27
Oregon Optometry Licensees Last First STATUS LICENSE LICENSE ISSUE DATE EXPIRES CPR EXPIRES ETHIC/LAW COURSE CITY STATE DISCIPLINE ABEL GARY WILLIAM INACTIVE 4027T 11/22/1994 31-Aug-16 RENO NV NO DISCIPLINE ADAMEK JAMES FRANKLIN ACTIVE 3219ATI 6/27/2007 31-Mar-17 7/2016 3/2017 EAGLE POINT OR NO DISCIPLINE ADAMICH ANDREW RAY INACTIVE 3202AT 4/1/2007 31-Mar-17 GUNNISON CO NO DISCIPLINE ADAMS STUART B. INACTIVE 2052D 7/31/1989 31-Aug-16 LHC AZ NO DISCIPLINE ADELMAN SAMUEL E. ACTIVE 3462ATI 7/1/2012 30-Jun-17 10/2017 6/2018 PORTLAND OR NO DISCIPLINE ADKINS DON A. INACTIVE 1971T 8/2/1988 30-Jun-17 PALM SPRINGS CA NO DISCIPLINE ADLINGTON CHERYL ANN INACTIVE 2053D 7/31/1989 30-Sep-16 RENO NV NO DISCIPLINE ADLINGTON F.A.A.O. PATRICK "TRAVIS" B. INACTIVE 2054D 7/31/1989 30-Apr-17 RENO NV NO DISCIPLINE AGOST BRETT ACTIVE 2497ATI 8/13/1993 31-Jan-17 12/2016 1/2017 GRESHAM OR NO DISCIPLINE AKER ANDREW J. ACTIVE 3226ATI 7/1/2007 30-Jun-16 11/2016 6/2017 PORTLAND OR NO DISCIPLINE AKHTAR NABEELA G. INACTIVE 3596ATI 5/21/2015 31-Mar-17 PORTLAND OR NO DISCIPLINE ALDRICH DREW N. INACTIVE 3499ATI 6/3/2013 31-Dec-16 VISALIA CA NO DISCIPLINE ALEXANDER RAYMOND P. INACTIVE 536D 2/29/1936 31-Oct-16 PORTLAND OR NO DISCIPLINE ALLISON RENEE D. INACTIVE 2294T 7/29/1991 31-Dec-16 HONOLULU HI NO DISCIPLINE AN JOSEPH ACTIVE 2825ATI 7/11/2001 31-Jan-17 10/2017 1/2018 PORTLAND OR NO DISCIPLINE ANDERSON AARON INACTIVE 2861T 4/17/2002 31-Jul-16 ALAMOGORDO NM NO DISCIPLINE ANDERSON ANNA R. ACTIVE 3284AT 8/1/2008 31-Jul-16 4/2016 7/2016 PORTLAND OR NO DISCIPLINE ANDERSON CHAD O. ACTIVE 3567ATI 6/26/2014 30-Nov-16 6/2016 11/2016 LAKE OSWEGO OR NO DISCIPLINE ANDERSON CLINTON R. INACTIVE 2505AT 8/22/1995 31-Aug-16 BRANDON FL NO DISCIPLINE ANDERSON LANCE G. ACTIVE 2298ATI 7/29/1991 31-Jan-17 12/2017 1/2017 HILLSBORO OR NO DISCIPLINE ANDERSON LAURA E. ACTIVE 3652ATI 3/18/2016 31-Dec-16 1/2018 12/2018 ROSEVILLE CA NO DISCIPLINE ANDERSON NATHAN LEE INACTIVE-MILITARY 2969AT 6/22/2004 31-Jan-17 SHERWOOD AR NO DISCIPLINE ANDERSON RICHARD A. INACTIVE 1413ATI 7/11/1979 31-Jul-16 ANACORTES WA NO DISCIPLINE ANDERSON SCOTT H. ACTIVE 2299ATI 7/29/1991 30-Nov-16 5/2016 11/2017 BEAVERTON OR NO DISCIPLINE ANDERSON SHEILA F. INACTIVE 1972T 8/2/1988 31-Oct-16 ELLICOTT CITY MD NO DISCIPLINE ANDERSON STANLEY E. ACTIVE 764AT 7/28/1954 31-Jul-16 3/2017 7/2017 OREGON CITY OR NO DISCIPLINE ANDERSON TODD G. ACTIVE 2563ATI 8/20/1996 31-Aug-16 10/2016 8/2016 HERMISTON OR NO DISCIPLINE ANDREASEN TOBY ACTIVE 2992ATI 7/12/2004 31-Dec-16 11/2017 12/2017 HILLSBORO OR NO DISCIPLINE ANTONIE DAVID J. ACTIVE 2604AT 10/21/1996 31-Aug-16 6/2016 8/2017 NAMPA ID NO DISCIPLINE ANWARI ORBAL M. ACTIVE 3511AT 7/11/2013 30-Jun-16 6/2017 6/2017 WOODBURN OR NO DISCIPLINE APODACA DONALD B. INACTIVE 1743D 8/10/1985 31-Oct-16 HUNTINGTON BEACH CA NO DISCIPLINE ARBOW TIMOTHY J. ACTIVE 1300ATI 6/30/1976 30-Jun-16 3/2016 6/2016 EUGENE OR NO DISCIPLINE ARCHER MAX K. INACTIVE 1143T 1/1/1970 30-Apr-17 OLYMPIA WA NO DISCIPLINE ARCHIBALD DAVID M. ACTIVE 3534AT 1/29/2014 30-Sep-16 2/2017 9/2017 JOHN DAY OR NO DISCIPLINE ARDELEANU VALENTIN ACTIVE 3068ATI 8/2/1994 31-Oct-16 8/2017 10/2017 CLACKAMAS OR NO DISCIPLINE ARDISS ANGELA M. ACTIVE 2506ATI 8/22/1995 31-Oct-16 4/2017 10/2017 PORTLAND OR NO DISCIPLINE ARGENBRIGHT BRET F. INACTIVE 1973D 8/2/1988 31-Jan-17 TEMECULA CA NO DISCIPLINE ARIMA, JR. FRED M. INACTIVE 1518D 8/24/1981 30-Apr-17 MILL CREEK WA NO DISCIPLINE ARMSTRONG ANDREW SHAWN ACTIVE 2978AT 6/24/2004 31-May-17 2/2017 5/2017 PORTLAND OR NO DISCIPLINE ARMSTRONG JANET INACTIVE 1574D 7/27/1982 31-May-17 CHINO HILLS CA NO DISCIPLINE ARMSTRONG LAURA M. ACTIVE 3473ATI 8/8/2012 30-Jun-16 12/2015 6/2016 PORTLAND OR NO DISCIPLINE ARRITT KOLLAN P. ACTIVE 3349ATI 4/26/2010 30-Nov-16 3/2017 11/2016 HERMISTON OR NO DISCIPLINE ARTHURS MAUREEN F. ACTIVE 3390AT 12/1/2010 30-Apr-17 3/2017 4/2017 CORVALLIS OR NO DISCIPLINE ARVIDSON BRIAN A. ACTIVE 3220ATI 6/27/2007 30-Sep-16 8/2017 9/2016 PORTLAND OR NO DISCIPLINE ASAY DONALD R. ACTIVE 1674ATI 7/31/1984 31-Jul-16 4/2017 7/2016 SALEM OR NO DISCIPLINE ATIKUNE EZRA ACTIVE 3344AT 12/21/2009 31-Oct-16 5/2016 10/2016 PORTLAND OR NO DISCIPLINE 5/18/2016 Only Active licensees are eligible to practice in Oregon. Please see the Discipline page for more information. Page 1

Oregon Optometry Licensees...BALSALOBRE AMANDA M. ACTIVE 3119ATI 6/20/2005 31-Aug-16 2/2018 8/2016 BEND OR NO DISCIPLINE BALTER MARK D. INACTIVE 1519D 8/24/1981 31-Mar-17 SEATTLE WA

  • Upload
    others

  • View
    1

  • Download
    0

Embed Size (px)

Citation preview

Page 1: Oregon Optometry Licensees...BALSALOBRE AMANDA M. ACTIVE 3119ATI 6/20/2005 31-Aug-16 2/2018 8/2016 BEND OR NO DISCIPLINE BALTER MARK D. INACTIVE 1519D 8/24/1981 31-Mar-17 SEATTLE WA

Oregon Optometry Licensees

Last First STATUS LICENSELICENSE

ISSUE DATEEXPIRES

CPR

EXPIRES

ETHIC/LAW

COURSECITY STATE DISCIPLINE

ABEL GARY WILLIAM INACTIVE 4027T 11/22/1994 31-Aug-16 RENO NV NO DISCIPLINE

ADAMEK JAMES FRANKLIN ACTIVE 3219ATI 6/27/2007 31-Mar-17 7/2016 3/2017 EAGLE POINT OR NO DISCIPLINE

ADAMICH ANDREW RAY INACTIVE 3202AT 4/1/2007 31-Mar-17 GUNNISON CO NO DISCIPLINE

ADAMS STUART B. INACTIVE 2052D 7/31/1989 31-Aug-16 LHC AZ NO DISCIPLINE

ADELMAN SAMUEL E. ACTIVE 3462ATI 7/1/2012 30-Jun-17 10/2017 6/2018 PORTLAND OR NO DISCIPLINE

ADKINS DON A. INACTIVE 1971T 8/2/1988 30-Jun-17 PALM SPRINGS CA NO DISCIPLINE

ADLINGTON CHERYL ANN INACTIVE 2053D 7/31/1989 30-Sep-16 RENO NV NO DISCIPLINE

ADLINGTON F.A.A.O. PATRICK "TRAVIS" B. INACTIVE 2054D 7/31/1989 30-Apr-17 RENO NV NO DISCIPLINE

AGOST BRETT ACTIVE 2497ATI 8/13/1993 31-Jan-17 12/2016 1/2017 GRESHAM OR NO DISCIPLINE

AKER ANDREW J. ACTIVE 3226ATI 7/1/2007 30-Jun-16 11/2016 6/2017 PORTLAND OR NO DISCIPLINE

AKHTAR NABEELA G. INACTIVE 3596ATI 5/21/2015 31-Mar-17 PORTLAND OR NO DISCIPLINE

ALDRICH DREW N. INACTIVE 3499ATI 6/3/2013 31-Dec-16 VISALIA CA NO DISCIPLINE

ALEXANDER RAYMOND P. INACTIVE 536D 2/29/1936 31-Oct-16 PORTLAND OR NO DISCIPLINE

ALLISON RENEE D. INACTIVE 2294T 7/29/1991 31-Dec-16 HONOLULU HI NO DISCIPLINE

AN JOSEPH ACTIVE 2825ATI 7/11/2001 31-Jan-17 10/2017 1/2018 PORTLAND OR NO DISCIPLINE

ANDERSON AARON INACTIVE 2861T 4/17/2002 31-Jul-16 ALAMOGORDO NM NO DISCIPLINE

ANDERSON ANNA R. ACTIVE 3284AT 8/1/2008 31-Jul-16 4/2016 7/2016 PORTLAND OR NO DISCIPLINE

ANDERSON CHAD O. ACTIVE 3567ATI 6/26/2014 30-Nov-16 6/2016 11/2016 LAKE OSWEGO OR NO DISCIPLINE

ANDERSON CLINTON R. INACTIVE 2505AT 8/22/1995 31-Aug-16 BRANDON FL NO DISCIPLINE

ANDERSON LANCE G. ACTIVE 2298ATI 7/29/1991 31-Jan-17 12/2017 1/2017 HILLSBORO OR NO DISCIPLINE

ANDERSON LAURA E. ACTIVE 3652ATI 3/18/2016 31-Dec-16 1/2018 12/2018 ROSEVILLE CA NO DISCIPLINE

ANDERSON NATHAN LEE INACTIVE-MILITARY 2969AT 6/22/2004 31-Jan-17 SHERWOOD AR NO DISCIPLINE

ANDERSON RICHARD A. INACTIVE 1413ATI 7/11/1979 31-Jul-16 ANACORTES WA NO DISCIPLINE

ANDERSON SCOTT H. ACTIVE 2299ATI 7/29/1991 30-Nov-16 5/2016 11/2017 BEAVERTON OR NO DISCIPLINE

ANDERSON SHEILA F. INACTIVE 1972T 8/2/1988 31-Oct-16 ELLICOTT CITY MD NO DISCIPLINE

ANDERSON STANLEY E. ACTIVE 764AT 7/28/1954 31-Jul-16 3/2017 7/2017 OREGON CITY OR NO DISCIPLINE

ANDERSON TODD G. ACTIVE 2563ATI 8/20/1996 31-Aug-16 10/2016 8/2016 HERMISTON OR NO DISCIPLINE

ANDREASEN TOBY ACTIVE 2992ATI 7/12/2004 31-Dec-16 11/2017 12/2017 HILLSBORO OR NO DISCIPLINE

ANTONIE DAVID J. ACTIVE 2604AT 10/21/1996 31-Aug-16 6/2016 8/2017 NAMPA ID NO DISCIPLINE

ANWARI ORBAL M. ACTIVE 3511AT 7/11/2013 30-Jun-16 6/2017 6/2017 WOODBURN OR NO DISCIPLINE

APODACA DONALD B. INACTIVE 1743D 8/10/1985 31-Oct-16 HUNTINGTON BEACH CA NO DISCIPLINE

ARBOW TIMOTHY J. ACTIVE 1300ATI 6/30/1976 30-Jun-16 3/2016 6/2016 EUGENE OR NO DISCIPLINE

ARCHER MAX K. INACTIVE 1143T 1/1/1970 30-Apr-17 OLYMPIA WA NO DISCIPLINE

ARCHIBALD DAVID M. ACTIVE 3534AT 1/29/2014 30-Sep-16 2/2017 9/2017 JOHN DAY OR NO DISCIPLINE

ARDELEANU VALENTIN ACTIVE 3068ATI 8/2/1994 31-Oct-16 8/2017 10/2017 CLACKAMAS OR NO DISCIPLINE

ARDISS ANGELA M. ACTIVE 2506ATI 8/22/1995 31-Oct-16 4/2017 10/2017 PORTLAND OR NO DISCIPLINE

ARGENBRIGHT BRET F. INACTIVE 1973D 8/2/1988 31-Jan-17 TEMECULA CA NO DISCIPLINE

ARIMA, JR. FRED M. INACTIVE 1518D 8/24/1981 30-Apr-17 MILL CREEK WA NO DISCIPLINE

ARMSTRONG ANDREW SHAWN ACTIVE 2978AT 6/24/2004 31-May-17 2/2017 5/2017 PORTLAND OR NO DISCIPLINE

ARMSTRONG JANET INACTIVE 1574D 7/27/1982 31-May-17 CHINO HILLS CA NO DISCIPLINE

ARMSTRONG LAURA M. ACTIVE 3473ATI 8/8/2012 30-Jun-16 12/2015 6/2016 PORTLAND OR NO DISCIPLINE

ARRITT KOLLAN P. ACTIVE 3349ATI 4/26/2010 30-Nov-16 3/2017 11/2016 HERMISTON OR NO DISCIPLINE

ARTHURS MAUREEN F. ACTIVE 3390AT 12/1/2010 30-Apr-17 3/2017 4/2017 CORVALLIS OR NO DISCIPLINE

ARVIDSON BRIAN A. ACTIVE 3220ATI 6/27/2007 30-Sep-16 8/2017 9/2016 PORTLAND OR NO DISCIPLINE

ASAY DONALD R. ACTIVE 1674ATI 7/31/1984 31-Jul-16 4/2017 7/2016 SALEM OR NO DISCIPLINE

ATIKUNE EZRA ACTIVE 3344AT 12/21/2009 31-Oct-16 5/2016 10/2016 PORTLAND OR NO DISCIPLINE

5/18/2016 Only Active licensees are eligible to practice in Oregon. Please see the Discipline page for more information. Page 1

Page 2: Oregon Optometry Licensees...BALSALOBRE AMANDA M. ACTIVE 3119ATI 6/20/2005 31-Aug-16 2/2018 8/2016 BEND OR NO DISCIPLINE BALTER MARK D. INACTIVE 1519D 8/24/1981 31-Mar-17 SEATTLE WA

Oregon Optometry Licensees

Last First STATUS LICENSELICENSE

ISSUE DATEEXPIRES

CPR

EXPIRES

ETHIC/LAW

COURSECITY STATE DISCIPLINE

ATKINSON KILAH S. ACTIVE 3434ATI 12/30/2011 31-Aug-16 2/2017 8/2017 REDMOND OR NO DISCIPLINE

AUYOUNG ERICK HOW INACTIVE 2995T 8/2/2004 31-Jan-17 PUYALLUP WA NO DISCIPLINE

AVRUSKIN CARLA ACTIVE 2564ATI 8/20/1996 28-Feb-17 1/2018 2/2018 TIGARD OR NO DISCIPLINE

AYRES PATRICK C. ACTIVE 3188AT 8/1/2006 31-Jul-16 6/2016 7/2017 BEND OR NO DISCIPLINE

AZPIROZ LEE ACTIVE 2498ATI 8/13/1993 31-Jan-17 5/2017 1/2017 EUGENE OR AOD 4/25/2014

BACON ANITA P. ACTIVE 3195ATI 10/12/2006 31-Dec-16 1/2018 12/2016 PORTLAND OR NO DISCIPLINE

BADOREK BELINDA M. INACTIVE 2622T 7/30/1997 31-Dec-16 KENNEWICK WA NO DISCIPLINE

BAER ED C. ACTIVE 1197ATI 6/21/1973 30-Sep-16 8/2016 9/2017 CORVALLIS OR AOD 10/2/92; 9/27/96

BAER JENNIFER J. INACTIVE 3059T 12/30/1993 30-Apr-17 EUGENE OR NO DISCIPLINE

BAILEY JAMES T. ACTIVE 2557ATI 5/6/1996 31-Dec-16 10/2016 12/2017 ENTERPRISE OR NO DISCIPLINE

BAKER ALLEN W. ACTIVE 1885ATI 7/28/1987 31-Jul-16 4/2017 7/2016 SHERWOOD OR NO DISCIPLINE

BAKER MICHAEL D. INACTIVE 1152T 6/10/1971 30-Jun-17 CENTRAL POINT OR NO DISCIPLINE

BALCER DARCY CHRISTINE ACTIVE 3179ATI 7/10/2006 30-Apr-17 10/2017 4/2018 BEND OR NO DISCIPLINE

BALCER GRAHAM ARON ACTIVE 3178ATI 7/10/2006 31-Dec-16 11/2016 12/2016 LA PINE OR NO DISCIPLINE

BALDWIN ALEXANDER W. ACTIVE 3493ATI 5/30/2013 31-Oct-16 1/2017 10/2016 WHITE SALMON WA NO DISCIPLINE

BALSALOBRE AMANDA M. ACTIVE 3119ATI 6/20/2005 31-Aug-16 2/2018 8/2016 BEND OR NO DISCIPLINE

BALTER MARK D. INACTIVE 1519D 8/24/1981 31-Mar-17 SEATTLE WA NO DISCIPLINE

BANTA AARON INACTIVE 2927ATI 6/26/2003 28-Feb-17 KENNEWICK WA NO DISCIPLINE

BAO ANITA INACTIVE 3294ATI 10/13/2008 30-Sep-16 KENMORE WA NO DISCIPLINE

BARBER MERLE INACTIVE 1199 6/21/1973 28-Feb-17 MT CHARLESTON NV NO DISCIPLINE

BARBOUR CHRISTOPHER G. ACTIVE 2590ATI 8/26/1996 30-Nov-16 11/2016 11/2017 HOOD RIVER OR NO DISCIPLINE

BARCUS GREGORY R. INACTIVE 1219D 6/6/1974 31-Oct-16 BATTLEGOUND WA NO DISCIPLINE

BAREY DAVID ACTIVE 3060AT 1/27/1994 30-Sep-16 8/2017 9/2017 CLACKAMAS OR NO DISCIPLINE

BARGHOUTI-AFRANJI LENA R. ACTIVE 2496ATI 8/13/1993 30-Jun-17 10/2017 6/2017 HILLSBORO OR AOD 12/2008

BARNES STEPHEN A. ACTIVE 1745ATI 8/10/1985 31-Jul-16 1/2017 7/2017 MEDFORD OR NO DISCIPLINE

BARNES-WRIGHT LAURA INACTIVE 2546ATI 1/2/1996 31-Oct-16 WRAFB OH NO DISCIPLINE

BARRETO THOMAS ACTIVE 1809ATI 7/29/1986 31-May-17 5/2017 5/2018 PORTLAND OR COE ONLY 9/13/04

BARRINGER JOHN L. ACTIVE 2061ATI 7/31/1989 31-Dec-16 1/2016 12/2017 SALEM OR NO DISCIPLINE

BARTHRAM SANDRA K. ACTIVE 3591AT 3/1/2015 28-Feb-17 1/2018 2/2018 PARKER CO NO DISCIPLINE

BASHA FIRAS O. ACTIVE 3533ATI 1/28/2014 31-Oct-16 1/2017 10/2017 CLACKAMAS OR NO DISCIPLINE

BATES JASON ACTIVE 3136AT 7/18/2005 30-Apr-17 1/2017 4/2017 MEDFORD OR NO DISCIPLINE

BATEY KELLY G. ACTIVE 3304ATI 6/1/2009 31-May-17 12/2017 5/2018 ALBANY OR NO DISCIPLINE

BAUER JANA INACTIVE 2062T 7/31/1989 31-Oct-16 NORTH BEND WA NO DISCIPLINE

BAUER MAURI DONN ACTIVE 1470ATI 6/18/1980 31-Jan-17 2/2017 1/2017 PORTLAND OR NO DISCIPLINE

BAUTISTA ROBIN E. ACTIVE 3260ATI 6/19/2008 30-Sep-16 7/2016 9/2017 EUGENE OR NO DISCIPLINE

BAVASI ALEXANDRA E. ACTIVE 3630ATI 7/7/2015 31-Oct-16 6/2017 10/2017 FOREST GROVE OR NO DISCIPLINE

BAXSTROM CURTIS R. INACTIVE 1675T 7/31/1984 31-May-17 FEDERAL WAY WA NO DISCIPLINE

BEACH ALLICIA K. ACTIVE 3328AT 7/24/2009 31-Dec-16 12/2016 12/2017 PORTLAND OR NO DISCIPLINE

BEACH MARSHA INACTIVE 2614T 4/15/1997 31-Mar-17 GRAND JUNCTION CO NO DISCIPLINE

BEADERSTADT ROBERT F. ACTIVE 845AT 7/15/1959 31-Dec-16 11/2017 12/2017 PORTLAND OR NO DISCIPLINE

BEAM JEREMY VAUGHN INACTIVE 2979T 6/24/2004 31-Jan-17 WALLA WALLA WA NO DISCIPLINE

BEATTIE JOSEPH C. ACTIVE 1416ATI 7/11/1979 31-Jul-16 3/2016 7/2016 PORTLAND OR COE ONLY 9/27/96

BECKNER DANIEL ROBERT ACTIVE 3035ATI 8/19/1993 31-Mar-17 1/2018 3/2017 ISLAND CITY OR NO DISCIPLINE

BEERBOWER MONTE W. INACTIVE 3000AT 8/13/1993 31-Jan-17 DENVER CO COE ONLY 9/27/96

BEISIEGEL DAVID ACTIVE 2795ATI 6/28/2000 31-May-17 4/2017 5/2018 CORVALLIS OR NO DISCIPLINE

BELL MELISSA M. INACTIVE 2720ATI 6/22/1999 31-Mar-17 LEWISTON ID NO DISCIPLINE

5/18/2016 Only Active licensees are eligible to practice in Oregon. Please see the Discipline page for more information. Page 2

Page 3: Oregon Optometry Licensees...BALSALOBRE AMANDA M. ACTIVE 3119ATI 6/20/2005 31-Aug-16 2/2018 8/2016 BEND OR NO DISCIPLINE BALTER MARK D. INACTIVE 1519D 8/24/1981 31-Mar-17 SEATTLE WA

