MD ag05.03.2021.Virtual Special Meeting

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Update: 4/30/2021 11:33 AM MD Agenda James Brinkworth, MD, Board President ~ Louis Cox, MD, Board Vice‐President Susan Chambers, MD ~ Mr. Clayton Bullard ~ Mark Fixley, MD ~ Mr. Jeremy Hall Mr. Robert Howard ~ Steven Katsis, MD ~ Mr. Trevor Nutt ~ David Vanhooser, MD ~ Don Wilber, MD 1 Agenda Board of Medical Licensure and Supervision Virtual Special Meeting May 3, 2021 at 4:00 p.m. Website: www.okmedicalboard.org Public link to view meeting and access meeting materials: https://www.okmedicalboard.org/notebook This virtual amended meeting is being held consistent with the Administrative Procedures Act and the amendments to the Open Meeting Act, 25 O.S.2011, § 301 et seq, signed into law by Governor Stitt on February 10, 2021. The Board may discuss, vote to approve, vote to disapprove, vote to table, change the sequence of any agenda item, or vote to strike or not discuss any agenda item. *INDIVIDUAL PROCEEDINGS: Review and action on all agenda items noted for individual proceedings. In all agenda items noted for individual proceedings, a majority of a quorum of Board members, in a recorded vote, may call for closed deliberations for the purpose of engaging in formal deliberations leading to an intermediate or final decision in an individual proceeding under the legal authority of Oklahoma state statutes, to wit: Article II of the Oklahoma Administrative Procedures Act, 75 O.S. §309 and the Oklahoma Open Meeting Act, 25 O.S. §307(B)(8). Board members participating: James Brinkworth, MD, via videoconference Mr. Clayton Bullard via videoconference Susan Chambers, MD, via videoconference Louis Cox, MD, via videoconference Mark Fixley, MD, via videoconference Mr. Robert Howard via videoconference Mr. Jeremy Hall via videoconference Steven Katsis, MD, via videoconference Mr. Trevor Nutt via videoconference David Vanhooser, MD, via videoconference Don Wilber, MD, via videoconference 4:00 P.M. ___ Meeting called to order ___ Opening remarks – Lyle Kelsey, Executive Director ___ Board Advisor Comments – Robert C. Margo, JD ___ Review, discussion and possible action – Critical Need Licenses approved by Board Secretary (Attachment #1 to agenda) ___ Review, discussion and possible action – Proposed Emergency Rule (Okla. Admin. Code 435:11‐1‐12) – Temporary Licensure Following Expiration of COVID‐19 Declared Emergency (Attachment #2 to agenda)

Transcript of MD ag05.03.2021.Virtual Special Meeting

Page 1: MD ag05.03.2021.Virtual Special Meeting

Update: 4/30/2021 11:33 AM 

MD Agenda 

 

 

James Brinkworth, MD, Board President ~ Louis Cox, MD, Board Vice‐President  Susan Chambers, MD ~ Mr. Clayton Bullard ~ Mark Fixley, MD ~ Mr. Jeremy Hall  

Mr. Robert Howard ~ Steven Katsis, MD ~ Mr. Trevor Nutt ~ David Vanhooser, MD ~ Don Wilber, MD 

1

Agenda Board of Medical Licensure and Supervision 

Virtual Special Meeting May 3, 2021 at 4:00 p.m. 

Website:  www.okmedicalboard.org 

Public link to view meeting and access meeting materials: https://www.okmedicalboard.org/notebook

 

This virtual amended meeting is being held consistent with the Administrative Procedures Act and the amendments to the Open Meeting Act, 25 O.S.2011, § 301 et seq, signed into law by Governor Stitt on February 10, 2021.  The Board may discuss, vote to approve, vote to disapprove, vote to table, change the sequence of any agenda item, or vote to strike or not discuss any agenda item. 

*INDIVIDUAL PROCEEDINGS: Review and action on all agenda items noted for individual proceedings.  In all agenda items noted for individual  proceedings,  a majority  of  a  quorum  of  Board members,  in  a  recorded  vote, may  call  for  closed  deliberations  for  the purpose of engaging in formal deliberations leading to an intermediate or final decision in an individual proceeding under the legal authority  of  Oklahoma  state  statutes,  to  wit:  Article  II  of  the  Oklahoma  Administrative  Procedures  Act,  75  O.S.  §309  and  the Oklahoma Open Meeting Act, 25 O.S. §307(B)(8). 

Board members participating:   James Brinkworth, MD, via videoconference   Mr. Clayton Bullard via videoconference   Susan Chambers, MD, via videoconference   Louis Cox, MD, via videoconference   Mark Fixley, MD, via videoconference   Mr. Robert Howard via videoconference 

Mr. Jeremy Hall via videoconference Steven Katsis, MD, via videoconference Mr. Trevor Nutt via videoconference David Vanhooser, MD, via videoconference Don Wilber, MD, via videoconference 

 

4:00 P.M. 

___    Meeting called to order 

___    Opening remarks – Lyle Kelsey, Executive Director    

___   Board Advisor Comments – Robert C. Margo, JD 

___   Review,  discussion  and  possible  action  –  Critical  Need  Licenses  approved  by  Board Secretary (Attachment #1 to agenda) 

___   Review,  discussion  and  possible  action  –  Proposed  Emergency  Rule  (Okla.  Admin.  Code 435:11‐1‐12)  –  Temporary  Licensure  Following  Expiration  of  COVID‐19  Declared Emergency (Attachment #2 to agenda) 

Page 2: MD ag05.03.2021.Virtual Special Meeting

Posted: 4/30/2021 11:33 AMWKG Agenda 

 

 

  James Brinkworth, MD, Board President ~ Louis Cox, MD, Board Vice‐President Mr. Clayton Bullard ~ Susan Chambers, MD ~ Mark Fixley, MD ~ Mr. Jeremy Hall ~ Mr. Robert Howard  

Steven Katsis, MD ~ Mr. Trevor Nutt ~ David Vanhooser, MD ~ Don Wilber, MD 

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___      Adjournment 

Page 3: MD ag05.03.2021.Virtual Special Meeting

LASTNAME FIRSTNAME MIDDLENAME SUFFIX TYPE CN License. CNL Issued CNL Expired Current CNL Status

ABARCA-ROJAS EDUARDO DIEGO MD 36254 5/5/2020 6/13/2020 Inactive

ABBOOD HAYDER ALI MD 36255 5/5/2020 6/13/2020 Inactive

ABLES JESSICA LYNN MD 36184 4/28/2020 6/13/2020 Inactive

ACKMAN JEFFREY D MD 36081 4/20/2020 6/13/2020 Inactive

ACORD STEPHANIE NOELLE MD 36961 5/26/2020 6/13/2020 Inactive

ACOSTA FERNANDO JR MD 36976 5/29/2020 6/13/2020 Inactive

AGGARWAL SARIKA MD 36000 4/15/2020 6/13/2020 Inactive

AKHTAR MARIAM MD 36129 4/25/2020 6/13/2020 Inactive

AL ASHI SULEIMAN ISSAM SULEIMAN MD 36144 4/26/2020 6/13/2020 Inactive

AL FURGANI MAHMUD M MD 35923 4/8/2020 6/13/2020 Inactive

AL-NASSIR KALIL IBRAHIM MD 35751 3/27/2020 6/13/2020 Inactive

AL-YAHIA MUSAB MD 35819 4/1/2020 6/13/2020 Inactive

ALEX ASHA MD 36007 4/15/2020 6/13/2020 Inactive

ALFONSO-CEPEDA JORGE MD 37387 9/30/2020 12/29/2020 Inactive

ALLISON-BJOERLOEW NATALIA MD 36003 4/15/2020 6/13/2020 Inactive

ALTIOK HALUK MD 36166 4/27/2020 6/13/2020 Inactive

ANCHONDO ADOLFO NOE MD 35796 3/31/2020 6/13/2020 Inactive

ANDRIOLE GERALD LOUIS MD 36141 4/25/2020 6/13/2020 Inactive

ANSARI ARASN MD 36914 5/19/2020 6/13/2020 Inactive

ARCHINARD TOM-MEKA MICHELE MD 36004 4/15/2020 6/13/2020 Inactive

ARMENDARIZ EUGENIO MIGUEL MD 35826 4/1/2020 6/13/2020 Inactive

ARMSTRONG CRYSTAL MARIE MD 36303 5/11/2020 6/13/2020 Inactive

ARORA HARDEEP RAJ MD 36256 5/5/2020 6/13/2020 Inactive

ASHKIANI MOHAMMAD MD 36259 5/6/2020 6/13/2020 Inactive

ATIA HANAN CHAIM MD 36182 4/28/2020 6/13/2020 Inactive

AUBERGINE BENITO WILLIAM MD 36134 4/25/2020 6/13/2020 Inactive

BADI ARUNKUMAR N MD 35730 3/26/2020 6/13/2020 Inactive

BAILEY BRADLEY BENJAMIN MD 35799 3/31/2020 6/13/2020 Inactive

BALDWIN BOYCE DAVID JR MD 35997 4/15/2020 6/13/2020 Inactive

BANDERAS-ECHEVERRY WALDYR MAURICIO MD 37682 12/16/2020 1/20/2021 Inactive

BANSAL ANKUSH KUMAR MD 35889 4/8/2020 6/13/2020 Inactive

BARMEIER CEARA MICHELLE PA 4005 4/21/2020 6/13/2020 Inactive

BARRET MARK MILES MD 35936 4/8/2020 6/13/2020 Inactive

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BARTHELEMY JOSEPH RICHARD MD 36282 5/7/2020 6/13/2020 Inactive

BASHAM BRIAN E MD 36220 5/2/2020 6/13/2020 Inactive

BEATRICE CRISTINA MD 35798 3/31/2020 6/13/2020 Inactive

BELLOWS STEVEN THOMAS MD 35836 4/2/2020 6/13/2020 Inactive

BENAFIELD LAUREEN J MD 35736 3/26/2020 6/13/2020 Inactive

BERGERSON JOSEPH THOMAS MD 35850 4/3/2020 6/13/2020 Inactive

BERNSTEIN ROBERT MATTHEW MD 36944 5/22/2020 6/13/2020 Inactive

BEST AARON PATRICK MD 36295 5/8/2020 6/13/2020 Inactive

BEUERLEIN JOHN THOMAS MD 36260 5/6/2020 6/13/2020 Inactive

BHATTA MANGESH MD 36154 4/26/2020 6/13/2020 Inactive

BIBBY CHARLES KING MD 37519 11/2/2020 1/31/2021 Inactive

BIGGS WILLIAM CURTIS MD 35724 3/25/2020 6/13/2020 Inactive

BLEWETT JOHN HENRY MD 36111 4/22/2020 6/13/2020 Inactive

BOLANOS PEDRO G MD 37656 12/11/2020 1/20/2021 Inactive

BORON JAMES GREGORY MD 36919 5/19/2020 6/13/2020 Inactive

BOUTSELIS MAXIMINA MD 35781 3/30/2020 6/13/2020 Inactive

BOYD JESSICA OT 5470 4/28/2020 6/13/2020 Inactive

BRADFORD AKO DIA MD 35817 4/1/2020 6/13/2020 Inactive

BRANTLEY KENNY MAURICE MD 35780 3/31/2020 6/13/2020 Inactive

BRAZG JARED MD 37569 11/16/2020 2/14/2021 Inactive

BRUCE MARK MD 36099 4/21/2020 6/13/2020 Inactive

BRUNSTROM-HERNANDEZ JANICE ELAINE MD 36145 4/26/2020 2/22/2021 Inactive

BRYANT COLIN CALVERT MD 36143 4/26/2020 6/13/2020 Inactive

BURKE ALLISON MARIE MD 35883 4/6/2020 6/13/2020 Inactive

BUTTAR HARMANPREET KAUR MD 36016 4/15/2020 6/13/2020 Inactive

CALDWELL LAURA MD 36185 4/28/2020 6/13/2020 Inactive

CAMPBELL KATHLEEN MARIE MD 36034 4/15/2020 6/13/2020 Inactive

CANIZARES LOPEZ DAINERYS MD 37627 12/3/2020 1/20/2021 Inactive

CASAMA ROGELIO A MD 36950 5/22/2020 6/13/2020 Inactive

CHAKRABORTI DWAIPAYAN MD 36210 5/2/2020 6/13/2020 Inactive

CHAMARTHY MURTHY R MD 35855 4/3/2020 6/13/2020 Inactive

CHAMBERLAIN EDWARD MD 37567 11/16/2020 2/14/2021 Inactive

CHEN SHIUN-RU JESSICA MD 36029 4/15/2020 6/13/2020 Inactive

CHEN XIULIAN MD 36241 5/4/2020 6/13/2020 Inactive

CRITICAL NEED LICENSES Attachment #1

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CHIKWENDU NNAEMEKA MD 36264 5/7/2020 6/13/2020 Inactive

CHISTAKOFF GEORGE JAMES III PA 4001 4/15/2020 6/13/2020 Inactive

CHOW ALEXANDER KIN WING MD 36131 4/25/2020 6/13/2020 Inactive

CIVIL EMMANUEL MD 37417 10/9/2020 1/20/2021 Inactive

CLOHISY JOHN CLAYTON MD 36227 5/2/2020 6/13/2020 Inactive

COBB ENESHA M MD 36063 4/19/2020 6/13/2020 Inactive

COHEN DANIEL FAIRFIELD MD 36240 5/4/2020 6/13/2020 Inactive

COHEN JARED LANDON MD 35910 4/9/2020 6/13/2020 Inactive

CONNORS MICHELLE A PA 4012 5/2/2020 6/13/2020 Inactive

COOPER JOHN PAUL MD 35732 3/26/2020 6/13/2020 Inactive

COPLEN DOUGLAS EDWARD MD 36188 4/28/2020 6/13/2020 Inactive

CORBIN ELORA MD 36963 5/27/2020 6/13/2020 Inactive

CORCORAN JULIA F MD 36165 4/27/2020 6/13/2020 Inactive

CORDERO RODRIGUEZ MIGUEL MD 37766 1/6/2021 1/20/2021 Inactive

CORLEY ROBERT CHOTEAU MD 35933 4/8/2020 6/13/2020 Inactive

CORNEJO MORENO EDUARDO MD 37769 1/6/2021 1/20/2021 Inactive

COUGHLIN CARRIE CHRISTINE MD 36224 5/2/2020 6/13/2020 Inactive

CRAVEN RYAN PATRICK RC 5147 4/15/2020 6/13/2020 Inactive

CUNDIFF CHRISTOPHER PATRICK MD 35872 4/5/2020 6/13/2020 Inactive

CYR AMY ELIZABETH MD 36223 5/2/2020 6/13/2020 Inactive

D ANTONI ANDRES MD 37624 12/3/2020 1/20/2021 Inactive

DAMIANO RALPH JAMES MD 36321 5/13/2020 6/13/2020 Inactive

DAVIDSON KELSEY E MD 36164 4/27/2020 6/13/2020 Inactive

DAVIDSON KRISTEN JANECE PT 5878 4/15/2020 6/13/2020 Inactive

DAVIS ORRIN J MD 35752 3/27/2020 6/13/2020 Inactive

DEAN JONATHAN CHESTER PT 5893 5/7/2020 6/13/2020 Inactive

DEJOURNETT RICHARD LANCE MD 37366 9/25/2020 12/24/2020 Inactive

DELCORRO ALBERTO HIZON MD 37010 6/5/2020 6/13/2020 Inactive

DELOS REYES CHRIS TARA BULAON MD 36214 5/2/2020 6/13/2020 Inactive

DENNINGTON JAMES ALAN MD 35777 3/30/2020 6/13/2020 Inactive

DENTON MEREDITH A MD 35737 3/26/2020 6/13/2020 Inactive

DESAI ALANA MD 36933 5/20/2020 6/13/2020 Inactive

DESTA DEREJE GEBRESELASSIE MD 35804 3/31/2020 6/13/2020 Inactive

DEYOUNG BRUCE D MD 35734 3/26/2020 6/13/2020 Inactive

CRITICAL NEED LICENSES Attachment #1

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DHALIWAL RAMANDEEP SINGH MD 36956 5/22/2020 6/13/2020 Inactive

DIX-EMPERADOR LISA MARIA MD 36265 5/7/2020 6/13/2020 Inactive

DO MINH GIA MD 35776 3/30/2020 6/13/2020 Inactive

DO NAM HUU MD 35750 3/27/2020 6/13/2020 Inactive

DU KEFU MD 36127 4/25/2020 6/13/2020 Inactive

DUBEY ARCHANA MD 36086 4/20/2020 6/13/2020 Inactive

DUBEY RASHMI MD 36002 4/15/2020 6/13/2020 Inactive

DURCAN MARK MD 35913 4/8/2020 6/13/2020 Inactive

ERICKSON CHRISTOPHER CLAIRE PT 5882 4/19/2020 6/13/2020 Inactive

ESGUERRA ENRICO G MD 36130 4/25/2020 6/13/2020 Inactive

EVANS AROM JOSEPH MD 37386 9/29/2020 12/28/2020 Inactive

FARRAG TARIK YAHIA MD 36186 4/28/2020 3/1/2021 Inactive

FEFFER JILL BRETT MD 36247 5/4/2020 6/13/2020 Inactive

FENNELL RISHA RAVEN MD 35917 4/8/2020 6/13/2020 Inactive

FERNANDEZ JUAN FELIPE MD 35795 3/31/2020 6/13/2020 Inactive

FIELDS RYAN MD 36187 4/28/2020 6/13/2020 Inactive

FIGENSHAU ROBERT SHERBURNE MD 36228 5/2/2020 6/13/2020 Inactive

FINE ARTHUR PHILIP MD 36183 4/28/2020 6/13/2020 Inactive

FOADEY TONGNY WILFRIED MD 36137 4/25/2020 6/13/2020 Inactive

FRANK EMILY WOLENS MD 36305 5/11/2020 6/13/2020 Inactive

FRIAS JULIA ROSA MD 37511 10/29/2020 1/20/2021 Inactive

FULTON STEPHEN PARKER MD 36266 5/7/2020 6/13/2020 Inactive

FURLOW STACY HARRIS MD 35753 3/27/2020 6/13/2020 Inactive

GAINES GRANT M MD 35738 3/26/2020 6/13/2020 Inactive

GAMBOA IVONNE S. MD 37767 1/6/2021 1/20/2021 Inactive

GARCIA ABRAHAM MD 37746 12/31/2020 1/20/2021 Inactive

GARCIA JAIME S MD 35719 3/25/2020 6/13/2020 Inactive

GARDIAL PAUL RICHARD MD 35733 3/26/2020 6/13/2020 Inactive

GARNIER KATHARINE MUSER MD 36279 5/7/2020 6/13/2020 Inactive

GARRIDO LAZARO JOSEPH MD 36960 5/26/2020 1/20/2021 Inactive

GARZA SHANNA SHAHID MD 36077 4/20/2020 6/13/2020 Inactive

GAVVALA JAY R MD 35853 4/3/2020 6/13/2020 Inactive

GERGUIS ANGELA SELLERS MD 36017 4/15/2020 6/13/2020 Inactive

GIBBONS GLENN GREGORY MD 35801 3/31/2020 6/13/2020 Inactive

CRITICAL NEED LICENSES Attachment #1

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GILL COREY SCOTT MD 36322 5/13/2020 6/13/2020 Inactive

