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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
Weiss
Jonathan
Andrew
018166
PA
10/15/2020
10/21/2020
1990
Shoulders
Ray
Anthony
017204
PA
10/23/2020
10/16/2020
1987
Sikorski
Gregory
S.
007945
PA
10/05/2020
09/29/2020
1970
Canham
Timothy
P.
004006
PA
08/25/2020
08/18/2020
1961
Weiss
Jonathan
Andrew
018166
PA
08/21/2020
08/14/2020
1990
Overholt
Dustin
Thomas
023452
PA
08/17/2020
08/10/2020
1976
Nuzzi
Malisa
010720
PA
07/27/2020
07/27/2020
1976
Dooley
Richard
005830
PA
07/29/2020
07/22/2020
1968
Whitley
Kevin
Joseph
005562
PA
07/09/2020
07/02/2020
1960
Bohlman
Peter
005974
PA
07/06/2020
07/01/2020
1967
Cassetta
Rocco
G.
008014
PA
05/20/2020
05/14/2020
1963
Moss
Steven
Bart
003593
PA
05/20/2020
05/13/2020
1960
Rodriguez
Jairo
012535
PA
05/20/2020
05/13/2020
1982
Durling
Edward
P.
002260
PA
04/29/2020
04/22/2020
1953
Blodgett
Judy
Faith
001618
PA
04/09/2020
04/07/2020
1957
Ineama
Christopher
Azubuike
012149
PA
03/13/2020
03/09/2020
1960
Ferguson
Mary
Kate
016383
PA
02/28/2020
02/21/2020
1960
Warren
Robert
C.
002447
PA
02/12/2020
02/06/2020
1951
Zarbakhsh
Samira
014763
PA
12/13/2019
12/06/2019
1981
Hammonds
Roy
G.
003412
PA
11/28/2019
11/21/2019
1953
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