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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
Schulz
Lauren
Baldinger
273977
DO
08/15/2022
08/08/2022
1982
Lietzke
Christiana
273981
MD
07/06/2017
07/07/2017
1976
Barone
Christopher
M
274111
MD
09/12/2015
11/04/2015
1971
Portillo
Genghis
274334
MD
08/05/2016
10/13/2016
1961
Asandra
Christopher
Formmit
274563
MD
05/31/2024
05/24/2024
1979
Asandra
Christopher
Formmit
274563
MD
10/14/2020
10/07/2020
1979
Patel
Surag
S.
274797
MD
11/27/2020
11/20/2020
1983
Mathew
Rex
G.
274821
MD
01/22/2019
01/25/2019
1975
DeGraft-Johnson
Moses
Desmond
274997
MD
03/05/2021
02/26/2021
1974
Guevara
Ernesto
J
275048
MD
03/21/2016
06/06/2016
1977
DiSibio
Guy
Lewis
275089
MD
09/21/2017
09/15/2017
1967
Rangaraj
Aravind
T.
275130
MD
07/21/2023
07/13/2023
1975
Pham
Nhan
Van
275151
DO
02/28/2023
02/22/2023
1982
Imran
Sikandar
S.
275179
MD
08/20/2018
08/13/2018
1985
Silber
David
J
275864
DO
03/16/2016
06/06/2016
1985
Sison
Corinna
275870
MD
10/14/2020
10/08/2020
1982
Sankin
Gene
275921
MD
01/14/2019
01/07/2019
1979
Bruni
Larry
M.
275946
MD
06/24/2021
06/17/2021
1951
Warren
Gareth
276114
MD
08/31/2016
08/25/2016
1978
Sakman
Ferda
276196
MD
07/23/2020
07/16/2020
1986
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