DEPARTMENT OF INSURANCE
Course Attendance Information
PR01597: Kentucky Self Insurers Association
Experior Provider Number: S16710 
Provider Type: Independent
Certification Date: 7/26/2011

Address: 5932 Timber Ridge Dr.
Ste. 101
Prospect, KY 40059
Contact: Angela Underwood
Telephone: 502-223-5322
Status: Active
Termination Date: N/A
View Instructors
Course Attendees
Course Name :  Workers Comp Medical Evaluation: The Examiner''s Pe
DOI IDNameCompletion Date Compliance Date
566958 Wilson, Sandra Kay 04/10/2019 06/30/2020
549710 Whiting, Theresa Anne 04/10/2019 02/28/2021
358127 Layman Huff, Karen Marie 04/10/2019 04/30/2020
308627 Johnson, Venise W. 04/10/2019 04/30/2020
354786 Skaggs, Anita Gail 04/10/2019 11/30/2019
511175 Turk, Maureen Rose 04/10/2019 06/30/2020
582725 Blanton, Mary Patricia 04/10/2019 09/30/2019
340994 Alvarez, Sandra 04/10/2019 08/31/2020
549323 Askins, Julia A 04/10/2019 03/31/2020
580906 Ballinger, Dana Marie 04/10/2019 09/30/2019
347575 Beaven, Debra Belinda 04/10/2019 04/30/2019
337416 Bordner, Vicki Elaine 04/10/2019 02/29/2020
353731 Bowles, Tina Luanne 04/10/2019 06/30/2019
327332 Burch, David A 04/10/2019 05/31/2020
322887 Chappa, Mary Ruth 04/10/2019 09/30/2019
302432 Cook, Brooke Elizabeth 04/10/2019 06/30/2019
523077 Covert, Melissa Mae 04/10/2019 01/31/2021
387613 Downs, Gayle D 04/10/2019 05/31/2019
312407 English, Patrick Gerard 04/10/2019 10/31/2019
373880 Ernspiker, Laura A 04/10/2019 11/30/2020
311715 Freedman, Marilyn Gail 04/10/2019 12/31/2020
372543 Gasser, Scott D 04/10/2019 10/31/2019
549709 Goldener, Kristi Gail 04/10/2019 01/31/2020
303142 Bielefeld, Deanna J 04/10/2019 05/31/2020
304886 Hill, Vonda Leann 04/10/2019 07/31/2020
644552 Hoots, Joshua Adam 04/10/2019 08/31/2019
389774 Houston, Debra E 04/10/2019 04/30/2020
316780 Jones, Dorothea 04/10/2019 05/31/2019
344074 Kleier, Cindy 04/10/2019 04/30/2019
809484 Kopple, Kathy Marie 04/10/2019 12/31/2019
364123 Lee, Richard Michael 04/10/2019 07/31/2019
313195 Long, Judy Bartlett 04/10/2019 11/30/2020
343652 Martin, Bernita Sue 04/10/2019 11/30/2019
341789 Mazzoli, Toni Marie 04/10/2019 10/31/2019
363873 McAlister, Kimberly Nunn 04/10/2019 07/31/2019
383631 McCubbins, Elizabeth Rose 04/10/2019 12/31/2020
535240 Milam, Penny Michelle 04/10/2019 08/31/2019
998251 Miller, Rachel Lynn 04/10/2019 02/28/2021
390625 Patrick, Doyle F 04/10/2019 07/31/2019
345309 Payton, Desiree Lynn 04/10/2019 10/31/2020
998274 Perez, Marimar Meza 04/10/2019 03/31/2020
752799 Petrie, Heather Lyn 04/10/2019 02/29/2020
836121 Randol, Leilah 04/10/2019 10/31/2019
969533 Rausch, Emily 04/10/2019 05/31/2021
959298 Rausch, Charles Jeffrey 04/10/2019 03/31/2021
559522 Reeder, Victoria Antonia Marie 04/10/2019 04/30/2019
550240 Rigdon, Lori Jane 04/10/2019 10/31/2020
550242 Rusche, Teresa Gail 04/10/2019 10/31/2020
864490 Senters, Kristine L 04/10/2019 02/29/2020
619543 Sharp, Christina G 04/10/2019 05/31/2019
325115 Smith, Debra D 04/10/2019 06/30/2019
379810 Smith, Kara Deanine 04/10/2019 01/31/2021
378027 Smith, Sonia L 04/10/2019 10/31/2019
351204 Snook, Ruth Lynn 04/10/2019 02/29/2020
692140 St. Clair, Kari Anne 04/10/2019 07/31/2019
512074 Stallings, Debra Sue 04/10/2019 02/28/2021
322397 Thompson, Linda Carol 04/10/2019 08/31/2019
327733 Wheatley, Charles Brian 04/10/2019 02/29/2020
930851 Young, Melissa Lynn 04/10/2019 09/30/2019

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