GLASCOW SEAN MD 36150 4/26/2020 6/13/2020 Inactive

GLYNN LORETTO ANN MD 35914 4/8/2020 6/13/2020 Inactive

GOLDBERG SUSAN KOPETZ MD 36142 4/25/2020 6/13/2020 Inactive

GOLLAS ADRIAN MD 36018 4/15/2020 6/13/2020 Inactive

GONZALEZ-AYALA EMILIO MD 35820 4/1/2020 6/13/2020 Inactive

GOPLANI SANDEEP MANOHAR MD 37615 12/1/2020 3/1/2021 Inactive

GRASSESCHI MITCHELL F MD 36216 5/2/2020 6/13/2020 Inactive

GRAVES CRISTINA MARIE MD 35792 3/31/2020 6/13/2020 Inactive

GREGORY ASHLEY LOWELL PA 4396 5/28/2020 6/13/2020 Inactive

GRIER BRIAN T RC 5140 3/25/2020 6/13/2020 Inactive

GUARIN-NIETO ESGAR MD 37598 11/24/2020 2/22/2021 Inactive

GUPTA PURNENDU MD 36163 4/27/2020 6/13/2020 Inactive

GUPTA RICHA MD 35915 4/8/2020 6/13/2020 Inactive

GUPTA VINITA MD 36951 5/22/2020 6/13/2020 Inactive

GUZMAN AMANDA PATRICIA MD 36006 4/15/2020 6/13/2020 Inactive

GYAMFI RICHMOND MD 35887 4/6/2020 6/13/2020 Inactive

HABASH FUAD JAMAL MD 36267 5/7/2020 6/13/2020 Inactive

HAHN ANGELA RENEE MD 36268 5/7/2020 6/13/2020 Inactive

HAJAZ AMERICO MONTHANA MD 37483 10/23/2020 1/20/2021 Inactive

HAMMERBERG KIM WALLACE MD 36160 4/27/2020 6/13/2020 Inactive

HANSING JERALD DAHL MD 35797 3/31/2020 6/13/2020 Inactive

HARHARA HALEEMA FAZAL MD 36033 4/15/2020 6/13/2020 Inactive

HARISH KUMAR CHINTAN MD 37385 9/29/2020 12/28/2020 Inactive

HARRELL ANTWAR MELVIN MD 36070 4/19/2020 6/13/2020 Inactive

HARRISON HERDLEY DENNIS MD 37587 11/20/2020 1/20/2021 Inactive

HEBERT CHRISTOPHER JOHN MD 36926 5/19/2020 6/13/2020 Inactive

HEMPHILL IRMANIE MD 36977 5/29/2020 6/13/2020 Inactive

HENDRICK DANIEL JAY MD 35825 4/1/2020 6/13/2020 Inactive

HENDRIX AUDRA RUTH OT 5473 5/4/2020 6/13/2020 Inactive

HERCULE ELIE JOSEPH MD 36316 5/13/2020 6/13/2020 Inactive

HERCULE HANTZ CONSTANTIN MD 36019 4/20/2020 6/13/2020 Inactive

HERNANDEZ MARK ANTONIO MD 36917 5/19/2020 6/13/2020 Inactive

HERNANDEZ YURIEN MD 37510 10/29/2020 1/20/2021 Inactive

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HERRINGTON HOLLY BROOKE TA 3292 4/2/2020 6/13/2020 Inactive

HILL ANDREA VERBURG MD 36068 4/19/2020 6/13/2020 Inactive

HIMMELVO JANE THU MD 36012 4/15/2020 6/13/2020 Inactive

HODGES LISA DAWN TA 3299 4/25/2020 6/13/2020 Inactive

HOLMAN JASON GRANT MD 35845 4/3/2020 6/13/2020 Inactive

HONG DENNY MD 36274 5/7/2020 6/13/2020 Inactive

HORWITZ GARY J MD 36278 5/7/2020 6/13/2020 Inactive

HUFFSTETLER ROWAN BRIANNE DEBORAH MD 36238 5/4/2020 6/13/2020 Inactive

HUNT STEVEN MD 36146 4/26/2020 6/13/2020 Inactive

HURWITZ S ROBERT MD 36243 5/4/2020 6/13/2020 Inactive

HYDE AMBER DELAINE MD 36028 4/15/2020 6/13/2020 Inactive

IHRIG TIMOTHY GEORGE MD 35731 3/26/2020 6/13/2020 Inactive

ISAAC MICHAEL GERARD MD 35721 3/25/2020 6/13/2020 Inactive

ISENBERG RICHARD ALAN MD 35912 4/8/2020 6/13/2020 Inactive

JACKSON CHARLES DAVID MD 35754 3/27/2020 6/13/2020 Inactive

JAFFER SUKAINA MD 35996 4/15/2020 6/13/2020 Inactive

JAVADIAN POUYA MD 35919 4/8/2020 6/13/2020 Inactive

JENKINS ENCHANTA LACHELLEMURPHY MD 36036 4/15/2020 6/13/2020 Inactive

JIMENEZ EDGAR F. MD 37748 12/31/2020 1/20/2021 Inactive

JOHNSON KHAI-EL DENYCE MD 36212 5/2/2020 6/13/2020 Inactive

JOHNSON-ROE JAN MICHAELE OT 5480 5/20/2020 6/13/2020 Inactive

JONES MAGDALENE HENSS PT 5874 4/1/2020 6/13/2020 Inactive

KAID RAMZYEH ALI MD 36230 5/6/2020 6/13/2020 Inactive

KAMINSKI MARK IVO MD 35947 4/9/2020 6/13/2020 Inactive

KANAAN NICHOLAS CHARBEL MD 35911 4/8/2020 6/13/2020 Inactive

KANTHARAJ TARA MD 36304 5/11/2020 6/13/2020 Inactive

KAWAR MAYYA NADIA MD 36962 5/27/2020 6/13/2020 Inactive

KEATOR CYNTHIA MD 36975 5/29/2020 6/13/2020 Inactive

KEES JING HUANG MD 35852 4/3/2020 6/13/2020 Inactive

KEISTER ALAN W MD 35779 3/30/2020 6/13/2020 Inactive

KESSLER KENDELL MD 37384 9/29/2020 12/28/2020 Inactive

KHALIL KAMRAN MD 36239 5/4/2020 6/13/2020 Inactive

KHAN ARSALAN ZAFAR MD 36273 5/7/2020 6/13/2020 Inactive

KHAN SAWSAN YAMIN MD 36981 5/29/2020 6/13/2020 Inactive

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KHAN SOHAIL MD 35745 3/26/2020 6/13/2020 Inactive

KIDAMBI JANANI MD 36261 5/6/2020 6/13/2020 Inactive

KIM BRIAN SANGWOO MD 36219 5/2/2020 6/13/2020 Inactive

KIM ERIC HWAN MD 36253 5/5/2020 6/13/2020 Inactive

KING BRETT ANDREW MD 36136 4/25/2020 6/13/2020 Inactive

KIRKLAND PHILLIP DARRELL PA 4008 4/24/2020 6/13/2020 Inactive

KIVELA PAUL DANIEL MD 35778 3/30/2020 6/13/2020 Inactive

KIZAWI ANAS MD 36011 4/15/2020 6/13/2020 Inactive

KNAPITSCH AMY CATHERINE MD 36140 4/25/2020 6/13/2020 Inactive

KNIGHT TRENT WILSON PA 4013 5/4/2020 6/13/2020 Inactive

KNOX BRIAN DANIEL MD 36133 4/25/2020 6/13/2020 Inactive

KOCHAR SANDEEP SINGH MD 35886 4/6/2020 6/13/2020 Inactive

KOEHLER ANDREW M MD 35755 3/27/2020 6/13/2020 Inactive

KOENIG JESSICA ANITA MD 35982 4/13/2020 6/13/2020 Inactive

KOHNEN BENJAMIN LEE MD 36153 4/26/2020 6/13/2020 Inactive

KRADEL JOSEPH CHARLES II MD 35873 4/5/2020 6/13/2020 Inactive

KUCIEJCZYK-KERNAN THOMAS PATRICK MD 36955 5/22/2020 6/13/2020 Inactive

KULKARNI SAKIL SUBHASH MD 36237 5/4/2020 6/13/2020 Inactive

KWOTA ZAKARI MD 35884 4/6/2020 6/13/2020 Inactive

LACY ADRIAN ROBERT MD 36918 5/19/2020 6/13/2020 Inactive

LAJONCHERE RUENGER MARIA CRISTINA MD 36945 5/22/2020 6/13/2020 Inactive

LAMY CERILIEN MD 37476 10/22/2020 1/20/2021 Inactive

LANDRETH KELLI JORDAN OT 5472 5/2/2020 6/13/2020 Inactive

LEE MICHAEL YOUNG-JUNE MD 36078 4/20/2020 6/13/2020 Inactive

LEIBOWITZ NEIL MATTHEW MD 36222 5/2/2020 6/13/2020 Inactive

LEMEN TIFFANI DAWN MD 36248 5/4/2020 6/13/2020 Inactive

LENNON JOSHUA JOHN MD 36069 4/19/2020 6/13/2020 Inactive

LESSING SUSAN JANET MD 36232 5/2/2020 6/13/2020 Inactive

LEVIN AARON MD 36178 4/28/2020 6/13/2020 Inactive

LEVY MARK JEROME MD 35999 4/15/2020 6/13/2020 Inactive

LEVY SONIA MD 35932 4/8/2020 6/13/2020 Inactive

LI ANDREA HO-WAN MD 36319 5/13/2020 6/13/2020 Inactive

LIBERMAN SHARI RACHEL MD 36925 5/19/2020 6/13/2020 Inactive

LIEU BINH KIEN MD 36020 4/15/2020 6/13/2020 Inactive

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LIMBRICK DAVID DELMAR JR MD 36946 5/22/2020 6/13/2020 Inactive

LIPSCOMB JOSEPH ALLEN MD 35720 3/25/2020 6/13/2020 Inactive

LIRIO JUAN PAOLO MD 35888 4/6/2020 6/13/2020 Inactive

LIU JIMMY CHENG-YI MD 36923 5/19/2020 6/13/2020 Inactive

LIVINGSTON SEAN M MD 35739 3/26/2020 6/13/2020 Inactive

LOPEZ GONZALEZ ANILIN MD 37392 10/2/2020 1/20/2021 Inactive

LOPEZ-IVERN FERNANDO MD 36087 4/20/2020 6/13/2020 Inactive

LUHM VIGOR MICHELE A MD 36010 4/15/2020 6/13/2020 Inactive

LYNCH SHARON GLYNN MD 37402 10/7/2020 1/5/2021 Inactive

LYSEK MICHAEL CLARK JR MD 37612 11/30/2020 2/28/2021 Inactive

MA LIQIAO MD 35748 3/27/2020 6/13/2020 Inactive

MACKINNON SUSAN E MD 36296 5/8/2020 6/13/2020 Inactive

MAHAN MEREDITH L MD 35740 3/26/2020 6/13/2020 Inactive

MALDONADO MAGDELYN VICTALIA MD 37641 12/7/2020 1/20/2021 Inactive

MALIRO TENNYSON MD 36231 5/2/2020 6/13/2020 Inactive

MALUCCIO MARY ALICE MD 36270 5/7/2020 6/13/2020 Inactive

MAMIDWAR MONIKA S MD 36954 5/22/2020 6/13/2020 Inactive

MANCERO CAROL ANNE MD 36066 4/19/2020 6/13/2020 Inactive

MARCY SARAH ANN LD 2510 5/13/2020 6/13/2020 Inactive

MARGENTHALER JULIE ANN MD 36229 5/2/2020 6/13/2020 Inactive

MARKS WARREN ALAN MD 36275 5/7/2020 6/13/2020 Inactive

MARMOLEJO MARC ANDREW RC 5148 4/20/2020 6/13/2020 Inactive

MARSHALL WINSTON SCHUYLER MD 28038 3/25/2020 6/13/2020 Inactive

MARTIN REBECCA HARDIN OT 5477 5/19/2020 6/13/2020 Inactive

MAYORCA ALFREDO R. MD 37747 12/31/2020 1/20/2021 Inactive

MCBRIDE DAVID ROBERT MD 36245 5/4/2020 6/13/2020 Inactive

MCCORD VIRGINIA L MD 35800 3/31/2020 6/13/2020 Inactive

MCEVOY SEAN DAVID MD 36948 5/22/2020 6/13/2020 Inactive

MCGOWAN PATRICK MICHAEL MD 35735 3/26/2020 6/13/2020 Inactive

MCINNERNEY KEITH VINCENT PA 3227 4/9/2020 6/13/2020 Inactive

MCNEIL KATHRYN ELAINE MD 35878 4/6/2020 6/13/2020 Inactive

MESEROW JAMES ALBERT MD 36179 4/28/2020 6/13/2020 Inactive

MEYER BROOKE RENEE PT 5903 5/19/2020 6/13/2020 Inactive

MIRANDA UBALDO A MD 36971 5/28/2020 1/20/2021 Inactive

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MONK GLEN OWEN MD 35879 4/6/2020 6/13/2020 Inactive

MONTAGUE LAURIE ANN MD 36271 5/7/2020 6/13/2020 Inactive

MONTEAGUDO LUIS O MD 37768 1/6/2021 1/20/2021 Inactive

MOONEY CHARLES FREDERICK MD 35846 4/3/2020 6/13/2020 Inactive

MORE ROLAND M MD 37228 8/12/2020 1/20/2021 Inactive

MORRIS DAVID E MD 36161 4/27/2020 6/13/2020 Inactive

MORRISON LYNNETTE ANNE MD 35957 4/9/2020 6/13/2020 Inactive

MSISKA MELODY A MD 36135 4/25/2020 6/13/2020 Inactive

MUALA SAMER MOHD FARUQ MD 36221 5/2/2020 6/13/2020 Inactive

MUELLER AMANDA ELIZABETH MD 35793 3/31/2020 6/13/2020 Inactive

MUKHERJEE SHUBHRA MD 36162 4/27/2020 6/13/2020 Inactive

MUNK ASHLEY MICHELLE PT 5883 4/19/2020 6/13/2020 Inactive

MUNOZ DAVID RAUL MD 36953 5/22/2020 6/13/2020 Inactive

MURPHY RICHARD RONAN MD 37593 11/24/2020 2/22/2021 Inactive

MUTCH MATTHEW MD 36151 4/26/2020 6/13/2020 Inactive

MYCKATYN TERENCE MICHAEL MD 36115 4/22/2020 6/13/2020 Inactive

NAIR VINAY VASUDEVAN MD 36284 5/8/2020 6/13/2020 Inactive

NAQVI HUMERA MD 35885 4/6/2020 6/13/2020 Inactive

NARANJO PELAYO GELSY MD 37770 1/6/2021 1/20/2021 Inactive

NASEEM MEHWASH ANWAR MD 36246 5/28/2020 6/13/2020 Inactive

NASSI LORIEN ALFORD MD 36269 5/7/2020 6/13/2020 Inactive

NATHAN JAIMIE DAVID MD 36320 5/13/2020 6/13/2020 Inactive

NICK JERRY ALLAN MD 36965 5/27/2020 6/13/2020 Inactive

NIEMEIER CARA MD 35890 4/6/2020 6/13/2020 Inactive

NO DONALD MD 36139 4/25/2020 6/13/2020 Inactive

NODARSE JUANA L MD 37744 12/30/2020 1/20/2021 Inactive

NORMAN CATHY R OT 5481 5/22/2020 6/13/2020 Inactive

OBEROI ASRA MD 36283 5/7/2020 6/13/2020 Inactive

OLADITAN LEAH MARIE CLEMON LD 2509 5/13/2020 6/13/2020 Inactive

OQUINN WILLIAM ESDORN JR MD 36005 4/15/2020 6/13/2020 Inactive

OROSTEGUI KUJUNDZIC IUTZI TATIANA MD 37718 12/23/2020 1/20/2021 Inactive

OTTO BONNIE KAYE PA 4006 4/21/2020 6/13/2020 Inactive

PANDHER JASWANT SINGH MD 35921 4/8/2020 6/13/2020 Inactive

PANWAR BARNES MONICA MD 35953 4/9/2020 6/13/2020 Inactive

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PARK TAE SUNG MD 36949 5/22/2020 6/13/2020 Inactive

PATEL AKASH J MD 36897 5/13/2020 6/13/2020 Inactive

PATEL ALPIT DINESH MD 35824 4/1/2020 6/13/2020 Inactive

PATEL KAMLESHKUMAR BABULAL MD 36215 5/2/2020 6/13/2020 Inactive

PATEL MAHIR MD 36306 5/11/2020 6/13/2020 Inactive

PATEL MUKTI JAYANT MD 35922 4/8/2020 6/13/2020 Inactive

PATEL PRAVIN-KUMAR K MD 36155 4/27/2020 6/13/2020 Inactive

PATTERSON ELTANYA ANGELITA MD 36251 5/5/2020 6/13/2020 Inactive

PAYAN HECTOR ALBERTO MD 35847 4/3/2020 6/13/2020 Inactive

PAYTON TERRY S MD 35741 3/26/2020 6/13/2020 Inactive

PEARSON BRANDON MATTHEW MD 35802 3/31/2020 6/13/2020 Inactive

PECE KRISTIN ROSE MD 36065 4/19/2020 6/13/2020 Inactive

PEREZ MAUD ELIZABETH MD 37717 12/23/2020 1/20/2021 Inactive

PERRY MICHAEL SCOTT MD 36211 5/2/2020 6/13/2020 Inactive

PETER ASHOK CHERIAN MD 36244 5/4/2020 6/13/2020 Inactive

PETROVICH LAURA NORTON MD 36235 5/4/2020 6/13/2020 Inactive

PHARES ROBERT WILLIAM MD 35882 4/6/2020 6/13/2020 Inactive

PHILLIPS STEVEN ETHAN MD 36915 5/19/2020 6/13/2020 Inactive

PHIRI WONGANI WENDY RC 5294 11/17/2020 2/15/2021 Inactive

PLATA CARLOS A MD 35816 4/1/2020 6/13/2020 Inactive

PULINI-FRANKS MARINA L MD 35925 4/8/2020 6/13/2020 Inactive

PURNELL CHAD A MD 36159 4/27/2020 6/13/2020 Inactive

QUESADA JAIME ANTONIO MD 35818 4/1/2020 6/13/2020 Inactive

QUIGLEY EAMONN M.M. MD 36225 5/2/2020 6/13/2020 Inactive

RADADIA KUSHAN DILIP MD 36128 4/25/2020 6/13/2020 Inactive

RAHL RIVA LOUISE MD 36100 4/21/2020 6/13/2020 Inactive

RAINA ABHISHAKE MD 36927 5/26/2020 6/13/2020 Inactive

RAMADAN-NASSAR SAMAH N PA 3233 4/13/2020 6/13/2020 Inactive

RAMOS VIDAL CRISTINA R. MD 37773 1/7/2021 1/20/2021 Inactive

RASMUSSEN DANIEL E MD 35742 3/26/2020 6/13/2020 Inactive

RAYMOND GERALD VINCENT MD 37522 11/3/2020 2/1/2021 Inactive

REAVES CAREN CRANE MD 35935 4/8/2020 6/13/2020 Inactive

REICH JASON MD 36014 4/15/2020 6/13/2020 Inactive

REICHMAN JAMES MICHAEL MD 36252 5/5/2020 6/13/2020 Inactive

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REILLY EMILY OT 5455 3/31/2020 6/13/2020 Inactive

