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Physician Records
Physician Last Name
Physician First Name
Physician Middle Name
License Number
License Type
Effective Date
Date Updated
Year of Birth
Iacono
Tara
M
012592
PA
04/09/2013
04/02/2013
1983
Behrens
Eric
E
005986
PA
12/17/2009
02/22/2013
1966
Potouridis
Maria
009478
PA
02/11/2013
02/04/2013
1981
Bradshaw
Ronald
L
000629
PA
01/09/2013
01/03/2013
1949
Miller
Ronald
K.
002761
PA
01/03/2013
12/27/2012
1963
Ross
Carolyn
A
010219
PA
12/26/2012
12/19/2012
1962
Stworzyjanek
Rebecca
J
013245
PA
11/26/2012
11/19/2012
1979
Underwood
Angelika
T
011004
PA
11/14/2012
11/07/2012
1982
Brown
Scott
Martin
012350
PA
11/01/2012
10/25/2012
1965
Dewitt
Sarah
M
011398
PA
10/29/2012
10/22/2012
1984
Boyarsky
Justin
S
009522
PA
10/19/2012
10/12/2012
1981
Livingston
Charles
M
004586
PA
10/12/2012
10/05/2012
1955
Raziyev
Jacob
006457
PA
08/26/2009
09/25/2012
1977
Johnson
Laurie
E
011443
PA
08/15/2012
08/08/2012
1980
Ruello
Joseph
P
003469
PA
05/04/2012
04/27/2012
1950
Murray
Susan
A
005166
PA
04/16/2012
04/10/2012
1957
Festus
Edward
004555
PA
03/29/2012
03/26/2012
1957
Russell
Samuel
J
009631
PA
03/22/2012
03/15/2012
1980
McGinnis
Niall
002563
PA
03/15/2012
03/08/2012
1948
Symenow
Christopher
G
009611
PA
02/21/2012
02/14/2012
1977
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