Oregon Optometry Licensees

Last First STATUS LICENSELICENSE

ISSUE DATEEXPIRES

CPR

EXPIRES

ETHIC/LAW

COURSECITY STATE DISCIPLINE

BENNER RONALD L. INACTIVE 1810T 7/29/1986 31-May-17 LAUREL MT NO DISCIPLINE

BERGER BARBARA M. INACTIVE 1747D 8/10/1985 31-Aug-16 LONGVIEW WA NO DISCIPLINE

BERGER MICHAEL D. INACTIVE 1748D 8/10/1985 31-Aug-16 LONGVIEW WA NO DISCIPLINE

BERHOW NICOLE INACTIVE 2624T 7/30/1997 31-Jul-16 ANCHORAGE AK NO DISCIPLINE

BERK ANNE ACTIVE 1749ATI 8/10/1985 30-Apr-17 8/2017 4/2017 PORTLAND OR NO DISCIPLINE

BERK, JR. WILLIAM B. ACTIVE 1623ATI 8/2/1983 30-Sep-16 8/2017 9/2016 PORTLAND OR NO DISCIPLINE

BERRY CHRISTOPHER ACTIVE 2928ATI 6/26/2003 30-Jun-17 4/2017 6/2017 ALBANY OR NO DISCIPLINE

BERRY JONATHAN DALE ACTIVE 3122ATI 6/22/2005 31-Oct-16 9/2017 10/2016 ALBANY OR NO DISCIPLINE

BETMALECK EDMOND INACTIVE 3065T 7/15/1994 31-Aug-16 VALENCIA CA NO DISCIPLINE

BIK STEVEN INACTIVE 1577T 7/27/1982 31-Jan-17 REDONDO BEACH CA NO DISCIPLINE

BISHOP DANIEL D. ACTIVE 1472ATI 6/18/1980 31-Jul-16 3/2016 7/2016 SALEM OR COE ONLY 9/27/96

BISTODEAU ANTHONY J. ACTIVE 3515ATI 7/17/2013 31-Dec-16 7/2017 12/2016 ALBANY OR NO DISCIPLINE

BLAIR KEVIN DEAN ACTIVE 2396ATI 7/28/1992 30-Apr-17 6/2017 4/2017 ALBANY OR NO DISCIPLINE

BLANKENSHIP SHERYL KARMAN ACTIVE 1773ATI 8/10/1985 31-May-17 9/2017 5/2018 BAKER OR COE ONLY 9/13/94

BLEYTHING WILLARD B. INACTIVE 737D 7/13/1952 31-May-17 FOREST GROVE OR COE ONLY 9/27/96

BODMAN RONALD DUSTIN ACTIVE 2988AT 7/2/2004 30-Jun-16 3/2016 6/2016 BROOKINGS OR NO DISCIPLINE

BOERSMA HEIDI ACTIVE 2721ATI 6/22/1999 31-Jul-16 3/2017 7/2017 PORTLAND OR NO DISCIPLINE

BOGDANOVICH GREGORY GRANT INACTIVE 1750D 8/10/1985 31-Jan-17 ABERDEEN WA NO DISCIPLINE

BONETTO NANCY M. ACTIVE 2636ATI 7/30/1997 31-Oct-16 2/2016 10/2016 BEND OR NO DISCIPLINE

BONVECCHIO ROSEMARIE D. INACTIVE 2068D 7/31/1989 31-Oct-16 IRVINE CA NO DISCIPLINE

BOREING TIMOTHY GRAVES INACTIVE 3165AT 5/8/2006 30-Sep-16 LAKE CHARLES LA NO DISCIPLINE

BORGHOLTHAUS SCOTT E. INACTIVE 1812T 7/29/1986 31-Mar-17 CHENEY WA AOD 1/22/93

BOROK ALEXANDRA CHOBAN ACTIVE 1979ATI 8/2/1988 31-Oct-16 1/2016 10/2017 PORTLAND OR NO DISCIPLINE

BOROK BILL L. ACTIVE 1975ATI 8/2/1988 31-Jan-17 2/2018 1/2018 PORTLAND OR NO DISCIPLINE

BOULIERIS HELAINA Y.S. INACTIVE 2069D 7/31/1989 31-Oct-16 SPOKANE VALLEY WA NO DISCIPLINE

BOWEN CRAIG ACTIVE 1813ATI 7/29/1986 28-Feb-17 1/2017 2/2017 TUALATIN OR NO DISCIPLINE

BOWMAN EDITH INACTIVE 2865T 4/29/2002 31-Jan-17 FT COLLINS CO NO DISCIPLINE

BOWMAN SHAYNA L. ACTIVE 3574ATI 7/22/2014 31-Mar-17 2/2018 3/2018 SALEM OR NO DISCIPLINE

BOYER JOHN M. ACTIVE 1265ATI 6/11/1975 31-May-17 10/2016 5/2017 PORTLAND OR NO DISCIPLINE

BRECKENRIDGE BRUCE F. ACTIVE 2070ATI 7/31/1989 31-Mar-17 2/2017 3/2018 PORTLAND OR NO DISCIPLINE

BREEDEN CARRIE L. ACTIVE 3261ATI 6/19/2008 30-Apr-17 10/2017 4/2018 CLACKAMAS OR NO DISCIPLINE

BREEDEN MARK A. ACTIVE 3410ATI 6/28/2011 31-Oct-16 2/2017 10/2016 BEAVERTON OR NO DISCIPLINE

BRICKER DALE H. ACTIVE 2657ATI 10/14/1997 31-Aug-16 7/2017 8/2017 THE DALLES OR NO DISCIPLINE

BRISCOE BARBARA ACTIVE 3009ATI 8/13/1993 31-Dec-16 2/2018 12/2018 WEST LINN OR NO DISCIPLINE

BRISCOE CLAYTON M. ACTIVE 2399ATI 7/28/1992 30-Sep-16 2/2018 9/2017 PENDLETON OR COE ONLY 9/27/96

BRISCOE WILLIAM T. INACTIVE 2822ATI 5/8/2001 31-May-17 WEST LINN OR NO DISCIPLINE

BRIST CLAUDE A. ACTIVE 1266AT 6/11/1975 31-Mar-17 9/2016 3/2017 SPRINGFIELD OR NO DISCIPLINE

BRITTAIN SHAWN P. INACTIVE 3056AT 12/2/1993 30-Apr-17 VANCOUVER WA NO DISCIPLINE

BROOKS DUANE T. INACTIVE 1153T 6/10/1971 30-Sep-16 MT. SHASTA CA NO DISCIPLINE

BROPHY GREGORY E. ACTIVE 1890ATI 7/28/1987 31-Jul-16 3/2017 7/2017 GRESHAM OR COE ONLY 9/13/94

BROTT HEIDI G. INACTIVE 2402D 7/28/1992 30-Jun-16 MISSOULA MT NO DISCIPLINE

BROWN DEAN R. ACTIVE 2302ATI 7/29/1991 31-Jul-16 5/2017 7/2017 CENTRAL POINT OR NO DISCIPLINE

BROWN ERIC ACTIVE 2799ATI 7/26/2000 31-Mar-17 1/2018 3/2018 PORTLAND OR NO DISCIPLINE

BROWN JORDAN D. ACTIVE 1515ATI 8/24/1981 31-Jan-17 11/2016 1/2017 SALEM OR AOD 1/22/93; 9/25/06

BROWN JULIE ACTIVE 2797ATI 7/11/2000 31-Mar-17 11/2017 3/2018 PORTLAND OR NO DISCIPLINE

BROWN KIM COURTNEY INACTIVE 1891D 7/28/1987 31-Jan-17 CONIFER CO NO DISCIPLINE

5/18/2016 Only Active licensees are eligible to practice in Oregon. Please see the Discipline page for more information. Page 3

Page 4: Oregon Optometry Licensees...BALSALOBRE AMANDA M. ACTIVE 3119ATI 6/20/2005 31-Aug-16 2/2018 8/2016 BEND OR NO DISCIPLINE BALTER MARK D. INACTIVE 1519D 8/24/1981 31-Mar-17 SEATTLE WA

Oregon Optometry Licensees

Last First STATUS LICENSELICENSE

ISSUE DATEEXPIRES

CPR

EXPIRES

ETHIC/LAW

COURSECITY STATE DISCIPLINE

BROWN MICHAEL S. INACTIVE 1372AT 1/21/1978 30-Jun-17 VANCOUVER WA NO DISCIPLINE

BROWN PATRICIA A. INACTIVE 1816T 7/29/1986 30-Apr-17 BELLAIRE TX NO DISCIPLINE

BROWN WILLIAM VERNON INACTIVE 1753D 8/10/1985 31-Jul-16 FALL RIVER MILLS CA NO DISCIPLINE

BRUECKNER CHRISTOPHER B. ACTIVE 3318ATI 7/8/2009 31-Oct-16 2/2017 10/2017 TACOMA WA NO DISCIPLINE

BRUMLEY AUDREY H. ACTIVE 3490ATI 5/29/2013 31-Jan-17 4/2017 1/2017 REDMOND OR NO DISCIPLINE

BRUMLEY ROBERT H. ACTIVE 1337ATI 6/15/1977 30-Nov-16 12/2016 11/2017 ALOHA OR NO DISCIPLINE

BUCKINGHAM TAD WILLIS ACTIVE 4022ATI 10/19/1994 30-Jun-17 2/2017 6/2017 GASTON OR NO DISCIPLINE

BULLUM ANTHONY J. INACTIVE 3537AT 3/10/2014 31-Oct-16RANCHO SANTA

MARGARITACA NO DISCIPLINE

BULSON RYAN CHRISTOPHER ACTIVE 3314ATI 6/29/2009 31-Jan-17 11/2016 1/2017 PORTLAND OR NO DISCIPLINE

BURK RICK R. ACTIVE 2559ATI 6/6/1996 31-Mar-17 11/2017 3/2017 TUALATIN OR NO DISCIPLINE

BURNS SARAH INACTIVE 2873T 6/28/2002 30-Jun-17 WASHOUGAL WA NO DISCIPLINE

BURTON CHAD D. INACTIVE 1818T 7/29/1986 31-Jul-16 COTTONWOOD AZ NO DISCIPLINE

BURY ERIKA C. ACTIVE 3571AT 7/14/2014 31-Dec-16 7/2016 12/2017 SHERWOOD OR NO DISCIPLINE

BUSET NANCY ACTIVE 2826ATI 7/11/2001 31-Oct-16 8/2016 10/2017 CLACKAMAS OR NO DISCIPLINE

BUTLER KIM JOHNSON INACTIVE 1373T 1/1/1978 31-Dec-16 EL CAJON CA NO DISCIPLINE

BUTTON MARY ANN ACTIVE 2599ATI 10/7/1996 31-May-17 6/2017 5/2018 LAKEVIEW OR NO DISCIPLINE

CAGGIANO SAMANTHA ACTIVE 2827ATI 7/11/2001 30-Apr-17 10/2016 4/2017 PORTLAND OR NO DISCIPLINE

CALDWELL DAN G. ACTIVE 1627ATI 8/2/1983 31-May-17 4/2017 5/2017 GRESHAM OR NO DISCIPLINE

CALLAHAN AMARA VIOLET ACTIVE 2999AT 8/4/2004 31-Dec-16 12/2016 12/2017 PORTLAND OR NO DISCIPLINE

CAMPAGNA DAVID N. INACTIVE 1370ATI 6/21/1978 30-Apr-17 WEST LINN ORCOE ONLY 10/2/92;

9/27/96

CARDENAL MOLLY SUE ACTIVE 3100ATI 8/11/2004 30-Jun-16 10/2016 6/2016 PORTLAND OR NO DISCIPLINE

CARDONA ANNABELLE INACTIVE 3290AT 9/1/2008 31-Aug-16 RENO NV NO DISCIPLINE

CAREY ELIZABETH ACTIVE 2619AT 5/22/1997 28-Feb-17 1/2017 2/2017 TALENT OR NO DISCIPLINE

CARKNER DAVID C. ACTIVE 1137ATI 6/11/1970 31-May-16 4/2016 5/2016 PORTLAND OR NO DISCIPLINE

CARKNER JEFFRY M. ACTIVE 2404ATI 7/28/1992 30-Nov-16 7/2016 11/2016 PORTLAND OR NO DISCIPLINE

CARLSON AMBER C. ACTIVE 3530ATI 11/14/2013 28-Feb-17 2/2017 2/2018 SALEM OR NO DISCIPLINE

CARMIENCKE CHRISTOPHER L. ACTIVE 1221ATI 6/6/1974 31-Jul-16 3/2017 7/2017 BEND OR NO DISCIPLINE

CARPENTER E. POWELL ACTIVE 1976ATI 8/2/1988 31-Jul-16 9/2017 7/2017 EUGENE OR NO DISCIPLINE

CARR, III LELAND W. INACTIVE 2540T 12/28/1995 31-Jan-17 CATOOSA OK NO DISCIPLINE

CARTER JOANNA ACTIVE 3135ATI 7/14/2005 30-Apr-17 3/2017 4/2017 CENTRAL POINT OR NO DISCIPLINE

CARTER LEE JAMES INACTIVE 3251T 11/21/2007 30-Sep-16 MERIDIAN ID NO DISCIPLINE

CATES TYLER ACTIVE 3099ATI 8/11/1994 31-Dec-16 9/2016 12/2017 EUGENE OR NO DISCIPLINE

CHADWICK GRETCHEN I. ACTIVE 2601ATI 10/7/1996 31-May-17 2/2018 5/2018 REDMOND OR NO DISCIPLINE

CHAN JUDY INACTIVE 2291T 11/2/1990 31-Dec-16 VANCOUVER WA NO DISCIPLINE

CHAN LAWRENCE HOI YUEN ACTIVE 3114ATI 5/4/2005 30-Nov-16 1/2016 11/2017 ALOHA OR NO DISCIPLINE

CHAN, JR. LAWRENCE ACTIVE 793ATI 8/13/1956 31-Oct-16 9/2016 10/2017 PORTLAND OR NO DISCIPLINE

CHEN TERESA S. ACTIVE 3588AT 2/4/2015 30-Jun-17 9/2016 6/2018 PORTLAND OR NO DISCIPLINE

CHESLOCK JAMES P. ACTIVE 1820ATI 7/29/1986 31-Aug-16 9/2016 8/2017 NORTH BEND OR NO DISCIPLINE

CHEW THERESA TAI NGOR INACTIVE 2306T 7/29/1991 30-Apr-17 SAN FRANCISCO CA NO DISCIPLINE

CHEWERDA SARAH JOY ACTIVE 3227ATI 7/9/2007 30-Sep-16 7/2016 9/2017 ST HELENS OR NO DISCIPLINE

CHEWERDA THOMAS A. ACTIVE 3308ATI 6/22/2009 30-Sep-16 2/2017 9/2016 ST HELENS OR NO DISCIPLINE

CHOW BRIAN ACTIVE 3313ATI 6/29/2009 31-Aug-16 3/2016 8/2017 TUCSON AZ NO DISCIPLINE

CHOWN REBECCA ACTIVE 2929ATI 6/26/2003 28-Feb-17 6/2016 2/2017 HOOD RIVER OR NO DISCIPLINE

CHRISTIANSEN J. RICHARD ACTIVE 2750ATI 7/13/1999 31-Jul-16 6/2017 7/2016 WILSONVILLE OR NO DISCIPLINE

CHU KENNETH FRANK-CHIN INACTIVE 2407T 7/28/1992 31-Jan-17 HERMOSA BEACH CA NO DISCIPLINE

5/18/2016 Only Active licensees are eligible to practice in Oregon. Please see the Discipline page for more information. Page 4

Page 5: Oregon Optometry Licensees...BALSALOBRE AMANDA M. ACTIVE 3119ATI 6/20/2005 31-Aug-16 2/2018 8/2016 BEND OR NO DISCIPLINE BALTER MARK D. INACTIVE 1519D 8/24/1981 31-Mar-17 SEATTLE WA

Oregon Optometry Licensees

Last First STATUS LICENSELICENSE

ISSUE DATEEXPIRES

CPR

EXPIRES

ETHIC/LAW

COURSECITY STATE DISCIPLINE

CHUNG BORAM ACTIVE 3312ATI 6/29/2009 31-May-16 3/2016 5/2017 TUCSON AZ NO DISCIPLINE

CIAMPA SARAH A. ACTIVE 3536AT 2/19/2014 30-Nov-16 1/2017 11/2016 PORTLAND OR NO DISCIPLINE

CIRERA-PROBST MARISKA ACTIVE 3325AT 7/20/2009 30-Nov-16 3/2017 11/2016 PORTLAND OR NO DISCIPLINE

CITEK KARL ACTIVE 4029AT 1/5/1995 30-Sep-16 11/2016 9/2017 FOREST GROVE OR NO DISCIPLINE

CLAIBORNE RICHARD T. ACTIVE 3396AT 6/20/2011 31-Jan-17 4/2017 1/2018 PORTLAND OR NO DISCIPLINE

CLAIR-HORN JACQUELINE R. ACTIVE 3092ATI 8/4/1994 31-Aug-16 8/2017 8/2017 MEDFORD OR NO DISCIPLINE

CLARK ARIENE RAE ACTIVE 3286ATI 8/6/2008 31-Oct-16 9/2016 10/2016 CORVALLIS OR NO DISCIPLINE

CLARK CAROLYN ACTIVE 3038ATI 9/1/1993 31-Jan-17 4/2017 1/2017 HAPPY VALLEY OR NO DISCIPLINE

CLARK KIM M. ACTIVE 2911ATI 1/13/2003 31-Aug-16 6/2016 8/2017 HAPPY VALLEY OR NO DISCIPLINE

CLARK NICHOLAS L. ACTIVE 3319ATI 7/8/2009 30-Sep-16 11/2016 9/2017 MCMINNVILLE OR NO DISCIPLINE

CLARK STEVEN EUGENE ACTIVE 2307AT 7/29/1991 30-Sep-16 6/2017 9/2017 GRESHAM OR NO DISCIPLINE

CLAUSEN MEGAN ELIZABETH INACTIVE-MILITARY 3137AT 7/25/2005 31-Jan-17 FPO AP NO DISCIPLINE

CLAY O. KEENE ACTIVE 1223AT 6/6/1974 30-Nov-16 10/2016 11/2017 GRESHAM OR NO DISCIPLINE

CLAYVILLE TERRY L. INACTIVE 1682D 7/31/1984 30-Apr-17 HIGHLAND CA NO DISCIPLINE

CLEGG BARRY A. ACTIVE 2531ATI 9/12/1995 30-Jun-16 4/2016 6/2016 CLACKAMAS OR NO DISCIPLINE

CLEVELAND TREVOR ACTIVE 2697ATI 7/21/1998 30-Nov-16 9/2016 11/2016 SPRINGFIELD OR NO DISCIPLINE

CLINE KARI ANN ACTIVE 3127ATI 7/11/2005 30-Nov-16 12/2016 11/2017 BEAVERTON OR NO DISCIPLINE

CLOSSON CHRISTI ACTIVE 2815ATI 11/11/2000 31-Mar-17 7/2016 3/2018 CORNELIUS OR NO DISCIPLINE

CLOSSON DARIN ACTIVE 2816ATI 11/11/2000 28-Feb-17 9/2016 2/2018 CORNELIUS OR NO DISCIPLINE

CLOUSE STEVEN J. ACTIVE 2408AT 7/28/1992 31-May-16 5/2016 5/2016 PORTLAND OR NO DISCIPLINE

CLOYD FRANCES G. INACTIVE 1982ATI 8/2/1988 31-Oct-16 MEDFORD OR COE ONLY 9/13/94

CLUNES LINDSAY C. ACTIVE 2290ATI 11/2/1990 31-Aug-16 10/2015 8/2017 EAGLE POINT OR AOD 10/2006, 10/2008

CLUNY RICHARD TRENT INACTIVE 3335ATI 8/6/2009 31-Aug-16 TUMWATER WA NO DISCIPLINE

COCHRANE KELLY JAMES INACTIVE 1629D 8/2/1983 30-Jun-17 KAHLOTUS WA NO DISCIPLINE

COFFEY BRADLEY M. ACTIVE 1527AT 8/24/1981 28-Feb-17 9/2017 2/2018 PORTLAND OR NO DISCIPLINE

COFFMAN MICHAEL ACTIVE 2508AT 8/22/1995 31-Dec-16 10/2016 12/2016 BEND OR NO DISCIPLINE

COLLIER BECKY A. INACTIVE 1339ATI 6/15/1977 31-Jul-16 KENNEWICK WA NO DISCIPLINE

COLSON DENNIS LLOYD INACTIVE 3243ATI 9/27/2007 31-May-17 NAMPA ID NO DISCIPLINE

CONNELL MICHAEL J. ACTIVE 3638ATI 8/12/2015 31-May-17 8/2017 5/2017 PORTLAND OR NO DISCIPLINE

CONNELLY JAMES BRIAN INACTIVE 2080D 7/31/1989 30-Jun-17 FARGO ND NO DISCIPLINE

CONNER TRISHA ANN ACTIVE 3125AT 6/22/2005 30-Nov-16 10/2017 10/2016 PORTLAND OR NO DISCIPLINE

CONWAY BERNARD P. ACTIVE 2182ATI 7/30/1990 31-Jul-16 3/2018 7/2017 PORTLAND OR NO DISCIPLINE

COOK HEATHER R. ACTIVE 2628ATI 7/30/1997 31-Dec-16 2/2017 12/2017 PORTLAND OR NO DISCIPLINE

COOK RITA D. ACTIVE 2976ATI 6/22/2004 31-May-17 1/2018 5/2017 BEAVERTON OR NO DISCIPLINE

COOK RORY ACTIVE 2528ATI 9/5/1995 31-Jan-17 2/2017 1/2017 PORTLAND OR NO DISCIPLINE

COOMBS SHAUN ACTIVE 2863ATI 4/29/2002 31-Dec-16 7/2017 12/2017 TUALATIN OR NO DISCIPLINE

COOPER JEFFREY B. INACTIVE 1822T 7/29/1986 30-Nov-16 REDDING CA NO DISCIPLINE

COOPER SCOTT C. ACTIVE 2183AT 7/30/1990 30-Sep-16 4/2017 9/2017 FOREST GROVE OR COE ONLY 2/28/97

COOPER STEPHANIE A. ACTIVE 3602ATI 5/21/2015 31-Aug-16 4/2017 8/2016 TUCSON AZ NO DISCIPLINE

COPILEVITZ LORI A. INACTIVE 3353ATI 7/1/2010 30-Jun-17 LONG BEACH CA NO DISCIPLINE

COREY RANDALL K. ACTIVE 1035ATI 7/3/1967 30-Sep-16 7/2017 9/2017 PORTLAND OR NO DISCIPLINE

CORNFORTH LEE L. INACTIVE 1823AT 7/29/1986 31-May-16 CHESHIRE OR NO DISCIPLINE

CORRADO JOHN A. ACTIVE 1308ATI 6/9/1976 30-Nov-16 2/2017 11/2017 HOOD RIVER OR NO DISCIPLINE

COTTER SUSAN L. INACTIVE 1586ATI 7/27/1982 31-Aug-16 SEATTLE WA NO DISCIPLINE

COUTANT BEN E. ACTIVE 2867ATI 4/29/2002 31-Jan-17 12/2017 1/2018 SPRINGFIELD OR NO DISCIPLINE

COYLE JENNIFER ACTIVE 3028ATI 8/18/1993 30-Apr-17 3/2017 4/2017 FOREST GROVE OR NO DISCIPLINE

5/18/2016 Only Active licensees are eligible to practice in Oregon. Please see the Discipline page for more information. Page 5

Page 6: Oregon Optometry Licensees...BALSALOBRE AMANDA M. ACTIVE 3119ATI 6/20/2005 31-Aug-16 2/2018 8/2016 BEND OR NO DISCIPLINE BALTER MARK D. INACTIVE 1519D 8/24/1981 31-Mar-17 SEATTLE WA

Oregon Optometry Licensees

Last First STATUS LICENSELICENSE

ISSUE DATEEXPIRES

CPR

EXPIRES

ETHIC/LAW

COURSECITY STATE DISCIPLINE

CREED ROBERT WESLEY ACTIVE 1756ATI 8/10/1985 30-Jun-16 5/2017 6/2017 KLAMATH FALLS OR NO DISCIPLINE

CROCKETT WESLEY D. ACTIVE 3397ATI 6/20/2011 28-Feb-17 11/2016 2/2017 HILLSBORO OR NO DISCIPLINE

CROSSLAND NICOLE SUZANNE ACTIVE 3222ATI 6/27/2007 31-May-17 9/2016 5/2017 SPRINGFIELD OR NO DISCIPLINE

CROTTY DOUGLAS P. INACTIVE 1420AT 7/11/1979 30-Apr-17 CORVALLIS OR NO DISCIPLINE

CROWELL GARY D. ACTIVE 1224ATI 6/6/1974 31-Dec-16 10/2017 12/2016 MCMINNVILLE OR AOD 8/23/99

CROWN JENNIFER R. ACTIVE 3332ATI 8/1/2009 31-Jul-16 6/2016 7/2016 SAMMAMISH WA NO DISCIPLINE

CRUST LOUIS J. INACTIVE 2184D 7/30/1990 31-Jul-16 CANADA R3T NO DISCIPLINE

CUDDY JANNELL ACTIVE 2930ATI 6/26/2003 28-Feb-17 11/2017 2/2018 PORTLAND OR NO DISCIPLINE

CUEVAS RONALD V. ACTIVE 1824ATI 7/29/1986 31-Oct-16 10/2016 10/2017 EUGENE OR NO DISCIPLINE

CURNUTT GEORGE W. ACTIVE 957ATI 1/1/1963 30-Apr-17 1/2018 4/2018 ST. HELENS OR NO DISCIPLINE

CURTIS CARLYLE P. ACTIVE 2409ATI 7/28/1992 30-Apr-17 10/2017 4/2017 ALBANY OR COE ONLY

CURTIS NANETTE I. ACTIVE 3444ATI 6/4/2012 30-Sep-16 4/2018 9/2017 PORTLAND OR NO DISCIPLINE

CURTISS SARAH K. INACTIVE 3388ATI 11/15/2010 31-Jul-16 PORTLAND OR NO DISCIPLINE

CURTTRIGHT ANNA D. ACTIVE 3354ATI 6/25/2010 31-Oct-16 11/2015 10/2017 TIGARD OR NO DISCIPLINE

CUSIC ROSS A ACTIVE 2710ATI 11/4/1998 31-Jan-17 1/2018 1/2018 THE DALLES OR NO DISCIPLINE

CZUPRYK ANALICIA N. ACTIVE 3445ATI 6/4/2012 30-Jun-17 2/2018 6/2017 ALBANY OR NO DISCIPLINE

DABABNEH JOSEPH N. INACTIVE 2186D 7/30/1990 28-Feb-17 TINLEY PARK IL NO DISCIPLINE

DALE CHARLES ROBERT INACTIVE 1758ATI 8/10/1985 31-Aug-16 FOX ISLAND WA NO DISCIPLINE

DALTON ERIN A. ACTIVE 3380ATI 7/9/2010 31-May-17 2/2018 5/2018 WEST LINN OR NO DISCIPLINE

DAMORI DAWN ACTIVE 2875ATI 6/28/2002 31-May-17 1/2018 5/2018 BEAVERTON OR NO DISCIPLINE

DANIELSON JULIE DENISE ACTIVE 3036ATI 8/19/1993 31-Jan-17 2/2018 1/2017 JACKSONVILLE OR NO DISCIPLINE

DANSON LAURENCE B. ACTIVE 4032ATI 3/24/1995 30-Nov-16 10/2016 11/2017 ROSEBURG OR NO DISCIPLINE

DAVIS ELIZABETH ACTIVE 2592ATI 8/29/1996 30-Apr-17 1/2018 4/2018 FOREST GROVE OR NO DISCIPLINE

DAVIS NEAL W. ACTIVE 3460ATI 6/25/2012 31-Oct-16 8/2016 10/2017 KEIZER OR NO DISCIPLINE

DE ROSIER MICHAEL K. INACTIVE 1631D 8/2/1983 30-Sep-16 DEER PARK WA NO DISCIPLINE

DEAN KEVIN G. INACTIVE 1827T 7/29/1986 31-Aug-16 NAMPA ID NO DISCIPLINE

DEAN KEVIN GEORGE ACTIVE 1896ATI 7/28/1987 31-Mar-17 9/2016 3/2017 HILLSBORO OR NO DISCIPLINE

DECALESTA DARAN ACTIVE 2772ATI 6/26/2000 30-Jun-16 2/2017 6/2016 EUGENE OR NO DISCIPLINE

DECALESTA PAMELA ACTIVE 2672ATI 7/6/1998 31-Jul-16 2/2017 7/2016 EUGENE OR NO DISCIPLINE

DECK BRYAN H. ACTIVE 2673ATI 7/6/1998 28-Feb-17 9/2016 2/2018 ROSEBURG OR NO DISCIPLINE

DECKER STEVEN D. ACTIVE 2560AT 7/1/1996 31-Mar-17 1/2017 3/2017 TALENT OR NO DISCIPLINE

DECKER TONI MAE ACTIVE 3193ATI 10/2/2006 31-May-17 1/2017 5/2017 BEND OR NO DISCIPLINE

DEGEN RICHARD L. INACTIVE 1584T 7/27/1982 31-Aug-16 VANCOUVER WA NO DISCIPLINE

DEHAAN RAYMOND ACTIVE 2858ATI 2/26/2002 31-Jul-16 5/2016 7/2017 TILLAMOOK OR NO DISCIPLINE

DELANO RONALD P. ACTIVE 3644AT 11/24/2015 31-May-17 9/2017 5/2017 BEND OR NO DISCIPLINE

DELLA VEDOVA NATHANIEL N. A. INACTIVE 3303AT 4/29/2009 31-Dec-16 BELLEVILLE, ON CANADA NO DISCIPLINE

DELLA VEDOVA SHELLY INACTIVE 3253ATI 2/20/2008 31-Dec-16 BELLEVILLE, ON CANADA NO DISCIPLINE

DELPLANCHE CURTIS G. ACTIVE 2188AT 7/30/1990 31-May-17 1/2018 5/2018 ALOHA OR NO DISCIPLINE

DELPLANCHE JACQUELYN ACTIVE 3024ATI 8/13/1993 30-Sep-16 3/2017 9/2017 ALOHA OR NO DISCIPLINE

DELPLANCHE REMY ACTIVE 3001ATI 8/13/1993 31-May-17 12/2016 5/2018 BEAVERTON OR NO DISCIPLINE

DEMAREE JULIE ANNE ACTIVE 1630ATI 8/2/1983 30-Sep-16 2/2017 9/2017 PORTLAND OR NO DISCIPLINE

DERRY KRISTEN E. ACTIVE 3579ATI 10/13/2014 31-Dec-16 2/2016 12/2017 PORTLAND OR NO DISCIPLINE

DERSTINE DARYN ACTIVE 2773ATI 6/26/2000 31-May-17 8/2017 5/2017 PORTLAND OR AOD 6/2008

DESCHUYTTER B. U. INACTIVE 1270AT 6/11/1975 31-Oct-16 BENICIA CA NO DISCIPLINE

DETMER STONE ROSEMARY ACTIVE 2568ATI 8/20/1996 31-Aug-16 11/2016 8/2016 BEAVERTON OR NO DISCIPLINE

DEVRIES DOUGLAS K. INACTIVE 2086T 7/31/1989 31-Oct-16 SPARKS NV NO DISCIPLINE

5/18/2016 Only Active licensees are eligible to practice in Oregon. Please see the Discipline page for more information. Page 6