REYES NIEVES ROBERTO MD 37732 12/28/2020 1/20/2021 Inactive

RICKETTS ROBERT MASON III MD 35998 4/15/2020 6/13/2020 Inactive

RIVERO GUTIERREZ ANA SOFIA MD 36101 4/21/2020 6/13/2020 Inactive

ROBINS LARRY TYRAN MD 35699 3/20/2020 6/13/2020 Inactive

ROBINSON JOE T MD 35743 3/26/2020 6/13/2020 Inactive

RODRIGUEZ-CORDERO JOHN MD 37379 9/28/2020 1/20/2021 Inactive

ROJO EDGAR MD 37722 12/23/2020 1/20/2021 Inactive

ROJO MARTHA MD 37626 12/3/2020 1/20/2021 Inactive

RONAY THOMAS ROBERT MD 35823 4/1/2020 6/13/2020 Inactive

ROSARIO LUCIA MD 37731 12/28/2020 1/20/2021 Inactive

ROSERO ADRIANA MD 37743 12/30/2020 1/20/2021 Inactive

ROWAN KATHERINE E MD 36952 5/22/2020 6/13/2020 Inactive

ROY MATTHEW THEODULE OT 5534 11/24/2020 2/22/2021 Inactive

SAAD ABDO MD 36071 4/19/2020 6/13/2020 Inactive

SAAD MARWAN SAAD MOHAMAD MD 36281 5/7/2020 6/13/2020 Inactive

SAFDAR ZEENAT MD 36088 4/20/2020 6/13/2020 Inactive

SAINVIL FRANTZ MD 37286 9/1/2020 1/20/2021 Inactive

SAINVIL HARRY MD 37574 11/17/2020 1/20/2021 Inactive

SAITTA MICHAEL R MD 36982 5/29/2020 6/13/2020 Inactive

SALEH OMAR MOHAMMED MD 36276 5/7/2020 6/13/2020 Inactive

SANATANA NORDASE MADELINE MD 37721 12/23/2020 1/20/2021 Inactive

SARATHKUMARA SUBHASHIE MD 35937 4/8/2020 6/13/2020 Inactive

SARMAST SHEHNAZ AYSHA ZAMAN MD 35794 3/31/2020 6/13/2020 Inactive

SCHMITT ALEXIS U MD 35979 5/5/2020 6/13/2020 Inactive

SCHWARTZENBERG JANET MAURINE MD 35815 4/1/2020 6/13/2020 Inactive

SEMMLER LUCIA LEE OA 2221 5/19/2020 6/13/2020 Inactive

SEXTON STEPHANIE CHRISTINE OT 5531 11/16/2020 2/14/2021 Inactive

SHAH JEANINE C MD 36112 4/22/2020 6/13/2020 Inactive

SHAH NAMRATA MD 36318 5/13/2020 6/13/2020 Inactive

SHAH REHAN MD 36964 5/27/2020 6/13/2020 Inactive

SHAHANI DAVE MD 36969 5/28/2020 6/13/2020 Inactive

SHAMI NEJLA SUHEIR MD 36064 4/19/2020 6/13/2020 Inactive

SHAREEF YOUSIF SAEED-MOHAMED MD 35981 4/13/2020 6/13/2020 Inactive

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SHEPHERD ANNEMARIE MD 37611 11/30/2020 2/28/2021 Inactive

SHEPHERD MARY ELIZABETH MD 36218 5/2/2020 6/13/2020 Inactive

SIDDIQUI JAVEED MD 35803 3/31/2020 6/13/2020 Inactive

SIDHU SUKHAMPAL SINGH MD 36013 4/15/2020 6/13/2020 Inactive

SIFUENTES JOSHUA DAVID MD 37009 6/5/2020 6/13/2020 Inactive

SILVA REYMUNDO MD 37657 12/11/2020 1/20/2021 Inactive

SILVER KENNETH MD 36217 5/2/2020 6/13/2020 Inactive

SILVEY BRENTLEY J MD 35875 4/5/2020 6/13/2020 Inactive

SILVIERA MATTHEW MD 36147 4/26/2020 6/13/2020 Inactive

SIMMONS JOHN P MD 35756 3/27/2020 6/13/2020 Inactive

SINGH GUNEET MD 36972 5/28/2020 6/13/2020 Inactive

SINGH SWATI MD 35880 5/5/2020 6/13/2020 Inactive

SIVANESAN EELLAN MD 36226 5/2/2020 6/13/2020 Inactive

SMEBERG VANESSA BERNAL MD 35718 3/25/2020 6/13/2020 Inactive

SMITH CARA WEINER MD 36277 5/7/2020 6/13/2020 Inactive

SMITH CRAIG ROBERT MD 36113 4/22/2020 6/13/2020 Inactive

SMITH DANIEL EDWARD JR MD 35983 4/13/2020 6/13/2020 Inactive

SMITH MALCOLM ANDREW MD 35955 4/9/2020 6/13/2020 Inactive

SMITH PETER ALAN MD 36083 4/20/2020 6/13/2020 Inactive

SMITH RADHIKA MD 36152 4/26/2020 6/13/2020 Inactive

SMYTH MATTHEW DOUGLAS MD 36132 4/25/2020 6/13/2020 Inactive

SOGBETUN OBIAGELI MD 36067 4/19/2020 6/13/2020 Inactive

SOHAIL ROMINA MD 36978 5/29/2020 6/13/2020 Inactive

SOMMERS ASHLEY RAE PT 5900 5/13/2020 6/13/2020 Inactive

SOSA DURAN IRRAUDIS MD 37599 11/24/2020 1/20/2021 Inactive

STEINES LAURA JOY MD 35934 4/8/2020 6/13/2020 Inactive

STEPHENS KAREN LD 2507 5/13/2020 6/13/2020 Inactive

STEWART DIANA EBERE ANUKWUEM MD 36015 4/15/2020 6/13/2020 Inactive

STEWART KATIE GRYSEN MD 36317 5/13/2020 6/13/2020 Inactive

STIGEN THERESA LYNN MD 36250 5/5/2020 6/13/2020 Inactive

STRAHLE JENNIFER MAE MD 36947 5/22/2020 6/13/2020 Inactive

STROBEL GENNELL DEAN MD 35709 3/24/2020 6/13/2020 Inactive

STUEVEN JEREMY ARTHUR MD 36970 5/28/2020 6/13/2020 Inactive

SUAREZ CARLOS MD 37367 9/25/2020 12/24/2020 Inactive

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SUERO JUAN MD 37623 12/3/2020 1/20/2021 Inactive

SWINDLE JAMES S MD 35744 3/26/2020 6/13/2020 Inactive

SZCZODRY MICHAL MD 36082 4/20/2020 6/13/2020 Inactive

TAPRYAL SAMEER MD 35995 4/14/2020 6/13/2020 Inactive

TARLOW BRANDEN DAVID MD 36032 4/15/2020 6/13/2020 Inactive

TARLOW STEFAN DAVID MD 36084 4/20/2020 6/13/2020 Inactive

TARPLEY JONATHAN ALLEN MD 35954 4/9/2020 6/13/2020 Inactive

TAVARES WILLIAMS KINTE MD 36122 4/25/2020 6/13/2020 Inactive

TENEBAUM MARISSA J MD 36114 4/22/2020 6/13/2020 Inactive

THARPE CHET ALLEN JR MD 35834 4/3/2020 6/13/2020 Inactive

THIRU PARVATI MD 36315 5/13/2020 6/13/2020 Inactive

THOMAS-HAMPTON DRACEANA DENISE RC 5149 4/21/2020 6/13/2020 Inactive

TOLENTINO LORELIE PA 4010 4/28/2020 6/13/2020 Inactive

TORRADAS JOSE RAMON MD 36213 5/2/2020 6/13/2020 Inactive

TOWER JESSICA DANIELLE LD 2506 5/4/2020 6/13/2020 Inactive

TRAVIESO LOURDES B MD 36062 4/19/2020 6/13/2020 Inactive

TRAXEL ERICA MD 36126 4/25/2020 6/13/2020 Inactive

TRIEU ATLAS MD 35909 4/8/2020 6/13/2020 Inactive

TUKE GREGORY C MD 36177 4/28/2020 6/13/2020 Inactive

TUMOLO MAUREEN MD 37588 11/20/2020 2/18/2021 Inactive

TUTOR DAVID KENT MD 35723 3/25/2020 6/13/2020 Inactive

URRUNAGA JULIE MD 37548 11/12/2020 2/10/2021 Inactive

UTTERSON ELIZABETH COLSON MD 36236 5/4/2020 6/13/2020 Inactive

VAILS JULIE LAVERNE MD 36913 5/19/2020 6/13/2020 Inactive

VAN ANNE BROOKE NEILLY PA 4009 4/26/2020 6/13/2020 Inactive

VAN LEER PATRICIA MD 37549 11/12/2020 2/10/2021 Inactive

VARGAS RIVERA RAUL JAVIER MD 37684 12/16/2020 1/20/2021 Inactive

VELAZQUEZ-LUCENA DERICK JOSE MD 36102 4/21/2020 6/13/2020 Inactive

VENTURA JOSE A MD 35821 4/1/2020 6/13/2020 Inactive

VERMEULEN MEAGAN WEGA MD 36280 5/7/2020 6/13/2020 Inactive

VORA ANUP AMIT MD 36898 5/13/2020 6/13/2020 Inactive

VU PHU DINH MD 36001 4/15/2020 6/13/2020 Inactive

WALLACE LAURIE ANN PT 5904 5/19/2020 6/13/2020 Inactive

WEISENBERG BRIAN AARON MD 35951 4/9/2020 6/13/2020 Inactive

CRITICAL NEED LICENSES Attachment #1

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WEISENBERG JUDITH LEONA ZAWIEBEL MD 36943 5/22/2020 6/13/2020 Inactive

WEISS JUSTIN FREDRIC MD 35844 4/20/2020 6/13/2020 Inactive

WHIPPLE JOHN R MD 36209 5/2/2020 6/13/2020 Inactive

WHITE KATHRYN CARR MD 36959 5/26/2020 6/13/2020 Inactive

WILLING MARCIA CHRISTINE MD 36297 5/8/2020 6/13/2020 Inactive

WILSON CLINT N MD 36167 4/27/2020 6/13/2020 Inactive

WINGO SUSAN TANNER MD 35916 4/8/2020 6/13/2020 Inactive

WISE PAUL EDWARD MD 36149 4/26/2020 6/13/2020 Inactive

WONG BRYAN CHUNG-YUN MD 35814 3/31/2020 6/13/2020 Inactive

WONG KELVIN KARL YU MD 36052 4/17/2020 6/13/2020 Inactive

WOO JASON SHI-JIANG MD 35920 4/8/2020 6/13/2020 Inactive

WRIGHT MARK WAYNE MD 35956 4/9/2020 6/13/2020 Inactive

WRIGHT RANDALL A MD 35918 4/8/2020 6/13/2020 Inactive

YADAV ITI MD 36079 4/20/2020 6/13/2020 Inactive

YOUSSEF JIHAD GEORGES MD 36060 4/20/2020 6/13/2020 Inactive

YUZ MICHAEL MD 36072 4/19/2020 6/13/2020 Inactive

ZBELL TONYA TAMPLIN MD 35854 4/3/2020 6/13/2020 Inactive

ZERVAS JENNIFER LUCILLE PT 5875 4/2/2020 6/13/2020 Inactive

ZHANG LYDIA JING-FANG MD 35952 4/9/2020 6/13/2020 Inactive

ABDELSALAM MOHAMED ELSAYED MD 36839 5/13/2020 6/22/2021 Active

ABDI SALAHADIN MD 36426 5/13/2020 6/22/2021 Active

ABDIN JAMAL ZIAD MD 37596 11/24/2020 6/22/2021 Active

ABDULLAHI SAMIIRA ALL PA 4328 5/13/2020 6/22/2021 Active

ABINANTE MATTHEW WAYNE MD 37456 10/16/2020 6/22/2021 Active

ABOUHARB SAUSAN ZIAD MD 36794 5/13/2020 6/22/2021 Active

ABRAHAM BENCY ANN PA 4305 5/13/2020 6/22/2021 Active

ABRAHAM JENNY SHERINE PA 4051 5/13/2020 6/22/2021 Active

ABUDAYYEH ALA MD 36587 5/13/2020 6/22/2021 Active

ADACHI JAVIER ANTONIO MD 36560 5/13/2020 6/22/2021 Active

ADACHI ROBERTO ANTONIO MD 36416 5/13/2020 6/22/2021 Active

ADEBAYO TEMITOPE PA 4245 5/13/2020 6/22/2021 Active

ADELMAN DAVID MATTHEW MD 36659 5/13/2020 6/22/2021 Active

ADENIYI OLATOKUNBO MD 37833 1/21/2021 6/22/2021 Active

AFSHAR-KHARGHAN VAHID MD 36460 5/13/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

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AGOSTINELLI NICOLE MD 37839 1/22/2021 6/22/2021 Active

AHMED FAIYAZ MOHAMMAD MD 37845 1/25/2021 6/22/2021 Active

AHMED MOHAMMED ARIF MD 37790 1/12/2021 6/22/2021 Active

AHMED SAIRAH MD 36694 5/13/2020 6/22/2021 Active

AHRAR JUDY UN CHONG MD 36595 5/13/2020 6/22/2021 Active

AHRAR KAMRAN MD 36462 5/13/2020 6/22/2021 Active

AJANI JAFFER A. MD 36346 5/13/2020 6/22/2021 Active

AKHTAR AMBER NICHOLE PA 4315 5/13/2020 6/22/2021 Active

AL ZUBIDI NAGHAM MD 36821 5/13/2020 6/22/2021 Active

ALESSI DRAN YVETTE PA 4132 5/13/2020 6/22/2021 Active

ALI AMATUL NOOR PA 4177 5/13/2020 6/22/2021 Active

ALI SHAHNOOR M PA 4276 5/13/2020 6/22/2021 Active

ALLASSAN NAID PA 4352 5/13/2020 6/22/2021 Active

ALLEN RICHARD CUTLER MD 36467 5/13/2020 6/22/2021 Active

ALNAJJAR SAM MD 37866 1/27/2021 6/22/2021 Active

ALOIA THOMAS ANTHONY MD 36529 5/13/2020 6/22/2021 Active

ALOUSI AMIN MAJID MD 36583 5/13/2020 6/22/2021 Active

ALPARD JENNIFER K. PA 4057 5/13/2020 6/22/2021 Active

ALTAN MEHMET MD 36842 5/13/2020 6/22/2021 Active

ALVARADO VALERO YESID MD 36609 5/13/2020 6/22/2021 Active

ALVAREZ MARIA C. MD 37409 10/8/2020 6/22/2021 Active

ALVAREZ TIFFANY PA 4378 5/13/2020 6/22/2021 Active

AMARIA RODABE NAVROZE MD 36753 5/13/2020 6/22/2021 Active

ANDAZOLA JIMMY FLOYD PA 4505 10/29/2020 6/22/2021 Active

ANDEL KATHLEEN ELIZABETH PA 4198 5/13/2020 6/22/2021 Active

ANDERLINI PAOLO MD 36421 5/13/2020 6/22/2021 Active

ANTHOLZNER ELIZABETH PA 4368 5/13/2020 6/22/2021 Active

ANTONOFF MARA BETH MD 36791 5/13/2020 6/22/2021 Active

APARICIO ANA MANZANO MD 36596 5/13/2020 6/22/2021 Active

ARANDA MARGARET MD 37174 7/28/2020 6/22/2021 Active

ARAUJO DEJKA MARIDA MD 36495 5/13/2020 6/22/2021 Active

ARAUJO JOHN CHARLES MD 36525 5/13/2020 6/22/2021 Active

ARIZA-HEREDIA ELLA JAZMIN MD 36701 5/13/2020 6/22/2021 Active

ARIZAGA MARIA MD 37969 2/25/2021 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

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ARRINGTON ANDRIA NICOLE PA 4156 5/13/2020 6/22/2021 Active

ARTHUR JOSEPH ANTHONY MD 36685 5/13/2020 6/22/2021 Active

ARUN BANU K. MD 36438 5/13/2020 6/22/2021 Active

ARVIDE ELSA M. PA 4269 5/13/2020 6/22/2021 Active

ARZU ISIDORA YVONNE MD 36468 5/13/2020 6/22/2021 Active

ASHFORD HEATHER CRANDELL PA 4088 5/13/2020 6/22/2021 Active

ATHAR SHUMAILA MD 37221 8/10/2020 6/22/2021 Active

ATIENZA EDILBERTO DIZON MD 36298 5/8/2020 6/22/2021 Active

ATUN VICTOR JAIME MD 37592 12/4/2020 6/22/2021 Active

AUSTIN MARY THOMAS MD 36684 5/13/2020 6/22/2021 Active

AVRITSCHER RONY MD 36540 5/13/2020 6/22/2021 Active

AYON JAIME JOSE MD 37703 12/21/2020 6/22/2021 Active

AZHAR AHSAN MD 36748 5/13/2020 4/30/2021 Active

BADGWELL BRIAN DEAN MD 36561 5/13/2020 6/22/2021 Active

BAEN CHRISTEN SARA PA 4174 5/13/2020 6/22/2021 Active

BAJAJ KAILASH MD 37336 9/18/2020 6/22/2021 Active

BAKER DONALD MD 37998 3/4/2021 6/22/2021 Active

BALACHANDRAN DIWAKER DANDAPANI MD 36522 5/13/2020 6/22/2021 Active

BALDWIN JULIA LACHICOTTE PA 4027 5/13/2020 6/22/2021 Active

BANCHS JOSE ALBERTO MD 36648 5/13/2020 6/22/2021 Active

BANSAL ANJULY PA 4141 5/13/2020 6/22/2021 Active

BARANANO KRISTIN WHITFORD MD 37890 2/4/2021 6/22/2021 Active

BARCENAS CARLOS HERNANDO MD 36667 5/13/2020 6/22/2021 Active

BARKER CAELI AMELIA PA 4349 5/13/2020 6/22/2021 Active

BARNETT MELISSA ANNE PA 4293 5/13/2020 6/22/2021 Active

BARRENECHEA PAULA MARY PA 4384 5/13/2020 6/22/2021 Active

BARRON MARTHA ISELA PA 4118 5/13/2020 6/22/2021 Active

BARRY TROY ALLEN PA 4031 5/13/2020 6/22/2021 Active

BASHIR QAISER MD 36650 5/13/2020 6/22/2021 Active

BAST ROBERT CLINTON MD 36409 5/13/2020 6/22/2021 Active

BASU NABANITA MD 37359 9/23/2020 6/22/2021 Active

BAUER SARAH H PA 4042 5/13/2020 6/22/2021 Active

BAULIS JESSICA E. PA 4139 5/13/2020 6/22/2021 Active

BAUMANN DONALD PETER MD 36569 5/13/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

