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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
Venerus
Bryan
J.
229527
MD
04/23/2024
04/16/2024
1961
Isaac
George
B.
204255
MD
04/19/2024
04/12/2024
1960
Combs
Sarah
A.
263969
MD
04/02/2024
04/10/2024
1981
Hartlieb
Laura
A.
013902
PA
04/15/2024
04/09/2024
1982
Tatum
David
Arthur
279951
DO
04/15/2024
04/09/2024
1982
Hobbs-Green
Roxanne
181769
MD
04/15/2024
04/09/2024
1960
Jordan
Matthew
J.
015551
PA
04/15/2024
04/09/2024
1981
Horton
Daniel
A.
024076
PA
04/15/2024
04/08/2024
1982
Lalaji
Anand
P.
247347
MD
04/05/2024
04/05/2024
1972
Clerizier
Soshana
M.
318149
MD
04/08/2024
04/04/2024
1989
Cho
Woojin
270239
MD
04/08/2024
04/04/2024
1973
Eshkenazi
Azariah
128543
MD
04/04/2024
04/04/2024
1938
Thillainathan
Ananthakumar
291751
MD
04/04/2024
04/04/2024
1978
Chang
Richard
S.
243451
MD
04/04/2024
04/04/2024
1973
Mittal
Niranjan
K.
162509
MD
04/08/2024
04/01/2024
1953
O'Rourke
Sean
P.
196786
MD
03/21/2024
03/28/2024
1965
Wahib
Samir
A.
214272
DO
03/21/2024
03/28/2024
1967
Martin
Angel
I.
288775
MD
04/02/2024
03/26/2024
1986
Bubucea
Mariana
256324
MD
04/01/2024
03/25/2024
1971
Mehdi
Ahmad
M.
215330
MD
04/01/2024
03/25/2024
1964
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