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Physician Last Name Physician First Name Physician Middle Name License Number License Type Effective Date Date Updated Year of Birth
Neyra Carlos R. 013299 PA 03/26/2021 04/28/2021 1982
Medvedovsky Andrew 267843 MD 02/23/2021 02/16/2021 1982
Fague Carol Diane 013304 PA 01/11/2021 01/04/2021 1982
Jamil Kevin G. 282224 MD 11/04/2020 10/28/2020 1982
Sison Corinna 275870 MD 10/14/2020 10/08/2020 1982
Blohm Eike 293015 MD 08/18/2020 08/11/2020 1982
Rodriguez Jairo 012535 PA 05/20/2020 05/13/2020 1982
Defreitas Ingrid 010128 PA 06/14/2019 06/07/2019 1982
Presner Elissa L. 012894 PA 10/24/2018 10/17/2018 1982
Hartlieb Laura A 013902 PA 02/26/2016 02/19/2016 1982
Yung Arvid Si Lik 269023 MD 06/19/2015 06/22/2015 1982
Gil Jacqueline G 012327 PA 04/07/2015 03/31/2015 1982
Charder Nicole B 269143 MD 01/09/2015 01/06/2015 1982
Alexis Uel J 261591 MD 08/26/2014 10/14/2014 1982
Morales Nelson Villarroel None MD 10/15/2014 10/08/2014 1982
Villarroel Nelson None MD 10/15/2014 10/08/2014 1982
Underwood Angelika T 011004 PA 11/14/2012 11/07/2012 1982
Kleydman Yekaterina 254386 DO 02/28/2024 02/21/2024 1983
Hartridge Caroline L. 286786 DO 12/18/2023 12/11/2023 1983
Medina Sixto Roberto 308811 MD 08/14/2023 08/07/2023 1983
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