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Physician Last Name Physician First Name Physician Middle Name License Number License Type Effective Date Date Updated Year of Birth
Bull Robert Leonard 158870 MD 07/24/2019 07/16/2019 1955
Record Test 123456 MD 07/12/2019 07/16/2019
Ohajekwe Ogedi A. 193038 MD 07/23/2019 07/16/2019 1957
Pietrantoni Marcello 160500 MD 05/29/2019 07/15/2019 1955
Shemen Larry J. 158776 MD 07/22/2019 07/15/2019 1954
Celestine Wayne J. 181015 MD 07/18/2019 07/11/2019 1961
Cox Paul 260399 MD 07/18/2019 07/11/2019 1980
Lauterbach Stephen Richard 201398 MD 07/18/2019 07/11/2019 1968
Santiago Jose 205789 MD 06/11/2019 07/10/2019 1967
Smith David 241710 MD 07/17/2019 07/10/2019 1954
Goldsmith Ivan 267673 MD 06/26/2019 07/10/2019 1959
Delagente Robert S. 298346 DO 07/05/2019 07/09/2019 1974
Denier James M. 215289 MD 07/05/2019 07/09/2019 1953
Sonder Carl 103516 MD 07/16/2019 07/08/2019 1941
Ormsby Marcia 156477 MD 07/16/2019 07/08/2019 1948
Bunt Alexander 136571 DO 07/08/2019 07/01/2019 1944
Levet Barry Michael 197897 MD 07/08/2019 07/01/2019 1964
Krapin Lloyd J. 130032 MD 07/08/2019 07/01/2019 1950
Magliulo Raymond R. 183013 DO 07/04/2019 06/28/2019 1960
Laicer Cleopatra 271067 DO 07/04/2019 06/27/2019 1977
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