Page 7: Oregon Optometry Licensees...BALSALOBRE AMANDA M. ACTIVE 3119ATI 6/20/2005 31-Aug-16 2/2018 8/2016 BEND OR NO DISCIPLINE BALTER MARK D. INACTIVE 1519D 8/24/1981 31-Mar-17 SEATTLE WA

Oregon Optometry Licensees

Last First STATUS LICENSELICENSE

ISSUE DATEEXPIRES

CPR

EXPIRES

ETHIC/LAW

COURSECITY STATE DISCIPLINE

DIEHL TINA ACTIVE 2778AT 6/26/2000 31-May-17 9/2016 5/2017 PORTLAND OR NO DISCIPLINE

DINH TRAM ACTIVE 2774AT 6/26/2000 30-Apr-17 6/2017 4/2018 WILSONVILLE OR NO DISCIPLINE

DIRKS BARBARA J. INACTIVE 1585T 7/27/1982 30-Nov-16 VIRGINIA CITY MT NO DISCIPLINE

DITTEMORE DIRK ADAM ACTIVE 3118ATI 6/6/2005 31-Dec-16 9/2016 12/2017 ROSEBURG OR NO DISCIPLINE

DITTEMORE KIMBERLYNN A. ACTIVE 3240ATI 9/13/2007 31-Jul-16 1/2016 7/2017 ROSEBURG OR NO DISCIPLINE

DIZON JOEL M. ACTIVE 2410AT 7/28/1992 30-Jun-17 7/2017 6/2018 SALEM OR NO DISCIPLINE

DODD TRACY INACTIVE 2644AT 8/12/1997 31-Dec-16 CAMAS WA NO DISCIPLINE

DOLGOFF BRIAN JAY INACTIVE 2087T 7/31/1989 31-Mar-17 WOODINVILLE WA NO DISCIPLINE

DOLL TRACY CHANTELLE ACTIVE 3184ATI 7/19/2006 31-Mar-17 3/2017 3/2018 FOREST GROVE OR NO DISCIPLINE

DOWNEY SHANNON ACTIVE 3055ATI 11/22/1993 30-Jun-16 6/2016 6/2017 SHERWOOD OR NO DISCIPLINE

DRAMEN GORDON E. INACTIVE 2412T 7/28/1992 30-Jun-17 BUFFALO MN NO DISCIPLINE

DROTZMANN DAVID A. ACTIVE 2709ATI 11/12/1998 31-Jan-17 12/2017 1/2017 HERMISTON OR NO DISCIPLINE

DUCHIN KYLA SMITH ACTIVE 3292ATI 9/3/2008 31-Jan-17 1/2017 1/2018 LEWISTON ME NO DISCIPLINE

DUKES ERIC NEILSEN ACTIVE 2413ATI 7/28/1992 31-Dec-16 5/2017 12/2017 ASHLAND OR NO DISCIPLINE

DUNKS CARRIE N. ACTIVE 3544ATI 5/27/2014 31-Oct-16 7/2017 10/2017 EUGENE OR NO DISCIPLINE

DUNN AMBER G. ACTIVE 3510ATI 7/11/2013 31-Mar-17 6/2017 3/2017 KING CITY OR NO DISCIPLINE

DUNN, JR. WILLIAM A. ACTIVE 1310ATI 6/9/1976 28-Feb-17 3/2016 2/2017 SPRINGFIELD OR AOD 7/2010

DUONG JOHNNY ACTIVE 3628AT 7/1/2015 30-Jun-16 5/2017 6/2017 WOOD VILLAGE OR NO DISCIPLINE

EAGLES KEIRSTEN D. ACTIVE 3228ATI 7/9/2007 30-Sep-16 8/2016 9/2017 KEIZER OR AOD 11/2007

EAKLAND KENNETH W. ACTIVE 1685ATI 7/31/1984 28-Feb-17 1/2017 2/2018 FOREST GROVE OR NO DISCIPLINE

EASLY-DEBISSCHOP ANN A. ACTIVE 1686ATI 7/31/1984 31-Dec-16 10/2017 12/2017 ONTARIO OR NO DISCIPLINE

EBERT PAMELA J. ACTIVE 3484AT 3/12/2013 31-Oct-16 8/2017 10/2016 SPRINGFIELD OR NO DISCIPLINE

EDISON CRYSTAL M. INACTIVE 3504ATI 6/18/2013 31-Aug-16 VANCOUVER WA NO DISCIPLINE

EDMUNDS-JUDSON LINDSEY R. ACTIVE 3450ATI 6/7/2012 30-Sep-16 7/2017 9/2016 ONTARIO OR NO DISCIPLINE

EDWARDS NATHAN D. INACTIVE 3355ATI 6/25/2010 31-Mar-17 CASPER WY NO DISCIPLINE

EGGER MICHAEL A. ACTIVE 1340ATI 6/15/1977 30-Jun-16 3/2016 6/2017 OREGON CITY OR NO DISCIPLINE

EHLEN RICHARD WAYNE ACTIVE 2414ATI 7/28/1992 31-Oct-16 8/2017 10/2016 EUGENE OR NO DISCIPLINE

EHLERS KENNETH ACTIVE 1422AT 7/11/1979 28-Feb-17 11/2016 2/2017 ASHLAND OR NO DISCIPLINE

EICHHORST NATHAN K. ACTIVE 3647AT 2/9/2016 30-Jun-17 5/2017 6/2017 SHELL LAKE WI NO DISCIPLINE

ELKIND ANDREA B. INACTIVE 1533T 8/24/1981 31-Jul-16 LOS ANGELES CA NO DISCIPLINE

ELLEMENT MARY A. ACTIVE 3531AT 11/20/2013 31-Mar-17 2/2018 3/2017 BEND OR NO DISCIPLINE

ELLIOTT ROBERT L. ACTIVE 1760AT 8/10/1985 30-Apr-17 2/2018 4/2017 PORTLAND OR NO DISCIPLINE

ELMS LESLIE M. ACTIVE 2569ATI 8/20/1996 31-Jul-16 9/2017 7/2016 BAKER CITY OR NO DISCIPLINE

ELSTON SANDRA BRADFORD INACTIVE 2810T 10/6/2000 31-Aug-16 ARGYLE TX NO DISCIPLINE

EMMERT STEPHANIE N. ACTIVE 3346ATI 1/28/2010 30-Sep-16 1/2018 9/2017 ALBANY OR NO DISCIPLINE

ENEWOLD TAIRA L. ACTIVE 3464ATI 7/3/2012 31-Mar-17 2/2017 3/2018 RENO NV NO DISCIPLINE

ENGLAND DAVID S. ACTIVE 2913ATI 3/11/2003 31-May-17 9/2017 5/2017 ASHLAND OR NO DISCIPLINE

ENYART BRETT MICHAEL INACTIVE 3192ATI 10/2/2006 30-Sep-16 TULSA OK NO DISCIPLINE

ENYEART NED A. ACTIVE 1341ATI 6/15/1977 31-Aug-16 7/2017 8/2017 ONTARIO OR NO DISCIPLINE

ERDMAN KENNETH ACTIVE 2989AT 8/1/2004 31-Jul-16 6/2017 7/2017 PORTLAND OR NO DISCIPLINE

ERICKSON DINA H. ACTIVE 4000ATI 8/11/1994 30-Apr-17 1/2017 4/2018 FOREST GROVE OR NO DISCIPLINE

ERICKSON GRAHAM B. ACTIVE 2191ATI 7/30/1990 31-Mar-17 1/2017 3/2017 FOREST GROVE OR NO DISCIPLINE

ERKUS WILLIAM DAVID ACTIVE 2313ATI 7/29/1991 31-Aug-16 3/2017 8/2017 BEAVERTON OR NO DISCIPLINE

ESPINOSA JAMES CARLTON INACTIVE 2415D 7/28/1992 31-Jul-16 HIGHLAND CA NO DISCIPLINE

ESPOSITO JAMES P. ACTIVE 3562AT 6/23/2014 31-May-17 4/2018 5/2018 SALEM OR NO DISCIPLINE

ESTES MICHAEL K. ACTIVE 1225ATI 6/6/1974 31-Mar-17 10/2016 3/2018 ALBANY OR COE ONLY 9/13/94

5/18/2016 Only Active licensees are eligible to practice in Oregon. Please see the Discipline page for more information. Page 7

Page 8: Oregon Optometry Licensees...BALSALOBRE AMANDA M. ACTIVE 3119ATI 6/20/2005 31-Aug-16 2/2018 8/2016 BEND OR NO DISCIPLINE BALTER MARK D. INACTIVE 1519D 8/24/1981 31-Mar-17 SEATTLE WA

Oregon Optometry Licensees

Last First STATUS LICENSELICENSE

ISSUE DATEEXPIRES

CPR

EXPIRES

ETHIC/LAW

COURSECITY STATE DISCIPLINE

ETTER KARISA J. ACTIVE 3603AT 5/28/2015 31-Jan-17 8/2017 1/2017 PORTLAND OR NO DISCIPLINE

EVANGER-DALKE TARA E. ACTIVE 3651ATI 3/14/2016 31-Jul-16 3/2018 7/2017 ENTERPRISE OR NO DISCIPLINE

EVANS ALLISON C. INACTIVE 3391ATI 2/9/2011 31-Jan-17 PORTLAND OR NO DISCIPLINE

EVANS GREG INACTIVE 2541T 12/28/1995 31-Oct-16 PALM DESERT CA NO DISCIPLINE

EVERS STEVEN ACTIVE 1381ATI 6/21/1978 30-Jun-17 3/2018 6/2017 MADRAS OR NO DISCIPLINE

FADHL-POHL PAULA S. INACTIVE 2993ATI 7/12/2004 30-Nov-16 BELLEVUE WA NO DISCIPLINE

FAGAN JOHN E. INACTIVE 1688T 7/31/1984 30-Nov-16 TEHACHAPI CA NO DISCIPLINE

FALDOWSKI GREGORY J. INACTIVE 3440AT 5/10/2012 31-Jul-16 ALTURAS CA NO DISCIPLINE

FAN YUN ACTIVE 2905ATI 11/5/2002 31-Dec-16 3/2016 12/2017 BEAVERTON OR NO DISCIPLINE

FANCHER RONALD D. INACTIVE 1274T 6/11/1975 30-Sep-16 CENTENNIAL CO NO DISCIPLINE

FARMER SUSAN L. INACTIVE 3057D 12/22/1993 30-Apr-17 YAKIMA WA NO DISCIPLINE

FAST MARK JARED ACTIVE 2986ATI 7/2/2004 31-Aug-16 11/2016 8/2017 SALEM OR NO DISCIPLINE

FAULKNER WILLIAM D. INACTIVE 1312AT 6/9/1976 30-Jun-17 ANCHORAGE AK NO DISCIPLINE

FAVIS TYRONE J. ACTIVE 3634AT 7/13/2015 30-Apr-17 7/2017 4/2017 TEMPE AZ NO DISCIPLINE

FEARINGTON HUONG L. ACTIVE 3435ATI 3/5/2012 30-Sep-16 4/2017 9/2016 PORTLAND OR NO DISCIPLINE

FEE DENNIS R. INACTIVE 1275AT 6/11/1975 31-Jan-17 BEND OR NO DISCIPLINE

FEILZER KEITH R. ACTIVE 1635AT 8/2/1983 31-Dec-16 12/2017 12/2017 BEND OR COE ONLY 10/2/92

FERN KAREN D. INACTIVE 1587D 7/27/1982 31-Dec-16 HOUSTON TX NO DISCIPLINE

FICKES EVA ACTIVE 2093ATI 7/31/1989 30-Nov-16 9/2017 11/2017 GRANTS PASS OR NO DISCIPLINE

FICKES TOM D. ACTIVE 4030ATI 1/13/1995 30-Nov-16 9/2017 11/2017 GRANTS PASS OR NO DISCIPLINE

FINNEMAN BRITTANY J. ACTIVE 3494ATI 5/30/2013 31-Oct-16 3/2017 10/2016 ALBANY OR NO DISCIPLINE

FINUCAN KIM M. ACTIVE 3373ATI 6/29/2010 31-Dec-16 8/2016 12/2017 PORTLAND OR NO DISCIPLINE

FISKE BONNIE J. INACTIVE 2570T 8/20/1996 30-Sep-16 GRAND JUNCTION CO NO DISCIPLINE

FLANAGAN JODI LAMA INACTIVE 2417T 7/28/1992 31-Jan-17 SCHERTZ TX NO DISCIPLINE

FLEMING DARRIN ACTIVE 4026ATI 11/22/1994 31-Oct-16 5/2017 10/2016 EUGENE OR NO DISCIPLINE

FLORY STEVEN J. INACTIVE 1476D 6/18/1980 31-Jul-16 LAWRENCE KS NO DISCIPLINE

FOLEY MARGARET A. ACTIVE 2094ATI 7/31/1989 28-Feb-17 1/2018 2/2017 EUGENE OR COE ONLY 9/27/96

FOLLEN ERIN E. ACTIVE 3598ATI 5/26/2015 31-Mar-17 4/2017 3/2017 BEND OR NO DISCIPLINE

FORBES ROBERT D. ACTIVE 3003ATI 8/13/1993 30-Jun-16 3/2016 6/2017 NEWBERG OR NO DISCIPLINE

FORGIE CHARLOTTE A. ACTIVE 3600ATI 5/21/2015 31-Dec-16 4/2017 12/2016 CLACKAMAS OR NO DISCIPLINE

FORTNER RANDAL JAMES ACTIVE 3343AT 11/16/2009 31-Mar-17 2/2018 3/2018 COOS BAY OR NO DISCIPLINE

FORTUNE BRAD ACTIVE 2824AT 5/8/2001 30-Sep-16 8/2016 9/2017 PORTLAND OR NO DISCIPLINE

FOULADIAN BEHNAM INACTIVE 2196D 7/30/1990 28-Feb-17 REDONDO BEACH CA NO DISCIPLINE

FOX-HOCKING SARAH ACTIVE 2971ATI 6/22/2004 31-Oct-16 1/2017 10/2017 LAGRANDE OR NO DISCIPLINE

FRANK NATHAN T. INACTIVE 3273ATI 6/25/2008 30-Apr-17 ANCHORAGE AK NO DISCIPLINE

FRANKS ROBERT INACTIVE-MILITARY 2777T 6/26/2000 30-Jun-17 SAN DIEGO CA NO DISCIPLINE

FRASER PAMELA S. ACTIVE 3217ATI 6/27/2007 31-May-17 4/2017 5/2018 HILLSBORO OR NO DISCIPLINE

FREEDLE ERIC SCOTT ACTIVE 1763ATI 8/10/1985 31-Jul-16 10/2017 7/2017 TIGARD OR NO DISCIPLINE

FREEH TIMOTHY ACTIVE 1834AT 7/29/1986 30-Jun-17 2/2017 6/2017 SALEM OR NO DISCIPLINE

FREESE BRETT ALLEN INACTIVE 2197T 7/30/1990 30-Sep-16 SAUK CENTRE MN NO DISCIPLINE

FRIBERG ZUZANA B. ACTIVE 3244AT 10/1/2007 30-Nov-16 10/2017 11/2017 PORTLAND OR NO DISCIPLINE

FROLAND LAWRENCE A. ACTIVE 1228ATI 6/6/1974 30-Jun-17 2/2017 6/2017 MILWAUKIE OR NO DISCIPLINE

FRONK KENT S. INACTIVE 1836D 7/29/1986 30-Nov-16 JAMESTOWN ND NO DISCIPLINE

FROST MELISSA K. ACTIVE 3627AT 6/25/2015 31-Oct-16 5/2017 10/2017 CORVALLIS OR NO DISCIPLINE

FU XIAOFENG ACTIVE 3255AT 4/14/2008 30-Sep-16 8/2017 9/2017 PORTLAND OR NO DISCIPLINE

FUJIWARA CRAIG I. ACTIVE 2512ATI 8/22/1995 30-Jun-17 1/2018 6/2017 SALEM OR NO DISCIPLINE

5/18/2016 Only Active licensees are eligible to practice in Oregon. Please see the Discipline page for more information. Page 8

Page 9: Oregon Optometry Licensees...BALSALOBRE AMANDA M. ACTIVE 3119ATI 6/20/2005 31-Aug-16 2/2018 8/2016 BEND OR NO DISCIPLINE BALTER MARK D. INACTIVE 1519D 8/24/1981 31-Mar-17 SEATTLE WA

Oregon Optometry Licensees

Last First STATUS LICENSELICENSE

ISSUE DATEEXPIRES

CPR

EXPIRES

ETHIC/LAW

COURSECITY STATE DISCIPLINE

FUNKHOUSER DEANNE K. INACTIVE 1837T 7/29/1986 30-Sep-16 MCFARLAND WI NO DISCIPLINE

GABBARD BETH R. ACTIVE 3556AT 6/10/2014 30-Sep-16 5/2016 9/2017 PORTLAND OR NO DISCIPLINE

GABEL DONALD W. ACTIVE 2647ATI 8/20/1997 31-Aug-16 7/2017 8/2017 WILSONVILLE OR NO DISCIPLINE

GALUZA YELENA I. ACTIVE 3604ATI 5/28/2015 31-Oct-16 4/2017 10/2016 WOOD VILLAGE OR NO DISCIPLINE

GANSEL-ANG KARLYN INACTIVE 1901D 7/28/1987 30-Sep-16 ALBUQUERQUE NM NO DISCIPLINE

GARDNER RICHARD INACTIVE 2876AT 7/1/2002 31-Jul-16 COLUMBIA SC NO DISCIPLINE

GARHOFER NEAL JAMES ACTIVE 2199ATI 7/30/1990 30-Sep-16 7/2016 9/2017 WARRENTON OR NO DISCIPLINE

GARRETT JEFFREY ACTIVE 2724ATI 6/22/1999 30-Jun-16 5/2017 6/2016 TUALATIN OR NO DISCIPLINE

GARRETT RACHAEL ACTIVE 2713ATI 1/4/1999 30-Sep-16 8/2016 9/2017 PORTLAND OR NO DISCIPLINE

GARRETY KAREN LISA INACTIVE 2421T 7/28/1992 31-Jul-16 OXNARD CA NO DISCIPLINE

GARTON MICHAEL L. INACTIVE 1230ATI 6/6/1974 28-Feb-17 MILTON-FREEWATER OR NO DISCIPLINE

GATES PATRICIA B. ACTIVE 1992ATI 8/2/1988 31-Aug-16 12/2017 8/2017 COOS BAY OR NO DISCIPLINE

GAUER BONNIE MARIE ACTIVE 3054ATI 11/8/1993 30-Apr-17 12/2017 4/2017 ROSEBURG OR NO DISCIPLINE

GAUS KRISTEN N. ACTIVE 3466ATI 7/9/2012 31-Oct-16 12/2016 10/2017 BEND OR NO DISCIPLINE

GEBHARDT CHRISTINE R. ACTIVE 2571ATI 8/20/1996 30-Sep-16 7/2017 9/2017 PORTLAND OR NO DISCIPLINE

GELLER PAUL INACTIVE 2910T 1/9/2003 30-Jun-17 SOUTH JORDAN UT NO DISCIPLINE

GELLES JOHN D. INACTIVE 3481AT 1/17/2013 30-Nov-16 CARLSBAD CA NO DISCIPLINE

GENDVILAS TONY R. ACTIVE 1689AT 7/31/1984 30-Jun-16 5/2017 6/2017 TIGARD OR AOD 4/20/04

GEORGE MARK A. ACTIVE 2098ATI 7/31/1989 31-Oct-16 11/2016 10/2017 GRESHAM OR NO DISCIPLINE

GEORGESON MATTHEW D. ACTIVE 2983AT 7/1/2004 30-Jun-16 4/2016 6/2016 ONTARIO OR NO DISCIPLINE

GERIG WAYNE L. ACTIVE 1478ATI 6/18/1980 31-Aug-16 7/2016 8/2017 TIGARD OR AOD 7/2008

GERMAN CAROL JEAN INACTIVE 1589T 7/27/1982 31-Jan-17 TOLEDO OH NO DISCIPLINE

GERRITSEN JEREMY INACTIVE 3336ATI 8/17/2009 31-May-16 RIVERTON UT NO DISCIPLINE

GETZ NINA C. INACTIVE 2201T 7/30/1990 31-Mar-17 WEST COVINA CA NO DISCIPLINE

GIANELLI LAURA M. INACTIVE 1994ATI 8/2/1988 30-Sep-16 ASTORIA OR NO DISCIPLINE

GIBBS ROBERT D. ACTIVE 1902ATI 7/28/1987 31-Dec-16 11/2016 12/2016 TUALATIN OR NO DISCIPLINE

GIBBS THOMAS H. ACTIVE 1764ATI 8/12/1985 30-Jun-16 1/2016 6/2017 PORTLAND OR NO DISCIPLINE

GILBUENA JOSEPH DANIEL INACTIVE 3264ATI 6/19/2008 31-Dec-16 TOLEDO OH NO DISCIPLINE

GLABE DAVID K. ACTIVE 3487ATI 4/4/2013 31-Jan-17 12/2017 1/2017 LA GRANDE OR NO DISCIPLINE

GLAD SUSAN M. ACTIVE 2319ATI 7/29/1991 31-Dec-16 9/2017 12/2017 YAMHILL OR NO DISCIPLINE

GLANZER MICHAEL J. ACTIVE 3091ATI 8/4/1994 30-Nov-16 3/2017 11/2017 TUALATIN OR NO DISCIPLINE

GLAUSER RAYMOND INACTIVE 1690T 7/31/1984 30-Nov-16 WAILUKU, MAUI HI NO DISCIPLINE

GLENNIE PETER W. ACTIVE 1903ATI 7/28/1987 30-Jun-17 1/2017 6/2018 SALEM OR COE ONLY 10/2/92

GOLDEN DAVID B. INACTIVE 1904 7/28/1987 30-Jun-17 WHITTIER CA NO DISCIPLINE

GOLDMAN BRUCE E. ACTIVE 1590ATI 7/27/1982 30-Apr-17 2/2017 4/2017 PORTLAND OR NO DISCIPLINE

GOLITZ MICHAEL A. INACTIVE 1905D 7/28/1987 31-May-17 KIRKLAND WA NO DISCIPLINE

GOO NORMAN M.H. ACTIVE 1691ATI 7/1/1984 31-Dec-16 9/2016 12/2017 EUGENE OR NO DISCIPLINE

GOODMAN LEON C. INACTIVE 908 1/1/1961 31-Jul-16 BELLEVUE WA NO DISCIPLINE

GOODWIN DENISE ACTIVE 2701ATI 8/11/1998 31-Jan-17 1/2017 1/2018 FOREST GROVE OR NO DISCIPLINE

GOODWIN LYNN E. ACTIVE 1481ATI 6/18/1980 30-Nov-16 10/2016 11/2016 MYRTLE CREEK OR NO DISCIPLINE

GORE GREGORY P. INACTIVE 1427T 7/11/1979 31-Jul-16 VENTURA CA NO DISCIPLINE

GORGER RYAN A. ACTIVE 3209ATI 7/1/2007 30-Jun-17 10/2017 6/2018 PORTLAND OR NO DISCIPLINE

GOTCHER MARK ACTIVE 2529ATI 9/5/1995 31-Jan-17 10/2016 1/2018 COTTAGE GROVE OR NO DISCIPLINE

GOUGER GARY R. INACTIVE 3073ATI 8/2/1994 31-Jan-17 RIDGEFIELD WA COE ONLY 2/28/97

GOULDING JOSHUA T. ACTIVE 3428AT 9/2/2011 30-Nov-16 1/2017 11/2017 TIGARD OR NO DISCIPLINE

GRALA PAUL INACTIVE 2941T 7/31/2003 31-May-16 TRAVERSE CITY MI NO DISCIPLINE

5/18/2016 Only Active licensees are eligible to practice in Oregon. Please see the Discipline page for more information. Page 9

Page 10: Oregon Optometry Licensees...BALSALOBRE AMANDA M. ACTIVE 3119ATI 6/20/2005 31-Aug-16 2/2018 8/2016 BEND OR NO DISCIPLINE BALTER MARK D. INACTIVE 1519D 8/24/1981 31-Mar-17 SEATTLE WA

