Upload
others
View
1
Download
0
Embed Size (px)
Citation preview
LORIN M. BROWN, M.D., P.C. PAAOB, FAGS FAAP
PEDIATRIC BC ADOLESCENT ORTHOPEDIC SURGERY Be
SPORTS MEDICINE
FAX COVER SHEET
DATE: 4
TO: NAME T u b c S I - I ~ ~ . . ~ S F A X P H O N E # : ( / S O -5/ 5 - /o 7g INSTITLITION rCrf?-c
p c e of Lorin M. Illwwn. M.D.. P.C. NUMBER OF PAOES TO FOLLOW __
PATIENTNAME:
DATE OF BIRTH.
DATES OF STAYS (Dischage Dates):
PATENT TRKATMENT TYPE:
MEDICAL RECORD NUMBER
FROM:
Ilt COMMENTS: ?,e N 7 - t c I 3110-/7
The information contained in this facsimile message is privileged and confidential information intended only for the use of the individual or entity named above. I f the reader of this mesage is not the intended recipient, you arc hereby notified that my d i m ' 'on, distribution or copy of this communication is strictly prohibited. If you have received this communication in error, please immediately notify us by telephone and rehvn the original message to us, the above, via the U.S. Postal Service. Thank you.
NOTE Ifanyenurintranarmss ' ion occurs, please call 219-924-6544 or FAX 219-922-8502.
Offioe: 1950 456 strwt, suite 200 Munster, Indiana 46321
Office Telephone Number (219) 924-6544
FAX (219) 922-8502
ATTENDING SURGEON. TWZ CHIWRENS MEMORIAL HOSPITAL ASSlSY'AhT PROFESSOR OF CUMCAL OpOF'EDIC SURCEW - NOFSWESTERN UNIVERSITY MEDICAL SCHOOL
20 'd PP:ZI ~ O O Z IT unr
June 6,2008
To: Toye Simmons
From: Lynn M Wiabel
Control No. 317047
I am including my resume,copies Of my Indian License,4RRT and
NMTCR Certificates.
Also included proff of some of my Continuing education
My maiden name was Lynn M Joerqer
L y M H. JOERGER
1568 Killdeer Drive Napervi l le , Illinois 60565 1.708.357.5421
OBJECTIVE : A posit ion a s a nuclear medical technician.
EDUCATION:
CL INICAI. :
EXPERIENCE:
Triton Coliege ~
River Grove, I l l ino is Associate of Applied Science in Nuclear Medical Tech. December 1989
Robert Morris College Carthage, I l l ino is Cert i f icate of Proficiency i n Medical Assis t ing June 1979
Michael Reese Hospital - Spring 1989. University of I l l inois Hospital - Pall 1988. McNeal Hospital - Summer 1988.
Loyola Universi ty Holy Cross Haspi ta l May wood, I l l ino is Chicago Illinois Monitor Tech. ~uclear lredicine ¶'echologist 0Ztoberl986 'Since June 1990
Ratish Kaurs, M.D. Napervil le. I l l ino is Doctor ' s Assistant Sept . 1985 - Oct. 1986
The Doctors Emergency Off icenter Mt. Prospect, I l l ino is Medical Assistant March 1982 - Aug. 1985
Oakbrook Allergis ts Oak Brook, I l l ino is Medical Assistant January 1982
Associated Al lergis ts Chicago, Illinois Medical Assistant Feb. 1980 - Dec. 1981
Mason Barron Labs Downers Grove, Illinois Medical Assistant Nov. 1979 - Jan. 1980
Lo 0
a'
co 01 8 + +
5 c,
01 0 Lo co 01 01 m 2 9
SPONSORED BY THE BOARD OF REGISTRY OF THE AMERICAN SOCIEly OF CLINICAL PATHOLOGLSTS
THE SOClETY OF NUCLEAR MEDICINE AND
TECHNOLOGIST -ON OF THE SOCIETY OF NUCLEAR MEDICINE
HeREBYcWTDmEsTHAT
LYNN MARIE JOERGER HAS MET THE REQUIREMENT3 THROUGH EXAMINATION BY THIS BOARD
AND IS HEREBY QLJALlIWD TO PRACTICE THE SPECIALTY OF
NUCLEAR MEDICINE TECHNOLOGY
June 22, 1991 X ro LL
I.
014393
NMTCB Member Directory Page I of 1
NMTCB Online Verification
Rmeord Updated: 05/30 /2008 Certificant Details Name: Wiabel, Lynn Marie
NMTCB Certificates CNMT Held:
Current Status: ACTIVE
Certification Active December 31, 2o08 Until:
In Ce Good Standing?: Yes
http://w.nmtcb.orp/cgi-bin/display.cgi?nm=3 1 1 89&fileuerify.db&template=verif ... 6/3/2008 90 ‘d S V : ~ 8002 TI unr ZOS8226612: X Q j
TRITON Page 1 of 2
Clld mue to ENSQMU -Any-
Division of Career Education Nuclear Medicine Technolooy A.A.S.
