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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
Krueger
Lance
S.
003160
PA
10/08/2019
10/01/2019
1958
Dosunmu
Benzena
Vernel
003169
PA
12/24/2007
03/09/2007
1948
McCarthy
Christopher
J
003170
PA
04/12/2000
03/13/2018
1960
McCarthy
Christopher
003170
PA
02/06/1991
09/03/2002
McCarthy
Christopher
J
003170
PA
08/13/1992
Foster
Darryl
L
003234
PA
11/11/2015
11/06/2015
1960
Cabrera
Juan
003276
PA
11/13/1997
Kilborn
Michael
Brian
003305
PA
02/04/2004
01/30/2004
1949
Welton
Vivian
003343
PA
02/16/2010
02/11/2010
1950
Monson
Ronald
S.
003350
PA
09/16/2022
09/13/2022
1962
McNeil
John
Paul
003390
PA
03/23/2011
03/16/2011
1947
Zadeh
Mehran
003399
PA
07/21/2010
09/06/2013
1961
Famolaro
John
003401
PA
07/10/1996
Hammonds
Roy
G.
003412
PA
11/28/2019
11/21/2019
1953
Benjamin
Alexis
003420
PA
02/03/1999
1958
Montfort
Nephtali
003421
PA
06/11/2001
06/20/2001
1951
Montfort
Nephtali
003421
PA
03/01/1995
Ruello
Joseph
P
003469
PA
05/04/2012
04/27/2012
1950
Narcisse
Francis
003555
PA
09/20/1995
Millien
Jean
Moise
003566
PA
11/22/2000
1962
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