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BAUMGART PATRICK MICHAEL MD 37408 10/8/2020 6/22/2021 Active

BEATY KAREN ANNETTE PA 4048 5/13/2020 6/22/2021 Active

BEDNARSKI BRIAN KEITH MD 36695 5/13/2020 6/22/2021 Active

BENHACENE ASSIA MD 37457 10/22/2020 6/22/2021 Active

BENITEZ KRUIDENIER SANDRA LORENA PA 4356 5/13/2020 6/22/2021 Active

BENJAMIN MICHELLE A PA 4344 5/13/2020 6/22/2021 Active

BENJAMIN ROBERT STEPHEN MD 36335 5/13/2020 6/22/2021 Active

BERNARD JOHN MARLEY JR MD 37283 8/31/2020 6/22/2021 Active

BERNER DONNA KATHERINE PA 4045 5/13/2020 6/22/2021 Active

BEST CONOR MD 36812 5/13/2020 6/22/2021 Active

BEVER KATHERINE MERYL MD 37544 11/11/2020 6/22/2021 Active

BEVERS MICHAEL WAYNE MD 36387 5/13/2020 6/22/2021 Active

BEVERS TERRY BARTHOLOMEW MD 36368 5/13/2020 6/22/2021 Active

BHATTI FARIHA MD 37376 9/28/2020 6/22/2021 Active

BIANCHI CHRISTINA PA 4348 5/13/2020 6/22/2021 Active

BIONDICH AMY MD 37157 7/23/2020 6/22/2021 Active

BIRD JUSTIN EARL MD 36702 5/13/2020 6/22/2021 Active

BISEN AJIT KUMAR MD 36742 5/13/2020 6/22/2021 Active

BISHOP ANDREW JUSTIN MD 36828 5/13/2020 6/22/2021 Active

BLAIR LINDSAY FAITH PA 4124 5/13/2020 6/22/2021 Active

BLEYL STEVEN BENJAMIN MD 37189 7/31/2020 6/22/2021 Active

BLOOM ELIZABETH STROH MD 36390 5/13/2020 6/22/2021 Active

BLUM MURPHY MARIELA ANABEL MD 36660 5/13/2020 6/22/2021 Active

BLUMENSCHEIN GEORGE RICHARD JR MD 36428 5/13/2020 6/22/2021 Active

BODURKA DIANE CATHERINE MD 36405 5/13/2020 6/22/2021 Active

BOLIN ALLISON PA 4374 5/13/2020 6/22/2021 Active

BOMAR HANNAH KATHLEEN PA 4171 5/13/2020 6/22/2021 Active

BONIOMA KOYA MAITHE RC 5315 12/11/2020 6/22/2021 Active

BOOSER DANIEL JAMES MD 36344 5/13/2020 6/22/2021 Active

BORCHARDT ROY ALAN PA 4107 5/13/2020 6/22/2021 Active

BORTHAKUR GAUTAM MD 36420 5/13/2020 6/22/2021 Active

BOSE PRITHVIRAJ MD 36801 5/13/2020 6/22/2021 Active

BRANDT KERITH LEIGH PA 4131 5/13/2020 6/22/2021 Active

BRANLY ROLANDO MANUEL MD 35874 4/5/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

Page 17 of 51

Page 20: MD ag05.03.2021.Virtual Special Meeting

BRASLAU DANIEL LAWRENCE MD 37260 8/21/2020 6/22/2021 Active

BRESALIER ROBERT SCOTT MD 36539 5/13/2020 6/22/2021 Active

BRESSER SARA PA 4373 5/13/2020 6/22/2021 Active

BREWSTER ABENAA MARCIA MD 36497 5/13/2020 6/22/2021 Active

BRIDGES CHRISTIAN ALEXIS PA 4122 5/13/2020 6/22/2021 Active

BROUWER HANNAH DAWN PA 4169 5/13/2020 6/22/2021 Active

BROWN LAURA TANKE MD 37403 10/7/2020 6/22/2021 Active

BROWN POWEL BENJAMIN MD 36349 5/13/2020 6/22/2021 Active

BRYAN JOE PAUL MD 37754 1/4/2021 6/22/2021 Active

BUFO ANTHONY JAMES MD 37414 10/9/2020 6/22/2021 Active

BUI CHRISTOPHER VAN PA 4359 5/13/2020 6/22/2021 Active

BURGER JAN ANDREAS MD 36696 5/13/2020 6/22/2021 Active

BURGESS COURTLYN GRACE PA 4380 5/13/2020 6/22/2021 Active

BUSAIDY NAIFA LAMKI MD 36541 5/13/2020 6/22/2021 Active

BUTLER CHARLES EDWARD MD 36464 5/13/2020 6/22/2021 Active

BUTLER JILL MD 37233 8/14/2020 6/22/2021 Active

BUZDAR AMAN U. MD 36336 5/13/2020 6/22/2021 Active

BYERS LAUREN AVERETT MD 36597 5/13/2020 6/22/2021 Active

CABANILLAS MARIA EUGENIA MD 36482 5/13/2020 6/22/2021 Active

CALKINS HUGH GROSVENOR MD 37287 9/2/2020 6/22/2021 Active

CALLAHAN KATE KEGG PA 4254 5/13/2020 6/22/2021 Active

CAMPBELL JEANNEE YOLANDA PA 4243 5/13/2020 6/22/2021 Active

CAMPBELL MATTHEW THOMAS MD 36754 5/13/2020 6/22/2021 Active

CAO HUE THUC PA 4125 5/13/2020 6/22/2021 Active

CARLI SAMUEL MD 37176 7/28/2020 6/22/2021 Active

CARMICHAEL JOHN DAVID MD 37332 9/17/2020 6/22/2021 Active

CARPENTER REBECCA LONGORIA PA 4152 5/13/2020 6/22/2021 Active

CARTER KRISTEN KELLY PA 4185 5/13/2020 6/22/2021 Active

CASAL ROBERTO FERNANDO MD 36817 5/13/2020 6/22/2021 Active

CASANOVA DEANNDRA PA 4304 5/13/2020 6/22/2021 Active

CASCONE TINA MD 36833 5/13/2020 6/22/2021 Active

CASEY JAMIE RENE PA 4480 9/18/2020 6/22/2021 Active

CASTEEL KELLY NICOLE MD 36806 5/13/2020 6/22/2021 Active

CATT WENDY RENEE RC 5308 12/8/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

Page 18 of 51

Page 21: MD ag05.03.2021.Virtual Special Meeting

CAUDLE ABIGAIL SUZANNE MD 36607 5/13/2020 6/22/2021 Active

CENTENIO JOHN CHRISTOPHER PA 4028 5/13/2020 6/22/2021 Active

CERVENKA MACKENZIE CARPENTER MD 37337 9/18/2020 6/22/2021 Active

CHAI THOMAS MD 36698 5/13/2020 6/22/2021 Active

CHAMBERLAIN RICK MD 37625 12/3/2020 6/22/2021 Active

CHAMPLIN RICHARD EUGENE MD 36379 5/13/2020 6/22/2021 Active

CHANDRAN RUBIN MD 37878 2/2/2021 6/22/2021 Active

CHANG EDWARD I-FEI MD 36677 5/13/2020 6/22/2021 Active

CHANG GEORGE JAE-SHIK MD 36552 5/13/2020 6/22/2021 Active

CHANG JOE YUJIAO MD 36507 5/13/2020 6/22/2021 Active

CHAPIN BRIAN FRANCIS MD 36678 5/13/2020 6/22/2021 Active

CHAUDHARY ALI SAEED MD 37509 10/29/2020 6/22/2021 Active

CHAVEZ-MACGREGOR MARIANA MD 36718 5/13/2020 6/22/2021 Active

CHAZEN DIANE MD 37218 8/10/2020 6/22/2021 Active

CHEAS SUZANNE E. OT 5507 7/28/2020 6/22/2021 Active

CHEATHAM JENNIFER SHANNON MD 37488 10/26/2020 6/22/2021 Active

CHEATHAM SAVANNAH LYNN PA 4376 5/13/2020 6/22/2021 Active

CHEN AILEEN MD 36873 5/13/2020 6/22/2021 Active

CHEN AN MD 37196 8/3/2020 6/22/2021 Active

CHEN EDWARD S MD 37801 1/14/2021 6/22/2021 Active

CHEN MERRY MD 36712 5/13/2020 6/22/2021 Active

CHEN SHELDON MD 36797 5/13/2020 6/22/2021 Active

CHEN STEPHEN RUSSELL MD 36598 5/13/2020 6/22/2021 Active

CHEN WENDY YUN-JU PA 4016 5/13/2020 6/22/2021 Active

CHERY LISLY JOEL MD 36818 5/13/2020 6/22/2021 Active

CHEUNG SHEREE HUEY YI PA 4190 5/13/2020 6/22/2021 Active

CHIEN PAMELA LU PA 4165 5/13/2020 6/22/2021 Active

CHIEN PAMELA LU PA 4166 5/13/2020 6/22/2021 Active

CHOI SEUNGTAEK LEE MD 36585 5/13/2020 6/22/2021 Active

CHON SUSAN YA MING MD 36542 5/13/2020 6/22/2021 Active

CHOPRA DEEPTI ARUN MD 36836 5/13/2020 6/22/2021 Active

CHOU CAMILLA C PA 4258 5/13/2020 6/22/2021 Active

CHOUDHURY TIYASHI MD 37450 10/16/2020 6/22/2021 Active

CHOW ALYSSA DANIELLE PA 4340 5/13/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

Page 19 of 51

Page 22: MD ag05.03.2021.Virtual Special Meeting

CHRONOWSKI GREGORY MICHAEL MD 36580 5/13/2020 6/22/2021 Active

CHU DIEM THUY PA 4044 5/13/2020 6/22/2021 Active

CHU KAI-CHENG CARRIE MD 36807 5/13/2020 6/22/2021 Active

CHUN YUN SHIN MD 36584 5/13/2020 6/22/2021 Active

CHUNG CAROLINE MD 36865 5/13/2020 6/22/2021 Active

CHURCH LEE MD 37165 7/27/2020 6/22/2021 Active

CIUREA ANA OCTAVIAN MD 36641 5/13/2020 6/22/2021 Active

CLAPP MARISSA LEIGH PA 4204 5/13/2020 6/22/2021 Active

CLARKE KOLETTA RAE OA 2309 2/26/2021 6/22/2021 Active

CLEMENS MARK WARREN II MD 36679 5/13/2020 6/22/2021 Active

CLEVELAND COURTNEY GAIL PA 4379 5/13/2020 6/22/2021 Active

CLYDE SARA M PA 4105 5/13/2020 6/22/2021 Active

COCHRANE CHELSEA PA 4377 5/13/2020 6/22/2021 Active

COCUZZI IVY IVIE PA 4128 5/13/2020 6/22/2021 Active

COHEN JODI BETH MD 37920 2/11/2021 6/22/2021 Active

COLEN JUSSICA SUAREZ MD 36671 5/13/2020 6/22/2021 Active

COMARDA ANNE L. PA 4111 5/13/2020 6/22/2021 Active

COMEAUX RYAN JOSEPH PA 4383 5/13/2020 6/22/2021 Active

CONLEY ANTHONY PAUL MD 36603 5/13/2020 6/22/2021 Active

CONNOLLY DENNIS JOHN PA 4265 5/13/2020 6/22/2021 Active

COOLIDGE RACHEL DEANNE PA 4247 5/13/2020 6/22/2021 Active

COOPER ASHLEY MARIE MD 35978 4/13/2020 6/22/2021 Active

CORN PAUL GETTYS MD 36555 5/13/2020 6/22/2021 Active

CORREA REFINETTI ANA PAULA MD 36826 5/13/2020 6/22/2021 Active

COTE RACHEL HANAKO PT 5926 8/25/2020 6/22/2021 Active

COTTO FELIX NEPHTALI MD 37749 12/31/2020 6/22/2021 Active

COUSINO LINDSAY SUE RC 5378 3/5/2021 6/22/2021 Active

COUSSIRAT DANIEL JOHN PA 4086 5/13/2020 6/22/2021 Active

COX DANA MICHELLE PA 4218 5/13/2020 6/22/2021 Active

CRESSMAN ERIK NORMAN KRASKE MD 36761 5/13/2020 6/22/2021 Active

CRONE NATHAN EARL MD 37370 9/25/2020 6/22/2021 Active

CUGLIEVAN GULMAN BRANKO MD 36870 5/13/2020 6/22/2021 Active

CUNIN KATHRYN MD 37346 9/21/2020 6/22/2021 Active

CUNNINGHAM JONATHAN FRANCIS PA 4385 5/13/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

Page 20 of 51

Page 23: MD ag05.03.2021.Virtual Special Meeting

DABAJA BOUTHAINA SHBIB MD 36581 5/13/2020 6/22/2021 Active

DADRAS SEPIDEH MD 37172 7/28/2020 6/22/2021 Active

DADU RAMONA MD 36757 5/13/2020 6/22/2021 Active

DAHL JENNIFER JEAN PA 4209 5/13/2020 6/22/2021 Active

DAILY LARRY CLIFTON PA 4066 5/13/2020 6/22/2021 Active

DALBY TRUMAN O PT 6031 3/12/2021 6/22/2021 Active

DALLAS TIFFANY RAE RC 5309 12/8/2020 6/22/2021 Active

DAMODARAN SENTHILKUMAR MD 36814 5/13/2020 6/22/2021 Active

DARLING BROOKE ALLISON PA 4087 5/13/2020 6/22/2021 Active

DAS PRAJNAN MD 36543 5/13/2020 6/22/2021 Active

DASARI ARVIND VIJAYA ARVIND MD 36708 5/13/2020 6/22/2021 Active

DAVENPORT IRA LENDON PA 4290 5/13/2020 6/22/2021 Active

DAVER HILLARY ELIZABETH PA 4194 5/13/2020 6/22/2021 Active

DAVER NAVAL GUSTAD MD 36703 5/13/2020 6/22/2021 Active

DAVIES MICHAEL ARWYN MD 36544 5/13/2020 6/22/2021 Active

DAVIS FRED L RC 5354 2/5/2021 6/22/2021 Active

DAVIS JOHN WARREN MD 36472 5/13/2020 6/22/2021 Active

DAY LAKEISHA RENAE PA 4136 5/13/2020 6/22/2021 Active

DE GROOT PATRICIA MONIQUE MD 36493 5/13/2020 6/22/2021 Active

DE LA CRUZ MAXINE GRACE MD 36637 5/13/2020 6/22/2021 Active

DE LUNA ROLANDO PA 4090 5/13/2020 6/22/2021 Active

DE MONTE FRANCO MD 36397 5/13/2020 6/22/2021 Active

DE VITO VIKKI JEAN PA 4092 5/13/2020 6/22/2021 Active

DEAN ERIN MICHELLE PA 4224 5/13/2020 6/22/2021 Active

DELCLOS MARC EUGENE MD 36400 5/13/2020 6/22/2021 Active

DELGADO GUAY MARVIN OMAR MD 36631 5/13/2020 6/22/2021 Active

DELLINGER OSCAR MD 38000 3/4/2021 6/22/2021 Active

DELUCIA KATIE JEAN PA 4089 5/13/2020 6/22/2021 Active

DEMARAIS BRADLEY J MD 37785 1/11/2021 6/22/2021 Active

DESNYDER SARAH MARIE MD 36697 5/13/2020 6/22/2021 Active

DESWAL ANITA MD 36444 5/13/2020 6/22/2021 Active

DEV RONY MD 36537 5/13/2020 6/22/2021 Active

DHANANI FAIYZAN NIZAR PA 4325 5/13/2020 6/22/2021 Active

DI NARDO COURTNEY DENTON MD 36729 5/13/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

