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Physician Last Name Physician First Name Physician Middle Name License Number License Type Effective Date Date Updated Year of Birth
Dawson John 000230 PA 03/21/1994
Gelpi Angelo 000233 PA 03/21/2000 1941
Judkins Arnie 000238 PA 08/18/2000 1942
Bush Jerry 000239 PA 07/01/1994
Brink Garth F 000257 PA 02/11/2000 1931
Coderre John D 000263 PA 12/27/1996
Capraro Douglas A 000302 PA 10/06/2006 09/29/2006 1946
Capraro Douglas A 000302 PA 06/04/1999 09/29/2006 1946
Orluk William F 000315 PA 01/20/2014 01/13/2014 1942
Pospiech Edward F 000316 PA 06/19/2009 06/12/2009 1944
Jackson Bertram V 000357 PA 06/22/1990 10/30/2002
Persaud Fores 000358 PA 06/29/2006 06/23/2006 1948
Faulknor Hervel 000361 PA 07/05/1994
Allen Lincoln Darius 000366 PA 10/19/1990 1951
Barreto Luis L 000436 PA 07/14/2000 1943
Manenkoff Robert 000474 PA 06/19/1998 1950
Lawler Paul J 000490 PA 03/26/2003 03/26/2003 1948
Simmons Ronald E. 000499 PA 03/01/2021 02/22/2021 1946
Williams Charles T 000526 PA 01/28/1998
Hamill James 000532 PA 03/26/2003 03/27/2003 1950
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