Oregon Optometry Licensees

Last First STATUS LICENSELICENSE

ISSUE DATEEXPIRES

CPR

EXPIRES

ETHIC/LAW

COURSECITY STATE DISCIPLINE

GRANT STEVEN E. INACTIVE 2203D 7/30/1990 31-Mar-17 HENDERSON NV NO DISCIPLINE

GRAVES LYNDON J. ACTIVE 2967AT 5/10/2004 30-Sep-16 9/2017 9/2015 TROUTDALE OR NO DISCIPLINE

GRIFFITH DAWNE R. ACTIVE 2520ATI 8/22/1995 31-Dec-16 11/2016 12/2017 TIGARD OR NO DISCIPLINE

GRINDAHL RAHNA INACTIVE 2950T 9/12/2003 30-Apr-17 HOLLYWOOD FL NO DISCIPLINE

GROETSCH RICKY F. INACTIVE 1840T 7/29/1986 31-Jan-17 MELROSE MN NO DISCIPLINE

GROSS CHRISTENE F. ACTIVE 1997ATI 8/2/1988 30-Apr-17 3/2018 4/2018 PORTLAND OR COE ONLY 9/27/96

GROSS SHELBY D. ACTIVE 3611ATI 6/4/2015 31-Jan-17 4/2017 1/2017 PORTLAND OR NO DISCIPLINE

GUGGEMOS EDWARD JAMES INACTIVE 3238ATI 8/23/2007 31-May-17 TAMPA FL NO DISCIPLINE

GUILEY RONALD ACTIVE 1537ATI 9/1/1993 31-Mar-17 2/2016 3/2017 BEND OR AOD 2/28/97

GURTISEN JAMES MICHAEL ACTIVE 2320ATI 7/29/1991 30-Apr-17 11/2017 4/2017 TROUTDALE OR COE ONLY

GUSS, II WALTER INACTIVE 2631T 7/30/1997 31-Jul-16 HARRIISBURG PA NO DISCIPLINE

GYVING KRISTINE J. ACTIVE 1692AT 7/31/1984 30-Nov-16 9/2016 11/2017 BROOKINGS OR NO DISCIPLINE

HACKETT DAVID A. ACTIVE 3639ATI 8/13/2015 31-May-17 6/2017 5/2017 EUGENE OR NO DISCIPLINE

HALE JAMES R. ACTIVE 2674ATI 7/6/1998 30-Nov-16 10/2017 11/2017 CORVALLIS OR NO DISCIPLINE

HALL MICHELE M. ACTIVE 2744ATI 6/24/1999 31-Oct-16 1/2016 10/2017 PORTLAND OR NO DISCIPLINE

HALLSTROM SHELDON L. INACTIVE 1637D 8/2/1983 28-Feb-17 HORSEHEADS NY NO DISCIPLINE

HALPERIN ERIC ACTIVE 1841ATI 7/29/1986 31-Jan-17 4/2017 1/2017 TILLAMOOK OR NO DISCIPLINE

HALVORSON AMI RENEE ACTIVE 3218ATI 6/27/2007 31-Dec-16 10/2016 12/2016 PORTLAND OR NO DISCIPLINE

HALVORSON KIRK L. ACTIVE 3299ATI 4/1/2009 31-Aug-16 12/2016 8/2017 SALEM OR NO DISCIPLINE

HAMASHIGE SHINICHI SEAN INACTIVE 2206T 7/30/1990 31-May-17 SANTA FE NM NO DISCIPLINE

HAMEL CANDACE D. ACTIVE 1345ATI 1/1/1977 31-Dec-16 12/2017 12/2016 ESTACADA OR NO DISCIPLINE

HAMERL BRUCE WENDELL INACTIVE 2322AT 7/29/1991 31-Oct-16 BOISE ID NO DISCIPLINE

HAMMAR JOANNE MARIE ACTIVE 1638ATI 8/2/1983 30-Jun-16 2/2017 6/2017 NORTH BEND OR COE ONLY 9/13/94

HAMPEL RONALD M. ACTIVE 2830ATI 7/11/2001 31-Aug-16 11/2016 8/2016 PORTLAND OR NO DISCIPLINE

HAN ERIN S. INACTIVE 1766D 8/10/1985 31-Jan-17 LOS ANGELES CA NO DISCIPLINE

HANDFORD PAULA A. INACTIVE 3274ATI 7/1/2008 30-Jun-16 GLENDALE AZ NO DISCIPLINE

HANNEN KENNETH R. INACTIVE 1277D 6/11/1975 31-May-17 BILLINGS MT NO DISCIPLINE

HANSEN DOUGLAS P. ACTIVE 4033AT 3/24/1995 31-Aug-16 3/2016 8/2017 TUALATIN OR NO DISCIPLINE

HANSON DAMON J. ACTIVE 3454ATI 6/18/2012 31-Oct-16 6/2016 10/2017 MEDFORD OR NO DISCIPLINE

HARBISON SHAUNA INACTIVE 2948T 8/28/2003 31-Aug-16 GRANDE PRAIRIE AB NO DISCIPLINE

HARDT DONALD KENNETH INACTIVE 2425D 7/28/1992 28-Feb-17 SAIPAN MP NO DISCIPLINE

HARDY RAYMOND F. ACTIVE 3224AT 7/1/2007 30-Jun-17 3/2017 6/2017 BEND OR NO DISCIPLINE

HARE GREGORY A. INACTIVE 1842D 7/29/1986 31-Oct-16 PORT TOWNSEND WA NO DISCIPLINE

HARE WILLIAM ALAN INACTIVE 1430D 7/11/1979 31-Mar-17 TUSTIN CA NO DISCIPLINE

HARPER ALYSON E. ACTIVE 1998ATI 8/2/1988 30-Nov-16 3/2017 11/2017 LINCOLN CITY OR NO DISCIPLINE

HARRINGTON JOHN R. ACTIVE 2648ATI 8/20/1997 30-Jun-17 1/2018 6/2017 KEIZER OR NO DISCIPLINE

HARRIS JEFFREY D. ACTIVE 3102AT 8/16/2004 30-Apr-17 3/2018 4/2018 BEAVERTON OR NO DISCIPLINE

HARRIS KENNETH L. ACTIVE 1278ATI 6/11/1975 31-Jan-17 10/2016 1/2017 ASHLAND OR NO DISCIPLINE

HARRIS MARK D. INACTIVE 1431D 7/11/1979 30-Nov-16 FREEPORT NY NO DISCIPLINE

HARTMAN JENESSA L. ACTIVE 3592ATI 3/13/2015 31-Oct-16 2/2017 10/2016 VANCOUVER WA NO DISCIPLINE

HATCH CDR BRIAN INACTIVE-MILITARY 2725T 6/22/1999 30-Apr-17 FPO AP NO DISCIPLINE

HAUGLAND DENNIS ALAN INACTIVE 2208T 7/30/1990 30-Sep-16 URBANDALE IA NO DISCIPLINE

HAVENS JAMES T. INACTIVE 2605T 11/18/1996 30-Apr-17 MILLEDGEVILLE GA NO DISCIPLINE

HAWORTH KRISTINA INACTIVE 4023T 11/7/1994 31-Oct-16 MEMPHIS TN NO DISCIPLINE

HAWTHORNE HILARY LISA INACTIVE 2426T 7/28/1992 31-Dec-16 LOS ANGELES CA NO DISCIPLINE

HAY TREVOR ACTIVE 2572ATI 8/20/1996 30-Jun-16 1/2018 6/2017 PORTLAND OR NO DISCIPLINE

5/18/2016 Only Active licensees are eligible to practice in Oregon. Please see the Discipline page for more information. Page 10

Page 11: Oregon Optometry Licensees...BALSALOBRE AMANDA M. ACTIVE 3119ATI 6/20/2005 31-Aug-16 2/2018 8/2016 BEND OR NO DISCIPLINE BALTER MARK D. INACTIVE 1519D 8/24/1981 31-Mar-17 SEATTLE WA

Oregon Optometry Licensees

Last First STATUS LICENSELICENSE

ISSUE DATEEXPIRES

CPR

EXPIRES

ETHIC/LAW

COURSECITY STATE DISCIPLINE

HAYNES CHRYSTIE TAMARA INACTIVE 3246ATI 10/10/2007 30-Apr-17 QUEENS VILLAGE NY NO DISCIPLINE

HAYNES STEPHEN W. ACTIVE 3389AT 11/15/2010 31-Dec-16 1/2017 12/2017 THE DALLES OR NO DISCIPLINE

HEDBERG GINA M. ACTIVE 3404ATI 6/20/2011 31-Jan-17 5/2016 1/2018 EUGENE OR NO DISCIPLINE

HEDBERG NICHOLAS J. ACTIVE 3425ATI 8/12/2011 31-Oct-16 5/2016 10/2016 EUGENE OR NO DISCIPLINE

HEDMAN MELISSA JO ACTIVE 3235ATI 7/25/2007 30-Jun-16 5/2017 6/2017 HERMISTON OR NO DISCIPLINE

HEFFNER ERICA C. ACTIVE 3352ATI 6/25/2010 31-Jan-17 12/2017 1/2017 FT SAM HOUSTON TX NO DISCIPLINE

HEFNER WILLIAM F. INACTIVE 2573T 8/20/1996 31-Dec-16 TOPEKA KS NO DISCIPLINE

HEHN RICHARD INACTIVE 1001T 7/1/1965 31-Oct-16 OLYMPIA WA NO DISCIPLINE

HEINTZ JUSTIN T. ACTIVE 3307ATI 6/22/2009 30-Apr-17 2/2018 4/2017 CORVALLIS OR NO DISCIPLINE

HEINTZELMAN SAYGE MARIE INACTIVE 3302ATI 4/20/2009 30-Jun-16 VANCOUVER WA NO DISCIPLINE

HESS DIANA LYNN ACTIVE 2401ATI 7/28/1992 30-Nov-16 9/2016 11/2016 PORTLAND OR NO DISCIPLINE

HIBBERT ASHLEY R. ACTIVE 3472ATI 8/1/2012 31-Jul-16 10/2017 7/2016 PORTLAND OR NO DISCIPLINE

HILL STACY J. ACTIVE 3548ATI 6/2/2014 31-Aug-16 7/2016 8/2017 FOREST GROVE OR NO DISCIPLINE

HIMMELSBACH AYLA J. ACTIVE 3649ATI 3/1/2016 28-Feb-17 12/2017 2/2017 CLACKAMAS OR NO DISCIPLINE

HIRATA SHARON L. ACTIVE 1595AT 7/27/1982 28-Feb-17 1/2017 2/2017 TIGARD OR NO DISCIPLINE

HIROYASU STUART INACTIVE 3042T 9/1/1993 31-May-17 BISHOP CA NO DISCIPLINE

HO AMIEE S. ACTIVE 3584AT 12/22/2014 31-May-17 1/2017 5/2018 FOREST GROVE OR NO DISCIPLINE

HOBAN KEELY L. ACTIVE 3415ATI 7/1/2011 28-Feb-17 11/2016 2/2017 TIGARD OR NO DISCIPLINE

HOFFBUHR LINDSAY M. ACTIVE 3486AT 3/29/2013 30-Jun-16 5/2016 6/2017 TIGARD OR NO DISCIPLINE

HOFMANN EDWARD H. INACTIVE 1846D 7/29/1986 30-Sep-16 SAN ANTONIO FL NO DISCIPLINE

HOINS STACEY L. ACTIVE 3612ATI 6/11/2015 30-Jun-16 7/2016 6/2017 MEDFORD OR NO DISCIPLINE

HOLLABAUGH DOUGLAS J. INACTIVE 2429T 7/28/1992 28-Feb-17 EL DORADO HILLS CA NO DISCIPLINE

HOLLMAN RANDALL K. INACTIVE 1315T 6/9/1976 31-Jul-16 KALISPELL MT NO DISCIPLINE

HONDA JAY K. INACTIVE 1698T 7/31/1984 31-Aug-16 KAILUA-KONA HI NO DISCIPLINE

HORN FRASER C. ACTIVE 3111ATI 2/14/2005 31-Oct-16 9/2016 10/2017 FOREST GROVE OR NO DISCIPLINE

HORN RUSSELL H. ACTIVE 2513ATI 8/22/1995 31-Jan-17 9/2017 1/2018 MEDFORD OR NO DISCIPLINE

HORNICK LISA MARIE INACTIVE 3197ATI 12/18/2006 30-Nov-16 ROSEVILLE CA NO DISCIPLINE

HORROCKS RACHEL GRACE ACTIVE 3266ATI 6/19/2008 30-Nov-16 7/2017 11/2017 LAKE OSWEGO OR NO DISCIPLINE

HORST-WALKER TERRI L. INACTIVE 2211T 7/30/1990 28-Feb-17 SALEM OR NO DISCIPLINE

HOSKING BRIAN INACTIVE 2780T 6/26/2000 31-Oct-16 GREEN BAY WI NO DISCIPLINE

HOSSINI PAYMON ACTIVE 3329ATI 8/1/2009 31-Jul-16 3/2017 7/2017 PORTLAND OR NO DISCIPLINE

HOYT KIMBERLY ACTIVE 3010ATI 8/13/1993 31-May-17 4/2018 5/2018 ASHLAND OR

AOD - 08/26/14

SUSPENDED, 11/24/14

CONSENT ORDER

HOYT MICHAEL ACTIVE 3011ATI 8/13/1993 31-Dec-16 11/2016 12/2017 ASHLAND OR COE ONLY 9/27/96

HU EVELYN Y. ACTIVE 3453ATI 6/8/2012 31-Mar-17 5/2016 3/2018 ALOHA OR NO DISCIPLINE

HUANG RAYMOND Z. INACTIVE 2329D 7/29/1991 31-Aug-16 TUSTIN CA NO DISCIPLINE

HUANG WENJUN INACTIVE 3572AT 7/14/2014 31-May-16 SUNNYVALE CA NO DISCIPLINE

HUBBARD TONYA R. ACTIVE 3585AT 1/5/2015 31-Aug-16 7/2016 8/2016 CANON CITY CO NO DISCIPLINE

HUDSON ALLAN J. ACTIVE 1541ATI 8/24/1981 31-Oct-16 9/2016 10/2017 REDMOND OR NO DISCIPLINE

HUGGETT DAREK ACTIVE 3012ATI 8/18/1993 30-Apr-17 6/2017 4/2018 SALEM OR NO DISCIPLINE

HUGHES, III HARRY JON INACTIVE 1914D 7/28/1987 30-Apr-17 SWANTON MD NO DISCIPLINE

HUGHES, RET. LTC JOHN PAUL INACTIVE 1769AT 8/10/1985 31-Mar-17 CARLISLE PA NO DISCIPLINE

HUNT LAUREN R. ACTIVE 3502AT 6/10/2013 30-Sep-16 8/2017 6/2016 WHITE CITY OR NO DISCIPLINE

HURSH ROSILAND ACTIVE 2690ATI 7/21/1998 31-Mar-17 10/2017 3/2017 WILSONVILLE OR NO DISCIPLINE

HURTUBISE JANICE F. INACTIVE 2771ATI 5/9/2000 30-Apr-17 VANCOUVER WA NO DISCIPLINE

HUSSEY ELAINE M. ACTIVE 1542ATI 8/24/1981 31-Aug-16 1/2018 8/2017 ALBANY OR COE ONLY

5/18/2016 Only Active licensees are eligible to practice in Oregon. Please see the Discipline page for more information. Page 11

Page 12: Oregon Optometry Licensees...BALSALOBRE AMANDA M. ACTIVE 3119ATI 6/20/2005 31-Aug-16 2/2018 8/2016 BEND OR NO DISCIPLINE BALTER MARK D. INACTIVE 1519D 8/24/1981 31-Mar-17 SEATTLE WA

Oregon Optometry Licensees

Last First STATUS LICENSELICENSE

ISSUE DATEEXPIRES

CPR

EXPIRES

ETHIC/LAW

COURSECITY STATE DISCIPLINE

HYATT WILLIAM JOHN INACTIVE 2215D 7/30/1990 31-Jan-17 SAN JOSE CA NO DISCIPLINE

HYDE IVAN D. INACTIVE 1434 7/11/1979 28-Feb-17 LYNNWOOD WA NO DISCIPLINE

HYDUCHAK DANIEL ACTIVE 3027ATI 8/18/1993 31-Jan-17 11/2016 1/2018 NEWPORT OR NO DISCIPLINE

IBURG SCOTT R. ACTIVE 3507ATI 7/15/2013 30-Apr-17 11/2016 4/2018 TUALATIN OR NO DISCIPLINE

IKEDA-HONDA JULIE A. INACTIVE 1699T 7/31/1984 31-Oct-16 KAILUA-KONA HI NO DISCIPLINE

ILSEN PAULINE F. INACTIVE 2001AT 8/2/1988 31-Jul-16 LOS ANGELES CA NO DISCIPLINE

IM PETER ACTIVE-MILITARY 2912ATI 2/4/2003 31-Aug-16 11/2017 8/2017 FPO AP NO DISCIPLINE

INVERSO MARLENE J. INACTIVE 1543D 8/24/1981 31-May-17 OLYMPIA WA NO DISCIPLINE

IOUSSIFOVA MILA ACTIVE 3296AT 11/14/2008 30-Jun-16 6/2016 6/2017 PORTLAND OR NO DISCIPLINE

IRISH TREVOR KEITH INACTIVE 3257ATI 4/25/2008 31-Aug-16 TURLOCK CA NO DISCIPLINE

IWASA DANIEL E. INACTIVE 2430T 7/28/1992 30-Jun-17 FRUITLAND ID NO DISCIPLINE

JACOB CHRISTOPHER J. ACTIVE 3609ATI 6/5/2015 31-May-17 5/2017 5/2017 MOLALLA OR NO DISCIPLINE

JANECEK JACOB ACTIVE 2877ATI 6/28/2002 31-Jan-17 2/2018 1/2017 BEAVERTON OR NO DISCIPLINE

JANG HYUN CHAE ACTIVE 2431ATI 7/28/1992 30-Sep-16 8/2016 9/2017 EUGENE OR NO DISCIPLINE

JANG YUN-HEE ACTIVE 2996ATI 8/2/2004 31-Mar-17 1/2017 3/2018 HILLSBORO OR NO DISCIPLINE

JAWORSKI CHARLES N. ACTIVE 2111AT 7/31/1989 31-Mar-17 12/2016 3/2018 LAWTON OK NO DISCIPLINE

JENSEN HEATHER MELLEN ACTIVE 3168ATI 6/20/2006 28-Feb-17 1/2018 2/2018 SALEM OR NO DISCIPLINE

JEO TINA L. INACTIVE 2616AT 5/15/1997 31-Jan-17 HELENA MT NO DISCIPLINE

JOHNS HERBERT ACTIVE 2781ATI 6/26/2000 30-Nov-16 3/2017 11/2017 SALEM OR NO DISCIPLINE

JOHNSON CHRISTOPHER ACTIVE 2925ATI 6/27/2003 30-Nov-16 3/2016 11/2017 DALLAS OR NO DISCIPLINE

JOHNSON DONALD J. ACTIVE 1642ATI 8/2/1983 31-Jan-17 10/2016 1/2018 MEDFORD OR NO DISCIPLINE

JOHNSON LEIF W. INACTIVE 1149D 6/1/1970 31-Jul-16 LAKEWOOD WA NO DISCIPLINE

JOHNSON THOMAS N. INACTIVE 2113T 7/31/1989 30-Jun-16 SAUK RAPIDS MN NO DISCIPLINE

JOHNSTON TESSA CYNTHIA ACTIVE 3177AT 6/30/2006 31-Jul-16 11/2016 7/2016 MEDFORD OR NO DISCIPLINE

JONES JEFFREY ALAN ACTIVE 2333AT 7/29/1991 31-Mar-17 1/2017 3/2018 BEND OR NO DISCIPLINE

JONES LISA F. ACTIVE 3348AT 4/23/2010 31-Jan-17 11/2016 1/2018 NEWPORT OR NO DISCIPLINE

JONES MARK ALLEN INACTIVE 2218T 7/30/1990 30-Jun-16 LaFAYETTE CA NO DISCIPLINE

JORDAN ABBIE M. ACTIVE 3110ATI 2/1/2005 31-May-17 4/2018 5/2018 HILLSBORO OR NO DISCIPLINE

JORGENSEN RACHEL A. ACTIVE 3358ATI 6/25/2010 30-Apr-17 10/2017 4/2018 CLACKAMAS OR NO DISCIPLINE

JOVEZ CHRISTOPHER G. ACTIVE 3617AT 6/16/2015 31-May-17 5/2017 5/2017 WHITE CITY OR NO DISCIPLINE

JUBB PAUL C. ACTIVE 1850ATI 7/29/1986 31-May-17 3/2018 5/2017 HERMISTON OR NO DISCIPLINE

JUDSON BEN JOSEPH ACTIVE 3309ATI 6/22/2009 31-Aug-16 7/2017 8/2017 ONTARIO OR NO DISCIPLINE

JUE LILLIAN H. INACTIVE 2694T 7/21/1998 31-Jan-17 LAKE FOREST CA NO DISCIPLINE

JUE-SMITH BEVERLY INACTIVE 2921T 5/6/2003 28-Feb-17 SAN RAMON CA NO DISCIPLINE

JUN WEON ACTIVE 2514ATI 8/22/1995 31-Aug-16 10/2016 8/2017 PORTLAND OR NO DISCIPLINE

JUNG MYUNG H. ACTIVE 3523AT 8/5/2013 30-Apr-17 8/2016 4/2017 HILLSBORO OR NO DISCIPLINE

JUNG STEVE ACTIVE 2808ATI 8/16/2000 30-Apr-17 11/2016 4/2017 EUGENE OR NO DISCIPLINE

KAGEYAMA COLIN J. INACTIVE 1436T 7/11/1979 31-Dec-16 CAMPBELL CA AOD 6/7/96

KALLEMEYN KENDRA H. ACTIVE 3398ATI 6/20/2011 30-Sep-16 3/2016 9/2016 LONGVIEW WA NO DISCIPLINE

KANE SARAH ANNE INACTIVE 2888ATI 7/10/2002 30-Sep-16 MILL CREEK WA NO DISCIPLINE

KANESHIRO DUANE K. INACTIVE 1125AT 1/1/1970 31-May-17 VACAVILLE CA NO DISCIPLINE

KANTOR DENNIS R. ACTIVE 1353AT 6/15/1977 31-Dec-16 1/2017 12/2017 MEDFORD OR NO DISCIPLINE

KAPLAN LAWRENCE E. INACTIVE 2334D 7/29/1991 31-Oct-16 MILL VALLEY CA NO DISCIPLINE

KAPPEL GARRY D. ACTIVE 961ATI 6/29/1961 30-Apr-17 10/2016 4/2018 JACKSONVILLE OR NO DISCIPLINE

KARBEN BROCK D. ACTIVE 3288ATI 8/14/2008 31-Jul-16 2/2017 7/2017 PORTLAND OR NO DISCIPLINE

KARBEN EMILY M. ACTIVE 3605ATI 5/28/2015 31-May-17 5/2017 5/2017 BEND OR NO DISCIPLINE

5/18/2016 Only Active licensees are eligible to practice in Oregon. Please see the Discipline page for more information. Page 12

Page 13: Oregon Optometry Licensees...BALSALOBRE AMANDA M. ACTIVE 3119ATI 6/20/2005 31-Aug-16 2/2018 8/2016 BEND OR NO DISCIPLINE BALTER MARK D. INACTIVE 1519D 8/24/1981 31-Mar-17 SEATTLE WA

Oregon Optometry Licensees

Last First STATUS LICENSELICENSE

ISSUE DATEEXPIRES

CPR

EXPIRES

ETHIC/LAW

COURSECITY STATE DISCIPLINE

KATZ DONNA K. ACTIVE 1918ATI 7/28/1987 31-Jul-16 3/2017 7/2017 NEWBERG OR NO DISCIPLINE

KAUFMAN AMANDA INACTIVE 3305ATI 6/22/2009 31-Jan-17 MADISON WI NO DISCIPLINE

KAUTZ GREGORY G. ACTIVE 1545ATI 8/24/1981 28-Feb-17 1/2017 2/2017 SALEM OR COE ONLY 2/28/97

KEADY JENNIFER REBECCA ACTIVE 3103AT 9/8/2004 28-Feb-17 1/2017 2/2017 BURNS OR NO DISCIPLINE

KEESE DANA MCVICKER ACTIVE 1774ATI 8/10/1985 31-Oct-16 12/2017 10/2017 SALEM OR NO DISCIPLINE

KELLY CHRISTOPHER L. INACTIVE 3167ATI 6/20/2006 31-Aug-16 GOODRIDGE MN NO DISCIPLINE

KENNING MICHELA A. ACTIVE 3446ATI 6/4/2012 28-Feb-17 6/2017 2/2018 HILLSBORO OR NO DISCIPLINE

KENYON RACHAEL N. ACTIVE 3359ATI 6/25/2010 31-May-17 12/2017 5/2018 HILLSBORO OR NO DISCIPLINE

KERNIE MARIE A. INACTIVE 2115T 7/31/1989 30-Jun-16 SAMMAMISH WA NO DISCIPLINE

KESSLER LAURA A. INACTIVE 1919D 7/28/1987 30-Jun-16 SWANTON MD NO DISCIPLINE

KESSLER SHANNON SCHAEFER INACTIVE 3229ATI 7/9/2007 31-May-17 DENVER CO NO DISCIPLINE

KHONG KATHY C. ACTIVE 3360ATI 6/25/2010 30-Sep-16 2/2016 9/2016 PORTLAND OR NO DISCIPLINE

KIM ALLEN J. ACTIVE 3509ATI 7/11/2013 30-Nov-16 1/2017 11/2016 PORTLAND OR NO DISCIPLINE

KIM HELEN H. ACTIVE 3482AT 2/6/2013 31-Jan-17 12/2016 1/2018 PORTLAND OR NO DISCIPLINE

KIM JEUNG HYOUN ACTIVE 3637AT 8/12/2015 31-Jan-17 3/2017 1/2017 FOREST GROVE OR NO DISCIPLINE

KIM TIFFANY M. ACTIVE 3607ATI 6/3/2015 31-Jul-16 5/2017 7/2017 WILSONVILLE OR NO DISCIPLINE

KIMBALL SAMUEL HEBER ACTIVE 3311AT 6/24/2009 30-Apr-17 10/2017 4/2017 LAGRANDE OR NO DISCIPLINE

KINOSHITA BETH TOSHIKO ACTIVE 3146ATI 8/12/2005 31-Jan-17 12/2016 1/2018 FOREST GROVE OR NO DISCIPLINE

KINOSHITA BETTY Y. INACTIVE 2434T 7/28/1992 31-Jan-17 EL DORADO HILLS CA NO DISCIPLINE

KINTNER JAMES E. INACTIVE 2338AT 7/29/1991 31-Jul-16 KENNEWICK WA NO DISCIPLINE

KIRSCHER DAVID D. INACTIVE 1851D 7/29/1986 30-Apr-17 BAINBRIDGE ISLAND WA NO DISCIPLINE

KIT LINDA ACTIVE 3655AT 5/9/2016 28-Feb-17 1/2018 2/2018 BALDWIN PARK CA NO DISCIPLINE

KITAMURA STEPHANIE INACTIVE 2811T 10/6/2000 30-Sep-16 SEATTLE WA NO DISCIPLINE

KITCHENS REBECCA LYNN ACTIVE 3159ATI 3/27/2006 30-Jun-17 4/2018 6/2018 ROSEBURG OR NO DISCIPLINE

KITTOCK JULIE A. ACTIVE 3076ATI 8/2/1994 31-Dec-16 8/2016 12/2017 FLORENCE OR NO DISCIPLINE

KITZROW GARY ALLEN ACTIVE 2339ATI 7/29/1991 31-Aug-16 5/2017 8/2017 SPRINGFIELD OR AOD 4/26/2005

KLAUTZSCH MICHAEL D. ACTIVE 2515ATI 8/22/1995 31-May-17 2/2018 5/2017 SALEM OR NO DISCIPLINE

KLEMENS SCOTT DANIEL INACTIVE 3320ATI 7/9/2009 31-Jan-17 PHOENIX AZ NO DISCIPLINE

KLENKLEN PAUL A. ACTIVE 3597AT 5/21/2015 30-Nov-16 10/2016 11/2017 WOODBURN OR NO DISCIPLINE

KLINE REBECCA ACTIVE 2900ATI 10/1/2002 31-Oct-16 1/2017 10/2016 PORTLAND OR NO DISCIPLINE

KNECHT MATTHEW W. ACTIVE 3174AT 7/1/2006 30-Jun-17 4/2017 6/2017 LEBANON OR NO DISCIPLINE

KNOWLES GARRETT W. ACTIVE 3399ATI 7/1/2011 30-Jun-16 6/2017 6/2017 MONMOUTH OR NO DISCIPLINE

KNOWLES GARY W. ACTIVE 1547AT 8/24/1981 30-Nov-16 9/2017 11/2017 DALLAS OR NO DISCIPLINE

KNOWLES GEOFFREY W. ACTIVE 3613ATI 6/12/2015 31-Oct-16 6/2016 10/2017 MONMOUTH OR NO DISCIPLINE

KNOWLES GRANT W. ACTIVE 3614ATI 6/12/2015 31-Oct-16 3/2017 10/2017 MONMOUTH OR NO DISCIPLINE

KNOWLES ROSEANN ACTIVE 1548ATI 8/24/1981 31-May-17 6/2017 5/2017 MONMOUTH OR NO DISCIPLINE

KNUTSON LINDA TRAN ACTIVE 2932ATI 6/26/2003 30-Nov-16 5/2017 11/2017 HILLSBORO OR NO DISCIPLINE

KO CHRISTINE F. INACTIVE 2221D 7/30/1990 31-Aug-16 FREMONT CA NO DISCIPLINE

KO WALTER W. INACTIVE 1704D 7/31/1984 31-May-17 SAN FRANCISCO CA NO DISCIPLINE

KOCH KORBIN J. ACTIVE 3495ATI 5/30/2013 31-Oct-16 5/2016 10/2016 KLAMATH FALLS OR NO DISCIPLINE

KOCH PAUL E. ACTIVE 3468AT 7/16/2012 31-Jan-17 11/2017 1/2017 PONDERAY ID NO DISCIPLINE

KOH LEN V. INACTIVE 3241ATI 9/13/2007 31-Jan-17 GLENDALE AZ NO DISCIPLINE

KOHLSTEDT JAMES SCOTT INACTIVE 2435T 7/28/1992 31-Oct-16 CHEWELAH WA NO DISCIPLINE

KOHN BENJAMIN J. INACTIVE 1853D 7/29/1986 31-May-17 APTOS CA NO DISCIPLINE

KOLL THOMAS INACTIVE 1599T 7/27/1982 31-Aug-16 OAKDALE MN NO DISCIPLINE

KOPECKO KATHLEEN J. P. INACTIVE 1600T 7/27/1982 30-Jun-17 VACAVILLE CA NO DISCIPLINE

5/18/2016 Only Active licensees are eligible to practice in Oregon. Please see the Discipline page for more information. Page 13

