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Physician Last Name Physician First Name Physician Middle Name License Number License Type Effective Date Date Updated Year of Birth
Lu Cheh S. 192188 DO 01/25/2024 02/14/2024 1936
Tichenor Louise 006623 PA 02/21/2024 02/14/2024 1957
Desai Jignyasa 262711 DO 02/08/2024 02/13/2024 1978
Mun David 234121 MD 02/20/2024 02/13/2024 1971
Belfar William Scott 206297 MD 01/31/2024 02/08/2024 1963
Seok In Tack 152776 MD 02/14/2024 02/07/2024 1947
Giacopelli Paul M. 192582 MD 02/14/2024 02/07/2024 1964
Cohen Igor E. 228201 MD 02/14/2024 02/07/2024 1965
Ryan Renee Anne 248246 MD 01/31/2024 02/01/2024 1967
Kim Young H. 129513 MD 02/07/2024 01/31/2024 1942
Yerneni Purnachandra Rao 181240 MD 02/07/2024 01/31/2024 1954
Mella Cesar Francisco 286304 MD 01/12/2024 01/30/2024 1981
Hadley Graham Reid 294510 MD 02/06/2024 01/30/2024 1988
Saadi James A. 141146 MD 01/24/2024 01/29/2024 1942
Wasyliw Orest M. 127451 MD 01/31/2024 01/24/2024 1946
Dallolio Michael John 240272 MD 01/31/2024 01/24/2024 1971
Milstein David R. 140311 MD 01/31/2024 01/24/2024 1952
Komanduri Mukund 301592 MD 01/31/2024 01/24/2024 1966
Gressel Lisa W. 024786 PA 01/31/2024 01/24/2024 1975
Okwara Benedict O. 183096 MD 01/31/2024 01/24/2024 1955
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