Page 21 of 51

Page 24: MD ag05.03.2021.Virtual Special Meeting

DIAB ADI MD 36768 5/13/2020 6/22/2021 Active

DIAZ EDUARDO MANUAL JR MD 36380 5/13/2020 6/22/2021 Active

DIERCKMAN BRIAN MD 37467 10/21/2020 6/22/2021 Active

DIERSING JULIA PA 4366 5/13/2020 6/22/2021 Active

DILLER KAREN PA 4274 5/13/2020 6/22/2021 Active

DINNEY COLIN PADRAIC NEAL MD 36385 5/13/2020 6/22/2021 Active

DIRENZO DANA DOMINIQUE MD 37566 11/16/2020 6/22/2021 Active

DO NGUYET PA 4179 5/13/2020 6/22/2021 Active

DOAN HUNG QUOC MD 36844 5/13/2020 6/22/2021 Active

DONAYRE CARLOS ENRIQUE MD 37933 2/17/2021 6/22/2021 Active

DORBER COURTNEY PA 4357 5/13/2020 6/22/2021 Active

DOROSHENKO NATALIA PA 4360 5/13/2020 6/22/2021 Active

DOWNING GREGORY C MD 37823 1/20/2021 6/22/2021 Active

DOWNING STEPHANIE RAE MD 37504 10/29/2020 6/22/2021 Active

DRIVER LARRY CARL MD 36345 5/13/2020 6/22/2021 Active

DSOUZA LY HUYNH PA 4163 5/13/2020 6/22/2021 Active

DU YE BEVERLY MD 37466 10/21/2020 6/22/2021 Active

DUBINSKY RICHARD MEYER MD 37313 9/14/2020 6/22/2021 Active

DUMBRAVA ECATERINA ELENA MD 36326 5/13/2020 6/22/2021 Active

DUNAY STEPHEN MD 37223 8/10/2020 6/22/2021 Active

DURAND JEAN-BERNARD MD 36424 5/13/2020 6/22/2021 Active

DUVIC MADELEINE MD 36357 5/13/2020 6/22/2021 Active

EAPEN GEORGIE ALEX MD 36448 5/13/2020 6/22/2021 Active

EDENS CUOGHI CAMILE MD 37919 2/11/2021 6/22/2021 Active

EFSTATHIOU ELENI MD 36330 5/13/2020 6/22/2021 Active

ELAMIN YASIR Y MD 36325 5/13/2020 6/22/2021 Active

ELENGICAL SALINA PA 4232 5/13/2020 6/22/2021 Active

ELIAS-AUSI SAMUEL MD 37168 7/28/2020 6/22/2021 Active

ELLICKALPUTHENPURA BENA ELIZABETH PA 4168 5/13/2020 6/22/2021 Active

ELLIS SHANNON MD 37356 9/23/2020 6/22/2021 Active

ELRICK MATTHEW JOSEPH MD 38009 3/5/2021 6/22/2021 Active

EPNER DANIEL EVAN MD 36364 5/13/2020 6/22/2021 Active

ESMAELI BITA MD 36445 5/13/2020 6/22/2021 Active

ESTROV ZEEV MD 36417 5/13/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

Page 22 of 51

Page 25: MD ag05.03.2021.Virtual Special Meeting

FABER JAMIE MARIE PA 4211 5/13/2020 6/22/2021 Active

FABIAN CAITLIN LANGE PA 4302 5/13/2020 6/22/2021 Active

FANG PENNY MD 36890 5/13/2020 6/22/2021 Active

FANGMEYER LAURA LEE PA 4347 5/13/2020 6/22/2021 Active

FARELA HECTOR MARCELO MD 37613 11/30/2020 6/22/2021 Active

FAYAD LUIS EDUARDO MD 36410 5/13/2020 6/22/2021 Active

FEIG BARRY WAYNE MD 36388 5/13/2020 6/22/2021 Active

FELICIANO PADIN DEBRA PA 4560 2/1/2021 6/22/2021 Active

FERGUSON SHERISE DESIREE MD 36759 5/13/2020 6/22/2021 Active

FERGUSON SUSAN PORTIS MD 37487 10/26/2020 6/22/2021 Active

FERRAJOLI ALESSANDRA MD 36473 5/13/2020 6/22/2021 Active

FERRAROTTO RENATA MD 36837 5/13/2020 6/22/2021 Active

FERRELL RHONDA D RC 5387 3/9/2021 6/22/2021 Active

FISHER SARAH DEANN MD 36781 5/13/2020 6/22/2021 Active

FISHER TOBI DEANN PA 4043 5/13/2020 6/22/2021 Active

FLEMING NICOLE DIERSCHKE MD 36699 5/13/2020 6/22/2021 Active

FLIEHLER KELLEY JORDAN PA 4335 5/13/2020 6/22/2021 Active

FLYNN JILL ELIZABETH PA 4239 5/13/2020 6/22/2021 Active

FOGELMAN DAVID RANDALL MD 36610 5/13/2020 6/22/2021 Active

FOLEY STEPHANIE MD 37234 8/14/2020 6/22/2021 Active

FOLLODER JUSTIN PHILIP PA 4135 5/13/2020 6/22/2021 Active

FONG YUMAN MD 38016 3/8/2021 6/22/2021 Active

FOSSELLA FRANK VITO MD 36351 5/13/2020 6/22/2021 Active

FOURNIER KEITH FRANCIS MD 36588 5/13/2020 6/22/2021 Active

FOWLER NATHAN HALE MD 36613 5/13/2020 6/22/2021 Active

FOX EMILY JO MD 35906 4/8/2020 6/22/2021 Active

FRANK STEVEN JAY MD 36498 5/13/2020 6/22/2021 Active

FRANKS LEA ANN-MARIE PA 4112 5/13/2020 6/22/2021 Active

FREAS NICOLE LANCASTER PA 4184 5/13/2020 6/22/2021 Active

FRIDDELL REBEKAH ANN PA 4370 5/13/2020 6/22/2021 Active

FRINK SPENCER JAMES MD 36655 5/13/2020 6/22/2021 Active

FRISCHER JASON SETH MD 37345 9/21/2020 6/22/2021 Active

FRUMOVITZ MICHAEL MAXWELL MD 36483 5/13/2020 6/22/2021 Active

FU SIQING MD 36570 5/13/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

Page 23 of 51

Page 26: MD ag05.03.2021.Virtual Special Meeting

FULGHUM UCHENNA NKIRU RC 5391 3/11/2021 6/22/2021 Active

FULLER CLIFTON DAVID MD 36711 5/13/2020 6/22/2021 Active

FUTRELL RACHEL KRAMER PA 4196 5/13/2020 6/22/2021 Active

GAGEL ROBERT FRANCIS MD 36350 5/13/2020 6/22/2021 Active

GALLO BRUNO MD 37737 12/29/2020 6/22/2021 Active

GAMBAROTA MARCI MD 37834 1/21/2021 6/22/2021 Active

GANDHI SAUMIL NARESH MD 36841 5/13/2020 6/22/2021 Active

GAO JIANJUN MD 36446 5/13/2020 6/22/2021 Active

GAO SHUWEI MD 36447 5/13/2020 6/22/2021 Active

GARCIA SHERRY MARIE PA 4116 5/13/2020 6/22/2021 Active

GARCIA-MANERO GUILLERMO MD 36463 5/13/2020 6/22/2021 Active

GARDEN ADAM SETH MD 36381 5/13/2020 6/22/2021 Active

GARG ASHU MD 37368 9/25/2020 6/22/2021 Active

GARRISON AARON PAUL MD 37350 9/22/2020 6/22/2021 Active

GARVEY PATRICK BRYAN MD 36625 5/13/2020 6/22/2021 Active

GASIOROVA MAGDALENA MD 37997 3/4/2021 6/22/2021 Active

GAY CARL MICHAEL MD 36850 5/13/2020 6/22/2021 Active

GEDALIA URI ABRAHAM MD 37650 12/9/2020 6/22/2021 Active

GEORGE SAIRA CINY MD 36632 5/13/2020 6/22/2021 Active

GEPPNER ALEXIS C. PA 4195 5/13/2020 6/22/2021 Active

GERINENI SUJATHA MD 37690 12/17/2020 6/22/2021 Active

GERMAN VALERIE MARIE MD 37733 12/28/2020 6/22/2021 Active

GERSHENSON DAVID MARC MD 36343 5/13/2020 6/22/2021 Active

GERSHENWALD JEFFREY EVAN MD 36413 5/13/2020 6/22/2021 Active

GEYEN DANIELLE PA 4353 5/13/2020 6/22/2021 Active

GEYER MARK BLAINE MD 37426 10/12/2020 6/22/2021 Active

GHAFFAR UMBAR MD 37441 10/16/2020 6/22/2021 Active

GHARAIBEH KAMEL ABDEL RAHMAN MD 37632 12/4/2020 6/22/2021 Active

GHIA AMOL JITENDRA MD 36724 5/13/2020 6/22/2021 Active

GIBBONS DON LYNN MD 36608 5/13/2020 6/22/2021 Active

GIBBONS JAMIE LYNN PA 4260 5/13/2020 6/22/2021 Active

GIBSON HEATHER MARIE PA 4248 5/13/2020 6/22/2021 Active

GIDLEY PAUL WILLIAM MD 36391 5/13/2020 6/22/2021 Active

GIESEMANN LESLIE ANN MD 37665 12/14/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

Page 24 of 51

Page 27: MD ag05.03.2021.Virtual Special Meeting

GILCHRIST SUSAN CLARK MD 36504 5/13/2020 6/22/2021 Active

GILLENWATER ANN MARIE MD 36369 5/13/2020 6/22/2021 Active

GILLIAM JESSICA MD 37369 9/25/2020 6/22/2021 Active

GILLISON MAURA LIANNE MD 36845 5/13/2020 6/22/2021 Active

GILMAN ALEX SCOTT MD 37397 10/5/2020 6/22/2021 Active

GIORDANO SHARON HERMES MD 36453 5/13/2020 6/22/2021 Active

GIPSON TANJALA TRINETTE MD 37533 11/6/2020 6/22/2021 Active

GIROCCO SUSANNA LEE PA 4120 5/13/2020 6/22/2021 Active

GIROUX JACQUELINE RC 5370 2/24/2021 6/22/2021 Active

GLISSON BONNIE SUE MD 36358 5/13/2020 6/22/2021 Active

GLITZA ISABELLA CLAUDIA MD 36709 5/13/2020 6/22/2021 Active

GLOVER MAURA SHANNON PA 4080 5/13/2020 6/22/2021 Active

GOEPFERT RYAN PATRICK MD 36823 5/13/2020 6/22/2021 Active

GOLLIHAR STACIA HOOKOM PA 4180 5/13/2020 6/22/2021 Active

GOMBOS DAN S. MD 36499 5/13/2020 6/22/2021 Active

GOMEZ MARIA CAROLINA PA 4246 5/13/2020 6/22/2021 Active

GONZALES MARSHALL ANDREW PA 4019 5/13/2020 6/22/2021 Active

GONZALES SHONNA LEE RC 5388 3/9/2021 6/22/2021 Active

GONZALES VALERIE DEVIN RC 5322 12/21/2020 6/22/2021 Active

GONZALEZ CIPRIANO CONANAN PA 4047 5/13/2020 6/22/2021 Active

GONZALEZ PAOLA PA 4126 5/13/2020 6/22/2021 Active

GONZALEZ ROBERTO ESTHER MD 36439 5/13/2020 6/22/2021 Active

GOULD JILL R. PA 4070 5/13/2020 6/22/2021 Active

GOURMELON NICOLE PA 4354 5/13/2020 6/22/2021 Active

GRABER WILLIAM JAMES IV MD 36422 5/13/2020 6/22/2021 Active

GRAHAM PAUL HARDIN MD 36764 5/13/2020 6/22/2021 Active

GRANWEHR BRUNO PALMA MD 36563 5/13/2020 6/22/2021 Active

GREEN LISA MD 37904 2/8/2021 6/22/2021 Active

GREENBERG MIGGIE L MD 37594 11/24/2020 6/22/2021 Active

GREY LESLIE CARYN PA 4508 11/2/2020 6/22/2021 Active

GROSS NEIL DWAYNE MD 36792 5/13/2020 6/22/2021 Active

GROSSMAN H. BARTON MD 36414 5/13/2020 6/22/2021 Active

GROSU HORIANA BOGDANA MD 36767 5/13/2020 6/22/2021 Active

GRUBBS ELIZABETH GARDNER MD 36589 5/13/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

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GUADAGNOLO BEVERLY ASHLAND MD 36590 5/13/2020 6/22/2021 Active

GUDIEL RAFAEL ANTONIO JR RC 5311 12/9/2020 6/22/2021 Active

GUIMARAES DEBORAH CROSLAND PA 4081 5/13/2020 6/22/2021 Active

GUIROLA RICARDO MD 37855 1/26/2021 6/22/2021 Active

GUNN GARY BRANDON MD 36611 5/13/2020 6/22/2021 Active

GUNTHER JILLIAN REBECCA MD 36851 5/13/2020 6/22/2021 Active

GUPTA ADEETI MD 37921 2/11/2021 6/22/2021 Active

GUPTA EKTA MD 36523 5/13/2020 6/22/2021 Active

HABRA MOUHAMMED AMIR MD 36618 5/13/2020 6/22/2021 Active

HACHE MARIA J. MD 37410 10/8/2020 6/22/2021 Active

HACKER-PRIETZ AMY PA 4548 1/12/2021 6/22/2021 Active

HAGEMEISTER FREDRICK BOB MD 36338 5/13/2020 6/22/2021 Active

HAIDER ALI MD 36810 5/13/2020 6/22/2021 Active

HAIDER SYED HUSSAIN MD 37994 3/4/2021 6/22/2021 Active

HALDIPUR ANSHUL GAURANG MD 37263 8/24/2020 6/22/2021 Active

HALL MELISSA SARA PA 4229 5/13/2020 6/22/2021 Active

HALPERIN DANIEL MARK MD 36800 5/13/2020 6/22/2021 Active

HALTOM RODNEY O'GRADY PA 4093 5/13/2020 6/22/2021 Active

HAMILTON ALEXIS RUTH PA 4294 5/13/2020 6/22/2021 Active

HAMLIN AMANDA VIOLET PA 4110 5/13/2020 6/22/2021 Active

HANASONO MATTHEW MITSURU MD 36545 5/13/2020 6/22/2021 Active

HANNA EHAB Y.N. MD 36553 5/13/2020 6/22/2021 Active

HANSON SUMMER ELIZABETH MD 36736 5/13/2020 6/22/2021 Active

HARDING AMANDA MD 37891 2/4/2021 6/22/2021 Active

HARDY SHERTIERA RC 5342 1/22/2021 6/22/2021 Active

HARRIS JULIA GRACE MD 35907 4/8/2020 6/22/2021 Active

HARRISON DOUGLAS JAMES MD 36793 5/13/2020 6/22/2021 Active

HARRISON REBECCA ANNE MD 36861 5/13/2020 6/22/2021 Active

HAWKINS LAUREN BRIAN MD 37416 10/9/2020 6/22/2021 Active

HEBERTON MEGHAN MCINTOSH MD 36882 5/13/2020 6/22/2021 Active

HEIBERGER KATHERINE M PA 4326 5/13/2020 6/22/2021 Active

HEIMBERGER AMY BETH MD 36526 5/13/2020 6/22/2021 Active

HEINS SARAH HENRIETTE PA 4303 5/13/2020 6/22/2021 Active

HELD LAYNE PA 4345 5/13/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

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HEMPEL CAROLINE MICHELLE PA 4327 5/13/2020 6/22/2021 Active

HENNEGAN TARIN DOUBT PA 4321 5/13/2020 6/22/2021 Active

HENRIQUEZ MADELEINE MY-LINH PA 4281 5/13/2020 6/22/2021 Active

HERBST KAREN LOUISE MD 37993 3/4/2021 6/22/2021 Active

HERNANDEZ ERIN LINDSEY PA 4117 5/13/2020 6/22/2021 Active

HERNANDEZ SARAH HOPE PA 4108 5/13/2020 6/22/2021 Active

HERZOG CYNTHIA ELAINE MD 36361 5/13/2020 6/22/2021 Active

HESSEL AMY CLARK MD 36415 5/13/2020 6/22/2021 Active

HEUNG YVONNE JULIA MD 36862 5/13/2020 6/22/2021 Active

HEY JOHN CHRISTOPHER MD 37442 10/16/2020 6/22/2021 Active

HEYMACH JOHN VICTOR MD 36577 5/13/2020 6/22/2021 Active

HIGAREDA SOPHIA PA 4215 5/13/2020 6/22/2021 Active

HIGGINS MICHAEL T. MD 37212 8/7/2020 6/22/2021 Active

HINGORANI POOJA MD 36884 5/13/2020 6/22/2021 Active

HOANG BAO TRAN THI THANH PA 4307 5/13/2020 6/22/2021 Active

HOANG QUOC TRAN PA 4155 5/13/2020 6/22/2021 Active

HOFFMAN KAREN ELIZABETH MD 36656 5/13/2020 6/22/2021 Active

HOFSTETTER WAYNE LEWIS MD 36564 5/13/2020 6/22/2021 Active

HOLBROOK KOURTNEY ELIZABETH PA 4289 5/13/2020 6/22/2021 Active

HOLLAND MICHAEL JAMES MD 35908 4/8/2020 6/22/2021 Active

HOLLIDAY EMMA BREY MD 36829 5/13/2020 6/22/2021 Active

HOLLOWAY SHANNON BRIGGS PA 4301 5/13/2020 6/22/2021 Active

HOLUB ORLI PA 4251 5/13/2020 6/22/2021 Active

HON ANGELA MD 37187 7/30/2020 6/22/2021 Active

HONG DAVID SANGHYUN MD 36500 5/13/2020 6/22/2021 Active

HORN MATTHEW MD 37468 10/21/2020 6/22/2021 Active

HORNER ALLISON ANNE PA 4133 5/13/2020 6/22/2021 Active

HORWITZ STEVEN MD 37652 12/11/2020 6/22/2021 Active

HOSING CHITRA MD 36454 5/13/2020 6/22/2021 Active

HU MIMI I-NAN MD 36503 5/13/2020 6/22/2021 Active

HUANG STEVEN YI-ZEN MD 36705 5/13/2020 6/22/2021 Active

HUEN AURIS ONN-LAY MD 36815 5/13/2020 6/22/2021 Active

HUEY RYAN WILSON MD 36830 5/13/2020 6/22/2021 Active

HUH BILLY KEON MD 36749 5/13/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

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HUNT KELLY KATHLEEN MD 36406 5/13/2020 6/22/2021 Active

HUNTER RAVEN MARIE OT 5548 2/11/2021 6/22/2021 Active

HUYNH TAM THI THANH MD 36469 5/13/2020 6/22/2021 Active

HUYNH-LU JULIE PA 4249 5/13/2020 6/22/2021 Active

HWANG ROSARIO FRANCES MD 36470 5/13/2020 6/22/2021 Active

HWU PATRICK MD 36550 5/13/2020 6/22/2021 Active

HYMES SHARON RENEE MD 36353 5/13/2020 6/22/2021 Active

IBARRA MARIA FERNANDA MD 35905 4/8/2020 6/22/2021 Active

IBRAHIM NUHAD KHALIL MD 36394 5/13/2020 6/22/2021 Active

IGNATIUS JERRY JOSEPH MD 36715 5/13/2020 6/22/2021 Active

IKOMA NARUHIKO MD 36805 5/13/2020 6/22/2021 Active

ILIESCU CEZAR ANGI MD 36619 5/13/2020 6/22/2021 Active

ILIESCU GLORIA ANGI MD 36620 5/13/2020 6/22/2021 Active

IM JIN MD 36734 5/13/2020 6/22/2021 Active

IMMANUEL STELLA MD 37513 10/29/2020 6/22/2021 Active

INDIHAR MARIA VERONICA MD 37822 1/20/2021 6/22/2021 Active

IRWIN DAVID CHRISTOPHER MD 36710 5/13/2020 6/22/2021 Active

ISSA GHAYAS C MD 36858 5/13/2020 6/22/2021 Active

IVEY SHANAE LESTER PA 4217 5/13/2020 6/22/2021 Active

IWUANYANWU EUCHARIA CHIEGE PA 4033 5/13/2020 6/22/2021 Active

IYER SWAMINATHAN PADMANABHAN MD 36626 5/13/2020 6/22/2021 Active

JABBOUR ELIAS JOSEPH MD 36769 5/13/2020 6/22/2021 Active

JACOB LENA PA 4256 5/13/2020 6/22/2021 Active

JACOBO OYOLA CONCHITA M PA 4581 2/18/2021 6/22/2021 Active

JACOME JOSHUA DAVID PA 4200 5/13/2020 6/22/2021 Active

JAFFE MICHAEL MD 37547 11/12/2020 6/22/2021 Active

JAIN NITIN MD 36722 5/13/2020 6/22/2021 Active

JANA BAGI RP MD 36690 5/13/2020 6/22/2021 Active

JANIK MONICA PA 4213 5/13/2020 6/22/2021 Active

JANKE JENNIFER LEE PA 4466 9/2/2020 6/22/2021 Active

JANKU FILIP MD 36744 5/13/2020 6/22/2021 Active

JAVLE MILIND MADHUKAR MD 36604 5/13/2020 6/22/2021 Active

JAZAERI AMIR MD 36501 5/13/2020 6/22/2021 Active

JENAB JANE MD 37454 10/16/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

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JETER MELENDA DIONNE MD 36515 5/13/2020 6/22/2021 Active

