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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
Santiago
Julian
A.
019319
PA
04/24/2024
04/17/2024
1993
Nelson
Alan
J.
125202
MD
04/24/2024
04/17/2024
1945
Stoll
Andrew
M.
174508
MD
04/24/2024
04/17/2024
1958
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
Hartlieb
Laura
A.
013902
PA
04/15/2024
04/09/2024
1982
Jordan
Matthew
J.
015551
PA
04/15/2024
04/09/2024
1981
Hobbs-Green
Roxanne
181769
MD
04/15/2024
04/09/2024
1960
Tatum
David
Arthur
279951
DO
04/15/2024
04/09/2024
1982
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
Wahib
Samir
A.
214272
DO
03/21/2024
03/28/2024
1967
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