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Physician Last Name Physician First Name Physician Middle Name License Number License Type Effective Date Date Updated Year of Birth
Famolaro John 003401 PA 07/10/1996
Zadeh Mehran 003399 PA 07/21/2010 09/06/2013 1961
McNeil John Paul 003390 PA 03/23/2011 03/16/2011 1947
Monson Ronald S. 003350 PA 09/16/2022 09/13/2022 1962
Welton Vivian 003343 PA 02/16/2010 02/11/2010 1950
Kilborn Michael Brian 003305 PA 02/04/2004 01/30/2004 1949
Cabrera Juan 003276 PA 11/13/1997
Foster Darryl L 003234 PA 11/11/2015 11/06/2015 1960
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
Dosunmu Benzena Vernel 003169 PA 12/24/2007 03/09/2007 1948
Krueger Lance S. 003160 PA 06/22/2021 06/15/2021 1958
Krueger Lance S. 003160 PA 10/08/2019 10/01/2019 1958
Quattro Cynthia 003145 PA 03/05/2004 02/27/2004 1957
Visconte-Larosa Sandra A. 003094 PA 08/29/2019 08/22/2019 1962
Visconte-Larosa Sandra A. 003094 PA 11/21/2016 02/15/2017 1962
Cerri Ruben W 003038 MD 11/04/2011 11/02/2011 1962
Gentile Robert A. 003016 PA 04/01/2024 03/25/2024 1949
Peppmeier Robert 003009 PA 09/17/1997
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