JHINGRAN ANUJA MD 36372 5/13/2020 6/22/2021 Active

JIANG SHIN-YI JENNY PA 4146 5/13/2020 6/22/2021 Active

JIANG YUE PA 4381 5/13/2020 6/22/2021 Active

JIMENEZ CAMILO ALBERTO MD 36474 5/13/2020 6/22/2021 Active

JIMENEZ ERICA PA 4191 5/13/2020 6/22/2021 Active

JINDANI IRFAN ANWAR PA 4176 5/13/2020 6/22/2021 Active

JOHN DAVID PA 4142 5/13/2020 6/22/2021 Active

JOHNS NATALIE THERESA PT 6023 2/26/2021 6/22/2021 Active

JOHNSON ALLISON MOSS MD 37430 10/14/2020 6/22/2021 Active

JOHNSON AMY CHAPMAN PA 4034 5/13/2020 6/22/2021 Active

JOHNSON BENNY MD 36860 5/13/2020 6/22/2021 Active

JOHNSON CHELSEA MD 37455 10/16/2020 6/22/2021 Active

JOHNSON DANIELLE JANYNE MD 37293 9/3/2020 6/22/2021 Active

JOHNSON FAYE MARIE MD 36435 5/13/2020 6/22/2021 Active

JOHNSON-ALVIZA JACALYN NICHOLE PA 4115 5/13/2020 6/22/2021 Active

JOHNSTON FABIAN MCCARTNEY MD 37565 11/16/2020 6/22/2021 Active

JOHNSTON MATTHEW ALDRICH PA 4233 5/13/2020 6/22/2021 Active

JONASCH ERIC MD 36516 5/13/2020 6/22/2021 Active

JONES LISA M MD 37812 1/19/2021 6/22/2021 Active

JONES MAKENZIE TAYLOR PA 4338 5/13/2020 6/22/2021 Active

JORDAN SHANE PA 4531 12/10/2020 6/22/2021 Active

JOSEPH LIZA M PA 4222 5/13/2020 6/22/2021 Active

JOSHUA JULIE PA 4151 5/13/2020 6/22/2021 Active

JOYNER MELISSA M MD 36642 5/13/2020 6/22/2021 Active

JUNG JENNIFER HWA-CHEN PA 4206 5/13/2020 6/22/2021 Active

KADIA TAPAN MAHENDRA MD 36554 5/13/2020 6/22/2021 Active

KAIN LAUREN KELLY PA 4062 5/13/2020 6/22/2021 Active

KAMAT ASHISH MADHAV MD 36508 5/13/2020 6/22/2021 Active

KAMIY MATSUOKA CARLOS MD 36819 5/13/2020 6/22/2021 Active

KANDATHIL REMY BOBY PA 4341 5/13/2020 6/22/2021 Active

KANTARJIAN HAGOP MEGUERDITCH MD 36352 5/13/2020 6/22/2021 Active

KAPUR SAHIL KUDIP MD 36802 5/13/2020 6/22/2021 Active

KARA AMYNAH MD 37531 11/5/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

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KARAM JOSE AFIF MD 36605 5/13/2020 6/22/2021 Active

KARIMZAD KAVEH MD 36680 5/13/2020 6/22/2021 Active

KARP DANIEL DAVID MD 36536 5/13/2020 6/22/2021 Active

KARUTURI MEGHAN SRI MD 36725 5/13/2020 6/22/2021 Active

KASEB AHMED OMAR MD 36614 5/13/2020 6/22/2021 Active

KATON-BENITEZ IVA PA 4555 1/26/2021 6/22/2021 Active

KATZ MATTHEW HAROLD GEOFFREY MD 36591 5/13/2020 6/22/2021 Active

KAUFMAN GREGORY PETER MD 36871 5/13/2020 6/22/2021 Active

KEALOHA NICHOLAS MD 36181 4/28/2020 6/22/2021 Active

KEBRIAEI PARTOW MD 36436 5/13/2020 6/22/2021 Active

KEE BRYAN S. MD 36471 5/13/2020 6/22/2021 Active

KEELER ELIZABETH RILEY MD 36533 5/13/2020 6/22/2021 Active

KEELING KATY ELIZABETH PA 4199 5/13/2020 6/22/2021 Active

KEMP HALEY NICOLE PA 4324 5/13/2020 6/22/2021 Active

KENDRICK WILLIAM C MD 37448 10/16/2020 6/22/2021 Active

KEUNG EMILY ZHI-YUN MD 36825 5/13/2020 6/22/2021 Active

KHAN TAMSEELA PA 4296 5/13/2020 6/22/2021 Active

KHANJAE SONAM PA 4363 5/13/2020 6/22/2021 Active

KHAWAJA FAREED MD 36885 5/13/2020 6/22/2021 Active

KHOJA MAHWISH PA 4333 5/13/2020 6/22/2021 Active

KHOURI ISSA FOUAD MD 36376 5/13/2020 6/22/2021 Active

KILPATRICK CATHERINE RACHEL MD 37415 10/9/2020 6/22/2021 Active

KIM EDWARD HYONGCHOI MD 37692 12/17/2020 6/22/2021 Active

KIM EUNJI LEE PA 4283 5/13/2020 6/22/2021 Active

KIM HARRY KWANG-WOO MD 36307 5/11/2020 6/22/2021 Active

KIM MICHAEL PAUL MD 36639 5/13/2020 6/22/2021 Active

KIM PETER YEON-SEONG MD 36672 5/13/2020 6/22/2021 Active

KIM SANG TAEK MD 36822 5/13/2020 6/22/2021 Active

KIMIAGAREE KRYSTAL PA 4259 5/13/2020 6/22/2021 Active

KINCAID MICHAEL E. PA 4020 5/13/2020 6/22/2021 Active

KITAKA SHEILA ANITA PA 4065 5/13/2020 6/22/2021 Active

KLEIMAN ANNE R. MD 36846 5/13/2020 6/22/2021 Active

KNOX DAVID LUKE MD 37505 10/29/2020 6/22/2021 Active

KOAY EUGENE JON MD 36785 5/13/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

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KOENIG KIMBERLY BROOKE MD 36556 5/13/2020 6/22/2021 Active

KOLAWOLE OLATOKUNBO MD 37220 8/10/2020 6/22/2021 Active

KONOPLEVA MARINA MD 36666 5/13/2020 6/22/2021 Active

KOPETZ SCOTT SCOTT MD 36538 5/13/2020 6/22/2021 Active

KOPPIN MALIA RENEE PT 5928 8/26/2020 6/22/2021 Active

KOVITZ CRAIG ADAM MD 36437 5/13/2020 6/22/2021 Active

KOYYALAGUNTA DHANALAKSHMI MD 36465 5/13/2020 6/22/2021 Active

KOZIN SCOTT HAL MD 37942 2/18/2021 6/22/2021 Active

KROLL MICHAEL HOWARD MD 36377 5/13/2020 6/22/2021 Active

KUBAN JOSHUA ANN MD 36496 5/13/2020 6/22/2021 Active

KUMAR SAVITA PA 4371 5/13/2020 6/22/2021 Active

KUNDU UMA RANI MD 36681 5/13/2020 6/22/2021 Active

KUPFERMAN MICHAEL ELLIOT MD 36571 5/13/2020 6/22/2021 Active

KURUVILA JACOB T. PA 4167 5/13/2020 6/22/2021 Active

KYRISH KRISTIN ANN PA 4252 5/13/2020 6/22/2021 Active

LACEY CAROL LOUISE PA 4024 5/13/2020 6/22/2021 Active

LAFARO KELLY JEANE MD 37799 1/14/2021 6/22/2021 Active

LAFLEUR NATHANIEL ALEX MD 37693 12/17/2020 6/22/2021 Active

LAHOTI AMIT MD 36484 5/13/2020 6/22/2021 Active

LAI LIHUA PA 4158 5/13/2020 6/22/2021 Active

LAI STEPHEN YENZEN MD 36643 5/13/2020 6/22/2021 Active

LANG FREDERICK FRANK MD 36418 5/13/2020 6/22/2021 Active

LANGO MIRIAM MD 36323 5/13/2020 6/22/2021 Active

LARGO RENE DENIS MD 36327 5/13/2020 6/22/2021 Active

LATIF SHERIF MEDHAT MD 37175 7/28/2020 6/22/2021 Active

LAUBSCHER CHRISTIAN PA 4365 5/13/2020 6/22/2021 Active

LAVIS VICTOR RALPH MD 36337 5/13/2020 6/22/2021 Active

LE DUNG THI MD 37796 1/14/2021 6/22/2021 Active

LE PHAT HUY MD 36716 5/13/2020 6/22/2021 Active

LE XIUNING HUY MD 36859 5/13/2020 6/22/2021 Active

LE BOUEF KIMBERLY ANN LD 2563 10/23/2020 6/22/2021 Active

LEACH NADIA CHRISTINE PA 4342 5/13/2020 6/22/2021 Active

LEAP KEITH EDWIN II MD 37294 9/3/2020 6/22/2021 Active

LEDET CELIA ROBINSON MD 36674 5/13/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

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LEE HANS CHULHEE MD 36726 5/13/2020 6/22/2021 Active

LEE HUN JU MD 36730 5/13/2020 6/22/2021 Active

LEE JEFFREY EDWIN MD 36386 5/13/2020 6/22/2021 Active

LEE JULIA CHICHIEH PA 4382 5/13/2020 6/22/2021 Active

LEE PERCY PH YIH MD 36891 5/13/2020 6/22/2021 Active

LEE SUNYOUNG S MD 36889 5/13/2020 6/22/2021 Active

LEIFRIED CHRISTINA ROCHELLE RC 5284 11/10/2020 6/22/2021 Active

LENCIONI KENDALL ANN PA 4242 5/13/2020 6/22/2021 Active

LEVENBACK CHARLES FREDERICK MD 36375 5/13/2020 6/22/2021 Active

LEWIS CAROL OLIVE MD 36651 5/13/2020 6/22/2021 Active

LEWIS VALERAE OLIVE MD 36475 5/13/2020 6/22/2021 Active

LI JING MD 36693 5/13/2020 6/22/2021 Active

LIAO ZHONGXING MD 36449 5/13/2020 6/22/2021 Active

LIEBER MICHAEL JONATHAN MD 37719 12/23/2020 6/22/2021 Active

LIM BORA MD 36782 5/13/2020 6/22/2021 Active

LIM ZITA PA 4079 5/13/2020 6/22/2021 Active

LIMMER ANGELA PA 4078 5/13/2020 6/22/2021 Active

LIN ALICE PA 4279 5/13/2020 6/22/2021 Active

LIN LILIE LEMING MD 36848 5/13/2020 6/22/2021 Active

LIN PATRICK P. MD 36440 5/13/2020 6/22/2021 Active

LIN STEVEN HSESHENG MD 36661 5/13/2020 6/22/2021 Active

LINDSAY RICHARD JAMES PA 4101 5/13/2020 6/22/2021 Active

LINGAM PRANATHI MD 36755 5/13/2020 6/22/2021 Active

LITTON JENNIFER KEATING MD 36530 5/13/2020 6/22/2021 Active

LIU WENLI MD 36455 5/13/2020 6/22/2021 Active

LIVINGSTON JOHN ANDREW MD 36746 5/13/2020 6/22/2021 Active

LOFTON LUCY ANNETTTE PA 4244 5/13/2020 6/22/2021 Active

LOGHIN MONICA ELENA MD 36582 5/13/2020 6/22/2021 Active

LOGOTHETIS CHRISTOPHER JOHN MD 36340 5/13/2020 6/22/2021 Active

LOPEZ GABRIEL MD 36633 5/13/2020 6/22/2021 Active

LOPEZ-MATTEI JUAN CARLOS MD 36700 5/13/2020 6/22/2021 Active

LORIE JACQUELYN C PA 4318 5/13/2020 6/22/2021 Active

LOVERO KELLY RENE PA 4263 5/13/2020 6/22/2021 Active

LU CHARLES MD 36456 5/13/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

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LU HUIFANG MD 36565 5/13/2020 6/22/2021 Active

LU THOMAS MD 36485 5/13/2020 6/22/2021 Active

LUCCI ANTHONY JR MD 36398 5/13/2020 6/22/2021 Active

LY QUYNTT VINH PA 4355 5/13/2020 6/22/2021 Active

LYNCH PATRICK MICHAEL MD 36366 5/13/2020 6/22/2021 Active

LYNN RACHEL YAEL MD 36980 5/29/2020 6/22/2021 Active

MACFARLANE DEBORAH FRANCES MD 36534 5/13/2020 6/22/2021 Active

MADDOX HEATHER MD 37453 10/16/2020 6/22/2021 Active

MAHVASH ARMEEN MD 36546 5/13/2020 6/22/2021 Active

MAITRE NATHALIE LINDA MD 37568 11/16/2020 6/22/2021 Active

MAJD NAZANIN MD 36879 5/13/2020 6/22/2021 Active

MALATEK DANIEL LOUIS PA 4039 5/13/2020 6/22/2021 Active

MALKA SARAH MD 37177 7/28/2020 6/22/2021 Active

MALLET LANA R PA 4268 5/13/2020 6/22/2021 Active

MALLOTT WILLIAM ELTON MD 37681 12/16/2020 6/22/2021 Active

MALONEY KUDAKWASHE MD 36780 5/13/2020 6/22/2021 Active

MANALAC JANET B MD 37720 12/23/2020 6/22/2021 Active

MANASANCH ELISABET ESTEVE MD 36772 5/13/2020 6/22/2021 Active

MANDAYAM SREEDHAR AMMANJI MD 36662 5/13/2020 6/22/2021 Active

MANI MINI ANU PA 4056 5/13/2020 6/22/2021 Active

MANSFIELD PAUL FURMAN MD 36370 5/13/2020 6/22/2021 Active

MANZULLO ELLEN FRANCES MD 36363 5/13/2020 6/22/2021 Active

MAPLES TINA MARIE RC 5247 9/4/2020 6/22/2021 Active

MARCOTULLI AMANDA MEGAN PA 4137 5/13/2020 6/22/2021 Active

MARES JEANNETTE ELIZABETH PA 4049 5/13/2020 6/22/2021 Active

MARIN COSTA DAVID MD 36854 5/13/2020 6/22/2021 Active

MARKELL KRISTIN LYNN MD 37512 10/29/2020 6/22/2021 Active

MARTIN KELIA PA 4287 5/13/2020 6/22/2021 Active

MARTIN ROBERT HARRELL JR MD 37241 8/17/2020 6/22/2021 Active

MARTINDALE RACHELLE ELAINE PA 4479 9/16/2020 6/22/2021 Active

MARTINDALE ZANE BRIAN MD 37315 9/14/2020 6/22/2021 Active

MARTZ PAULA DAWN RC 5158 5/6/2020 6/22/2021 Active

MASAROVA LUCIA MD 36332 5/13/2020 6/22/2021 Active

MASON JOHN DAVID PA 4127 5/13/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

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MASOOD AWAIS MD 37186 7/30/2020 6/22/2021 Active

MATHAI VARGHESE PA 4061 5/13/2020 6/22/2021 Active

MATHEW GENA ELIZABETH PA 4330 5/13/2020 6/22/2021 Active

MATIN SURENA F. MD 36510 5/13/2020 6/22/2021 Active

MATLOCK KAYLA MICHELLE PA 4240 5/13/2020 6/22/2021 Active

MATO ANTHONY ROLLO MD 37508 10/29/2020 6/22/2021 Active

MAURO MICHAEL JOHN MD 37475 10/22/2020 6/22/2021 Active

MAYON LAUREN KELLEY PA 4264 5/13/2020 6/22/2021 Active

MBADUGHA ANAYO PA 4160 5/13/2020 6/22/2021 Active

MCALEER MARY MD 36599 5/13/2020 6/22/2021 Active

MCALLISTER FLORENCIA MD 36808 5/13/2020 6/22/2021 Active

MCCARTHY COLIN JAMES MD 36893 5/13/2020 6/22/2021 Active

MCCARTHY JONATHAN OWEN RC 5306 12/4/2020 6/22/2021 Active

MCCLINTIC MICHELLE MD 37999 3/4/2021 6/22/2021 Active

MCCLINTON ANGEL EVE PA 4175 5/13/2020 6/22/2021 Active

MCCONN KELLY MELINDA PA 4182 5/13/2020 6/22/2021 Active

MCCOY KIMBERLY DIANE PA 4201 5/13/2020 6/22/2021 Active

MCCUTCHEON IAN EARLE MD 36392 5/13/2020 6/22/2021 Active

MCDADE MICHELLE CHRISTINE MD 37694 12/17/2020 6/22/2021 Active

MCDONALD KATHERINE ELIZABETH PA 4358 5/13/2020 6/22/2021 Active

MCGOVERN SUSAN LYNNE MD 36687 5/13/2020 6/22/2021 Active

MCGUIRE MARGARET ELIZABETH PA 4205 5/13/2020 6/22/2021 Active

MCGUIRE SEAN ERIC MD 36575 5/13/2020 6/22/2021 Active

MCINTOSH ANGELA JEANETTE PA 4023 5/13/2020 6/22/2021 Active

MCINTOSH KADIAN PA 4119 5/13/2020 6/22/2021 Active

MCKENZIE LAURIE MD 36486 5/13/2020 6/22/2021 Active

MCMULLAN KATHERINE MD 37329 9/16/2020 6/22/2021 Active

MCNERNEY KYLE PEARSON MD 37877 2/1/2021 6/22/2021 Active

MCQUADE JENNIFER LEIGH MD 36758 5/13/2020 6/22/2021 Active

MCRAE STEPHEN EFREM MD 36606 5/13/2020 6/22/2021 Active

MEANS CARLTON EDWARD RC 5386 3/9/2021 6/22/2021 Active

MEHRAN REZA JOHN MD 36557 5/13/2020 6/22/2021 Active

MEHRING CHRISTOPHER GEORGE PA 4275 5/13/2020 6/22/2021 Active

MEHTA ROGER MD 37932 2/17/2021 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

