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P 1950.3 A615 11/03-11/04\
e.1
Oklahoma State Board of Podiatric Medical Examiners
Annual Report for the period
November 16, 2003 thru November 15, 2004
INCOME AMOUNT EXPENDITURE AMOUNT
Net applications 2,400.00 Inter-Agency Admin Exp:-
Renewals 7,425.00 Medical Board 8,230.00
Verifications 100.00 Central Services 563.00
Data Listing 2,600.00 Legal Services 600.00
Copies 66.501
Duplicate License/Certificate 100.001
TOTAL INCOME 12,691.501 kOTAL EXPENDITURE 9,393.00
Excess of Income over Expenditure 3,298.50
Licensure Data:
Number if applications for licensefiled - '1
Number if appli(ations for license withdrawn - e-
Total Licenses issued - 4-
Licenses revoked --b>-
Licenses pending - .;-
Oklahoma State Board of Podiatric Medical Examiners
Annual Report for Calendar Year 2004
Fees Collected
Lic# Name Date Amt
241 COOPER, FRANKLIN DENVER JR
242 SCHUFF, ANGELA LAVERNE
243 GERSTNER, GLORIA ISABEL
237 MARGIOTTA, MARK CHRISTIAN
244 SMITH, GUY TRENT
245 NELSON, SCOTT JAMES
246 RANDALL, DAVID BRADLEY
236 DOBRY, CHRISTOPHER ALLAN
247 AMELUNG, GREGORY JACK
248 WALKER, JARET DALE
154 CROTTY, MAUREEN L
167 CROTTY, ROBERT ANTON
122 FLYNN, JAMES M
171 FRANCIS, DAVID A
175 HOSLER, SCOTT ALAN
97 MARRON, EDWARD J
115 MCENTIRE, CLIFFORD D
156 MURRAY, THOMAS
166 NAHMIAS, MARK C
155 ROHDE, ALLEN LEE
207 SHEEHAN, BRYAN MICHAEL
189 SHIELDS, SCOTT LAMAR
195 SILVERS, ERIC MICHAEL
146 SOWELL, ROBERT DOUGLAS
179 WEBB, JAMES EDWARD JR
239 WICKS, THOMAS LEE
132 JOHNSTON, WILLIS BRADLEY
127 AARON, FRANK S
89 ASIN, HENRY MURRAY
226 ELENBURG, DARREN DEAN
228 GARRETT, DAVID DEAN
145 GOLDA, KENNETH R
128 GREEN, DAVID L
126 HALL, WI LLiAM DALE
113 HINES, RONALD WAYNE
52 HOUX, LEONARD
105 JONES, WILLIAM C
141 KINCAID, DOUGLAS LEROY
193 MATOS,RANDALLJOSEPH
144 MAXWELL, JERRY R
111 MCCLELLAND, JAMES QUINTON
198 SMITH, MALCOLM DEREK
152 SMITH, WILLIAM K SR.
104 TRACZYK, RICHARD J
120 WADE, DAVID GLEN
185 BEAN, GORDON JAMES
202 BURK, JULIET COLYER
201 BURK, REED KARL
01/09/2004
01/14/2004
01/21/2004
01/21/2004
01/21/2004
01/23/2004
01/26/2004
01/27/2004
01/30/2004
01/30/2004
05/20/2004
05/20/2004
05/20/2004
05/20/2004
05/20/2004
05/20/2004
05/20/2004
05/20/2004
05/20/2004
05/20/2004
05/20/2004
05/20/2004
05/20/2004
05/20/2004
05/20/2004
05/20/2004
05/26/2004
05/27/2004
05/27/2004
05/27/2004
05/27/2004
05/27/2004
05/27/2004
05/27/2004
05/27/2004
05/27/2004
05/27/2004
05/27/2004
05/27/2004
05/27/2004
05/27/2004
05/27/2004
05/27/2004
05/27/2004
05/27/2004
06/09/2004
06/09/2004
06/09/2004
$200.00
$200.00
$200.00
$200.00
$200.00
$200.00
$200.00
$200.00
$200.00
$200.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
Tuesday, November 9, 2004 Page 1 of 3
183 CARRO, ARMANDO
222 CORTEZ, JAYSON GALERA
