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Physician Last Name Physician First Name Physician Middle Name License Number License Type Effective Date Date Updated Year of Birth
Macchiarella Nancy 314904 DO 12/27/2023 12/20/2023 1971
Clerizier Soshana M. 318149 MD 04/08/2024 04/04/2024 1989
Croake Alexander None MD 05/07/2018 07/09/2018 1987
Khan Sharjeel None MD 03/05/2018 02/26/2018 1978
Tintle Suzanne None MD 10/26/2017 10/19/2017 1984
Ross Heather Lynn None MD 09/29/2017 09/22/2017 1981
Muduve Leo None MD 08/24/2017 08/17/2017 1979
D'Silva Ashley James None MD 06/01/2017 05/25/2017 1980
Orellana Felipe None DO 02/13/2017 04/27/2017 1983
Van Oppen Dorothy None MD 03/07/2017 02/28/2017 1987
Budwal Harmanpreet None MD 03/25/2016 03/18/2016 1984
O'Murchu Eamon None MD 01/26/2016 01/19/2016 1986
Hans Sidakpal None DO 05/20/2015 05/13/2015 1986
Morales Nelson Villarroel None MD 10/15/2014 10/08/2014 1982
Villarroel Nelson None MD 10/15/2014 10/08/2014 1982
Tamir Danny None MD 09/03/2013 09/03/2013 1976
Redeker Mark None MD 07/23/1999 05/13/2013 1966
Tarascin Ilya None MD 10/23/2012 10/16/2012 1975
Malone Chad None MD 07/23/2012 07/16/2012 1970
Snetman David None MD 04/03/2012 03/27/2012 1980
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