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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
Bair
Brooke
273364
DO
03/10/2020
03/03/2020
1980
Taylor
Martina
262578
MD
03/02/2020
02/25/2020
1980
Gonzalez
Pedro
Juan
270231
MD
08/08/2019
08/01/2019
1980
Cox
Paul
260399
MD
07/18/2019
07/11/2019
1980
DeCicca
Michael
295918
MD
12/07/2017
11/30/2017
1980
Alessi
Steven
Michael
012346
PA
01/10/2013
07/27/2017
1980
D'Silva
Ashley
James
None
MD
06/01/2017
05/25/2017
1980
Kline
Brian
R.
276281
MD
05/23/2016
05/03/2017
1980
Williams
Alicia
272372
MD
03/07/2017
02/28/2017
1980
Kolnik
Sarah
E
255045
MD
10/28/2014
10/21/2014
1980
Morikis
Kalli
265857
DO
10/27/2014
10/20/2014
1980
Johnson
Laurie
E
011443
PA
08/15/2012
08/08/2012
1980
Snetman
David
None
MD
04/03/2012
03/27/2012
1980
Russell
Samuel
J
009631
PA
03/22/2012
03/15/2012
1980
Nguyen
Charles
H
None
MD
06/30/2011
06/23/2011
1980
Emery
Robyn
M
009740
PA
02/08/2011
02/01/2011
1980
Lalani
Fazila
271800
MD
10/04/2010
09/27/2010
1980
Asandra
Christopher
Formmit
274563
MD
05/31/2024
05/24/2024
1979
Qubti
Marzouq
A.
265130
MD
12/19/2023
12/12/2023
1979
Hayes
Tara
A.
008611
PA
08/30/2023
08/23/2023
1979
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