143 HURLBUTT, RAYMOND C
187 JACKSON-SMITH, JILL LYNN
165 MACLIN, TIMOTHY
117 MARTIN, MICHAEL H
95 NAHMIAS, MARVIN
200 SIEGFRIED, TIMOTHY JOHN
196 SMITH, REGINA MARIE
186 SMITH, STEVEN BRIAN
205 SMITH, WILLIAM KEITH JR
215 THOMAS, TIMOTHY DON JR
211 WALKER, STEVEN ALLEN
212 WEBER, KIERSTEN BRIDGET
151 WILSON, MICHAEL K
190 ANDERSON, CHARLES DAVID
232 BEASLEY, BRADLEY DON
153 CAIN, BRYAN LYNN
162 CROTTY, WILLIAM P
83 DAVIS, ELVIN H
208 DI DOMENICO, LINDA MARIE
142 DITMARS, JOHN J JR
150 GRAFF, JOHN DAVID
159 LAROSE, CAROL
129 MOREHEAD, JOHN E
103 NINE, BOB FLOYD
199 BUKSH, AHMED BILAL
206 BUKSH, KELLY WALKER
116 CAUDELL, JAMES M
217 LANDIS, LLOYD BEEGLE
147 NAYFA, TERRY M
121 PINKERTON, RONNIE R
204 ROSE, JODY GENE
174 THOMPSON, JOHN D.
136 BROWN, JACK HOWARD
184 CAUTHON, JOHN KEAN
140 CAVALLARO, DAVID C
170 CROTTY, JAMES
99 HENRY, THOMAS S
158 MALAVOLTI, TIMOTHY
56 PINSON, THOMAS B
192 FINKENSTAEDT, JEFF ROBERT
210 HILTON, EMORY J.
209 LE, PETER QUOC
188 LEE, ROBERT HAYES
65 PIKE, CHARLES M
223 ROBERTS, MATTHEW HAROLD
178 SMITH, RAYMOND LEE
172 TRICHELL, LLOYD C JR
176 BARRETT, BARBARA BRAINERD
123 DE MOSS, COYLE EUGENE
230 NELSON, BRADLEY DEWAYNE
100 ANDRESS, TED R
06/09/2004
06/09/2004
06/09/2004
06/09/2004
06/09/2004
06/09/2004
06/09/2004
06/09/2004
06/09/2004
06/09/2004
06/09/2004
06/09/2004
06/09/2004
06/09/2004
06/09/2004
06/10/2004
06/10/2004
06/10/2004
06/10/2004
06/10/2004
06/10/2004
06/10/2004
06/10/2004
06/10/2004
06/10/2004
06/10/2004
06/21/2004
06/21/2004
06/21/2004
06/21/2004
06/21/2004
06/21/2004
06/21/2004
06/21/2004
06/24/2004
06/24/2004
06/24/2004
06/24/2004
06/24/2004
06/24/2004
06/24/2004
06/30/2004
06/30/2004
06/30/2004
06/30/2004
06/30/2004
06/30/2004
06/30/2004
06/30/2004
07/01/2004
07/01/2004
07/01/2004
07/14/2004
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
Tuesday, November 9, 2004 Page 2 of 3
124 GEISTER, ROBERT W
234 PEDERSON, DAVID WARREN
181 WHITE, JOHN MICHAEL
218 GRAY, SCOTT KEVIN
194 TRACZYK, RICHARD JOSEPH II
213 GOLUB, RYAN BENJAMIN
168 JENKINS, NANCY LEE
148 MAGRINI, KENT L
242 SCHUFF, ANGELA LAVERNE
07/14/2004
07/14/2004
07/14/2004
07/16/2004
07/16/2004
07/29/2004
09/07/2004
09/27/2004
10/27/2004
110 Total Fees Collected:
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$200.00
$9,625.00
Licenses Issued
Date License # Name
05/06/2004
07/01/2004
07/01/2004
07/01/2004
07/01/2004
07/02/2004
07/16/2004
239
247
241
233
246
231
244
WICKS, THOMAS LEE
AMELUNG,GREGORYJACK
COOPER, FRANKLIN DENVER JR
LE, DAVID QUYEN
RANDALL, DAVID BRADLEY
JOHNSON,MARYJONES
SMITH, GUY TRENT
Total Licenses Issued: 7
Licenses Suspended/Revoked or Made Inactive
Date Lic # Name Reason
07/01/2004 96 BLOSSER, FRED
07/01/2004 214 CETTIE, MARK DOUGLAS
07/01/2004 76 CROTTY, J DUANE