Page 14: Oregon Optometry Licensees...BALSALOBRE AMANDA M. ACTIVE 3119ATI 6/20/2005 31-Aug-16 2/2018 8/2016 BEND OR NO DISCIPLINE BALTER MARK D. INACTIVE 1519D 8/24/1981 31-Mar-17 SEATTLE WA

Oregon Optometry Licensees

Last First STATUS LICENSELICENSE

ISSUE DATEEXPIRES

CPR

EXPIRES

ETHIC/LAW

COURSECITY STATE DISCIPLINE

KRAUEL ROBERT J. INACTIVE 1438ATI 7/11/1979 31-Mar-17 HINES OR COE ONLY 9/27/96

KRAUEL THOMAS F. INACTIVE 1601AT 7/27/1982 31-Jan-17 ALTURAS CA NO DISCIPLINE

KREBSBACH JOHN B. ACTIVE 1571ATI 1/15/1982 31-Mar-17 1/2017 3/2018 HILLSBORO OR AOD 1/15/1982

KRISCIUNAS TAMMIE ACTIVE 2565ATI 8/20/1996 28-Feb-17 11/2017 2/2018 PORTLAND OR NO DISCIPLINE

KUCHERA FRANCIS J. ACTIVE-MILITARY 3361ATI 6/25/2010 31-Mar-17 2/2017 3/2018 RAMSTEIN AB GERMANY NO DISCIPLINE

KUHN-WILKEN OLIVER ACTIVE 3400ATI 6/20/2011 31-Jan-17 10/2017 1/2017 PORTLAND OR NO DISCIPLINE

KUNDART JAMES JOSEPH ACTIVE 3143ATI 8/4/2005 30-Jun-17 9/2017 6/2017 FOREST GROVE OR NO DISCIPLINE

KURITA SCOTT R. ACTIVE 3362ATI 6/25/2010 31-Jul-16 1/2016 7/2016 PORTLAND OR NO DISCIPLINE

KWAN EDDIE P. INACTIVE 1319D 6/9/1976 31-Aug-16 EDMONDS WA NO DISCIPLINE

KWIECIEN ANDREA R. ACTIVE 3420ATI 7/15/2011 28-Feb-17 6/2016 2/2017 BEAVERTON OR NO DISCIPLINE

KWON MARIELLE R. ACTIVE 2764ATI 11/15/1999 31-Oct-16 8/2016 10/2017 PORTLAND OR NO DISCIPLINE

KWONG PATRICK ACTIVE 3470ATI 7/16/2012 30-Sep-16 6/2016 9/2016 SALEM OR NO DISCIPLINE

LA STEVEN INACTIVE 3457AT 6/15/2012 30-Nov-16 VANCOUVER WA NO DISCIPLINE

LACKMAN MICHAEL S. ACTIVE 1856ATI 7/29/1986 28-Feb-17 1/2018 2/2017 EUGENE OR NO DISCIPLINE

LADOUCEUR MONICA RENE ACTIVE 3267ATI 6/19/2008 31-May-17 6/2017 5/2017 OREGON CITY OR NO DISCIPLINE

LAFAYETTE TRAVIS ACTIVE 2729AT 6/22/1999 30-Jun-17 10/2016 6/2017 PORTLAND OR NO DISCIPLINE

LAM FRANK Y.K. ACTIVE 2516ATI 8/22/1995 31-Mar-17 2/2017 3/2017 KLAMATH FALLS OR NO DISCIPLINE

LAM GEORGE K. ACTIVE 2436ATI 7/28/1992 31-Aug-16 10/2016 8/2017 MEDFORD OR NO DISCIPLINE

LAM LINH Y. ACTIVE 2984ATI 7/1/2004 31-Oct-16 1/2016 10/2017 ALOHA OR NO DISCIPLINE

LAM MAN-WA INACTIVE 1857T 7/29/1986 30-Jun-17 UNION CITY CA NO DISCIPLINE

LAMBERT KRISTEN N. ACTIVE 3553ATI 6/3/2014 31-Jan-17 12/2017 1/2018 PORTLAND OR NO DISCIPLINE

LAMPA MATTHEW J. ACTIVE 3183ATI 8/1/2006 31-Jul-16 6/2016 7/2016 FOREST GROVE OR NO DISCIPLINE

LANCASTER CARLI L. ACTIVE 3545ATI 5/30/2014 31-Oct-16 11/2015 10/2017 ALBANY OR NO DISCIPLINE

LANDIS SANDRA INACTIVE 1776AT 8/10/1985 31-Mar-17 SUNRIVER OR NO DISCIPLINE

LANG TAMI R. ACTIVE 1777ATI 8/10/1985 31-Oct-16 9/2016 10/2017 SCOTTSDALE AZ NO DISCIPLINE

LANGELLA MAISHA ACTIVE 3587AT 2/4/2015 30-Nov-16 7/2016 11/2017 GRANTS PASS OR NO DISCIPLINE

LANTZ TERRY J. INACTIVE-MILITARY 2005T 8/2/1988 28-Feb-17 SAN ANTONIO TX NO DISCIPLINE

LARSON STACEE INACTIVE 3014T 8/13/1993 30-Nov-16 BEAVERTON OR NO DISCIPLINE

LASKE NICOLE ACTIVE 2783ATI 6/26/2000 31-May-17 9/2017 5/2017 HILLSBORO OR NO DISCIPLINE

LAUKKANEN HANNU ACTIVE 1706ATI 7/31/1984 31-Jul-16 1/2017 7/2016 FOREST GROVE OR COE ONLY 2/27/97

LAULAINEN EDWARD W. INACTIVE 2554T 2/12/1996 30-Sep-16 KELSO WA NO DISCIPLINE

LAWSON CHAD ACTIVE 2784ATI 6/26/2000 30-Sep-16 8/2016 9/2017 PORTLAND OR NO DISCIPLINE

LAWSON JOHN S. INACTIVE 1924D 7/28/1987 31-Mar-17 LITTLETON CO NO DISCIPLINE

LAYOSA JENNIFER ACTIVE 3322ATI 7/6/2009 30-Jun-16 5/2017 6/2017 HILLSBORO OR NO DISCIPLINE

LE KIM N. ACTIVE 3500ATI 6/3/2013 30-Sep-16 1/2017 9/2016 PORTLAND OR NO DISCIPLINE

LE TRAM Q. ACTIVE 3653AT 4/19/2016 30-Nov-16 4/2018 11/2018 GRESHAM OR NO DISCIPLINE

LEAK BRIAN A. ACTIVE 3300ATI 4/1/2009 31-Mar-17 2/2017 3/2017 HILLSBORO OR NO DISCIPLINE

LEASHER JANET LOUISE ACTIVE 2007ATI 8/2/1988 30-Sep-16 5/2017 9/2017 FT LAUDERDALE FL NO DISCIPLINE

LEAVITT ERIC J. ACTIVE 3439ATI 5/1/2012 30-Apr-17 9/2017 4/2018 SALEM OR NO DISCIPLINE

LEBRETON RYAN MICHAEL ACTIVE 2973ATI 6/22/2004 28-Feb-17 1/2018 2/2017 THE DALLES OR NO DISCIPLINE

LECH AARON INACTIVE 2833T 7/11/2001 31-Mar-17 ROSEVILLE CA NO DISCIPLINE

LECREN GILBERT ACTIVE 3015ATI 8/13/1993 31-Oct-16 8/2016 10/2016 NEWPORT OR COE ONLY 9/27/96

LEE JANNIE ACTIVE 3542AT 4/10/2014 28-Feb-17 12/2017 2/2018 HILLSBORO OR NO DISCIPLINE

LEE JI HYUN ACTIVE 3508ATI 7/15/2013 28-Feb-17 2/2017 2/2017 BEAVERTON OR NO DISCIPLINE

LEE KENNY ACTIVE 2878ATI 6/28/2002 31-Jan-17 2/2018 1/2017 BEAVERTON OR NO DISCIPLINE

LEE LOUISE FEN-YU INACTIVE 3061T 1/27/1994 30-Nov-16 FREMONT CA NO DISCIPLINE

5/18/2016 Only Active licensees are eligible to practice in Oregon. Please see the Discipline page for more information. Page 14

Page 15: Oregon Optometry Licensees...BALSALOBRE AMANDA M. ACTIVE 3119ATI 6/20/2005 31-Aug-16 2/2018 8/2016 BEND OR NO DISCIPLINE BALTER MARK D. INACTIVE 1519D 8/24/1981 31-Mar-17 SEATTLE WA

Oregon Optometry Licensees

Last First STATUS LICENSELICENSE

ISSUE DATEEXPIRES

CPR

EXPIRES

ETHIC/LAW

COURSECITY STATE DISCIPLINE

LEE MACSON Y. ACTIVE 3650AT 3/10/2016 30-Jun-17 3/2018 6/2017 WOOD VILLAGE OR NO DISCIPLINE

LEE MAGGI INACTIVE 3593ATI 4/1/2015 31-Jan-17 OROVILLE CA NO DISCIPLINE

LEE RACHEL B. INACTIVE 3559ATI 6/11/2014 31-May-17 GLENVIEW IL NO DISCIPLINE

LEE SUSANNAH M. ACTIVE 3632AT 7/9/2015 30-Nov-16 6/2017 11/2017 ALOHA OR NO DISCIPLINE

LEECH THOMAS G. ACTIVE 1490ATI 6/18/1980 31-Oct-16 3/2017 10/2017 ROSEBURG OR COE ONLY 9/27/96

LENTZ JAMES T. INACTIVE 2920T 5/6/2003 31-Oct-16 VANCOUVER WA NO DISCIPLINE

LEONARD SUZETTE S. I. ACTIVE 2845AT 8/20/2001 31-Jul-16 9/2016 7/2017 HILLSBORO OR NO DISCIPLINE

LEONG HOU TERNG INACTIVE 2440T 7/28/1992 30-Jun-17 FREMONT CA NO DISCIPLINE

LEONG PAK-HO INACTIVE 1646ATI 8/2/1983 31-Jul-16 SALEM OR NO DISCIPLINE

LETHERER RICHARD ACTIVE 1707ATI 7/31/1985 31-Aug-16 2/2018 8/2016 NEWPORT OR NO DISCIPLINE

LEWIS EDWARD W. ACTIVE 2786ATI 6/26/2000 31-Aug-16 2/2017 8/2016 BEND OR NO DISCIPLINE

LEWIS HERSEL O. ACTIVE 2345ATI 7/29/1991 30-Apr-17 3/2018 4/2018 EUGENE OR NO DISCIPLINE

LEWIS JOHN R. ACTIVE 2852ATI 10/19/2001 31-Jul-16 6/2016 7/2017 FOREST GROVE OR NO DISCIPLINE

LEWIS SCOTT INACTIVE 2787ATI 6/26/2000 31-Aug-16 VANCOUVER WA NO DISCIPLINE

LIANG ANNIE Y. ACTIVE 3433AT 12/21/2011 31-Oct-16 9/2017 10/2017 CORNELIUS OR NO DISCIPLINE

LIGHTFOOT BRADLEY J. ACTIVE 2798AT 7/11/2000 31-May-17 2/2017 5/2018 PORTLAND OR NO DISCIPLINE

LILLEY JOSEPH Y. INACTIVE 1283 6/11/1975 31-Jan-17 SACRAMENTO CA NO DISCIPLINE

LILLO OSCAR INACTIVE 2231ATI 7/30/1990 31-Jul-16 ISSAQUAH WA NO DISCIPLINE

LIND JEFFREY C. ACTIVE 1491ATI 6/18/1980 30-Jun-17 5/2017 6/2016 HILLSBORO OR NO DISCIPLINE

LINDEN MINGLIH INACTIVE 2901T 9/17/2002 31-Jan-17 PASADENA CA NO DISCIPLINE

LINDLEY GORDON L. ACTIVE 932AT 1/1/1962 30-Nov-16 10/2017 11/2017 MEDFORD OR NO DISCIPLINE

LINGEL NADA JO ACTIVE 1560ATI 8/21/1981 31-May-17 2/2017 5/2017 FOREST GROVE OR NO DISCIPLINE

LINK LAUREEN K. INACTIVE 1859T 7/29/1986 30-Jun-17 REDDING CA NO DISCIPLINE

LIPPARELLI MATTHEW HENRY INACTIVE 2233AT 7/30/1990 31-Jan-17 ELKO NV NO DISCIPLINE

LITTLEFIELD SUSAN F. ACTIVE 3082ATI 8/3/1994 31-Dec-16 3/2017 12/2017 FOREST GROVE OR NO DISCIPLINE

LIU KRISTI LYNN ACTIVE 3289ATI 9/1/2008 31-Aug-16 5/2016 8/2017 BEAVERTON OR NO DISCIPLINE

LOFTUS KENNETH A. ACTIVE 2634ATI 7/30/1997 31-Jan-17 11/2017 1/2017 ASHLAND OR NO DISCIPLINE

LONDON RICHARD ACTIVE 2909ATI 12/18/2002 31-Mar-17 3/2017 3/2017 PORTLAND OR NO DISCIPLINE

LONSBERRY BLAIR BURTON ACTIVE 3149ATI 9/7/2005 31-Aug-16 1/2017 8/2017 FOREST GROVE OR NO DISCIPLINE

LOOMIS STEVEN A. INACTIVE 1441D 7/11/1979 31-Oct-16 LITTLETON CO NO DISCIPLINE

LORENZEN BRADLEY J. ACTIVE 2234ATI 7/30/1990 30-Sep-16 7/2016 9/2017 EUGENE OR COE ONLY 2/27/96

LOSIE WILLIAM R. ACTIVE 1709ATI 7/31/1984 31-Oct-16 10/2016 10/2017 EUGENE OR NO DISCIPLINE

LOUIE DEREK J. ACTIVE 3196ATI 12/1/2006 30-Nov-16 10/2017 11/2017 PORTLAND OR NO DISCIPLINE

LOUIS BRADLEY J. INACTIVE 2904T 10/28/2002 31-Oct-16 DIVIDE CO NO DISCIPLINE

LOVE ALAN COLIN ACTIVE 3130ATI 7/13/2005 31-Dec-16 11/2016 12/2017 PORTLAND OR NO DISCIPLINE

LOVERCHECK CORRIE BRIAN ACTIVE 2857ATI 2/12/2002 30-Sep-16 9/2017 9/2017 PENDLETON OR NO DISCIPLINE

LOVERCHECK KIRSTEN MARIE ACTIVE 2748AT 7/13/1999 31-Dec-16 9/2017 12/2017 PENDLETON OR NO DISCIPLINE

LOWE ROCHELLE R. INACTIVE 2594ATI 9/9/1996 30-Jun-16 CORNELIUS OR NO DISCIPLINE

LOWERY JOHN PATRICK ACTIVE 3033AT 8/19/1993 30-Apr-17 2/2017 4/2017 FOREST GROVE OR NO DISCIPLINE

LOWRY KATIE M. ACTIVE 3589AT 2/11/2015 30-Nov-16 1/2017 11/2017 MEDFORD OR NO DISCIPLINE

LOY KRISTY M. ACTIVE 3115AT 5/9/2005 30-Apr-17 8/2017 4/2017 TIGARD OR NO DISCIPLINE

LUCE D. GREGORY ACTIVE 2235AT 7/30/1990 31-Oct-16 2/2016 10/2017 BEAVERTON OR NO DISCIPLINE

LUKE SPENCER K. ACTIVE 3427ATI 9/2/2011 31-Oct-16 7/2017 10/2016 LA GRANDE OR NO DISCIPLINE

LUNDGREN RICK GORDON INACTIVE 1927T 7/28/1987 30-Nov-16 OROFINO ID NO DISCIPLINE

LUNDIN BRUCE L. ACTIVE 3645AT 12/1/2015 30-Nov-16 2/2016 11/2017 N LOGAN UT NO DISCIPLINE

LUTZ SHANNON CATHLEEN ACTIVE 3157AT 1/6/2006 31-Mar-17 2/2018 3/2018 PORTALND OR NO DISCIPLINE

5/18/2016 Only Active licensees are eligible to practice in Oregon. Please see the Discipline page for more information. Page 15

Page 16: Oregon Optometry Licensees...BALSALOBRE AMANDA M. ACTIVE 3119ATI 6/20/2005 31-Aug-16 2/2018 8/2016 BEND OR NO DISCIPLINE BALTER MARK D. INACTIVE 1519D 8/24/1981 31-Mar-17 SEATTLE WA

Oregon Optometry Licensees

Last First STATUS LICENSELICENSE

ISSUE DATEEXPIRES

CPR

EXPIRES

ETHIC/LAW

COURSECITY STATE DISCIPLINE

LYMAN DOUGLAS W. INACTIVE 2010T 8/2/1988 31-Jul-16 SPOKANE WA NO DISCIPLINE

LYNASS WILLIAM J. INACTIVE 2655ATI 10/7/1997 31-Jan-17 LEAD SD NO DISCIPLINE

LYNCH JESSICA A. ACTIVE 2879ATI 6/28/2002 31-Jan-17 12/2017 1/2018 HILLSBORO OR NO DISCIPLINE

MABRY CHRISTINA MARIE ACTIVE 3124AT 6/22/2005 30-Sep-16 6/2017 9/2016 MEDFORD OR NO DISCIPLINE

MACAPAGAL LARRY K. INACTIVE 2124T 7/31/1989 30-Sep-16 LOS ANGELES CA NO DISCIPLINE

MACE-OLSEN SHARI L. ACTIVE 1928AT 7/28/1987 30-Jun-16 6/2015 6/2017 LAKE OSWEGO OR NO DISCIPLINE

MACINTYRE, III MACKENZIE INACTIVE 3575ATI 8/1/2014 31-Jul-16 COLORADO SPRINGS CO NO DISCIPLINE

MACMILLAN BRIAN CURRIE ACTIVE 1780ATI 8/10/1985 31-Dec-16 9/2017 12/2017 HAPPY VALLEY OR NO DISCIPLINE

MACPHEE MEL G. ACTIVE 1647ATI 8/2/1983 30-Sep-16 6/2017 9/2017 GRESHAM OR COE ONLY 2/28/97

MACRAE MALLORY C. ACTIVE 3408ATI 6/22/2011 31-Dec-16 1/2017 12/2017 KEIZER OR NO DISCIPLINE

MAGBITANG JENNIFER J. ACTIVE 3594AT 5/5/2015 31-Jan-17 4/2017 1/2017 PORTLAND OR NO DISCIPLINE

MAHADEVA AARTI ACTIVE 3489AT 5/2/2013 30-Apr-17 3/2018 4/2018 PORTLAND OR NO DISCIPLINE

MAI VY T. INACTIVE 3582AT 12/4/2014 31-May-16 PORTLAND OR NO DISCIPLINE

MAIER MITCHELL INACTIVE 2880T 6/28/2002 30-Sep-16 SPOKANE VALLEY WA NO DISCIPLINE

MAJERCZYK MICHAEL J. ACTIVE 3387AT 10/26/2010 30-Jun-17 3/2018 6/2018 BEND OR NO DISCIPLINE

MAKADIA ALLISON INACTIVE 3424AT 7/26/2011 31-Dec-16 SPOKANE WA NO DISCIPLINE

MAKADIA AMIT B. INACTIVE 3443AT 4/7/2012 30-Jun-16 SPOKANE WA NO DISCIPLINE

MALAK NAJLA INACTIVE 2169D 11/10/1989 30-Jun-16 SAN RAMON CA NO DISCIPLINE

MALENSKY MEGHAN L. ACTIVE 3221ATI 6/27/2007 31-Oct-16 2/2017 10/2016 TIGARD OR NO DISCIPLINE

MALLI SHREYA S. ACTIVE 3616AT 6/15/2015 30-Apr-17 5/2017 4/2017 PORTLAND OR NO DISCIPLINE

MALMANGER DAVID EARL INACTIVE 2012D 8/2/1988 31-Dec-16 FARIBAULT MN NO DISCIPLINE

MAMIYA REID ISAO ACTIVE 3112ATI 3/16/2005 31-Jan-17 10/2017 1/2018 TUALATIN OR NO DISCIPLINE

MANCUSO AARON INACTIVE 1860T 7/29/1986 31-Oct-16 HENDERSON NV NO DISCIPLINE

MANLEY CORY W. INACTIVE 2125T 7/31/1989 28-Feb-17 KENNEWICK WA NO DISCIPLINE

MANNEN DANIEL L. ACTIVE 1494ATI 6/20/1980 31-Aug-16 2/2017 8/2017 ST. HELENS OR NO DISCIPLINE

MANS JUSTIN THOMAS ACTIVE 3223ATI 7/2/2007 30-Sep-16 4/2017 9/2017 FLORENCE OR NO DISCIPLINE

MANS RAYMOND G. INACTIVE 1206ATI 6/21/1973 30-Nov-16 FLORENCE OR NO DISCIPLINE

MANS ROBERT A. ACTIVE 3077ATI 8/2/1994 31-Dec-16 8/2016 12/2017 FLORENCE OR NO DISCIPLINE

MARIENAU-CARDOZA SUZANNE L. INACTIVE 1712D 7/31/1984 31-Aug-16 HANFORD CA NO DISCIPLINE

MARIN JR. JOSE ACTIVE 2591ATI 8/29/1996 30-Sep-16 8/2017 9/2016 NEWBERG OR NO DISCIPLINE

MARSHALL GABRIELLE ACTIVE 2635ATI 7/30/1997 30-Apr-17 3/2017 4/2017 BEND OR NO DISCIPLINE

MARTIN M. STEPHEN INACTIVE 1240ATI 6/6/1974 31-Dec-16 PORTLAND OR NO DISCIPLINE

MARTIN MITCH INACTIVE 2596ATI 31-Dec-16 REDDING CA NO DISCIPLINE

MARTIN SARAH A. ACTIVE 3491AT 6/1/2013 31-May-17 2/2017 5/2018 FOREST GROVE OR NO DISCIPLINE

MARUSICH CAROL EMMEL ACTIVE 1551ATI 8/24/1981 30-Jun-17 9/2016 6/2018 EUGENE OR NO DISCIPLINE

MASALMEH JAMAL ACTIVE 2956ATI 10/20/2003 31-Jan-17 10/2016 1/2017 VERNONIA OR NO DISCIPLINE

MASON DANIEL L. INACTIVE 1713D 7/31/1984 28-Feb-17 BONITA CA NO DISCIPLINE

MATTI CHARLES R. INACTIVE 1185ATI 6/1/1972 31-Mar-17 GRANTS PASS OR NO DISCIPLINE

MATTSON JEFFREY W. ACTIVE 3538ATI 3/11/2014 31-May-17 1/2017 5/2017 PORTLAND OR NO DISCIPLINE

MAUCK JAY W. INACTIVE 1241AT 6/6/1974 31-Jul-16 REDMOND OR NO DISCIPLINE

MAYER CHRISTINE L. INACTIVE 1495T 6/20/1980 31-Aug-16 VACAVILLE CA NO DISCIPLINE

MAYGREN ANNELLE INACTIVE 2964AT 3/1/2004 31-Mar-17 KLAWOCK AK NO DISCIPLINE

MCADOO THERESA A. ACTIVE 2245ATI 7/30/1990 30-Nov-16 5/2016 11/2017 TIGARD OR COE ONLY 9/13/94

MCBRIDE CHARLES ACTIVE 2542ATI 1/2/1996 31-Aug-16 7/2017 8/2017 BEAVERTON OR NO DISCIPLINE

MCBRIDE DAVID JAMES ACTIVE 1781ATI 8/10/1985 31-Oct-16 11/2016 10/2017 PORTLAND OR NO DISCIPLINE

MCCARTNEY MYLES A. INACTIVE 1552ATI 8/24/1981 30-Jun-16 RICHLAND WA NO DISCIPLINE

5/18/2016 Only Active licensees are eligible to practice in Oregon. Please see the Discipline page for more information. Page 16

Page 17: Oregon Optometry Licensees...BALSALOBRE AMANDA M. ACTIVE 3119ATI 6/20/2005 31-Aug-16 2/2018 8/2016 BEND OR NO DISCIPLINE BALTER MARK D. INACTIVE 1519D 8/24/1981 31-Mar-17 SEATTLE WA

