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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
Coughlan
John
F
001500
PA
03/04/2003
03/05/2003
1955
Jackson
Bertram
V
000357
PA
06/22/1990
10/30/2002
Rydberg
Amanda
B
007079
PA
10/29/2002
10/29/2002
1976
Dean
Brian
Paul
004844
PA
10/17/2002
10/17/2002
1942
Dean
Brian
Paul
004844
PA
02/08/2000
10/17/2002
1942
Khoury
Therese
Marie
006673
PA
10/07/2002
10/08/2002
1958
McCarthy
Christopher
003170
PA
02/06/1991
09/03/2002
Race
William
A
005285
PA
08/12/2014
07/18/2002
1965
Narcisse
Joseph
002087
PA
05/23/2002
05/26/2002
1946
Poland
Harry
Joseph
004527
PA
05/21/2002
05/17/2002
1950
Choi
Randy
005963
PA
04/22/2002
04/22/2002
1974
Novak
Mark
H
003852
PA
04/08/2002
04/09/2002
1955
Eustaquio
Edwin
S
004635
PA
02/22/2001
03/05/2002
1963
Hickman
James
M
004171
PA
01/25/2002
01/27/2002
1959
Jadoo
Maclean
004700
PA
11/06/2001
11/14/2001
1948
Murray
Theodore
R
004208
PA
10/11/2001
10/15/2001
1948
Mendelsohn
Deborah
006093
PA
08/11/2006
09/13/2001
1967
Campbell
Louie
Keith
003579
PA
05/07/2001
07/12/2001
1951
Montfort
Nephtali
003421
PA
06/11/2001
06/20/2001
1951
Howard
Keith
000992
PA
01/07/1998
05/12/2001
1949
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