07/01/2004 235 HAUSEN FLUKE, MATTHEW JAMES
07/01/2004 125 HUFFMYER, JOE HARRY
07/01/2004 101 LEDOUX, E PAUL
0710112004 219 REEL, JASON CARROLL
Total Licenses Suspended/Revoked/Made Inactive: 7
Expired License
Expired License
Expired License
Expired License
Expired License
Expired License
Expired License
Tuesday, November 9, 2004 Page 3 of 3
JUN20 2011
Object Description
| Okla State Agency |
Podiatric Medical Examiners, Oklahoma State Board of |
| Okla Agency Code | '140' |
| Title | Annual report for the period |
| Alternative title | Annual report for the period / Oklahoma State Board of Podiatric Medical Examiners |
| Authors | Oklahoma. State Board of Podiatric Medical Examiners. |
| Publisher | Oklahoma State Board of Podiatric Medical Examiners |
| Publication Date | 2002; 2003; 2004 |
| Publication type | Annual Report |
| Serial holdings | Electronic holdings: 2002/03; 2003/04 |
| Subject |
Oklahoma. State Board of Podiatric Medical Examiners--Periodicals. Podiatrists--Oklahoma--Periodicals. |
| Purpose | Said Board shall regulate the practice of podiatric medicine in this state in accordance with the provisions of the Podiatric Medicine Practice Act; Podiatrists diagnose and treat conditions affecting the foot, ankle and related structures of the leg. |
| Contents | Based on 2003/04 issue;Income/Expenditure;Licensure Data;Fees Collected;Licenses Issues;Licenses Suspended, Revoked or Made Inactive |
| OkDocs Class# | P1950.3 A615 |
| Digital Format | PDF, Adobe Reader required |
| ODL electronic copy | Deposited by agency in print; scanned by Oklahoma Department of Libraries 7/2011 |
| Rights and Permissions | This Oklahoma state government publication is provided for educational purposes under U.S. copyright law. Other usage requires permission of copyright holders. |
| Language | English |
| Date created | 2011-07-15 |
| Date modified | 2012-10-19 |
Description
| Title | Podiatric AR2004 |
| OkDocs Class# | P1950.3 A615 11/03-11/04 |
| Digital Format | PDF, Adobe Reader required |
| ODL electronic copy | Deposited by agency in print; scanned by Oklahoma Department of Libraries 7/2011 |
| Rights and Permissions | This Oklahoma state government publication is provided for educational purposes under U.S. copyright law. Other usage requires permission of copyright holders. |
| Language | English |