Oregon Optometry Licensees

Last First STATUS LICENSELICENSE

ISSUE DATEEXPIRES

CPR

EXPIRES

ETHIC/LAW

COURSECITY STATE DISCIPLINE

MCCLELLAN RANDALL J. ACTIVE 3180AT 7/10/2006 30-Nov-16 5/2016 11/2017 PORTLAND OR NO DISCIPLINE

MCCLURG GREG A. INACTIVE 3017T 8/13/1993 31-Oct-16 SEYMOUR TN NO DISCIPLINE

MCCORMACK SHARON A. INACTIVE 2240D 7/30/1990 31-Mar-17 MISSION VIEJO CA NO DISCIPLINE

MCCOY HAYLEY M. ACTIVE 3558ATI 6/11/2014 31-May-17 1/2018 5/2018 BEND OR NO DISCIPLINE

MCDONALD SHANE L. ACTIVE 3606ATI 5/28/2015 30-Apr-17 4/2017 4/2017 PORTLAND OR NO DISCIPLINE

MCDOWELL BETSY D. ACTIVE 1604ATI 7/27/1982 28-Feb-17 7/2017 2/2018 SALEM OR NO DISCIPLINE

MCEATHRON MARK G. INACTIVE 1497D 6/18/1980 31-Aug-16 BELLINGHAM WA NO DISCIPLINE

MCFARLAND DIANA LEE INACTIVE 3094T 8/5/1994 30-Jun-17 BOTHELL WA NO DISCIPLINE

MCFERRON ASHLEY KATHLEEN ACTIVE 3276ATI 7/1/2008 30-Jun-16 8/2015 6/2017 CANBY OR NO DISCIPLINE

MCINTYRE DON JAMES INACTIVE 2349AT 7/29/1991 31-Jul-16 ANCHORAGE AK NO DISCIPLINE

MCIRVIN ARTHUR H. INACTIVE 1355D 6/15/1977 31-Jul-16 FEDERAL WAY WA NO DISCIPLINE

MCKENZIE MARK R. ACTIVE 3488ATI 5/2/2013 31-Jan-17 12/2017 1/2017 SIERRA VISTA AZ NO DISCIPLINE

MCLAIN MARK E. ACTIVE 1605ATI 7/27/1982 31-Jul-17 12/2017 7/2018 CLACKAMAS OR NO DISCIPLINE

MCLAUGHLIN DANA ANN ACTIVE 3259ATI 5/7/2008 30-Sep-16 2/2016 9/2016 SALEM OR NO DISCIPLINE

MCPARTLAND GRAHAM ACTIVE 3342AT 11/12/2009 31-Aug-16 7/2016 8/2017 CENTRAL POINT OR NO DISCIPLINE

MCTYIER DEREK INACTIVE 2951T 9/12/2003 30-Sep-16 VANCOUVER WA NO DISCIPLINE

MCTYIER GABRIELA BULWA ACTIVE 3148AT 8/11/2005 31-May-17 12/2017 5/2017 PORTLAND OR NO DISCIPLINE

MEAD C. DAVID INACTIVE 1444D 7/11/1979 31-Mar-17 RIDGEFIELD WA NO DISCIPLINE

MEIER RONALD H. ACTIVE 1929ATI 7/28/1987 31-Dec-16 9/2016 12/2016 OREGON CITY OR NO DISCIPLINE

MELORE GERALD G. ACTIVE 2906ATI 11/13/2002 31-Jul-16 6/2017 7/2016 FOREST GROVE OR NO DISCIPLINE

MELSNESS JENNIFER D. INACTIVE 3483ATI 2/26/2013 31-Oct-16 WALLA WALLA WA NO DISCIPLINE

MELZER DOUGLAS C. ACTIVE 1931ATI 7/28/1987 31-Jan-17 12/2017 1/2017 PORTLAND OR NO DISCIPLINE

MERCER AMANDA ACTIVE 3576AT 9/10/2014 30-Apr-17 11/2017 4/2018 WEST LINN OR NO DISCIPLINE

MERRITT CATHY ACTIVE 2718ATI 5/4/1999 31-Jul-16 4/2016 7/2017 CRESWELL OR NO DISCIPLINE

MESSERSCHMIDT FORREST INACTIVE 2014T 8/2/1988 31-Jan-17 JUNEAU AK NO DISCIPLINE

METZGER STACY L. ACTIVE 2678ATI 7/6/1998 31-Dec-16 11/2017 12/2017 FOREST GROVE OR NO DISCIPLINE

MICHEL BEATRICE H. ACTIVE 1932ATI 7/28/1987 30-Jun-17 4/2017 6/2017 TILLAMOOK OR NO DISCIPLINE

MIDSON CLARE N. ACTIVE 2835ATI 7/11/2001 30-Apr-17 10/2017 4/2017 TIGARD OR NO DISCIPLINE

MILLER JOAN PLOEM ACTIVE 1445ATI 7/11/1979 31-Jan-17 2/2017 1/2017 HILLSBORO OR NO DISCIPLINE

MILLER KEITH L. ACTIVE 1865AT 7/29/1986 30-Apr-17 3/2017 4/2018 TIGARD OR NO DISCIPLINE

MILLER MARY SARAH ACTIVE 3233ATI 7/19/2007 28-Feb-17 10/2016 2/2017 LAKEWOOD CO NO DISCIPLINE

MILLS BRANNON HEATH INACTIVE 3144ATI 8/12/2005 31-Oct-16 FAIRBANKS AK NO DISCIPLINE

MILLS MICAH S. INACTIVE 3254AT 3/27/2008 30-Nov-16 CALDWELL ID NO DISCIPLINE

MINAVI ANGELA ZAHRA ACTIVE 3198AT 2/1/2007 31-Jan-17 7/2017 1/2018 PORTLAND OR NO DISCIPLINE

MINNIS DANIELA M. ACTIVE 3554ATI 6/4/2014 30-Jun-17 12/2017 6/2017 BEND OR NO DISCIPLINE

MITCHELL BRIAN K. ACTIVE 3079ATI 8/3/1994 31-Dec-16 11/2016 12/2017 MEDFORD OR NO DISCIPLINE

MITCHELL JEFFREY A. INACTIVE 2351D 7/29/1991 30-Jun-17 WAGONER OK NO DISCIPLINE

MITCHELL LOGAN T. ACTIVE 3375ATI 6/29/2010 28-Feb-17 9/2017 2/2018 BAKER CITY OR NO DISCIPLINE

MIYAMOTO ERIC KOJI INACTIVE 2015D 8/2/1988 28-Feb-17 NORTHRIDGE CA NO DISCIPLINE

MOLLER KANDI S. ACTIVE 2733ATI 6/22/1999 31-Oct-16 9/2017 10/2017 EUGENE OR NO DISCIPLINE

MOLLOY CALLIE JO INACTIVE 2802T 7/26/2000 31-May-17 AUSTIN TX NO DISCIPLINE

MONKMAN MICHELLE M. ACTIVE 2456ATI 7/28/1992 31-Aug-16 2/2018 8/2017 PENDLETON OR COE ONLY 9/27/96

MONT BOBIN ACTIVE 2679ATI 7/6/1998 31-Jul-16 11/2017 7/2017 HILLSBORO OR NO DISCIPLINE

MOORE BENJAMIN A. ACTIVE 3268ATI 6/19/2008 31-May-17 1/2018 5/2018 BEND OR NO DISCIPLINE

MOORE JAMES A. INACTIVE 2680AT 7/6/1998 28-Feb-17 BAINBRIDGE ISLAND WA NO DISCIPLINE

MOORE MICHAEL D. INACTIVE 1186 6/1/1972 31-Jul-16 OLYMPIA WA NO DISCIPLINE

5/18/2016 Only Active licensees are eligible to practice in Oregon. Please see the Discipline page for more information. Page 17

Page 18: Oregon Optometry Licensees...BALSALOBRE AMANDA M. ACTIVE 3119ATI 6/20/2005 31-Aug-16 2/2018 8/2016 BEND OR NO DISCIPLINE BALTER MARK D. INACTIVE 1519D 8/24/1981 31-Mar-17 SEATTLE WA

Oregon Optometry Licensees

Last First STATUS LICENSELICENSE

ISSUE DATEEXPIRES

CPR

EXPIRES

ETHIC/LAW

COURSECITY STATE DISCIPLINE

MOORE MICHAEL J. INACTIVE 1244T 6/6/1974 31-Dec-16 SELAH WA NO DISCIPLINE

MOORE TIMOTHY G. INACTIVE 1446D 6/11/1979 30-Sep-16 TALLAHASSEE FL NO DISCIPLINE

MORAN ANNA M. ACTIVE 3050AT 9/22/1993 31-Jan-17 10/2016 1/2017 ROSEBURG OR AOD 11/2008

MOREY JEFFREY A. ACTIVE 1447ATI 7/11/1979 30-Apr-17 9/2016 4/2017 EUGENE OR NO DISCIPLINE

MORR LAUREN M. ACTIVE 3262ATI 6/19/2008 31-May-17 4/2018 5/2017 PORTLAND OR NO DISCIPLINE

MORRIS MARTIN G. ACTIVE 2353ATI 7/29/1991 31-Jul-16 11/2016 7/2017 SALEM OR NO DISCIPLINE

MORRISON SHEILA D. ACTIVE 3625ATI 6/25/2015 30-Sep-16 5/2017 9/2017 FOREST GROVE OR NO DISCIPLINE

MORRISSEY BRIAN D. ACTIVE 2608ATI 1/6/1997 30-Sep-16 1/2016 9/2016 MCMINNVILLE OR NO DISCIPLINE

MORTON ANDREA R. INACTIVE 3626ATI 6/25/2015 31-Jan-17 CAMAS WA NO DISCIPLINE

MOYSES BETHANY J.L. ACTIVE 3363ATI 6/25/2010 31-Jan-17 12/2017 1/2018 PORTLAND OR NO DISCIPLINE

MULDER EDWARD N. INACTIVE 1245ATI 6/6/1974 31-May-16 WILSONVILLE OR COE ONLY 9/2796

MULLINS STEVEN P. ACTIVE 1603AT 7/27/1982 30-Sep-16 8/2017 9/2017 MEDFORD OR NO DISCIPLINE

MUNK ROGER N. ACTIVE 3080ATI 8/3/1994 31-Dec-16 1/2017 12/2017 LEBANON OR NO DISCIPLINE

MUNOZ ELEANOR E. ACTIVE 3330ATI 8/1/2009 31-Jul-16 6/2017 7/2017 PORTLAND OR NO DISCIPLINE

MURAKI CECILIA S. ACTIVE 2577ATI 8/20/1996 30-Nov-16 9/2016 11/2017 PORTLAND OR NO DISCIPLINE

MURIE CAROL A. INACTIVE 1866T 7/29/1986 30-Jun-17 GRAND FORKS ND NO DISCIPLINE

MURPHY RORY B. ACTIVE 3377ATI 7/2/2010 30-Apr-17 3/2018 4/2018 MEDFORD OR NO DISCIPLINE

NAGAHIRO KEN INACTIVE 1144 7/22/1970 30-Jun-17 EWA BEACH HI NO DISCIPLINE

NAM EMILY ACTIVE 2735ATI 6/22/1999 31-Oct-16 2/2016 10/2017 BEAVERTON OR NO DISCIPLINE

NANNINI BRITTANY W. INACTIVE 3382ATI 8/1/2010 31-Jul-16 SPARKS NV NO DISCIPLINE

NEHRING SCOTT L. ACTIVE 1650ATI 8/2/1983 30-Nov-16 2/2017 11/2017 WOODBURN OR NO DISCIPLINE

NEITZ DANNY W. ACTIVE 3540AT 3/21/2014 31-Aug-16 3/2016 8/2017 ROYERSFORD PA NO DISCIPLINE

NEITZKE TIMOTHY CHARLES INACTIVE 2131ATI 7/31/1989 31-Jan-17 WADENA MN NO DISCIPLINE

NELISSEN DEBRA ACTIVE-MILITARY 2711ATI 11/4/1998 31-Jul-16 12/2016 7/2016 APO AE NO DISCIPLINE

NELSON ERIK L. INACTIVE 1286 6/11/1975 31-Jul-16 LAHAINA HI NO DISCIPLINE

NELSON TIMOTHY D. INACTIVE 2252ATI 7/30/1990 31-Dec-16 SANTA MARIA CA NO DISCIPLINE

NEMETZ NINA M. ACTIVE 3321ATI 7/6/2009 31-Dec-16 10/2017 12/2016 SEASIDE OR NO DISCIPLINE

NERON JOSEPH D. ACTIVE 3169ATI 6/20/2006 30-Sep-16 6/2017 9/2017 GRESHAM OR NO DISCIPLINE

NESTOR ERIC M. INACTIVE 2354T 7/29/1991 31-Mar-17 WESTMINSTER CA NO DISCIPLINE

NEVETT STEPHEN INACTIVE 2753ATI 7/21/1999 30-Sep-16 BOTHELL WA NO DISCIPLINE

NEWTON JOYCE A. ACTIVE 3093ATI 8/5/1994 31-May-17 4/2018 5/2018 ROSEBURG OR COE ONLY 11/13/98

NEYMEYER GARY DAVID INACTIVE 1397T 6/21/1978 31-Aug-16 BELLA VISTA AR NO DISCIPLINE

NGO ANDREW T. ACTIVE 3522AT 8/5/2013 31-Jul-16 6/2017 7/2017 GRAND RONDE OR NO DISCIPLINE

NGUYEN HAYDEN M. ACTIVE 3524ATI 9/19/2013 31-Jul-16 1/2017 7/2017 PORTLAND OR NO DISCIPLINE

NGUYEN HOANG ANH ACTIVE 3569ATI 7/7/2014 31-Aug-16 12/2017 8/2017 TIGARD OR NO DISCIPLINE

NGUYEN JOHNNY INACTIVE 2747AT 7/13/1999 31-Jan-17 SACRAMENTO CA NO DISCIPLINE

NGUYEN KHANH ACTIVE 2637AT 7/30/1997 31-Oct-16 10/2017 10/2017 PORTLAND OR NO DISCIPLINE

NGUYEN LISA P. ACTIVE 3622AT 6/22/2015 31-Mar-17 5/2017 3/2017 TIGARD OR NO DISCIPLINE

NGUYEN THU TRANG T. ACTIVE 3364AT 6/25/2010 31-Mar-17 4/2016 3/2018 PORTLAND OR NO DISCIPLINE

NGUYEN THUY N. ACTIVE 3341ATI 10/26/2009 31-Jul-16 10/2015 7/2017 WARRENTON OR NO DISCIPLINE

NGUYEN TUAN TU ACTIVE 2987AT 7/2/2004 31-Mar-17 2/2017 3/2018 PORTLAND OR NO DISCIPLINE

NGUYEN UYEN THANH ACTIVE 2959AT 11/7/2003 30-Jun-16 4/2017 6/2017 PORTLAND OR NO DISCIPLINE

NGUYEN XUAN NGUYEN N. ACTIVE 3618AT 6/16/2015 31-Oct-16 8/2017 10/2017 TIGARD OR NO DISCIPLINE

NIELSON BRADLEY INACTIVE 2746T 7/13/1999 31-Dec-16 WALLA WALLA WA NO DISCIPLINE

NIIMI JOYCELYN ACTIVE 3478AT 11/1/2012 31-Oct-16 9/2016 10/2017 PORTLAND OR NO DISCIPLINE

NISHIKAWA DAPHNE INACTIVE 2504AT 8/15/1995 28-Feb-17 HONOLULU HI NO DISCIPLINE

5/18/2016 Only Active licensees are eligible to practice in Oregon. Please see the Discipline page for more information. Page 18

Page 19: Oregon Optometry Licensees...BALSALOBRE AMANDA M. ACTIVE 3119ATI 6/20/2005 31-Aug-16 2/2018 8/2016 BEND OR NO DISCIPLINE BALTER MARK D. INACTIVE 1519D 8/24/1981 31-Mar-17 SEATTLE WA

Oregon Optometry Licensees

Last First STATUS LICENSELICENSE

ISSUE DATEEXPIRES

CPR

EXPIRES

ETHIC/LAW

COURSECITY STATE DISCIPLINE

NISHIZAWA GUY M. INACTIVE 1398T 6/21/1978 31-Jul-16 KAILUA HI NO DISCIPLINE

NIVALA TIMOTHY M. INACTIVE 2132T 7/31/1989 31-May-17 PUYALLUP WA NO DISCIPLINE

NIXON ELIZABETH ALLYN INACTIVE 3175ATI 7/1/2006 30-Jun-16 SYCAMORE IL NO DISCIPLINE

NOBLE MICHAEL C. INACTIVE 1651D 8/2/1983 30-Apr-17 YAKIMA WA NO DISCIPLINE

NOHAD ARIGE M. ACTIVE 3642ATI 9/16/2015 28-Feb-17 7/2017 2/2017 CORVALLIS OR NO DISCIPLINE

NORRIS JESSICA W. ACTIVE 2935ATI 6/26/2003 31-Mar-17 1/2018 3/2017 ALBANY OR NO DISCIPLINE

NORRIS RANDY H. ACTIVE 3386AT 10/11/2010 31-Aug-16 7/2017 8/2017 ONTARIO OR NO DISCIPLINE

NUDELMAN AVREL V. ACTIVE 1607ATI 7/27/1982 31-Aug-16 7/2016 8/2017 PORTLAND OR NO DISCIPLINE

NUFFER JARED S. ACTIVE 1608ATI 7/27/1982 31-Jul-16 5/2017 7/2017 PORTLAND OR COE ONLY 9/27/96

O'CONNOR CHERYL D. INACTIVE 2535T 11/9/1995 31-Oct-16 SOUTH BEND IN NO DISCIPLINE

OGATA DALE E. ACTIVE 1716ATI 6/18/1980 30-Nov-16 10/2016 11/2016 TIGARD OR NO DISCIPLINE

OGATA DANIEL E. ACTIVE 3599ATI 5/26/2015 30-Apr-17 5/2017 4/2017 TIGARD OR NO DISCIPLINE

O'HALLORAN SAGINA S. ACTIVE 3395ATI 6/20/2011 30-Sep-16 1/2017 9/2016 PORTLAND OR NO DISCIPLINE

OHLSON MICHAEL W. INACTIVE 2254ATI 7/30/1990 30-Apr-17 WEST UNION IA NO DISCIPLINE

OILAR JASON R. ACTIVE 3595AT 5/5/2015 31-Aug-16 4/2017 8/2017 SPRINGFIELD OR NO DISCIPLINE

OKERSON ANNE S. ACTIVE 3516AT 7/17/2013 30-Jun-16 5/2017 6/2017 PORTLAND OR NO DISCIPLINE

OLAND CURT INACTIVE 3037T 8/19/1993 31-Mar-17 UNIVERSITY PLACE WA NO DISCIPLINE

OLMA MICHAEL D. ACTIVE 3608ATI 6/5/2015 31-Oct-16 6/2016 10/2016 SALEM OR NO DISCIPLINE

OLMSCHENK SARAH M. ACTIVE 3474ATI 9/18/2012 31-Aug-16 5/2016 8/2016 HILLSBORO OR NO DISCIPLINE

OLSEN STEPHEN J. ACTIVE 1934ATI 7/28/1987 31-Jan-17 6/2017 1/2017 LAKE OSWEGO OR NO DISCIPLINE

OLSON KRISANN P. INACTIVE 2519T 8/22/1995 30-Nov-16 OMAHA NE NO DISCIPLINE

OLSON RONDA LEE INACTIVE 3315AT 7/1/2009 30-Jun-16 TUBA CITY AZ NO DISCIPLINE

OLSOVSKY PAUL J. ACTIVE 3252AT 11/26/2007 28-Feb-17 1/2018 2/2017 GRESHAM OR AOD 1/29/2016

OOLEY CAROLINE M. ACTIVE 3496ATI 5/30/2013 31-Aug-16 5/2017 8/2016 PORTLAND OR NO DISCIPLINE

ORTIZ ROBERT JAMES INACTIVE 2464T 7/28/1992 31-Dec-16 CARLSBAD CA NO DISCIPLINE

ORTIZ TIMOTHY PHILIP INACTIVE 2255T 7/30/1990 31-Jul-16 MORRIS IL NO DISCIPLINE

OSBORNE KEVIN INACTIVE 2738T 6/22/1999 28-Feb-17 MOSES LAKE WA NO DISCIPLINE

OSTERLOH DARREN F. INACTIVE 2359D 7/29/1991 31-Oct-16 WESTLAKE VILLAGE CA NO DISCIPLINE

OSTERMEIER MARK A. ACTIVE 2018ATI 8/2/1988 30-Apr-17 9/2017 4/2017 WHITE CITY OR NO DISCIPLINE

OSWALD ZACHARY M. ACTIVE 3437ATI 3/27/2012 30-Sep-16 4/2017 9/2016 REDMOND OR NO DISCIPLINE

OTTO JOHN INACTIVE 1717D 7/31/1984 31-Aug-16 SHORELINE WA NO DISCIPLINE

OULMAN BRIAN C. ACTIVE 3552AT 6/3/2014 30-Sep-16 10/2016 9/2016 REDMOND OR NO DISCIPLINE

OVERTON SCOTT H. ACTIVE 1935ATI 7/28/1987 31-Mar-17 2/2018 3/2018 PORTLAND OR NO DISCIPLINE

OWEN MICHAEL R. ACTIVE 3316ATI 7/6/2009 31-Dec-16 11/2017 12/2016 NEWBERG OR NO DISCIPLINE

OWENS KRISTIA INACTIVE 2133T 7/31/1989 31-Aug-16 MESA AZ NO DISCIPLINE

PABST ROGER D. INACTIVE 1289T 6/11/1975 31-Jan-17 REDWOOD FALLS MN NO DISCIPLINE

PADRNOS PATRICK E. INACTIVE 1558T 8/24/1981 31-Jul-16 FLAGSTAFF AZ NO DISCIPLINE

PAJOT SARAH KAY ACTIVE 3282AT 7/16/2008 31-Aug-16 7/2016 8/2017 FOREST GROVE OR NO DISCIPLINE

PALM TOBY ACTIVE 2872ATI 6/27/2002 31-Dec-16 8/2016 12/2017 SUTHERLIN OR NO DISCIPLINE

PALMBLAD TERA S. ACTIVE 1449AT 7/11/1979 31-Mar-17 9/2017 3/2017 SALEM ORAOD 10/2/92; 4/1/00;

8/16/00; 2/2/02

PALMER CHRISTOPHER E. ACTIVE 3568ATI 6/26/2014 31-Jan-17 1/2017 1/2018 PORTLAND OR NO DISCIPLINE

PALUSKA KRISTINE J. INACTIVE 3098ATI 8/5/1994 30-Sep-16 SALEM OR NO DISCIPLINE

PALUSKA ROBERT M. ACTIVE 3097ATI 8/5/1994 30-Jun-17 1/2018 6/2017 SALEM OR NO DISCIPLINE

PAN LYDIA INACTIVE 2700T 8/4/1998 31-Mar-17 BELLINGHAM WA NO DISCIPLINE

PARK THERESA ANDERSON ACTIVE 2361ATI 7/29/1991 31-Mar-17 10/2017 3/2018 SPRINGFIELD OR NO DISCIPLINE

PARKER BRUCE W. ACTIVE 1450ATI 7/11/1979 30-Apr-17 12/2017 4/2018 CANBY OR NO DISCIPLINE

5/18/2016 Only Active licensees are eligible to practice in Oregon. Please see the Discipline page for more information. Page 19

Page 20: Oregon Optometry Licensees...BALSALOBRE AMANDA M. ACTIVE 3119ATI 6/20/2005 31-Aug-16 2/2018 8/2016 BEND OR NO DISCIPLINE BALTER MARK D. INACTIVE 1519D 8/24/1981 31-Mar-17 SEATTLE WA

Oregon Optometry Licensees

Last First STATUS LICENSELICENSE

ISSUE DATEEXPIRES

CPR

EXPIRES

ETHIC/LAW

COURSECITY STATE DISCIPLINE

PARKER H. BRENT INACTIVE 2258T 7/30/1990 31-Mar-17 RICHFIELD UT NO DISCIPLINE

PARKER KIRK J. ACTIVE 1936ATI 7/28/1987 28-Feb-17 5/2016 2/2018 PORTLAND OR NO DISCIPLINE

PARKS JOSEPH KYLE INACTIVE 2991ATI 7/12/2004 30-Jun-16 BELGRADE MT NO DISCIPLINE

PARNES GLENN STERLING INACTIVE 1937D 7/28/1987 30-Nov-16 CAYUCOS CA NO DISCIPLINE

PARSONS BRUCE C. ACTIVE 955ATI 1/1/1963 31-Jul-16 3/2017 7/2017 TOLEDO OR NO DISCIPLINE

PATADIA NEELAM P. INACTIVE 3456ATI 6/18/2012 31-Mar-17 ALGONQUIN IL NO DISCIPLINE

PATEL RAJIV INACTIVE 2593T 9/9/1996 31-Oct-16 VANCOUVER WA NO DISCIPLINE

PATTERSON DUANE T. ACTIVE 787ATI 1/1/1955 30-Apr-17 12/2016 4/2017 LINCOLN CITY OR NO DISCIPLINE

PATZER CHERYL L. INACTIVE 1870ATI 7/29/1986 31-Mar-17 SAN DIEGO CA NO DISCIPLINE

PAUL GRANT A. INACTIVE 2019D 8/2/1988 30-Nov-16 SAN DIMAS CA NO DISCIPLINE

PAULSON DARIN L. INACTIVE 2501T 7/6/1995 30-Nov-16 PULLMAN WA NO DISCIPLINE

PAULSON WAYNE R. INACTIVE 1359ATI 1/1/1977 30-Apr-17 BROOKINGS OR NO DISCIPLINE

PAYNE SANDY K. ACTIVE 1559AT 8/24/1981 31-May-17 2/2017 5/2017 ROSEBURG OR NO DISCIPLINE

PEARCE CHRISTOPHER DAVID ACTIVE 2363ATI 7/29/1991 30-Jun-17 3/2017 6/2017 PORTLAND OR NO DISCIPLINE

PEARCE MATTHEW ACTIVE 2896AT 8/22/2002 31-Aug-16 6/2016 8/2016 WEST LINN OR NO DISCIPLINE

PEARCE NICOLE ACTIVE 2894AT 8/25/2002 31-Dec-16 6/2016 12/2017 WEST LINN OR NO DISCIPLINE

PEARSON DENNIS L. ACTIVE 1400ATI 6/21/1978 30-Jun-16 9/2016 6/2017 LEBANON OR NO DISCIPLINE

PECK MARIE ACTIVE 2821AT 5/8/2001 31-Aug-16 3/2017 8/2016 SALEM OR AOD 12/2008

PEDERSEN AMY L. INACTIVE 3417ATI 7/13/2011 31-Aug-16 REDLANDS CA NO DISCIPLINE

PEEK ROBERT D. ACTIVE 1719ATI 7/31/1984 31-Oct-16 5/2016 10/2017 PORTLAND OR NO DISCIPLINE

PEEL JESSICA INACTIVE 2887AT 7/3/2002 31-Jul-16 BILLINGS MT NO DISCIPLINE

PELIKHATYY VITALIY ACTIVE 3422ATI 7/26/2011 30-Apr-17 3/2017 4/2017 PORTLAND OR NO DISCIPLINE

PELSON JEFFREY ACTIVE 2881ATI 6/28/2002 31-Aug-16 7/2016 8/2017 GRANTS PASS OR NO DISCIPLINE

PENNINGTON NATALYA Y. ACTIVE 3365ATI 6/25/2010 31-Dec-16 10/2017 12/2016 WEST LINN OR NO DISCIPLINE

PERKINS JOHN E. ACTIVE 1192ATI 6/1/1972 31-Oct-16 5/2016 10/2016 EUGENE OR NO DISCIPLINE

PERKINS ROBERT ACTIVE 1246ATI 6/6/1974 31-Aug-16 7/2017 8/2017 THE DALLES OR NO DISCIPLINE

PERRY MATTHEW ROBERT ACTIVE 1938ATI 7/28/1987 30-Jun-17 1/2018 6/2018 HILLSBORO OR NO DISCIPLINE

PETERSON DONALD L. INACTIVE 1290ATI 6/11/1975 30-Nov-16 ENTERPRISE OR COE ONLY 9/27/96

PETERSON LT. COL. (RET) RIC D. INACTIVE 1871T 7/29/1986 30-Nov-16 LANCASTER TX NO DISCIPLINE

PHAM TRI MINH ACTIVE 3475ATI 9/13/2012 30-Apr-17 5/2017 4/2017 EUGENE OR NO DISCIPLINE

PHILLIPS JERRY ACTIVE 2681ATI 7/6/1998 31-Aug-16 1/2016 8/2016 EUGENE OR NO DISCIPLINE

PHILLIPS KATHERINE H. ACTIVE 3123ATI 6/22/2005 31-Oct-16 3/2017 10/2016 PORTLAND OR NO DISCIPLINE

PHUNG RICHARD N.V. INACTIVE 2260D 7/30/1990 31-May-16 SAN DIEGO CA NO DISCIPLINE

PIATZ-BENCK MARGARET INACTIVE 2664ATI 5/5/1998 31-Aug-16 WINONA MN NO DISCIPLINE

PICARD JOHN E. INACTIVE 1720AT 7/31/1984 30-Jun-17 SILVERDALE WA NO DISCIPLINE

PIKE SCOTT E. INACTIVE 1142AT 6/1/1970 31-Dec-16 PORTLAND OR NO DISCIPLINE

PINSKE TARA ACTIVE 2807ATI 8/7/2000 31-Jan-17 11/2016 1/2018 BEAVERTON OR NO DISCIPLINE

PITMAN JOHN R. INACTIVE 1721ATI 7/31/1984 31-Mar-17 BOISE ID AOD 8/7/92

POHL MAYNARD L. INACTIVE 1722D 8/10/1985 31-Jan-17 BELLEVUE WA NO DISCIPLINE

POLATIS STEVEN ACTIVE 2940AT 7/22/2003 31-Jul-16 6/2017 7/2017 ONTARIO OR NO DISCIPLINE

POLLOCK STEVEN R. INACTIVE 2135T 7/31/1989 31-Jan-17 LANCASTER CA COE ONLY 10/2/92

PORTER LEVI MARC INACTIVE 3145ATI 8/12/2005 31-Aug-16 CASPER WY NO DISCIPLINE

PORTER STEVEN D. ACTIVE 1723AT 7/31/1984 31-Aug-16 10/2016 8/2017 PORTLAND OR NO DISCIPLINE

POTVIN ELIZABETH A. ACTIVE 3479AT 12/4/2012 30-Nov-16 10/2016 11/2017 BEND OR NO DISCIPLINE

PRADHAN JONA R. ACTIVE 2136AT 7/31/1989 28-Feb-17 1/2017 2/2018 PORTLAND OR NO DISCIPLINE

PRASAD HANSINI ACTIVE 3128AT 8/1/2005 31-Aug-16 3/2017 8/2017 BEAVERTON OR NO DISCIPLINE

5/18/2016 Only Active licensees are eligible to practice in Oregon. Please see the Discipline page for more information. Page 20

