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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
Goodwin
Aimee
T.
006601
PA
06/09/2008
06/02/2008
1976
Khoury
Therese
Marie
006673
PA
04/25/2008
04/21/2008
1958
Resnik
Brian
Marc
005152
PA
04/07/2008
03/31/2008
1961
Hoshko
Lara
Michele Manti
006162
PA
03/28/2008
03/21/2008
1967
Manti
Lara
Michele
006162
PA
03/28/2008
03/21/2008
1967
Carlos
Dorothy
O
002180
PA
12/28/2007
12/21/2007
1941
Dramis
Nicholas
Michael
002470
PA
12/06/2007
12/04/2007
1954
Kwan
Pokum
006357
PA
10/22/2007
10/16/2007
1952
Marshall
Augustin
Enoch
004155
PA
08/23/2007
08/17/2007
1935
Sochocki
Peter
John
001522
PA
08/15/2007
08/08/2007
1952
Walts
Nelson
001723
PA
01/09/1993
07/02/2007
1947
Clemens
Carrie
A
010018
PA
07/09/2007
07/02/2007
1975
Walts
Nelson
001723
PA
02/24/2005
07/02/2007
1947
Walts
Nelson
001723
PA
07/09/2007
07/02/2007
1947
Clarke
Theresa
Sharon
005857
PA
06/15/2007
06/08/2007
1959
Dosunmu
Benzena
Vernel
003169
PA
12/24/2007
03/09/2007
1948
Ceesay
Kitabu
Dembo
008096
PA
01/15/2007
01/16/2007
1965
Capraro
Douglas
A
000302
PA
10/06/2006
09/29/2006
1946
Capraro
Douglas
A
000302
PA
06/04/1999
09/29/2006
1946
St.Pierre
Diane
006773
PA
08/01/2006
07/25/2006
1964
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