| Full text | ~ P 1950.3 A615 11/03-11/04\ e.1 Oklahoma State Board of Podiatric Medical Examiners Annual Report for the period November 16, 2003 thru November 15, 2004 INCOME AMOUNT EXPENDITURE AMOUNT Net applications 2,400.00 Inter-Agency Admin Exp:- Renewals 7,425.00 Medical Board 8,230.00 Verifications 100.00 Central Services 563.00 Data Listing 2,600.00 Legal Services 600.00 Copies 66.501 Duplicate License/Certificate 100.001 TOTAL INCOME 12,691.501 kOTAL EXPENDITURE 9,393.00 Excess of Income over Expenditure 3,298.50 Licensure Data: Number if applications for licensefiled - '1 Number if appli(ations for license withdrawn - e- Total Licenses issued - 4- Licenses revoked --b>- Licenses pending - .;- Oklahoma State Board of Podiatric Medical Examiners Annual Report for Calendar Year 2004 Fees Collected Lic# Name Date Amt 241 COOPER, FRANKLIN DENVER JR 242 SCHUFF, ANGELA LAVERNE 243 GERSTNER, GLORIA ISABEL 237 MARGIOTTA, MARK CHRISTIAN 244 SMITH, GUY TRENT 245 NELSON, SCOTT JAMES 246 RANDALL, DAVID BRADLEY 236 DOBRY, CHRISTOPHER ALLAN 247 AMELUNG, GREGORY JACK 248 WALKER, JARET DALE 154 CROTTY, MAUREEN L 167 CROTTY, ROBERT ANTON 122 FLYNN, JAMES M 171 FRANCIS, DAVID A 175 HOSLER, SCOTT ALAN 97 MARRON, EDWARD J 115 MCENTIRE, CLIFFORD D 156 MURRAY, THOMAS 166 NAHMIAS, MARK C 155 ROHDE, ALLEN LEE 207 SHEEHAN, BRYAN MICHAEL 189 SHIELDS, SCOTT LAMAR 195 SILVERS, ERIC MICHAEL 146 SOWELL, ROBERT DOUGLAS 179 WEBB, JAMES EDWARD JR 239 WICKS, THOMAS LEE 132 JOHNSTON, WILLIS BRADLEY 127 AARON, FRANK S 89 ASIN, HENRY MURRAY 226 ELENBURG, DARREN DEAN 228 GARRETT, DAVID DEAN 145 GOLDA, KENNETH R 128 GREEN, DAVID L 126 HALL, WI LLiAM DALE 113 HINES, RONALD WAYNE 52 HOUX, LEONARD 105 JONES, WILLIAM C 141 KINCAID, DOUGLAS LEROY 193 MATOS,RANDALLJOSEPH 144 MAXWELL, JERRY R 111 MCCLELLAND, JAMES QUINTON 198 SMITH, MALCOLM DEREK 152 SMITH, WILLIAM K SR. 104 TRACZYK, RICHARD J 120 WADE, DAVID GLEN 185 BEAN, GORDON JAMES 202 BURK, JULIET COLYER 201 BURK, REED KARL 01/09/2004 01/14/2004 01/21/2004 01/21/2004 01/21/2004 01/23/2004 01/26/2004 01/27/2004 01/30/2004 01/30/2004 05/20/2004 05/20/2004 05/20/2004 05/20/2004 05/20/2004 05/20/2004 05/20/2004 05/20/2004 05/20/2004 05/20/2004 05/20/2004 05/20/2004 05/20/2004 05/20/2004 05/20/2004 05/20/2004 05/26/2004 05/27/2004 05/27/2004 05/27/2004 05/27/2004 05/27/2004 05/27/2004 05/27/2004 05/27/2004 05/27/2004 05/27/2004 05/27/2004 05/27/2004 05/27/2004 05/27/2004 05/27/2004 05/27/2004 05/27/2004 05/27/2004 06/09/2004 06/09/2004 06/09/2004 $200.00 $200.00 $200.00 $200.00 $200.00 $200.00 $200.00 $200.00 $200.00 $200.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 Tuesday, November 9, 2004 Page 1 of 3 183 CARRO, ARMANDO 222 CORTEZ, JAYSON GALERA 143 HURLBUTT, RAYMOND C 187 JACKSON-SMITH, JILL LYNN 165 MACLIN, TIMOTHY 117 MARTIN, MICHAEL H 95 NAHMIAS, MARVIN 200 SIEGFRIED, TIMOTHY JOHN 196 SMITH, REGINA MARIE 186 SMITH, STEVEN BRIAN 205 SMITH, WILLIAM KEITH JR 215 THOMAS, TIMOTHY DON JR 211 WALKER, STEVEN ALLEN 212 WEBER, KIERSTEN BRIDGET 151 WILSON, MICHAEL K 190 ANDERSON, CHARLES DAVID 232 BEASLEY, BRADLEY DON 153 CAIN, BRYAN LYNN 162 CROTTY, WILLIAM