Page 21: Oregon Optometry Licensees...BALSALOBRE AMANDA M. ACTIVE 3119ATI 6/20/2005 31-Aug-16 2/2018 8/2016 BEND OR NO DISCIPLINE BALTER MARK D. INACTIVE 1519D 8/24/1981 31-Mar-17 SEATTLE WA

Oregon Optometry Licensees

Last First STATUS LICENSELICENSE

ISSUE DATEEXPIRES

CPR

EXPIRES

ETHIC/LAW

COURSECITY STATE DISCIPLINE

PRESCHER, JR. ROBERT C. INACTIVE 2137D 7/31/1989 31-Jan-17 SAN CLEMENTE CA NO DISCIPLINE

PROVOST BRET ASHER ACTIVE 3132ATI 7/13/2005 31-Mar-17 10/2017 3/2017 CLACKAMAS OR NO DISCIPLINE

PRUNTY JENNIFER C. ACTIVE 3436AT 3/26/2012 31-Jul-16 1/2016 7/2016 PORTLAND OR NO DISCIPLINE

PULK BERNARD J. ACTIVE 3526AT 10/8/2013 28-Feb-17 8/2017 2/2017 HOOD RIVER OR NO DISCIPLINE

RABIN JEFFREY C. INACTIVE 3108AT 11/8/2004 31-Dec-16 SAN ANTONIO TX NO DISCIPLINE

RADEBAUGH CHARLES D. INACTIVE 1193AT 6/1/1972 30-Sep-16 EUGENE OR NO DISCIPLINE

RAKOWSKY JEFFREY INACTIVE 2708T 9/15/1998 31-Jul-16 GILBERT AZ NO DISCIPLINE

RAMONES DONALYN ACTIVE 2769AT 2/22/2000 31-Aug-16 7/2017 8/2017 ALOHA OR NO DISCIPLINE

RANDALL JOHN WILFRED ACTIVE 1610ATI 7/27/1982 31-Aug-16 7/2016 8/2017ST AUGUSTINE,

TRINIDAD AND TOBAGO

WEST

INDIESNO DISCIPLINE

RANDOLPH DOUGLAS V. INACTIVE 1325D 6/9/1976 31-Aug-16 SAN FRANCISCO CA NO DISCIPLINE

RAO DEEPA ACTIVE 2576AT 8/20/1996 30-Sep-16 9/2016 9/2016 PORTLAND OR NO DISCIPLINE

RECECONI WALTER R. INACTIVE 2022ATI 8/2/1988 31-Mar-17 ASTORIA OR NO DISCIPLINE

REED BRANDON M. ACTIVE 3624ATI 6/22/2015 31-Dec-16 4/2016 12/2017 PORTLAND OR NO DISCIPLINE

REED STEPHEN NEIL ACTIVE 2023AT 8/2/1988 31-Dec-16 10/2016 12/2015 VANCOUVER WA NO DISCIPLINE

REEVES JAMES CHARLES INACTIVE 1657T 8/2/1983 30-Sep-16 BRIGHTON MI NO DISCIPLINE

REGIMBALD LYLE ACTIVE 2884ATI 6/28/2002 31-Aug-16 12/2015 8/2017 PORTLAND OR NO DISCIPLINE

REICH SHAJIDA ACTIVE 2640ATI 7/30/1997 31-May-17 4/2017 5/2017 MEDFORD OR NO DISCIPLINE

REICHOW ALAN W. INACTIVE 1561AT 8/21/1981 30-Sep-16 CEDAR FALLS IA COE ONLY 9/13/94

REIMERS LOREN SCOTT ACTIVE 3154AT 1/3/2006 31-Jan-17 10/2016 1/2018 EUGENE OR NO DISCIPLINE

RENTERIA JACQUELINE R. ACTIVE-MILITARY 3561AT 6/13/2014 31-Jul-16 6/2016 7/2017 CAMP LEJEUNE NC NO DISCIPLINE

RESKI JOHN WILLIAM ACTIVE 3269ATI 6/19/2008 31-Dec-16 10/2016 12/2017 CLACKAMAS OR NO DISCIPLINE

RESLOCK JOHN P. ACTIVE 1134ATI 6/11/1970 30-Nov-16 5/2016 11/2016 COQUILLE OR NO DISCIPLINE

REYNOLDS KENT D. ACTIVE 3022ATI 8/13/1993 31-Jul-16 2/2017 7/2016 ALBANY OR NO DISCIPLINE

RHODES KRISTI LYN INACTIVE 2974ATI 6/22/2004 31-May-16 MESA AZ NO DISCIPLINE

RICE KAREN ACTIVE 2903AT 10/4/2002 31-Jan-17 11/2016 1/2018 PORTLAND OR NO DISCIPLINE

RICHARDSON BRAD C. ACTIVE 1942ATI 7/28/1987 30-Nov-16 6/2017 11/2017 FOREST GROVE OR NO DISCIPLINE

RICHARDSON BRETT P. INACTIVE 3529AT 11/6/2013 31-Mar-16 VANCOUVER WA NO DISCIPLINE

RICHARDSON ELI ACTIVE 3381ATI 7/9/2010 31-Mar-17 5/2017 3/2018 FOREST GROVE OR NO DISCIPLINE

RICHARDSON MATTHEW S. ACTIVE 2980ATI 6/24/2004 31-Jan-17 8/2016 1/2017 MEDFORD OR NO DISCIPLINE

RICKMAN JOHN V. ACTIVE 1724ATI 7/31/1984 31-Dec-16 2/2017 12/2016 SUBLIMITY OR NO DISCIPLINE

RIEDEL KEVIN J. ACTIVE 3402ATI 6/20/2011 31-May-17 4/2017 5/2017 TUALATIN OR NO DISCIPLINE

RIEZMAN ALAN J. INACTIVE 2368ATI 7/29/1991 30-Apr-17 KANEOHE HI NO DISCIPLINE

RIMKEIT CYNTHIA ANN ACTIVE 3249AT 11/16/2007 30-Jun-16 5/2017 6/2016 PORTLAND OR NO DISCIPLINE

RIOUX NICHOLE PRESLEY ACTIVE 3298ATI 3/25/2009 31-Aug-16 1/2017 8/2017 SALEM OR NO DISCIPLINE

RITENOUR SPENCER C. ACTIVE 3532AT 12/12/2013 31-May-17 4/2018 5/2017 PORTLAND OR NO DISCIPLINE

ROBBINS-LUCE DIANE D. ACTIVE 2236AT 7/30/1990 31-Dec-16 2/2016 12/2017 BEAVERTON OR NO DISCIPLINE

ROBERTSON MARK D. INACTIVE 1874T 7/29/1986 28-Feb-17 SAIPAN MP NO DISCIPLINE

ROBESON LANE CHARLES INACTIVE 1793D 8/10/1985 30-Apr-17 WINONA MN NO DISCIPLINE

ROBISON DANIEL ALLEN ACTIVE 2371ATI 7/29/1991 31-May-17 10/2016 5/2018 LAKE OSWEGO OR NO DISCIPLINE

RODMAN BROOKS D. ACTIVE 3367ATI 6/25/2010 31-Jul-16 10/2015 7/2017 SAINT HELENS OR NO DISCIPLINE

ROEBUCK RODNEY W. INACTIVE 1611T 7/27/1982 31-Mar-17 DAVIS CA NO DISCIPLINE

ROLEN, III ROBERT D. ACTIVE 1795ATI 8/10/1985 31-Jan-17 1/2017 1/2017 HERMISTON OR NO DISCIPLINE

ROLINE PAUL F. ACTIVE 1402ATI 6/21/1978 28-Feb-17 8/2016 2/2017 INDIO CA NO DISCIPLINE

ROLSTON SHEENA R. ACTIVE 3310ATI 6/25/2009 31-Mar-17 1/2018 3/2017 HAPPY VALLEY OR NO DISCIPLINE

ROS SAPHOL INACTIVE 2143T 7/31/1989 31-Jan-17 RENTON WA NO DISCIPLINE

5/18/2016 Only Active licensees are eligible to practice in Oregon. Please see the Discipline page for more information. Page 21

Page 22: Oregon Optometry Licensees...BALSALOBRE AMANDA M. ACTIVE 3119ATI 6/20/2005 31-Aug-16 2/2018 8/2016 BEND OR NO DISCIPLINE BALTER MARK D. INACTIVE 1519D 8/24/1981 31-Mar-17 SEATTLE WA

Oregon Optometry Licensees

Last First STATUS LICENSELICENSE

ISSUE DATEEXPIRES

CPR

EXPIRES

ETHIC/LAW

COURSECITY STATE DISCIPLINE

ROSALES OLIVER ACTIVE 3620ATI 6/19/2015 31-May-17 4/2017 5/2017 BOISE ID NO DISCIPLINE

ROSEN CHAD M. INACTIVE 3448ATI 6/4/2012 30-Apr-17 BIG RAPIDS MI NO DISCIPLINE

ROSENOW ROBERT PAUL INACTIVE 2024ATI 8/2/1988 31-Mar-17 BEAVERTON OR NO DISCIPLINE

ROSSMAN ALTON ACTIVE 2855ATI 12/4/2001 31-Jan-17 2/2017 1/2018 SALEM OR NO DISCIPLINE

ROWE WILLIAM DALE ACTIVE 1506ATI 6/18/1980 31-Mar-17 9/2016 3/2018 JUNCTION CITY OR NO DISCIPLINE

ROWLAND CHRISTOPHER K. ACTIVE 3368ATI 6/25/2010 31-Mar-17 2/2018 3/2018 TILLAMOOK OR NO DISCIPLINE

RUECKER KATHERINE ACTIVE 2837ATI 7/11/2001 31-Dec-16 8/2016 12/2017 HILLSBORO OR NO DISCIPLINE

RUSH JOHN B. ACTIVE 1111ATI 6/27/1969 30-Apr-17 10/2016 4/2018 GOLD BEACH ORCOE ONLY 2/28/97; AOD

6/15/2012

RUSH NICOLE ACTIVE 2856ATI 1/31/2002 31-Oct-16 10/2016 10/2016 BANDON OR NO DISCIPLINE

RUSSELL JONATHAN ACTIVE 2838ATI 7/11/2001 30-Jun-16 4/2017 6/2017 CLACKAMAS OR NO DISCIPLINE

RYAN CARL J. ACTIVE 1944AT 7/28/1987 31-Jul-16 5/2017 7/2016 BEND OR NO DISCIPLINE

RYMER CAROL LYNN ZOLKEWITZ INACTIVE-MILITARY 2472T 7/28/1992 30-Sep-16 SAN ANTONIO TX NO DISCIPLINE

SAFARI SNIDER MERSEDEH ACTIVE 3134ATI 7/14/2005 30-Jun-17 5/2017 6/2017 WOOD VILLAGE OR NO DISCIPLINE

SAFARIK JEFFREY T. INACTIVE 2026D 8/2/1988 30-Nov-16 COSTA MESA CA NO DISCIPLINE

SAITO REID INACTIVE 2790T 6/26/2000 30-Jun-17 HONOLULU HI NO DISCIPLINE

SAKUDA JON M. INACTIVE 2027AT 8/2/1988 31-Oct-16 KAPOLEI HI NO DISCIPLINE

SALAMANCA ADRIAN L. INACTIVE 3640ATI 8/18/2015 31-Oct-16 STANTON CA NO DISCIPLINE

SALIBELLO COSMO INACTIVE 1658ATI 8/2/1983 30-Sep-16 FAIRVIEW OR NO DISCIPLINE

SALIMENO FRANK INACTIVE 1112T 6/1/1969 31-Aug-16 OGDEN UT NO DISCIPLINE

SAMEK B. MICHAEL INACTIVE 1945D 7/28/1987 31-Mar-17 SEATTLE WA NO DISCIPLINE

SAMSON THOMAS J. INACTIVE 2146T 7/31/1989 31-Jul-16 BISMARCH ND COE ONLY 9/27/96

SAN NICOLAS MARLENE INACTIVE 2473D 7/28/1992 30-Nov-16 SANTA RITA GU NO DISCIPLINE

SANDBERG DERRI J. ACTIVE 3213ATI 6/27/2007 31-Jan-17 12/2016 1/2017 BEND OR NO DISCIPLINE

SANTESSON DIANE SUSAN ACTIVE 3256ATI 4/18/2008 31-Jul-16 6/2017 7/2017 PORTLAND OR NO DISCIPLINE

SASS ELIZABETH T. ACTIVE 2536ATI 11/9/1995 30-Nov-16 5/2016 11/2016 BEAVERTON OR NO DISCIPLINE

SAUL CATHERINE B. ACTIVE 2474ATI 7/28/1992 31-Dec-16 9/2016 12/2017 GRESHAM OR COE ONLY 9/27/96

SAVIOLA JAMES F. INACTIVE 1798AT 8/10/1985 31-Oct-16 OLNEY MD NO DISCIPLINE

SCHEIFFELE JILL RENEE ACTIVE 3117AT 5/20/2005 31-Mar-17 8/2017 3/2017 PORTLAND OR NO DISCIPLINE

SCHISSLER SHAUNA RENEE ACTIVE 3141ATI 7/28/2005 31-Jan-17 5/2017 1/2017 WOOD VILLAGE OR NO DISCIPLINE

SCHLEISMAN TERRY ACTIVE 1659ATI 8/2/1983 30-Apr-17 3/2017 4/2017 BELCOURT ND NO DISCIPLINE

SCHMELTZER LEONARD INACTIVE 1946D 7/28/1987 31-Aug-16 CORRALES NM NO DISCIPLINE

SCHMIDT KIMBERLY A. ACTIVE 3401AT 6/20/2011 31-Dec-16 4/2017 12/2016 LAKE OSWEGO OR NO DISCIPLINE

SCHMITT MARC L. ACTIVE 3369ATI 6/25/2010 31-Jan-17 11/2017 1/2018 PORTLAND OR NO DISCIPLINE

SCHMONSKY JAMES L. INACTIVE 1365D 6/15/1977 31-Oct-16 GREEN BAY WI NO DISCIPLINE

SCHNEIDERHAN DANIEL A. ACTIVE 1875AT 7/29/1986 30-Nov-16 10/2017 11/2017 EUGENE OR NO DISCIPLINE

SCHNIDER CRISTINA M. INACTIVE 1726T 7/31/1984 28-Feb-17 JACKSONVILLE FL NO DISCIPLINE

SCHOBER GREG W. ACTIVE 1457ATI 7/11/1979 30-Apr-17 3/2017 4/2018 PORTLAND OR NO DISCIPLINE

SCHOOLER II ROLF D. INACTIVE 2715ATI 4/26/1999 30-Apr-17 SALEM OR NO DISCIPLINE

SCHROEDER SKY A. ACTIVE 2839AT 7/11/2001 31-Mar-17 11/2016 3/2017 NEWPORT OR NO DISCIPLINE

SCHUBACH DIONE M. ACTIVE 3270ATI 6/19/2008 30-Sep-16 7/2017 ` PORTLAND OR NO DISCIPLINE

SCHULTZ SARA J. ACTIVE 2840ATI 7/11/2001 30-Jun-16 3/2017 6/2017 VANCOUVER WA NO DISCIPLINE

SCHULZ GARY J. ACTIVE 1727ATI 8/10/1985 31-Jan-17 12/2016 1/2017 REDMOND OR COE ONLY 11/3/92

SCHWALBE KYLE A. ACTIVE 3374ATI 6/29/2010 31-Oct-16 8/2017 10/2017 PORTLAND OR NO DISCIPLINE

SCHWARTZ MICHAEL W. ACTIVE 1458ATI 7/11/1979 31-Jul-16 4/2017 7/2016 GRANTS PASS OR NO DISCIPLINE

SCOTT KIRSTEN CARMIENCKE ACTIVE 3133ATI 7/13/2005 30-Sep-16 8/2017 9/2017 BEND OR NO DISCIPLINE

5/18/2016 Only Active licensees are eligible to practice in Oregon. Please see the Discipline page for more information. Page 22

Page 23: Oregon Optometry Licensees...BALSALOBRE AMANDA M. ACTIVE 3119ATI 6/20/2005 31-Aug-16 2/2018 8/2016 BEND OR NO DISCIPLINE BALTER MARK D. INACTIVE 1519D 8/24/1981 31-Mar-17 SEATTLE WA

Oregon Optometry Licensees

Last First STATUS LICENSELICENSE

ISSUE DATEEXPIRES

CPR

EXPIRES

ETHIC/LAW

COURSECITY STATE DISCIPLINE

SCOTT SUZANNE D. INACTIVE 2502T 7/27/1995 30-Nov-16 PULLMAN WA NO DISCIPLINE

SCRUGGS STEVEN C. ACTIVE 1612ATI 7/27/1982 31-May-17 4/2017 5/2018 ASTORIA OR NO DISCIPLINE

SEIDEL CAMERON D. INACTIVE 3089ATI 8/5/1994 31-Jul-16 NAPAVINE WA NO DISCIPLINE

SEILER THOMAS J. INACTIVE 1507D 6/20/1980 28-Feb-17 MOSES LAKE WA NO DISCIPLINE

SEITZ JAY A. ACTIVE 1404ATI 6/21/1978 31-May-16 7/2017 5/2017 CORVALLIS OR NO DISCIPLINE

SELVIN GERALD J. INACTIVE 2149D 7/31/1989 31-Dec-16 CHESTNUT HILL MA NO DISCIPLINE

SERRINS STEVEN KENT INACTIVE 2150T 7/31/1989 31-Jul-16 VISALIA CA NO DISCIPLINE

SEVERSON AARON L. ACTIVE 3326AT 7/20/2009 31-Jan-17 4/2017 1/2017 WHITE CITY OR NO DISCIPLINE

SHADID PAULA INACTIVE 2615T 5/8/1997 31-Jul-16 SEBASTOPOL CA NO DISCIPLINE

SHARP JAMES E. ACTIVE 3549ATI 6/2/2014 31-Dec-16 1/2016 12/2017 JUNCTION CITY OR NO DISCIPLINE

SHARPE VALERIE INACTIVE 2843ATI 7/24/2001 31-Oct-16 CHINLE AZ NO DISCIPLINE

SHASHATI NICHOLAS J. INACTIVE 1728AT 7/31/1984 31-Oct-16 SAN DIEGO CA NO DISCIPLINE

SHAVER DIANE INACTIVE 2817AT 12/1/2000 31-Dec-16 GRANTS PASS OR NO DISCIPLINE

SHELDON TODD ACTIVE 2823ATI 5/8/2001 31-Aug-16 7/2016 8/2016 REDMOND OR NO DISCIPLINE

SHEN HERMAN M. INACTIVE 2526T 8/22/1995 31-Mar-17 BURNABY B.C. CANADA NO DISCIPLINE

SHEPARD GERALD HENRY ACTIVE 2030ATI 8/2/1988 28-Feb-17 5/2018 2/2017 EUGENE OR NO DISCIPLINE

SHIH PAUL HAN ACTIVE 2796ATI 6/28/2000 30-Nov-16 3/2016 11/2017 BEAVERTON OR NO DISCIPLINE

SHIN DAVID ACTIVE 3459AT 8/1/2012 31-Jul-16 5/2016 7/2017 PORTLAND OR NO DISCIPLINE

SHINODA HANNAH CHU ACTIVE 3635ATI 8/1/2015 31-Jul-16 6/2017 7/2017 FOREST GROVE OR NO DISCIPLINE

SHINODA JOSHUA D. ACTIVE 3636AT 8/12/2015 30-Apr-17 6/2017 4/2017 PORTLAND OR NO DISCIPLINE

SHIRK WILLIAM WARD ACTIVE 3161AT 4/27/2006 31-Dec-16 9/2016 12/2017 BEND OR NO DISCIPLINE

SHOEMAKER ALLECIA A. ACTIVE 3501ATI 6/5/2013 30-Sep-16 3/2016 9/2016 SILVERTON OR NO DISCIPLINE

SHORE NEERU VERMA ACTIVE 2942ATI 8/4/2003 31-Aug-16 8/2017 8/2017 FOREST GROVE OR NO DISCIPLINE

SHORT RONALD B. INACTIVE 1729T 7/31/1984 30-Nov-16 IMPERIAL BEACH CA NO DISCIPLINE

SHROCK JEFFREY D. ACTIVE 2841AT 7/11/2001 31-Jul-16 10/2015 7/2017 BEAVERTON OR NO DISCIPLINE

SHUTE DONALD T. INACTIVE 1730D 7/31/1984 28-Feb-17 YAKIMA WA NO DISCIPLINE

SHUWARGER LEE INACTIVE 3339AT 10/1/2009 30-Sep-16 AMARILLO TX NO DISCIPLINE

SICKEL KEVIN D. ACTIVE 2766AT 11/22/1999 30-Apr-17 3/2018 5/2018 HILLSBORO OR NO DISCIPLINE

SILBERNAGEL JEFFREY INACTIVE 2918ATI 5/6/2003 31-Oct-16 METAIRIE LA NO DISCIPLINE

SILVA BERNADETTE M. ACTIVE 3551ATI 6/2/2014 31-Jul-16 10/2017 7/2016 HILLSBORO OR NO DISCIPLINE

SILVERMAN BRIAN J. ACTIVE 3350ATI 5/7/2010 28-Feb-17 1/2018 2/2018 REDMOND WA NO DISCIPLINE

SIRIANNI JULIA I. ACTIVE 3416ATI 7/1/2011 30-Sep-16 8/2016 9/2017 TUALATIN OR NO DISCIPLINE

SISON NERY C. INACTIVE 1801D 8/10/1985 31-May-16 BELLEVUE WA NO DISCIPLINE

SISSON GEORGE INACTIVE 2151T 7/31/1989 31-Mar-17 EPHRATA WA NO DISCIPLINE

SLAVIN CLYDE B. ACTIVE 1212AT 6/21/1973 31-Dec-16 11/2016 12/2017 SALEM OR AOD 9/27/96

SLOCUM-EDMONDS ANN MARY ACTIVE 2152ATI 7/31/1989 28-Feb-17 1/2018 2/2018 PORTLAND OR NO DISCIPLINE

SMALLEY KYLE M. INACTIVE 3528ATI 10/22/2013 31-Jul-16 COLUMBIA FALLS MT NO DISCIPLINE

SMITH BRADLEY G. ACTIVE 1950ATI 7/28/1987 30-Sep-16 7/2016 9/2017 TIGARD OR NO DISCIPLINE

SMITH DENNIS L. INACTIVE 1877ATI 7/29/1986 30-Nov-16 FOREST GROVE ORCOE ONLY 10/2/92;

9/27/96

SMITH DOUGLAS G. ACTIVE 1461ATI 7/11/1979 30-Nov-16 8/2016 11/2016 MEDFORD OR NO DISCIPLINE

SMITH FRANCES K. INACTIVE 3449ATI 6/4/2012 31-Mar-17 YAKIMA WA NO DISCIPLINE

SMITH JAMES INACTIVE 2938ATI 7/7/2003 31-Aug-16 WEST BATH ME NO DISCIPLINE

SMITH KRISTEN LEE FUCHS INACTIVE 2723AT 6/22/1999 31-Aug-16 SPRINGFIELD VA NO DISCIPLINE

SMITH O. ERIK INACTIVE 1366T 6/15/1977 31-Jul-16 SAN RAMON CA NO DISCIPLINE

SNEED DEBORAH K. INACTIVE 3084T 8/4/1994 30-Sep-16 WHITE SALMON WA NO DISCIPLINE

5/18/2016 Only Active licensees are eligible to practice in Oregon. Please see the Discipline page for more information. Page 23

Page 24: Oregon Optometry Licensees...BALSALOBRE AMANDA M. ACTIVE 3119ATI 6/20/2005 31-Aug-16 2/2018 8/2016 BEND OR NO DISCIPLINE BALTER MARK D. INACTIVE 1519D 8/24/1981 31-Mar-17 SEATTLE WA

