/28/2019

Wogalter Kevin J 1 944 8/23/2017 DPA ACTIVE NONE 2/28/2019Wong Allen 2 630 7/29/2008 DPA/TPA ACTIVE NONE 2/28/2018Wong Michelle W 1 620 6/25/2008 DPA/TPA ACTIVE NONE 2/28/2018Wong Doris 1 618 6/26/2008 DPA/TPA ACTIVE NONE 2/28/2019Wong Eugene Y.K. 0 892 8/31/2016 DPA EXPIRED NONE 2/28/2017Wong Connie T 0 813 8/9/2014 DPA/TPA EXPIRED NONE 2/28/2016Wren Lee B 0 893 8/31/2016 DPA EXPIRED NONE 2/28/2017Wright Elizabeth L 923 6/9/2017 DPA ACTIVE NONE 2/28/2018Wright Scott M 0 383 7/29/2000 DPA EXPIRED NONE 12/31/2004Wu Johnny T 0 510 7/12/2004 DPA EXPIRED NONE 12/31/2012Xu Tina 2 922 6/8/2017 DPA/TPA ACTIVE NONE 2/28/2019Yesnick David P 1 335 9/16/1997 DPA/Glaucoma ACTIVE YES 2/28/2019

Page 17: Updated 2/13/2018 This list is updated as changes occur ... · This list is updated as changes occur, and may be considered Primary Source Verification- Renewals submitted by Feb

Yeung Landerville Kareen 1 756 4/29/2013 DPA/TPA ACTIVE NONE 2/28/2018Yi Chase 0 545 3/6/2006 DPA EXPIRED NONE 12/31/2008

Yi Chase 0 754 3/19/2013 DPA/TPA INACTIVE NONE 2/28/2018Yokoi Garnet M 1 621 6/20/2008 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2019Yontz Nicole M 1 610 3/1/2008 DPA/TPA ACTIVE NONE 2/28/2018Young Esther T 920 6/5/2017 DPA ACTIVE NONE 2/28/2018Young Chen K 2 318 3/10/1995 DPA/TPA ACTIVE NONE 2/28/2018Youssef Amel 4 449 2/15/2002 DPA/TPA/Glaucoma ACTIVE NONE 2/28/2018Zambrano Manuel R 1 781 5/9/2013 DPA/TPA ACTIVE NONE 2/28/2019Zingler Erik B 0 568 10/17/2006 DPA INACTIVE NONE 2/28/2018