Cmdlt HOUO
2
4.5
3
3
1
3
17-18
3
4
2
5
3
17
3
3
6
4
1
2
3 4
TNTON Page 2 of 2
2
16
Radiation Safety & Management Seminar Syllabus
Day 1 8:30 AM Introductions Wednesday, August 22 8:45 AM Basic Radiation Physics
10:30 AM Radiation Quantities & Math 11 :30 AM Industrial Gauges 12:OO PM Lunch - (Complimentary) 1:30 PM Radiation Biology 3:OO PM Regulations 4:OO PM QIA Session 4:30 PM Dismissal
1 ecfurer:
Jason Behling Matt Hadden Jim Halten
Jason Behling Jim Hatten
L,..
Day 2 8:30 AM Regulations (Continued from Day 1) Jim Hatten Thursday, August 23 1O:OO AM Licensing 8 Conditions Jason Behling
11 :00 AM Radiation Detection Instrument Matt Hadden 12:OO PM Lunch -(Complimentary) 1:30 PM Radiatbn Safety Pragram Jason Behiing 230 PM Emergency Response Matt Hadden 3;30 PM inspection Preparedness Jim Hatten 4:OO PM QIA Session 4:30 PM Dismissal
Day 3 8:30 AM Termination of Program Jason Behling Friday, August 24 9:15AM D.O.T. Regulations & Exam Jim Hatten
11:15AM NORM Jim Hatten 12:OO PM Dismissal
At 8:OO AM each morning, there will be a Continental Breakfast. There will be a IO-minute refreshment break approximately every two hours.
Please Nota - Dates and time of lectures are applicable to change
ZOS8ZZ66TZ :
STATE OF ILLINOIS DEPARTMENT OF NUCLEAR SAFETY
1035 OUTER PARK DRIVE SPRINGFIELD, IL 62704
(217) 785-9900 (217) 782-6133 (TDD)
Jim Edgar Thomas w. M g e r Governor 01/05/1998 Director
LYNN M. WIABEL 3921 W 147TH PL MIDLOTHIAN, IL 60445
A c c r e d i t a t i o n Number & Type 557-76-3545-2-1 ACTIVE
Issue Date E x p i r a t i o n Date 03/20/1996 03/31/ 1998
ACTIVITY DA? E
HOURS CREDIT 0!4 !XI! !.l!%
m i r e r n e n t s f o r R e c e r t i f i c a t i o n : 24 hours --- mininum o f 12 d i r e c t (DIRtMMG) La te renewals w i l l r e q u i r e a d d i t i o n a l hours.
Please c o n t a c t ou r Department a t (217) 785-9993 i f you have any quest ions .
Qakstone Pub 7/23/2002 11.:24 PAGE 212 RightFAX Please deliver to: Lynn Wiabel
Continuing Education for Physicians, Dentists, and Allied Health Professionals
Mediad Publishing
7/23/02
557-76-3545 This is to certifythat Lynn Wiabel 3921 W 147th P1 Midlothian IL 60445
has satfs$ctorily comHaed these continuing medical education actiitties: In-Senice Reviews in Nuclear Medicine Technology
V o l Is# Crcatt Dnte SNMT #
19 02 1.00 11/01 015147 03 1.00 11/01 015148 04 1.00 11101 015149 05 1.00 11/01 015150 06 1.00 11/01 015151 07 LOO izm 015152 08 1.00 08/00 015153 09 1.00 11/01 01 51 54 10 1.00 lll0l 015155 1 1 1.00 12101 015156 12 1.00 11/01 015157
11.00
Vol L r Credit D& W T Y vol rsr credit me 6NMT x
02 1.00 11/01 016627 03 1.00 03/02 016806
04 1.00 11/01 016795 05 1.00 11/01 016796 06 1.00 i m 016797 07 1.00 02/02 016798 12 1.00 03/02 016803
20 01 1.00 11/01 016626 21 02 1.00 03/02 016805
03 1.00 11/01 016794 2.00
Inclusive Dates: 1 August 2000 - 30 June 2002 and is awarded 21 hosrs credit.