Oregon Optometry Licensees

Last First STATUS LICENSELICENSE

ISSUE DATEEXPIRES

CPR

EXPIRES

ETHIC/LAW

COURSECITY STATE DISCIPLINE

SNELL JAMES ACTIVE 2923ATI 7/1/2003 31-Jul-16 8/2015 7/2017 SALEM OR NO DISCIPLINE

SNYDER RICHARD P. ACTIVE 1510ATI 6/18/1980 28-Feb-17 10/2016 2/2017 EUGENE OR NO DISCIPLINE

SOARES TRAJAN J. ACTIVE 2272ATI 7/30/1990 28-Feb-17 1/2017 2/2017 LOS BANOS CA NO DISCIPLINE

SOLBERG CYNTHIA INACTIVE 2739T 6/22/1999 31-Aug-16 RENO NV NO DISCIPLINE

SOLENSKY TARA ACTIVE 2859AT 3/14/2002 30-Nov-16 11/2017 11/2017 CORVALLIS OR NO DISCIPLINE

SOMOGYI MICHAEL J. ACTIVE 3236AT 8/8/2007 31-May-17 10/2016 5/2017 WHITE CITY OR NO DISCIPLINE

SORENSON KRISTIN A. ACTIVE 3418AT 8/1/2011 31-Jul-16 6/2017 7/2016 CLACKAMAS OR NO DISCIPLINE

SPAFFORD CHRISTOPHER M. ACTIVE 3518AT 8/1/2013 31-Jul-16 5/2017 7/2017 PORTLAND OR NO DISCIPLINE

SPARKS JENNIFER DAWN ACTIVE 2975ATI 6/22/2004 31-May-17 1/2018 5/2018 KLAMATH FALLS OR NO DISCIPLINE

SPECK TIMOTHY A. ACTIVE 3631ATI 7/7/2015 31-Jan-17 6/2017 1/2017 GRESHAM OR NO DISCIPLINE

SRISATAYASUNTON CHARLES ACTIVE 3641ATI 8/26/2015 31-Mar-17 8/2017 3/2017 SALEM OR NO DISCIPLINE

STANGER LORENE L. ACTIVE 3623ATI 6/22/2015 28-Feb-17 6/2017 2/2017 SILETZ OR NO DISCIPLINE

STANLEY SCOTT ACTIVE 2885ATI 6/28/2002 31-Oct-16 4/2017 10/2016 ROSEBURG OR NO DISCIPLINE

STARCHVICK GERALD R. ACTIVE 1563ATI 8/24/1981 31-Jul-16 12/2016 7/2017 MEDFORD OR NO DISCIPLINE

STASIK PAUL ACTIVE 2936ATI 6/26/2003 31-Aug-16 6/2016 8/2017 PORTLAND OR NO DISCIPLINE

STATTON CHARLES M. ACTIVE 1511ATI 6/18/1980 31-Mar-17 2/2018 3/2018 CORNELIUS OR NO DISCIPLINE

STEBEL CHELSEA B. ACTIVE 3601ATI 5/21/2015 31-Jul-16 5/2017 7/2016 ASTORIA OR NO DISCIPLINE

STECKMAN TERRY L. ACTIVE 1407ATI 6/21/1978 31-Jan-17 12/2017 1/2017 BEND OR NO DISCIPLINE

STEENBLIK NATHAN D. ACTIVE 3648ATI 2/19/2016 30-Nov-16 1/2018 11/2017 BEND OR NO DISCIPLINE

STENDER LYDIA L. ACTIVE 3413ATI 7/1/2011 31-Mar-17 2/2018 3/2017 PORTLAND OR NO DISCIPLINE

STEWART LYNDSAY M. ACTIVE 3543AT 5/16/2014 28-Feb-17 3/2018 2/2018 CLACKAMAS OR NO DISCIPLINE

STIGNEI IRINA ACTIVE 3405ATI 6/20/2011 31-Aug-16 2/2017 8/2016 WOODBURN OR NO DISCIPLINE

STINE JONATHAN E. INACTIVE 1663D 8/2/1983 30-Nov-16 VANCOUVER WA COE ONLY 10/2/92

STINE, SR. THOMAS G. INACTIVE 1566D 8/24/1981 31-Aug-16 PATASKALA OH NO DISCIPLINE

STOCKSTAD PHILIP BRADLEY ACTIVE 1408ATI 6/21/1978 31-Oct-16 2/2018 10/2017 EUGENE OR NO DISCIPLINE

STONE BRENDA L. ACTIVE 2892ATI 7/31/2002 30-Jun-16 1/2016 6/2016 PORTLAND OR NO DISCIPLINE

STONER MICHAEL WAYNE ACTIVE 2480ATI 7/28/1992 31-Mar-17 9/2017 3/2018 SWEET HOME OR NO DISCIPLINE

STONNELL DAVID INACTIVE 2274T 7/30/1990 30-Apr-17 STANWOOD WA NO DISCIPLINE

STOREY HENRY FRANK ACTIVE 1174ATI 6/10/1971 31-Dec-16 11/2016 12/2016 STAYTON OR NO DISCIPLINE

STOTLER MONICA RAE INACTIVE 3214ATI 6/27/2007 30-Nov-16 PRESCOTT AZ NO DISCIPLINE

STRAWN CYNTHIA S. ACTIVE 2791ATI 6/26/2000 28-Feb-17 1/2017 2/2018 KEIZER OR NO DISCIPLINE

STREFF DEAN R. INACTIVE 1732T 7/31/1984 30-Sep-16 LANCASTER OH NO DISCIPLINE

SUGIMOTO IKUKO INACTIVE 3085T 8/5/1994 30-Apr-17 TORRANCE CA COE ONLY 7/12/96

SUMMERS ALLISON ACTIVE 2684ATI 7/6/1998 30-Jun-16 11/2017 6/2016 PORTLAND OR NO DISCIPLINE

TA MINDY T.M. ACTIVE 3140ATI 8/1/2005 31-Aug-16 9/2017 8/2017 MILWAUKIE OR NO DISCIPLINE

TACK JEFFREY SCOTT INACTIVE 2380D 7/29/1991 30-Jun-16 LONGVIEW WA NO DISCIPLINE

TAHRAN RODNEY L. INACTIVE 1614D 7/27/1982 31-Mar-17 FULLERTON CA NO DISCIPLINE

TAKAKI RANDALL F. INACTIVE 2158D 7/31/1989 30-Sep-16 WAIPAHU HI NO DISCIPLINE

TAKAYESU SHARON M. INACTIVE 2276T 7/30/1990 31-Dec-16 KANEOHE HI NO DISCIPLINE

TANAKA FAY INACTIVE 3048T 9/3/1993 31-May-16 HONOLULU HI NO DISCIPLINE

TANG KELVIN K. INACTIVE 3120T 6/20/2005 31-Mar-17 WALNUT CREEK CA NO DISCIPLINE

TASRIPIN AMAND S. ACTIVE 3577ATI 9/22/2014 28-Feb-17 12/2017 2/2018 SALEM OR NO DISCIPLINE

TAYLOR BENJAMIN T. ACTIVE 3406ATI 6/20/2011 30-Sep-16 4/2017 9/2016 MEDFORD OR NO DISCIPLINE

TAYLOR DARCY COATS ACTIVE 3232ATI 7/12/2007 28-Feb-17 10/2016 2/2018 BEAVERTON OR NO DISCIPLINE

TAYLOR JEREMY W. ACTIVE 3201ATI 2/14/2007 31-Jul-16 4/2016 7/2017 NEWBERG OR NO DISCIPLINE

TAYLOR PAULA A. ACTIVE 3200ATI 2/14/2007 30-Nov-16 10/2016 11/2017 NEWBERG OR NO DISCIPLINE

5/18/2016 Only Active licensees are eligible to practice in Oregon. Please see the Discipline page for more information. Page 24

Page 25: Oregon Optometry Licensees...BALSALOBRE AMANDA M. ACTIVE 3119ATI 6/20/2005 31-Aug-16 2/2018 8/2016 BEND OR NO DISCIPLINE BALTER MARK D. INACTIVE 1519D 8/24/1981 31-Mar-17 SEATTLE WA

Oregon Optometry Licensees

Last First STATUS LICENSELICENSE

ISSUE DATEEXPIRES

CPR

EXPIRES

ETHIC/LAW

COURSECITY STATE DISCIPLINE

TAYLOR STEPHEN A. R. INACTIVE 1879D 7/29/1986 31-Oct-16 VICTORIA, BC CANADA NO DISCIPLINE

TAYLOR TRAVIS J. ACTIVE 3452ATI 2/16/2012 30-Sep-16 6/2017 9/2017 SALEM OR NO DISCIPLINE

TEGEN JESSICA B. ACTIVE 3215ATI 6/27/2007 30-Nov-16 9/2016 11/2016 MADRAS OR NO DISCIPLINE

THANOS CRYSTAL N. INACTIVE 3546ATI 5/30/2014 31-Jul-16 RENO NV NO DISCIPLINE

THEODORE WILLIAM K. ACTIVE 3480ATI 1/1/2013 31-Dec-16 11/2016 12/2017 HAPPY VALLEY OR NO DISCIPLINE

THOMAS JEFFREY K. ACTIVE 3370ATI 6/25/2010 31-Mar-17 9/2017 3/2017 EUGENE OR NO DISCIPLINE

THOMAS JONATHON C. ACTIVE 2646AT 8/20/1997 31-May-17 11/2017 5/2018 PORTLAND OR NO DISCIPLINE

THOMAS LINDY ANN ACTIVE 3293AT 10/8/2008 31-May-17 2/2017 5/2017 PORTLAND OR NO DISCIPLINE

THOMASON TOM SKI ACTIVE 2547AT 1/3/1996 28-Feb-17 10/2016 2/2017 BEND OR NO DISCIPLINE

THOMPSON BETHANY L. ACTIVE 3423ATI 7/26/2011 31-Mar-17 2/2017 3/2017 SPRINGFIELD OR NO DISCIPLINE

THOMPSON JOHN EDWARD INACTIVE 3271ATI 6/19/2008 31-Jan-17 VANCOUVER WA NO DISCIPLINE

THOMPSON L. D. INACTIVE 1955T 7/28/1987 30-Jun-17 CHATTAROY WA NO DISCIPLINE

THORSEN DARREN L. ACTIVE 2483AT 7/28/1992 31-Aug-16 6/2016 8/2016 SEASIDE OR NO DISCIPLINE

THORSLAND CHRISTOPHER M. ACTIVE 3126ATI 6/24/2005 30-Jun-17 4/2017 6/2017 PORTLAND OR NO DISCIPLINE

TIMPONE CAROLE A. ACTIVE 1615ATI 7/27/1982 31-Jul-16 5/2017 7/2017 FOREST GROVE OR NO DISCIPLINE

TO YUESUM ACTIVE 3153AT 11/23/2005 30-Jun-16 5/2016 6/2017 PORTLAND OR NO DISCIPLINE

TOBIN TERRY P. ACTIVE 1567ATI 8/24/1981 30-Nov-16 10/2017 11/2017 PORTLAND OR COE ONLY 2/28/97

TORGERSON NANCY G. INACTIVE 1616D 7/27/1982 31-May-17 LYNNWOOD WA NO DISCIPLINE

TRAN GRACE ACTIVE 3347AT 4/23/2010 30-Jun-16 10/2015 6/2016 ALHAMBRA CA NO DISCIPLINE

TRAN HAN M. ACTIVE 3619AT 6/19/2015 30-Jun-17 5/2017 6/2018 HAPPY VALLEY OR NO DISCIPLINE

TRAN JENNIFER M. ACTIVE 3306ATI 6/22/2009 30-Nov-16 8/2017 11/2016 PORTLAND OR NO DISCIPLINE

TRAN THUY CHU ACTIVE 4009ATI 8/18/1994 30-Nov-16 8/2016 11/2017 PORTLAND OR COE ONLY 9/27/96

TRELOAR HOWARD M. V. INACTIVE 1371D 6/21/1978 30-Nov-16 HAWTHORNE CA NO DISCIPLINE

TRINH LANA N. ACTIVE 3557ATI 6/11/2014 31-Jul-16 1/2016 7/2017 PORTLAND OR NO DISCIPLINE

TRONNES STEVEN F. ACTIVE 1409ATI 6/21/1978 31-May-17 9/2016 5/2018 ROSEBERG OR COE ONLY 9/27/96

TRULL JOSEPH C. INACTIVE 2484T 7/28/1992 31-Oct-16 SILVERDALE WA NO DISCIPLINE

TRUONG KAREN ACTIVE 3550ATI 6/2/2014 31-Mar-17 1/2018 3/2018 GRESHAM OR NO DISCIPLINE

TSAI TINA ACTIVE 2946ATI 8/4/2003 30-Nov-16 9/2017 11/2017 PORTLAND OR NO DISCIPLINE

TSAN GRACE L. ACTIVE 3407ATI 6/20/2011 30-Sep-16 4/2017 9/2016 PORTLAND OR NO DISCIPLINE

TSE JUNE L. ACTIVE 3654AT 4/21/2016 30-Jun-16 3/2018 6/2017 MONTEREY PARK CA NO DISCIPLINE

TUCKER-SPINO MARNIE ACTIVE 2919AT 5/6/2003 31-Jul-16 6/2016 7/2016 BELLINGHAM WA NO DISCIPLINE

TUHY, JR. EDWIN ACTIVE 2714ATI 1/13/1999 31-Dec-16 7/2017 12/2017 KLAMATH FALLS OR NO DISCIPLINE

TURIN ANTHONY J. ACTIVE 3371ATI 6/25/2010 31-Mar-17 11/2017 3/2018 SANDY OR NO DISCIPLINE

TURK WILLIAM A. INACTIVE 1133 1/1/1970 30-Jun-16 LEWISTOWN MT NO DISCIPLINE

TUTTLE JOEL R. ACTIVE 3430ATI 11/30/2011 31-Mar-17 1/2017 3/2018 BROOKINGS OR NO DISCIPLINE

TZOU HELENA L. ACTIVE 3629AT 7/1/2015 30-Sep-16 5/2016 9/2017 EUGENE OR NO DISCIPLINE

UESHIRO LYNN H. ACTIVE 2819ATI 2/16/2001 28-Feb-17 4/2016 2/2018 HONOLULU HI NO DISCIPLINE

UHLIG REBECCA ACTIVE 3162ATI 5/1/2006 30-Apr-17 10/2017 4/2017 PORTLAND OR NO DISCIPLINE

URNESS JEFFREY R. INACTIVE 1805ATI 8/10/1985 30-Apr-17 MEDICAL LAKE WA COE ONLY 9/13/94

VALLE GREGORY M. ACTIVE 3512ATI 7/16/2013 31-Jan-17 9/2016 1/2017 ROSEBURG OR NO DISCIPLINE

VANROEKEL RONALD C. ACTIVE 2534ATI 11/2/1995 31-Mar-17 3/2017 3/2017 SILVER SPRING MD NO DISCIPLINE

VASCHE TERRI ACTIVE 1454ATI 7/11/1979 31-Oct-16 9/2016 10/2016 SILVERTON OR AOD 12/2007

VERRUTO ERIC R. ACTIVE 3646AT 12/3/2015 30-Sep-16 10/2017 9/2017 OYSTER BAY NY NO DISCIPLINE

VIDLAK DANIEL J. ACTIVE 2643ATI 7/30/1997 30-Sep-16 8/2017 9/2016 GRANTS PASS OR NO DISCIPLINE

VIESTENZ OLESYA ACTIVE 3521ATI 8/5/2013 31-May-17 1/2017 5/2018 PORTLAND OR NO DISCIPLINE

VITIELLO PAOLA ACTIVE 2040ATI 8/2/1988 30-Jun-16 2/2017 6/2017 PORTLAND OR NO DISCIPLINE

5/18/2016 Only Active licensees are eligible to practice in Oregon. Please see the Discipline page for more information. Page 25

Page 26: Oregon Optometry Licensees...BALSALOBRE AMANDA M. ACTIVE 3119ATI 6/20/2005 31-Aug-16 2/2018 8/2016 BEND OR NO DISCIPLINE BALTER MARK D. INACTIVE 1519D 8/24/1981 31-Mar-17 SEATTLE WA

Oregon Optometry Licensees

Last First STATUS LICENSELICENSE

ISSUE DATEEXPIRES

CPR

EXPIRES

ETHIC/LAW

COURSECITY STATE DISCIPLINE

VOGEL CHRISTINA R. ACTIVE 3394ATI 9/1/2011 31-Aug-16 4/2017 8/2016 BEND OR NO DISCIPLINE

VONG ALFRED F. ACTIVE 3615AT 6/15/2015 28-Feb-17 5/2017 2/2017 SAN FRANCISCO CA NO DISCIPLINE

VORPAHL WESLEY N. INACTIVE 1666ATI 8/2/1983 31-Oct-16 SILVERTON OR NO DISCIPLINE

WADHAMS KAREN L. ACTIVE 3643AT 11/23/2015 30-Jun-16 1/2017 6/2017 BEND OR NO DISCIPLINE

WALD JOSEPH S. INACTIVE 1959D 7/28/1987 30-Jun-17 BELLINGHAM WA NO DISCIPLINE

WALKER DOUGLAS J. ACTIVE 2740ATI 6/22/1999 31-May-17 3/2018 5/2018 BROOKINGS OR NO DISCIPLINE

WALKER EVA INACTIVE 2486AT 7/28/1992 30-Apr-17 CHEHALIS WA NO DISCIPLINE

WALKER J. WALLACE ACTIVE 2487ATI 7/28/1992 30-Jun-16 5/2017 6/2016 MOLALLA OR NO DISCIPLINE

WALKER STEPHEN C. ACTIVE 3505AT 6/18/2013 30-Apr-17 9/2016 4/2018 ALBUQUERQUE NM NO DISCIPLINE

WALPORT AMY J. ACTIVE 3583AT 12/22/2014 30-Sep-16 11/2016 9/2016 MEDFORD OR NO DISCIPLINE

WALTERS SCOTT M. ACTIVE 2041ATI 8/2/1988 28-Feb-17 7/2016 2/2017 GRANTS PASS OR NO DISCIPLINE

WALTHER GREGORY C. ACTIVE 1368ATI 6/15/1977 31-Oct-16 9/2017 10/2017 ROSEBURG OR COE ONLY 2/28/97

WAN LAWRENCE K. INACTIVE 1667D 8/2/1983 31-Dec-16 MORGAN HILL CA NO DISCIPLINE

WARD MARI L. ACTIVE 3023ATI 8/13/1993 30-Sep-16 10/2017 9/2016 SHERWOOD OR NO DISCIPLINE

WARDLE CHARLES A. INACTIVE 1115ATI 1/1/1969 31-Mar-17 LONGVIEW WA AOD 8/1994 AND 9/1995

WATKINS MARLAINA D. ACTIVE 2585ATI 8/20/1996 30-Apr-17 3/2018 4/2017 HILLSBORO OR NO DISCIPLINE

WATSON AMANDA INACTIVE 4017T 9/20/1994 30-Jun-17 JACKSONVILLE OR NO DISCIPLINE

WATT TONI L. INACTIVE 3372ATI 6/25/2010 31-Oct-16 ALBERT LEA MN NO DISCIPLINE

WAVRA JAMES C. INACTIVE 1176D 1/1/1971 31-Jan-17 COLBERT WA NO DISCIPLINE

WEAVER JEFFREY LANCE INACTIVE 2042T 8/2/1988 31-Jan-17 BRIDGETON MO NO DISCIPLINE

WEBER JULIE ANN ACTIVE 2495ATI 8/6/1992 28-Feb-17 12/2016 2/2018 CORVALLIS OR NO DISCIPLINE

WEHNER PAUL M. ACTIVE 2742ATI 6/22/1999 30-Jun-16 6/2017 6/2017 HILLSBORO OR NO DISCIPLINE

WELLING MARIANNE INACTIVE 1696T 7/31/1984 31-Dec-16 BAINBRIDGE ISLAND WA NO DISCIPLINE

WELLS ANNA R. INACTIVE 3498ATI 5/30/2013 30-Apr-17 SPOKANE WA NO DISCIPLINE

WELLS STEVEN M. INACTIVE 1465ATI 7/11/1979 31-Jan-17 SPOKANE WA NO DISCIPLINE

WELLWOOD JOHN DAVID ACTIVE 2385ATI 7/29/1991 31-Jan-17 8/2017 1/2017 EUGENE OR NO DISCIPLINE

WENZ DAVID M. ACTIVE 3283AT 7/17/2008 31-May-17 4/2017 5/2017 HAPPY VALLEY OR NO DISCIPLINE

WERNER REX ARTHUR INACTIVE 2161D 7/31/1989 31-Dec-16 RANCHO SAN DIEG CA NO DISCIPLINE

WHARTON MOLLY M. ACTIVE 1814AT 7/29/1986 31-Mar-17 1/2017 3/2017 CLACKAMAS OR COE ONLY 9/27/96

WHEELER GARY H. ACTIVE 1095AT 6/22/1968 30-Jun-17 7/2016 6/2018 MEDFORD OR NO DISCIPLINE

WHEELER TREASURE A. ACTIVE 1089AT 6/22/1968 31-May-17 7/2016 5/2018 MEDFORD OR NO DISCIPLINE

WHITE CHARLEAN V. ACTIVE 2162AT 7/31/1989 30-Jun-16 3/2017 6/2016 DALLAS OR NO DISCIPLINE

WHITE CHRIS T. INACTIVE 2045D 8/2/1988 31-Dec-16 EASTSOUND WA NO DISCIPLINE

WHITEMAN TAFFY J. INACTIVE 3250ATI 11/21/2007 31-Jan-17 DENVER CO NO DISCIPLINE

WICKHORST SHELBY INACTIVE 2758T 9/29/1999 31-May-16 VANCOUVER WA NO DISCIPLINE

WIENER JOHN A. ACTIVE 3441AT 5/23/2012 31-Jan-17 8/2017 1/2017 MILFORD OH NO DISCIPLINE

WILCOX JESSICA ACTIVE 3247ATI 10/15/2007 31-Jan-17 12/2016 1/2017 KEIZER OR NO DISCIPLINE

WILKENING WILLIAM K. ACTIVE 1569ATI 8/24/1981 31-Aug-16 12/2016 8/2016 MEDFORD OR NO DISCIPLINE

WILKINSON BENJAMIN J. ACTIVE 3317ATI 7/17/2009 31-Jan-17 5/2017 1/2018 PORTLAND OR NO DISCIPLINE

WILKINSON DENISE MARIE ACTIVE 3199ATI 3/1/2007 28-Feb-17 12/2017 2/2017 WILSONVILLE OR NO DISCIPLINE

WILKINSON JEFFREY INACTIVE 2667T 6/22/1998 30-Apr-17 YAKIMA WA NO DISCIPLINE

WILLIAMS MARGOT INACTIVE 3138T 7/25/2005 31-May-17 PORT ANGELES WA NO DISCIPLINE

WILLIAMS MARK A. ACTIVE 2163ATI 7/31/1989 31-Dec-16 4/2016 12/2017 PORTLAND OR COE ONLY 9/27/96

WILLIAMS PAUL A. INACTIVE 2281T 7/30/1990 30-Jun-17 TACOMA WA NO DISCIPLINE

WILLIAMS SALISA K. ACTIVE 3116ATI 5/20/2005 31-Jan-17 2/2017 1/2018 TUALATIN OR NO DISCIPLINE

WILLIAMS SARA RENEE ACTIVE 3131AT 7/13/2005 30-Sep-16 7/2017 9/2017 HILLSBORO OR NO DISCIPLINE

5/18/2016 Only Active licensees are eligible to practice in Oregon. Please see the Discipline page for more information. Page 26

Page 27: Oregon Optometry Licensees...BALSALOBRE AMANDA M. ACTIVE 3119ATI 6/20/2005 31-Aug-16 2/2018 8/2016 BEND OR NO DISCIPLINE BALTER MARK D. INACTIVE 1519D 8/24/1981 31-Mar-17 SEATTLE WA

Oregon Optometry Licensees

Last First STATUS LICENSELICENSE

ISSUE DATEEXPIRES

CPR

EXPIRES

ETHIC/LAW

COURSECITY STATE DISCIPLINE

WINGER LORRAINE ACTIVE 1833AT 7/29/1986 31-May-17 2/2017 5/2017 BEND OR NO DISCIPLINE

WINNICK JAMES E. INACTIVE 2649T 9/3/1997 31-Jan-17 OAKDALE CA NO DISCIPLINE

WINTERS BENJAMIN S. ACTIVE 3503ATI 6/12/2013 30-Apr-17 2/2017 4/2017 MILTON-FREEWATER OR NO DISCIPLINE

WISSINK NICHOLAS INACTIVE 1965T 7/28/1987 31-Aug-16 SPOKANE WA NO DISCIPLINE

WOJCIECHOWSKI BRUCE R. ACTIVE 1620ATI 7/27/1982 30-Sep-16 8/2016 9/2017 CLACKAMAS OR NO DISCIPLINE

WOJCIECHOWSKI SCOTT ACTIVE 1735ATI 7/31/1984 31-Oct-16 1/2018 10/2016 PORTLAND OR NO DISCIPLINE

WOLF DAVID A. ACTIVE 1670ATI 8/2/1983 30-Nov-16 10/2017 11/2017 LAKE OSWEGO OR NO DISCIPLINE

WOLFF ANNE C. INACTIVE 3280ATI 7/14/2008 28-Feb-17 LIBERTY LAKE WA NO DISCIPLINE

WONG BONITA INACTIVE 2907T 11/14/2002 30-Sep-16 SOUTHLAKE TX NO DISCIPLINE

WONG GINA ACTIVE 2689ATI 7/6/1998 30-Jun-16 3/2017 6/2016 ELK GROVE CA NO DISCIPLINE

WONG GWENDOLYN S. INACTIVE 3492ATI 5/29/2013 31-Dec-16 VANCOUVER, BC CANADA NO DISCIPLINE

WONG JASON M. INACTIVE 1966T 7/28/1987 31-Jul-16 DANVILLE CA NO DISCIPLINE

WONG MAGGIE M. ACTIVE 3621ATI 6/22/2015 30-Nov-16 4/2017 11/2016 PORTLAND OR NO DISCIPLINE

WONG, JR BEN H. INACTIVE 2283ATI 7/30/1990 28-Feb-17 OLYMPIA WA NO DISCIPLINE

WOODMAN WILLIAM ROGER ACTIVE 2164ATI 7/31/1989 31-Jul-16 10/2016 7/2016 BEND OR NO DISCIPLINE

WOODRUFF SCOTT E. ACTIVE 1218ATI 6/24/1973 30-Jun-16 4/2017 6/2017 ROSEBURG OR COE ONLY 9/27/96

WOODS ANN SERAFINI INACTIVE 3272ATI 6/19/2008 30-Apr-17 LAKEWOOD CO NO DISCIPLINE

WYKES DIANA INACTIVE 1737T 8/10/1985 30-Apr-17 FOUNTAIN HILLS AZ NO DISCIPLINE

YANG ATHENI D. INACTIVE 2286D 7/30/1990 30-Sep-16 ANAHEIM HILLS CA NO DISCIPLINE

YANG PAUL R. INACTIVE 2287D 7/30/1990 31-Jul-16 ANAHEIM HILLS CA NO DISCIPLINE

YEE LENA H. ACTIVE 2794ATI 6/26/2000 30-Nov-16 2/2017 11/2017 ST HELENS OR NO DISCIPLINE

YEUNG CAROLIN TING-I ACTIVE 3237AT 8/13/2007 31-May-17 2/2018 5/2018 CLACKAMAS OR NO DISCIPLINE

YOH PAUL JOHN INACTIVE 2491T 7/28/1992 31-Oct-16 PALM SPRINGS CA NO DISCIPLINE

YOKOI GARNET MICHIKO INACTIVE 3231AT 7/9/2007 30-Apr-17 RENO NV NO DISCIPLINE

YOO RICHARD YONG KI ACTIVE-MILITARY 3101ATI 8/16/2004 31-Dec-16 1/2017 12/2016 APO AE NO DISCIPLINE

YOUNG DALE INACTIVE 1883T 7/29/1986 31-Aug-16 TEHACHAPI CA COE ONLY 2/28/97

YOUNG ROB ACTIVE 3026ATI 8/13/1993 31-Aug-16 10/2016 8/2017 CORVALLIS OR NO DISCIPLINE

YOUNGMAN LORI A. ACTIVE 3096ATI 8/5/1994 31-May-17 4/2018 5/2017 OSWEGO NY NO DISCIPLINE

YOUNT KENT GREGORY INACTIVE 2165T 7/31/1989 30-Nov-16 LITTLETON CO NO DISCIPLINE

YU SOPHIA INACTIVE 3185T 7/20/2006 30-Apr-17 BROOKLYN NY NO DISCIPLINE

YU VICTORIA Y. INACTIVE 2587T 8/20/1996 31-Jul-16 ANCHORAGE AK NO DISCIPLINE

YUDCOVITCH LORNE ACTIVE 2588ATI 8/20/1996 31-Jan-17 11/2016 1/2018 FOREST GROVE OR NO DISCIPLINE

ZAMBERLAN SUZANNE THERESE ACTIVE 2977ATI 6/22/2004 28-Feb-17 11/2016 2/2018 FOREST GROVE OR NO DISCIPLINE

ZAPODEANU ADINA NELA ACTIVE 3152ATI 11/1/2005 31-Oct-16 9/2017 10/2016 SHERWOOD OR NO DISCIPLINE

ZELADA ARMANDO JERRY ACTIVE 1808ATI 8/10/1985 30-Sep-16 6/2017 9/2017 PORTLAND OR COE ONLY 2/28/97

ZELNAR JOHN E. ACTIVE 1333AT 6/9/1976 31-Dec-16 11/2017 12/2016 BEND OR NO DISCIPLINE

ZHENG FRANK G. ACTIVE 3566ATI 6/26/2014 30-Sep-16 6/2016 9/2017 FOREST GROVE OR NO DISCIPLINE

ZIEG JOHN A. ACTIVE 1739ATI 7/31/1984 31-Jul-16 3/2016 7/2017 CANBY OR NO DISCIPLINE

ZOLLER RICHARD ACTIVE 2818ATI 2/7/2001 31-Jul-16 5/2016 7/2016 TIGARD OR NO DISCIPLINE

5/18/2016 Only Active licensees are eligible to practice in Oregon. Please see the Discipline page for more information. Page 27