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MEHTA ROHTESH S MD 36835 5/13/2020 6/22/2021 Active

MEHTA URVI NEEL PA 4193 5/13/2020 6/22/2021 Active

MELSON JOANNE ELAINE PA 4277 5/13/2020 6/22/2021 Active

MENDENHALL BRIANNA MARIE PA 4298 5/13/2020 6/22/2021 Active

MENDEZ ANA MD 37830 1/21/2021 6/22/2021 Active

MERIC-BERNSTAM FUNDA MD 36450 5/13/2020 6/22/2021 Active

MERICLI ALEXANDER FRANCIS MD 36804 5/13/2020 6/22/2021 Active

MERRITT TINA MD 38001 3/4/2021 6/22/2021 Active

MESSICK CRAIG ALAN MD 36765 5/13/2020 6/22/2021 Active

METWALLI ZEYAD AHMED MD 36692 5/13/2020 6/22/2021 Active

MEYER LARISSA ALEJANDRA MD 36638 5/13/2020 6/22/2021 Active

MIGDEN MICHAEL ROBERT MD 36535 5/13/2020 6/22/2021 Active

MIGGINS MAKESHA VERNEE MD 36847 5/13/2020 6/22/2021 Active

MILBOURNE ANDREA MAGDALENE MD 36511 5/13/2020 6/22/2021 Active

MILES PATRICK PAUL MD 38024 3/9/2021 6/22/2021 Active

MILLER JENNIFER LYNNE MD 37507 10/29/2020 6/22/2021 Active

MINETREE CALEB CHRISTIAN PA 4331 5/13/2020 6/22/2021 Active

MINSKY BRUCE DAVID MD 36745 5/13/2020 6/22/2021 Active

MIRISCH MARC STEVEN PT 5939 9/28/2020 6/22/2021 Active

MISTRY HALEIGH PA 4227 5/13/2020 6/22/2021 Active

MITCHELL JOCELYN MARY PA 4297 5/13/2020 6/22/2021 Active

MITCHELL MELISSA PULFER MD 36894 5/13/2020 6/22/2021 Active

MITRA DEVARATI MD 36886 5/13/2020 6/22/2021 Active

MITTON BRYAN MD 37892 2/4/2021 6/22/2021 Active

MODY SITAL PRAKASH MD 37573 11/17/2020 6/22/2021 Active

MOLA-RUDD KERRI STEPHANIE PA 4309 5/13/2020 6/22/2021 Active

MOMIN ROZMIN PA 4316 5/13/2020 6/22/2021 Active

MONDALA MELISSA MD 37784 1/11/2021 6/22/2021 Active

MONROE VIKTORIYA MD 37173 7/28/2020 6/22/2021 Active

MONTALBAN BRAVO GUILLERMO MD 36329 5/13/2020 6/22/2021 Active

MOON BRYAN SCOTT MD 36652 5/13/2020 6/22/2021 Active

MORRIS VAN KARLYLE II MD 36727 5/13/2020 6/22/2021 Active

MORRISON WILLIAM HENRY MD 36365 5/13/2020 6/22/2021 Active

MORROW MICHAEL WESLEY PA 4308 5/13/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

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MORURI SUSAN MD 37489 10/26/2020 6/22/2021 Active

MOTARJEME STEVEN CYRUS MD 37427 10/12/2020 6/22/2021 Active

MOTT FRANK EDMUND MD 36373 5/13/2020 6/22/2021 Active

MOULDER STACY LYNN MD 36566 5/13/2020 6/22/2021 Active

MOULTON MICHAEL LOWELL MD 37445 10/16/2020 6/22/2021 Active

MSAOUEL PAVLOS MD 36843 5/13/2020 6/22/2021 Active

MUGARTEGUI LILIAN MARGARITA PA 4197 5/13/2020 6/22/2021 Active

MULANOVICH VICTOR EDUARDO MD 36572 5/13/2020 6/22/2021 Active

MULLINS MARY LYNN PA 4506 10/29/2020 6/22/2021 Active

MUNDY JORDYN E PT 6024 2/26/2021 6/22/2021 Active

MUNGOVAN KRISTI JANELLE PA 4072 5/13/2020 6/22/2021 Active

MURPHY REGAN EILEEN PA 4351 5/13/2020 6/22/2021 Active

MURPHY SHANNON MD 37836 1/21/2021 6/22/2021 Active

MURTHY RAVI MD 36547 5/13/2020 6/22/2021 Active

MYERS JEFFREY NICHOLAS MD 36432 5/13/2020 6/22/2021 Active

MYERS SHARON TEVIS PA 4018 5/13/2020 6/22/2021 Active

NADER MARC-ELIE MD 36717 5/13/2020 6/22/2021 Active

NAING AUNG MD 36600 5/13/2020 6/22/2021 Active

NAIR RANJIT MD 36878 5/13/2020 6/22/2021 Active

NAMBUSI RACHAEL MD 37237 8/14/2020 6/22/2021 Active

NAQVI KIRAN MD 36615 5/13/2020 6/22/2021 Active

NARANG AMOL KUMAR MD 37794 1/13/2021 6/22/2021 Active

NASH ALICIA JEVANN PA 4147 5/13/2020 6/22/2021 Active

NASTOUPIL LORETTA JO MD 36756 5/13/2020 6/22/2021 Active

NAVAI NEEMA MD 36682 5/13/2020 6/22/2021 Active

NEAD KEVIN THOMAS MD 36892 5/13/2020 6/22/2021 Active

NEBGEN DENISE RENEE MD 36452 5/13/2020 6/22/2021 Active

NEELAPU SATTVA SWARUP MD 36562 5/13/2020 6/22/2021 Active

NELSON DOUGLAS ALAN MD 36578 5/13/2020 6/22/2021 Active

NELSON KELLY CARTER MD 36789 5/13/2020 6/22/2021 Active

NELSON LAURYN PA 4346 5/13/2020 6/22/2021 Active

NEMEROFF CHARLES B MD 37964 2/24/2021 6/22/2021 Active

NETTLOW MARY MD 37723 12/23/2020 6/22/2021 Active

NEWMAN LONZETTA MD 36459 5/13/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

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NG AMY HOI-MEI MD 36686 5/13/2020 6/22/2021 Active

NGO-HUANG AN THUY MD 36750 5/13/2020 6/22/2021 Active

NGUYEN KIM THI MD 37962 2/24/2021 6/22/2021 Active

NGUYEN QUYNH-NHU MD 36393 5/13/2020 6/22/2021 Active

NGUYEN THUY THANH THI PA 4181 5/13/2020 6/22/2021 Active

NGUYEN VINCENT PA 4292 5/13/2020 6/22/2021 Active

NIETO YAGO LUIS MD 36586 5/13/2020 6/22/2021 Active

NOURI KENT HAROLD MD 36657 5/13/2020 6/22/2021 Active

NUGENT KELLI LEE PA 4046 5/13/2020 6/22/2021 Active

O CONNOR DENNIS ROCHER MD 37695 12/17/2020 6/22/2021 Active

O'BRIEN BARBARA JANE MD 36771 5/13/2020 6/22/2021 Active

O'GRADY BRITTNEY ANN PA 4236 5/13/2020 6/22/2021 Active

O'NEAL HASANA PA 4320 5/13/2020 6/22/2021 Active

O`REILLY MICHAEL SCOTT MD 36505 5/13/2020 6/22/2021 Active

OATES SCOTT MD 36441 5/13/2020 6/22/2021 Active

OGLESBEE ANNA MARIE LD 2542 8/24/2020 6/22/2021 Active

OH JEONG HOON MD 36512 5/13/2020 6/22/2021 Active

OHANIAN MARO MD 36653 5/13/2020 6/22/2021 Active

OKOLI OKWUCHUKWU EMMANUEL MD 37811 1/19/2021 6/22/2021 Active

OLENCZAK JONATHON BRYCE EDWARD MD 36866 5/13/2020 6/22/2021 Active

OLSON AMANDA LEIGH MD 36762 5/13/2020 6/22/2021 Active

ONSTAD MICHAELA ANN MD 36809 5/13/2020 6/22/2021 Active

OO THEIN HLAING MD 36668 5/13/2020 6/22/2021 Active

ORAN BETUL MD 36713 5/13/2020 6/22/2021 Active

ORLOWSKI ROBERT ZYGMUNT MD 36617 5/13/2020 6/22/2021 Active

OSENGA KACI LYNN MD 37795 1/13/2021 6/22/2021 Active

OST DAVID EDWARD MD 36644 5/13/2020 6/22/2021 Active

OSTRIN EDWIN JUSTIN MD 36743 5/13/2020 6/22/2021 Active

OSUAGWU UZONDU C MD 36876 5/13/2020 6/22/2021 Active

OVERMAN MICHAEL JAMES MD 36548 5/13/2020 6/22/2021 Active

OWENS YVETTE MD 37170 7/28/2020 6/22/2021 Active

PACHA OMAR MD 36714 5/13/2020 6/22/2021 Active

PADDOCK HUNTER G PA 4299 5/13/2020 6/22/2021 Active

PAI SHOBHA V PA 4040 5/13/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

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PAIK JULIE MD 37269 8/26/2020 6/22/2021 Active

PAL CHANDNI PA 4322 5/13/2020 6/22/2021 Active

PALASKAS NICOLAS LAWRENCE MD 36777 5/13/2020 6/22/2021 Active

PALMER LAUREN PA 4123 5/13/2020 6/22/2021 Active

PALMER MELISSA NICOLE PA 4343 5/13/2020 6/22/2021 Active

PANDYA AVNI BANSI MD 35822 4/1/2020 6/22/2021 Active

PAPADOPOULOS JOHN NICHOLAS MD 36621 5/13/2020 6/22/2021 Active

PARIKH SONAL LALJI PA 4149 5/13/2020 6/22/2021 Active

PARK JAE H MD 37995 3/4/2021 6/22/2021 Active

PARMAR SIMRIT MD 36573 5/13/2020 6/22/2021 Active

PARRISH JENNIFER PA 4161 5/13/2020 6/22/2021 Active

PARSEGHIAN CHRISTINE MEGERDICHIAN MD 36855 5/13/2020 6/22/2021 Active

PASSARELLO KELLY PA 4210 5/13/2020 6/22/2021 Active

PATEL AMY PA 4189 5/13/2020 6/22/2021 Active

PATEL ANISHA BIPIN MD 36732 5/13/2020 6/22/2021 Active

PATEL GOPI PA 4186 5/13/2020 6/22/2021 Active

PATEL JAYNA PA 4362 5/13/2020 6/22/2021 Active

PATEL KRINA KIRITKUMAR MD 36669 5/13/2020 6/22/2021 Active

PATEL NELUM JAYANTI PA 4238 5/13/2020 6/22/2021 Active

PATEL NIMISHA ANANT MD 36419 5/13/2020 6/22/2021 Active

PATEL NINA RAJENDRA PA 4291 5/13/2020 6/22/2021 Active

PATEL RAJIV ARVIND MD 37232 8/13/2020 6/22/2021 Active

PATEL RAKHI JAY PA 4183 5/13/2020 6/22/2021 Active

PATEL SAPNA PRADYUMAN MD 36634 5/13/2020 6/22/2021 Active

PATEL SHREYANG HEMONSUROY MD 37595 11/24/2020 6/22/2021 Active

PATEL SHREYASKUMAR RAMESHCHANDRA MD 36382 5/13/2020 6/22/2021 Active

PATHIYIL NEEMA ABRAHAM PA 4284 5/13/2020 6/22/2021 Active

PATOUGA LUBOV LEONIDOVNA PA 4473 9/10/2020 6/22/2021 Active

PATTERSON LAUREN CHRISTINE PA 4253 5/13/2020 6/22/2021 Active

PAVEL ELIZABETH CHRISTINE PA 4074 5/13/2020 6/22/2021 Active

PEARSON TODD DUNCAN MD 37800 1/14/2021 6/22/2021 Active

PEITZMAN LINDA MD 37451 10/16/2020 6/22/2021 Active

PEMMARAJU NAVEEN MD 36645 5/13/2020 6/22/2021 Active

PENDLEY CURTIS MURRELL RC 5300 11/24/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

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PERERA EKTA MD 37282 8/31/2020 6/22/2021 Active

PEREZ JOSE LEWIS RC 5318 12/17/2020 6/22/2021 Active

PEREZ MARIA DE LOS ANGELES MD 37645 12/8/2020 6/22/2021 Active

PERKINS GEORGE HOWARD MD 36478 5/13/2020 6/22/2021 Active

PERLIN MARTIN MD 37841 1/25/2021 6/22/2021 Active

PERRIER NANCY ANN MD 36551 5/13/2020 6/22/2021 Active

PERRY ALLISON CATHLEEN PA 4069 5/13/2020 6/22/2021 Active

PETROPOULOS DEMETRIOS MD 36527 5/13/2020 6/22/2021 Active

PETTAWAY CURTIS ALVIN MD 36355 5/13/2020 6/22/2021 Active

PEYREGNE-LOLLAR ARMINIA PA 4364 5/13/2020 6/22/2021 Active

PHAN JACK MD 36646 5/13/2020 6/22/2021 Active

PHILIP ROSHNI ELIZABETH PA 4317 5/13/2020 6/22/2021 Active

PHILLIPS CHARLES ROBERT MD 37973 2/26/2021 6/22/2021 Active

PHILLIPS DEBORAH CARROL RC 5248 9/8/2020 6/22/2021 Active

PHILLIPS PAULA RESPONDEK PA 4029 5/13/2020 6/22/2021 Active

PICKARD TODD A PA 4041 5/13/2020 6/22/2021 Active

PIERSON TYLER MARK MD 37724 12/23/2020 6/22/2021 Active

PIHA-PAUL SARINA ANNE MD 37546 11/12/2020 6/22/2021 Active

PILARCZYK MARK STEPHEN PA 4094 5/13/2020 6/22/2021 Active

PILIE PATRICK GLEN MD 36832 5/13/2020 6/22/2021 Active

PINNIX CHELSEA CAMILLE MD 36691 5/13/2020 6/22/2021 Active

PISIMISIS GEORGE MD 36813 5/13/2020 6/22/2021 Active

PISTERS LOUIS LEON MD 36389 5/13/2020 4/30/2021 Active

PLAIR TAMERA ROCHELLE PA 4145 5/13/2020 6/22/2021 Active

POPAT UDAY RAMESHCHANDRA MD 36476 5/13/2020 6/22/2021 Active

PORTE REX L MD 37446 10/16/2020 6/22/2021 Active

PORTILLA ARIEL RAMON PA 4524 12/2/2020 6/22/2021 Active

POSEY KRISTI KAY PA 4154 5/13/2020 6/22/2021 Active

POTTER CHERYL LYN PA 4138 5/13/2020 6/22/2021 Active

POZADZIDES JENNY VU MD 36593 5/13/2020 6/22/2021 Active

PRABHU SUJIT SEQUEIRA MD 36524 5/13/2020 6/22/2021 Active

PRAZNIK ALISHA PA 4103 5/13/2020 6/22/2021 Active

PRESCOTT KAITLIN CROMWELL PA 4295 5/13/2020 6/22/2021 Active

PRICE ALLYSON JOYCE PA 4015 5/13/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

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PROBST ALEXANDRA KAY PA 4173 5/13/2020 6/22/2021 Active

PYTYNIA KRISTEN BETH MD 36531 5/13/2020 6/22/2021 Active

QAZILBASH MUZAFFAR HUSAIN MD 36513 5/13/2020 6/22/2021 Active

QUINN ADAM ARTHUR MD 37358 9/23/2020 6/22/2021 Active

QURESHI ALTAMASH MD 37934 2/17/2021 6/22/2021 Active

RAGHAV KANWAL MD 36673 5/13/2020 6/22/2021 Active

RAI PRADEEP R MD 37691 12/17/2020 6/22/2021 Active

RAJARAM RAVI MD 36887 5/13/2020 6/22/2021 Active

RAJENDRAN AMARABALAN MD 37179 7/28/2020 6/22/2021 Active

RAJKOT NIKITA F. PA 4261 5/13/2020 6/22/2021 Active

RAMAGE ROBERT LEE PA 4113 5/13/2020 6/22/2021 Active

RAMIREZ CHARLIE ARIESTO RC 5316 12/11/2020 6/22/2021 Active

RAMIREZ DAVID LUIS MD 36737 5/13/2020 6/22/2021 Active

RAMIREZ JESSICA COOK PA 4234 5/13/2020 6/22/2021 Active

RAMIREZ PEDRO TOMAS MD 36457 5/13/2020 6/22/2021 Active

RAMONDETTA LOIS MD 36429 5/13/2020 6/22/2021 Active

RAMPAL RAAJIT KUMAR MD 37411 10/8/2020 6/22/2021 Active

RAMSEYER MATTHEW MARKEN MD 37893 2/4/2021 6/22/2021 Active

RAO GANESH MD 36592 5/13/2020 6/22/2021 Active

RAO KASUGANTI VIJAYATAKSHMI MD 37858 1/26/2021 6/22/2021 Active

RAPINI RONALD PETER MD 36354 5/13/2020 6/22/2021 Active

RASHID ANIS MD 36567 5/13/2020 6/22/2021 Active

RATAN RAVIN MD 36728 5/13/2020 6/22/2021 Active

RAVANDI-KASHANI FARHAD MD 36433 5/13/2020 6/22/2021 Active

RAVI VINOD MD 36627 5/13/2020 6/22/2021 Active

RAZA SHAAN MOHAMMED MD 36751 5/13/2020 6/22/2021 Active

REDDERSEN MAYITH DAYANA PA 4313 5/13/2020 6/22/2021 Active

REDDY AKHILA K. MD 36402 5/13/2020 6/22/2021 Active

REDDY JAY K. MD 36403 5/13/2020 6/22/2021 Active

REECE GREGORY MD 36378 5/13/2020 6/22/2021 Active

REED JILL MAUREEN RC 5363 2/17/2021 6/22/2021 Active

REED LAURA MICHELLE PA 4038 5/13/2020 6/22/2021 Active

REED SHAMIKA D PA 4332 5/13/2020 6/22/2021 Active

REIDY DIANE MD 37327 9/16/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

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REKHI AVIN DHRUVNATH MD 37443 10/16/2020 6/22/2021 Active

