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Physician Last Name Physician First Name Physician Middle Name License Number License Type Effective Date Date Updated Year of Birth
Kalliathparambil John 142420 MD 04/08/1991 1944
Novak Edward B 127986 MD 03/22/1991 09/04/2002
Swenski Richard 118078 DO 03/18/1991 09/16/2002 1946
Swiatek Stanley 042299 MD 03/18/1991 09/16/2002 1917
Nguyen Nhi Thi 151474 MD 03/18/1991 09/04/2002 1923
Fisher Martin A 031030 MD 03/18/1991 09/03/2002 1911
Fischberg Leslie 148179 MD 03/18/1991 09/03/2002 1950
Morrissey Michael 085676 MD 03/18/1991 09/03/2002 1931
Kim Young I 130366 MD 03/18/1991 08/30/2002 1943
DeRamon Edward Ralph 079903 MD 03/18/1991 08/28/2002
Akhtar Mohammad Shafiq 123003 MD 03/18/1991 08/27/2002 1945
Guneratne Franklin 117499 MD 02/06/1991 09/03/2002 1943
Matala Joseph S 089376 MD 02/06/1991 09/03/2002 1931
McCarthy Christopher 003170 PA 02/06/1991 09/03/2002
DeLima Joao 097460 MD 02/06/1991 08/28/2002 1936
Blake Carlton 089251 MD 02/06/1991 08/28/2002 1934
Bryant Jesse 079575 MD 02/06/1991 08/28/2002 1929
Villaruz Rogelio 124608 MD 02/06/1991 1940
Wharton Ralph N 086027 MD 01/28/1991 10/18/2018 1932
Rodgers Stephen J 107507 MD 01/28/1991 09/16/2002 1943
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