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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
Kassal
Rajeev
P97493
MD
11/24/2003
11/18/2003
1963
Khan
Mushtaq
Ahmad
P78485
MD
08/26/2013
08/19/2013
1972
Santana-Pichardo
Altagracia
P76691
MD
08/13/1999
1954
Ivy
Edward
Joseph
P69684
MD
03/28/2002
07/02/2002
1958
Ruiz
Julio
Vernon
P66141
MD
07/26/1999
1947
Mohyuddin
Mohammad
Ali
P65899
MD
07/15/1993
03/12/2002
1950
Juwah
Alexander
P63718
MD
06/27/2008
06/20/2008
1962
Nanez-Hoyos
Alberto
P39729
PA
01/14/2010
01/11/2010
1962
Ibrahim
Ayman
A.
P36346
MD
01/04/2007
01/02/2007
1967
Epps
Chad
P28423
MD
01/31/2007
01/24/2007
1972
Epps
Chad
P28423
MD
11/22/2005
11/15/2005
1972
Wilenkin
Lawrence
P25926
MD
09/15/2004
09/08/2004
1967
Wilenkin
Lawrence
P25926
MD
03/15/2004
03/08/2004
1967
Japaridze
Goulbat
P12470
MD
05/09/2007
05/02/2007
1960
Vereczkey-Porter
Kinga
P03223
MD
03/15/2004
03/09/2004
1963
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
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