P 83 DAVIS, ELVIN H 208 DI DOMENICO, LINDA MARIE 142 DITMARS, JOHN J JR 150 GRAFF, JOHN DAVID 159 LAROSE, CAROL 129 MOREHEAD, JOHN E 103 NINE, BOB FLOYD 199 BUKSH, AHMED BILAL 206 BUKSH, KELLY WALKER 116 CAUDELL, JAMES M 217 LANDIS, LLOYD BEEGLE 147 NAYFA, TERRY M 121 PINKERTON, RONNIE R 204 ROSE, JODY GENE 174 THOMPSON, JOHN D. 136 BROWN, JACK HOWARD 184 CAUTHON, JOHN KEAN 140 CAVALLARO, DAVID C 170 CROTTY, JAMES 99 HENRY, THOMAS S 158 MALAVOLTI, TIMOTHY 56 PINSON, THOMAS B 192 FINKENSTAEDT, JEFF ROBERT 210 HILTON, EMORY J. 209 LE, PETER QUOC 188 LEE, ROBERT HAYES 65 PIKE, CHARLES M 223 ROBERTS, MATTHEW HAROLD 178 SMITH, RAYMOND LEE 172 TRICHELL, LLOYD C JR 176 BARRETT, BARBARA BRAINERD 123 DE MOSS, COYLE EUGENE 230 NELSON, BRADLEY DEWAYNE 100 ANDRESS, TED R 06/09/2004 06/09/2004 06/09/2004 06/09/2004 06/09/2004 06/09/2004 06/09/2004 06/09/2004 06/09/2004 06/09/2004 06/09/2004 06/09/2004 06/09/2004 06/09/2004 06/09/2004 06/10/2004 06/10/2004 06/10/2004 06/10/2004 06/10/2004 06/10/2004 06/10/2004 06/10/2004 06/10/2004 06/10/2004 06/10/2004 06/21/2004 06/21/2004 06/21/2004 06/21/2004 06/21/2004 06/21/2004 06/21/2004 06/21/2004 06/24/2004 06/24/2004 06/24/2004 06/24/2004 06/24/2004 06/24/2004 06/24/2004 06/30/2004 06/30/2004 06/30/2004 06/30/2004 06/30/2004 06/30/2004 06/30/2004 06/30/2004 07/01/2004 07/01/2004 07/01/2004 07/14/2004 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 Tuesday, November 9, 2004 Page 2 of 3 124 GEISTER, ROBERT W 234 PEDERSON, DAVID WARREN 181 WHITE, JOHN MICHAEL 218 GRAY, SCOTT KEVIN 194 TRACZYK, RICHARD JOSEPH II 213 GOLUB, RYAN BENJAMIN 168 JENKINS, NANCY LEE 148 MAGRINI, KENT L 242 SCHUFF, ANGELA LAVERNE 07/14/2004 07/14/2004 07/14/2004 07/16/2004 07/16/2004 07/29/2004 09/07/2004 09/27/2004 10/27/2004 110 Total Fees Collected: $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $200.00 $9,625.00 Licenses Issued Date License # Name 05/06/2004 07/01/2004 07/01/2004 07/01/2004 07/01/2004 07/02/2004 07/16/2004 239 247 241 233 246 231 244 WICKS, THOMAS LEE AMELUNG,GREGORYJACK COOPER, FRANKLIN DENVER JR LE, DAVID QUYEN RANDALL, DAVID BRADLEY JOHNSON,MARYJONES SMITH, GUY TRENT Total Licenses Issued: 7 Licenses Suspended/Revoked or Made Inactive Date Lic # Name Reason 07/01/2004 96 BLOSSER, FRED 07/01/2004 214 CETTIE, MARK DOUGLAS 07/01/2004 76 CROTTY, J DUANE 07/01/2004 235 HAUSEN FLUKE, MATTHEW JAMES 07/01/2004 125 HUFFMYER, JOE HARRY 07/01/2004 101 LEDOUX, E PAUL 0710112004 219 REEL, JASON CARROLL Total Licenses Suspended/Revoked/Made Inactive: 7 Expired License Expired License Expired License Expired License Expired License Expired License Expired License Tuesday, November 9, 2004 Page 3 of 3 JUN20 2011 |
| Date created | 2011-07-15 |
| Date modified | 2011-07-15 |