/ Donald L. Deye, MD M e d i d Director
For dum, contact me appropriate [email protected] or h i e . An inqulry wnoemln credits ShoUld be directed to
Oaksione MedicaYPublishin , 6801 $shah Valle Road, Eirmingham, AL 35242 1800-6334743 ~ ( 2 0 5 ) 991.51d .Fax: (205) 995-19& selvlce~oakstonemedlcal.com
C a r d i i Health Nuclear Pharmacy Services Page 1 of I
Continuing Education Exam List
RITOl 3 RadMlmmUn0[hCmp~ Tswmnt 3/26/2006 S3% of Nan-ncdpkln'r Lymphoma
V i e W C f U15POI 3 und*mandlng a Sclelrtlnc Pmev 3/26/2006 80% VlewCE PET02 3 PETTechnology I n b d u c t i o n 3/9/2006 90% virrcr B W M O l ¶ nlomealeal wapte ~anapernent 3/9/1006 95%
UffiFUl 1 Undsmtatanding u SLimtific PiPrr 3/8/2006 73% V i e r C E MCPIOI 3
ViewCE MCPIOS 3
VierCE ICANW1 3 ml 1
RITOI 2
PET01 I PET01 2
VlewcE P r n l 3 VleWCE PSP03 3
ViswCE RSPOl 3
VievCE NMROL. 3
VieWCC RSPU2 3
MCPl05 1
NDLSO2 1
REM802 1
V i i w C E MCPlOl 3
HCPIO2 I
ViavCE MCPlOS 3
V k n C E NDLS02 3
Vle*CE REM802 3
vie* CE THY101 3
viewck M C P ~ 3
Conmct Us L*lgd
http://nps.cardinal.co~nps/ce/userCo~seList.asp?CustomerN~b~6 1 18973&UserlD=L.. 2/22/2008 SI 'd ~ P : Z I ~ O O Z TI unr ZOS8ZZ661Z: xed
CE Certificate Page 1 of 1
PROGRAM SPONSOR:
Continuing Education Certificate
PARTICIPANT: SNM ID #; ARRT/NMTCB/JX/VOICE x :
PPROBRAM NAME: DATE COMPLETED:
SNMTS VOICE Number: CEW Value: RHB Number:
California Course Number: SCOPE Value: RHB Number:
Florlda Course Number: Florida Value: Provider Number:
IOWE Course Number: Iowa Value:
Cardlnal Health
lynn wiabel
Renal Studies 3/11/2008
026391 1.0 0001
026391 1.0 Imaging 0029
10003109 1.0 3200294
07-0205-0005 1.0
__..___I.-- --- ~.~~ ,. "1.1_..-- ~ I..._ ...,.,, I ,I,. . .... .... _.,I . _._ , . . Signature OF Authorized Representative or Sponsor
CenlHcnte number 026391-4133
http://nps.cardinal.comlnps/celCertifi~te.~p?CID=92&EIDe16 1408 b l 'd WZI 8ooz I I unr ZOS8ZZ66IZ: xP4
3/12/2008 I
CE Certificate Page I o f 1
d CardinatHealth
PROGRAM SPONSOR
Continuing Education Certificate
PARTICIPANT: SNM ID W : ARRT/NMTCB/JX/VOICE W:
PPROGRAM NAME: DATE COMPLETED:
SNMTS VOICE Number: CEW Value: RHB Number:
California Course Number: SCOPE Value: RHB Number:
Florida Course Number: Florida Value: Provider Number:
Iowa Course Number: Iowa Value:
Cardinal Health
lynn wiabel
Nuclear Cardiology Reporting Standards 3/10/2008
026371 1.0 0001
026371 2,O Non-Imaging 0029
10003068 2.0 3200294
07-0205-0004 1.0
__.,_I.,.._,.._,___,,_....___, ~ ". _,. ~ , , . ~ .... " ...~ . ....,
Signature of Authorized Representative or Sponsor
Ccnlflcate number 026371-4133
http://nps.cardinal.com/nps/ce/Certificate.a~p?CID=93&EID=l6 13 13 ' 3 . d 9b:ZI 800L TI unf ZOS8ZZ66K: XPJ
3/12/2008
CE C&icate Page I of 1
f
CardinalHealth
PROGRAH SPONSOR
PARTICIPANT:
ARRTINMTC0/3X/VOICE x: SNM ID #:
PPROGRAM NAME: DATE COMPLETED:
SNMTS VOICE Number: CEH Value: RHB Number:
California Course Number: SCOPE Value: RHB Number:
Florlda Course Number: Florida Value: Provider Number:
Iowa Course Number: Iowa Value:
cardinal Health
lynn wiabel
026033 1.0 0001
026033 1.0 Imaging 0029
10002564 1.0 3200294
07-0205-0002 1.0
Signeturn of Authon‘zed Representative or Sponsor
celfiricate number 026033-4133
http://nps.cardinal.com/nps/celCertificat?CID=89&EID=16 1308 91 ‘d m z ~ 8ooz TI unr ZOS82Z6612:
3/12/2008