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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 [First/Prev] 429,430,431,432,433,434,435,436 [Next/Last]

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