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Physician Last Name Physician First Name Physician Middle Name License Number License Type Effective Date Date Updated Year of Birth
Goodwin Aimee T. 006601 PA 06/09/2008 06/02/2008 1976
Khoury Therese Marie 006673 PA 04/25/2008 04/21/2008 1958
Resnik Brian Marc 005152 PA 04/07/2008 03/31/2008 1961
Manti Lara Michele 006162 PA 03/28/2008 03/21/2008 1967
Hoshko Lara Michele Manti 006162 PA 03/28/2008 03/21/2008 1967
Carlos Dorothy O 002180 PA 12/28/2007 12/21/2007 1941
Dramis Nicholas Michael 002470 PA 12/06/2007 12/04/2007 1954
Kwan Pokum 006357 PA 10/22/2007 10/16/2007 1952
Marshall Augustin Enoch 004155 PA 08/23/2007 08/17/2007 1935
Sochocki Peter John 001522 PA 08/15/2007 08/08/2007 1952
Clemens Carrie A 010018 PA 07/09/2007 07/02/2007 1975
Walts Nelson 001723 PA 07/09/2007 07/02/2007 1947
Walts Nelson 001723 PA 01/09/1993 07/02/2007 1947
Walts Nelson 001723 PA 02/24/2005 07/02/2007 1947
Clarke Theresa Sharon 005857 PA 06/15/2007 06/08/2007 1959
Dosunmu Benzena Vernel 003169 PA 12/24/2007 03/09/2007 1948
Ceesay Kitabu Dembo 008096 PA 01/15/2007 01/16/2007 1965
Capraro Douglas A 000302 PA 10/06/2006 09/29/2006 1946
Capraro Douglas A 000302 PA 06/04/1999 09/29/2006 1946
St.Pierre Diane 006773 PA 08/01/2006 07/25/2006 1964
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