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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 Jordan Matthew J. 015551 PA 04/15/2024 04/09/2024 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 Horton Daniel A. 024076 PA 04/15/2024 04/08/2024 1982 Lalaji Anand P. 247347 MD 04/05/2024 04/05/2024 1972 Thillainathan Ananthakumar 291751 MD 04/04/2024 04/04/2024 1978 Cho Woojin 270239 MD 04/08/2024 04/04/2024 1973 Clerizier Soshana M. 318149 MD 04/08/2024 04/04/2024 1989 Chang Richard S. 243451 MD 04/04/2024 04/04/2024 1973 Rudis Steven P. 215322 MD 01/05/2024 04/04/2024 1962 Eshkenazi Azariah 128543 MD 04/04/2024 04/04/2024 1938 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 [First/Prev] 1,2,3,4,5,6,7,8 [Next/Last]

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