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Physician Last Name Physician First Name Physician Middle Name License Number License Type Effective Date Date Updated Year of Birth
Lapides David A. 307241 MD 02/15/2023 02/08/2023 1984
Garcia Omar 307694 MD 09/20/2021 09/13/2021 1967
Pavelock Natalie A. 308513 MD 04/28/2022 04/21/2022 1983
Medina Sixto Roberto 308811 MD 08/14/2023 08/07/2023 1983
Medina-Trevino Sixto Roberto 308811 MD 08/14/2023 08/07/2023 1983
McMillion Virgil Waid 310265 DO 04/17/2023 04/10/2023 1974
Gregory Joyce 310488 MD 09/25/2023 09/18/2023 1968
Ross Heather Lynn 311543 MD 09/29/2017 09/22/2017 1981
Kavanagh Patrick D. 314680 MD 12/27/2023 12/20/2023 1970
Macchiarella Nancy 314904 DO 12/27/2023 12/20/2023 1971
Clerizier Soshana M. 318149 MD 04/08/2024 04/04/2024 1989
Croake Alexander None MD 05/07/2018 07/09/2018 1987
Khan Sharjeel None MD 03/05/2018 02/26/2018 1978
Tintle Suzanne None MD 10/26/2017 10/19/2017 1984
Ross Heather Lynn None MD 09/29/2017 09/22/2017 1981
Muduve Leo None MD 08/24/2017 08/17/2017 1979
D'Silva Ashley James None MD 06/01/2017 05/25/2017 1980
Orellana Felipe None DO 02/13/2017 04/27/2017 1983
Van Oppen Dorothy None MD 03/07/2017 02/28/2017 1987
Budwal Harmanpreet None MD 03/25/2016 03/18/2016 1984
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