REYNOLDS JASON MILLER MD 37631 12/4/2020 6/22/2021 Active

RHEE SOO SHIN MD 37856 1/26/2021 6/22/2021 Active

RHINES LAURENCE DAVID MD 36479 5/13/2020 6/22/2021 Active

RICE DAVID CHRISTOPHER MD 36494 5/13/2020 6/22/2021 Active

RICH AMY R PA 4578 2/17/2021 6/22/2021 Active

RICHARDS BENJAMIN STEPHENS MD 37842 1/25/2021 6/22/2021 Active

RICHARDS DAVID MATTHEW MD 36654 5/13/2020 6/22/2021 Active

RICHARDS KRISTEN NICOLE MD 36816 5/13/2020 6/22/2021 Active

RICHARDSON JOHN TYLER MD 37197 8/3/2020 6/22/2021 Active

RICHMOND RAVEN MICHELLE PA 4106 5/13/2020 6/22/2021 Active

RITTER SAMUEL MD 37380 9/28/2020 6/22/2021 Active

RIVAS NATASCHA PETRA PA 4164 5/13/2020 6/22/2021 Active

RIVERS BRIAN MICHAEL PA 4095 5/13/2020 6/22/2021 Active

RIZWAN UZAIMA PA 4223 5/13/2020 6/22/2021 Active

RO KENNETH GENE MD 37506 10/29/2020 6/22/2021 Active

ROBB GEOFFREY LAWRENCE MD 36395 5/13/2020 6/22/2021 Active

ROBBINS JESSICA PA 4367 5/13/2020 6/22/2021 Active

ROBERSON-MARSHALL JANENE D. PA 4059 5/13/2020 6/22/2021 Active

ROBERTS KIRK ANDREW MD 37663 12/14/2020 6/22/2021 Active

ROBERTSON VERNON TAD LD 2557 10/12/2020 6/22/2021 Active

ROBINS AMBER MD 37449 10/16/2020 6/22/2021 Active

ROBINSON JUSTINE LESLEY PA 4054 5/13/2020 6/22/2021 Active

ROBINSON KRISTEN ASHLEE PA 4216 5/13/2020 6/22/2021 Active

ROCHA MONICA MARIE PA 4150 5/13/2020 6/22/2021 Active

ROCHELLE CAITLIN ESTELLE PA 4214 5/13/2020 6/22/2021 Active

RODGERS THERESA ELIZABETH PA 4228 5/13/2020 6/22/2021 Active

RODON AHNERT JORDI MD 36863 5/13/2020 6/22/2021 Active

RODRIGUEZ ALBERTO PA 4515 11/12/2020 6/22/2021 Active

RODRIGUEZ GILBERT MD 37219 8/10/2020 6/22/2021 Active

RODRIGUEZ JESSICA MARIEL PA 4257 5/13/2020 6/22/2021 Active

RODRIGUEZ MARIA ALMA MD 36341 5/13/2020 6/22/2021 Active

RODRIGUEZ REYNA PA 4523 11/30/2020 6/22/2021 Active

RODRIGUEZ-BIGAS MIGUEL A. MD 36487 5/13/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

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ROGERS WILLIAM MICHAEL MD 37447 10/16/2020 6/22/2021 Active

ROJAS HERNANDEZ CRISTHIAM MAURICIO MD 36787 5/13/2020 6/22/2021 Active

ROKADIA HAALA KHATIJA MD 37705 12/21/2020 6/22/2021 Active

ROKER JOHN EDWARD PA 4085 5/13/2020 6/22/2021 Active

ROLAND CHRISTINA LYNN MD 36663 5/13/2020 6/22/2021 Active

ROMAN ERNEST T. MD 37584 11/19/2020 6/22/2021 Active

ROORDA CRAIG STEVEN PA 4032 5/13/2020 6/22/2021 Active

ROSEN LEON BESTHOFF MD 37789 1/12/2021 6/22/2021 Active

ROSENTHAL DAVID IRA MD 36396 5/13/2020 6/22/2021 Active

ROSS ALICIA CHARLENE PA 4082 5/13/2020 6/22/2021 Active

ROSS MERRICK IRA MD 36367 5/13/2020 6/22/2021 Active

ROSS WILLIAM ANTHONY MD 36359 5/13/2020 6/22/2021 Active

ROSTANT TIFFANY PA 4063 5/13/2020 6/22/2021 Active

ROUBAUD MARGARET JANE MD 36803 5/13/2020 6/22/2021 Active

ROWAN MEAGAN MCDOWELL PA 4220 5/13/2020 6/22/2021 Active

RUBIN DAVID TODD MD 37844 1/25/2021 6/22/2021 Active

RUCKER ERIKA MONTREAL PA 4306 5/13/2020 6/22/2021 Active

RUKUNDO INNOCENT PA 4286 5/13/2020 6/22/2021 Active

RYTTING CATHERINE MARIE PA 4026 5/13/2020 6/22/2021 Active

SABATH CHARISSE ESTESS MD 37683 12/16/2020 6/22/2021 Active

SADIGHI ZSILA SOUSAN MD 36707 5/13/2020 6/22/2021 Active

SAEED FAISAL MD 37285 9/1/2020 6/22/2021 Active

SAINI NEERAJ MD 36869 5/13/2020 6/22/2021 Active

SALDANA ALEXANDRA PA 4241 5/13/2020 6/22/2021 Active

SALEEM SADIA MD 36723 5/13/2020 6/22/2021 Active

SALO JILL ALISON MD 37328 9/16/2020 6/22/2021 Active

SALVADOR LAURA ELIZABETH PA 4153 5/13/2020 6/22/2021 Active

SALVATORA SAMANTHA MARIE PA 4311 5/13/2020 6/22/2021 Active

SAMANIEGO FELIPE MD 36466 5/13/2020 6/22/2021 Active

SAMI FAISAL ABDUS MD 26291 8/6/2008 6/22/2021 Active

SAMP LEIGH ANNA PA 4077 5/13/2020 6/22/2021 Active

SAMPSON ROY CHAPMAN MD 37502 10/29/2020 6/22/2021 Active

SANDERS ELIZABETH MARENE PA 4310 5/13/2020 6/22/2021 Active

SANTOS DAVID ANTHONY MD 36796 5/13/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

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SANTOS EVA FRANCES PA 4556 1/27/2021 6/22/2021 Active

SARID ANNIE MD 37171 7/28/2020 6/22/2021 Active

SARKAR DEBJEET MD 37486 10/26/2020 6/22/2021 Active

SASAKI KOJI MD 36775 5/13/2020 6/22/2021 Active

SATCHER ROBERT LEE JR MD 36576 5/13/2020 6/22/2021 Active

SAVOIE CECILIA ANN PA 4083 5/13/2020 6/22/2021 Active

SCALLY CHRISTOPHER MD 36856 5/13/2020 6/22/2021 Active

SCARABELLI TIZIANO MD 37169 7/28/2020 6/22/2021 Active

SCHACHT ELIZABETH ANN PA 4170 5/13/2020 6/22/2021 Active

SCHAVERIEN MARK VICTOR MD 36328 5/13/2020 6/22/2021 Active

SCHLEMBACH PAMELA JEAN MD 36480 5/13/2020 6/22/2021 Active

SCHLETTE ERIKA L. PA 4157 5/13/2020 6/22/2021 Active

SCHMELER KATHLEEN MARIE MD 36579 5/13/2020 6/22/2021 Active

SCHWARTZ KATHERINE ANN PA 4144 5/13/2020 6/22/2021 Active

SCHWARTZ PAUL MICHAEL MD 37438 10/15/2020 6/22/2021 Active

SCHWEITZER BROOKE ASHLEY PA 4221 5/13/2020 6/22/2021 Active

SCOFIELD LISA CLAYTON PA 4288 5/13/2020 6/22/2021 Active

SELBER JESSE CREED MD 36628 5/13/2020 6/22/2021 Active

SELLERS JUSTIN RAY PA 4273 5/13/2020 6/22/2021 Active

SEMENOVSKAYA ZINA MD 37178 7/28/2020 6/22/2021 Active

SEPESI BORIS MD 36760 5/13/2020 6/22/2021 Active

SHABAIK SALMA MD 37258 8/21/2020 6/22/2021 Active

SHAFER AARON MD 36849 5/13/2020 6/22/2021 Active

SHAFI MEHNAZ AZRA MD 36528 5/13/2020 6/22/2021 Active

SHAFRAN DAVID MD 37474 10/22/2020 6/22/2021 Active

SHAH AMISHI JYOTINDRA MD 36635 5/13/2020 6/22/2021 Active

SHAITELMAN SIMONA FLORA MD 36704 5/13/2020 6/22/2021 Active

SHANK JOANN HELEN PA 4075 5/13/2020 6/22/2021 Active

SHARMA PADMANEE MD 36549 5/13/2020 6/22/2021 Active

SHARON RONI MD 37968 2/25/2021 6/22/2021 Active

SHED MARTHA PA 4030 5/13/2020 6/22/2021 Active

SHEFFY OHAD MD 37835 1/21/2021 6/22/2021 Active

SHELBURNE SAMUEL AINSLIE MD 36488 5/13/2020 6/22/2021 Active

SHERMAN STEVEN IRA MD 36404 5/13/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

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SHIELDS HALEY FRANSEN PA 4262 5/13/2020 6/22/2021 Active

SHIH KAOSWI KARINA MD 36774 5/13/2020 6/22/2021 Active

SHIN KI YOUNG MD 36442 5/13/2020 6/22/2021 Active

SHORT JESSICA ANN MD 37482 10/23/2020 6/22/2021 Active

SHORT NICHOLAS JAMES MD 36795 5/13/2020 6/22/2021 Active

SHPALL ELIZABETH JOAN MD 36517 5/13/2020 6/22/2021 Active

SHRESTHA SANGYE TRINLEY MD 37843 1/25/2021 6/22/2021 Active

SHUNG RINI KWAN PA 4050 5/13/2020 6/22/2021 Active

SHUREIQI IMAD MD 36461 5/13/2020 6/22/2021 Active

SIEFKER-RADTKE ARLENE ODELIA MD 36489 5/13/2020 6/22/2021 Active

SIEGEL ALLISON RUTH PA 4323 5/13/2020 6/22/2021 Active

SIGNORINO CHARLES LOUIS PA 4021 5/13/2020 6/22/2021 Active

SILLER RANDI BALSAMO PA 4162 5/13/2020 6/22/2021 Active

SIMON GEORGE RAJAN MD 36719 5/13/2020 6/22/2021 Active

SIMON NICOLE ZERR PA 4188 5/13/2020 6/22/2021 Active

SIMON TERESA ROBERTA PA 4025 5/13/2020 6/22/2021 Active

SIMPSON DAVID WAYNE OT 5516 8/31/2020 6/22/2021 Active

SINGH PRACHEE PA 4064 5/13/2020 6/22/2021 Active

SINGH PUNEET MD 36872 5/13/2020 6/22/2021 Active

SINGH RAHUL PRATAP MD 37481 10/23/2020 6/22/2021 Active

SIRMANS ELIZABETH PA 4178 5/13/2020 6/22/2021 Active

SKIBBER JOHN MICHAEL MD 36371 5/13/2020 6/22/2021 Active

SKOULIDIS FERDINANDOS MD 36877 5/13/2020 6/22/2021 Active

SLATER JANTZEN TYLER MD 37597 11/24/2020 6/22/2021 Active

SLOAN LAURA BALCH PA 4068 5/13/2020 6/22/2021 Active

SLOPIS JOHN MARK MD 36374 5/13/2020 6/22/2021 Active

SLUSHER BARBARA ANN PA 4055 5/13/2020 6/22/2021 Active

SMAGLO BRANDON GEORGE MD 36831 5/13/2020 6/22/2021 Active

SMITH AKEKSANDRA MD 37236 8/14/2020 6/22/2021 Active

SMITH BENJAMIN DAVID MD 36647 5/13/2020 6/22/2021 Active

SMITH GRACE LI MD 36788 5/13/2020 6/22/2021 Active

SMITH JASON THOMAS PA 4312 5/13/2020 6/22/2021 Active

SMITH KATHLEEN MARIE PA 4037 5/13/2020 6/22/2021 Active

SMITH LORI ANN PA 4067 5/13/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

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SMITH SALEEMAH WAJEEDAH PA 4212 5/13/2020 6/22/2021 Active

SMITH THOMAS GILLISPIE III MD 36518 5/13/2020 6/22/2021 Active

SMITH TIA RENAE RC 5334 1/12/2021 6/22/2021 Active

SNIDER BARBARA JOY MD 36984 5/29/2020 6/22/2021 Active

SOARES TIEME ROCHA GRIMALT PA 4369 5/13/2020 6/22/2021 Active

SOLANO KIM ANTHONY SANSON RC 5371 2/25/2021 6/22/2021 Active

SOLIMAN PAMELA THERESE MD 36558 5/13/2020 6/22/2021 Active

SOMAIAH NEETA MD 36733 5/13/2020 6/22/2021 Active

SOOD ANIL KUMAR MD 36519 5/13/2020 6/22/2021 Active

SOONES TACARA NICOLE MD 36852 5/13/2020 6/22/2021 Active

SOUTHARDS BRYN MAYBERRY PA 4547 1/12/2021 6/22/2021 Active

SPERATI CHRISTOPHER JOHN MD 37428 10/12/2020 6/22/2021 Active

SRIVASTAVA SIDDHARTH MD 37996 3/4/2021 6/22/2021 Active

ST. GEMME CELESTE MICHELLE PT 5930 8/31/2020 6/22/2021 Active

STAUDER MICHAEL CHARLES MD 36738 5/13/2020 6/22/2021 Active

STEELE JOSEPH RODGERS MD 36412 5/13/2020 6/22/2021 Active

STEFFEK MICHELE LYNNE PA 4060 5/13/2020 6/22/2021 Active

STEINER RAPHAEL ERIC MD 36331 5/13/2020 6/22/2021 Active

STEINHOFF DOTTIE LYNNETTE PA 4484 9/23/2020 6/22/2021 Active

STEPHEN SANEESE PA 4109 5/13/2020 6/22/2021 Active

STEWART HOLLY ANN PA 4208 5/13/2020 6/22/2021 Active

STEWART JOHN ANN MD 36783 5/13/2020 6/22/2021 Active

STEWART TIFFANI CHERHYS PA 4552 1/19/2021 6/22/2021 Active

STIVERS MARK RUTHERFORD MD 37273 8/27/2020 6/22/2021 Active

STRATI PAOLO MD 36881 5/13/2020 6/22/2021 Active

STROEHLEIN JOHN ROBERT MD 36339 5/13/2020 6/22/2021 Active

STROM ERIC ALAN MD 36383 5/13/2020 6/22/2021 Active

STRONG LOUISE C. MD 36334 5/13/2020 6/22/2021 Active

STURGIS ERICH MADISON MD 36430 5/13/2020 6/22/2021 Active

SU SHIRLEY MD 36559 5/13/2020 6/22/2021 Active

SUBBIAH ISHWARIA MOHAN MD 36834 5/13/2020 6/22/2021 Active

SUBBIAH VIVEK MD 36683 5/13/2020 6/22/2021 Active

SUBORA ADRIEN SOWLE PA 4129 5/13/2020 6/22/2021 Active

SUBUDHI SUMIT KUMAR MD 36766 5/13/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

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SUDINI SRIKAR REDDY MD 37704 12/21/2020 6/22/2021 Active

SUKHOLUTSKY VICTORIA JEANNE PA 4187 5/13/2020 6/22/2021 Active

SUN JERRY PAUL PA 4096 5/13/2020 6/22/2021 Active

SUN SUSIE SINYING MD 36868 5/13/2020 6/22/2021 Active

SUTHERLAND ELIZABETH WYLIE PA 4091 5/13/2020 6/22/2021 Active

SWAN AMY ELIZABETH MD 36770 5/13/2020 6/22/2021 Active

SWANSON TODD A MD 36706 5/13/2020 6/22/2021 Active

SWISHER STEPHEN GAUGER MD 36407 5/13/2020 6/22/2021 Active

SZETO JAMIE WU PA 4073 5/13/2020 6/22/2021 Active

SZUTU JENNIFER PA 4192 5/13/2020 6/22/2021 Active

SZVALB ARIEL DAVID MD 36790 5/13/2020 6/22/2021 Active

TADELLE ADEN DANIEL PA 4235 5/13/2020 4/30/2021 Active

TAKAHASHI KOICHI MD 36798 5/13/2020 6/22/2021 Active

TALLMAN MARTIN STUART MD 37477 10/22/2020 6/22/2021 Active

TAM ALDA LUI MD 36601 5/13/2020 6/22/2021 Active

TAMERISA KAVITHA SABROMA PA 4097 5/13/2020 6/22/2021 Active

TAMIRISA NINA PRABHA MD 36874 5/13/2020 6/22/2021 Active

TANCO KIMBERSON COCHIEN MD 36720 5/13/2020 6/22/2021 Active

TANG CHAD MD 36853 5/13/2020 6/22/2021 Active

TANG MICHAEL JAY MD 36778 5/13/2020 6/22/2021 Active

TANIGUCHI CULLEN MITSUO MD 36752 5/13/2020 6/22/2021 Active

TANNIR NIZAR MUHKTAR MD 36356 5/13/2020 6/22/2021 Active

TARIGOPULA RAVALI MD 37312 9/11/2020 6/22/2021 Active

TATSUI CLAUDIO ESTEVES MD 36721 5/13/2020 6/22/2021 Active

TAWBI HUSSEIN A. MD 36824 5/13/2020 6/22/2021 Active

TAYAR JEAN HANNA MD 36629 5/13/2020 6/22/2021 Active

TAYLOR ERIN ROSE PA 4148 5/13/2020 6/22/2021 Active

TAYLOR PRINCE WILLIAM PA 4485 9/23/2020 6/22/2021 Active

TAYLOR REBECCA MARIE PA 4300 5/13/2020 6/22/2021 Active

TEJEDOR-VELILLA NANCY MD 37837 1/21/2021 6/22/2021 Active

TEO SARAH A PA 4372 5/13/2020 6/22/2021 Active

TERRY SHAWN STERLING PA 4159 5/13/2020 6/22/2021 Active

TESHOME MEDIGET MD 36763 5/13/2020 6/22/2021 Active

TEWARI PRITI MD 36739 5/13/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

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THERIOT LEAH MICHELLE PA 4076 5/13/2020 6/22/2021 Active

THOMAS AJAY PA 4098 5/13/2020 6/22/2021 Active

THOMAS ERIC DAVID MD 37874 1/29/2021 6/22/2021 Active

THOMAS PARIJATHAM S MD 36776 5/13/2020 6/22/2021 Active

THOMAS PATRICK SHANE JR MD 37251 8/20/2020 6/22/2021 Active

THOMAS SHEEBA KOSHY MD 36509 5/13/2020 6/22/2021 Active

THOMAS VALENCIA DORCHELLE MD 36622 5/13/2020 6/22/2021 Active

THOMPSON KARA ANNETTE MD 36408 5/13/2020 6/22/2021 Active

THOMPSON PHILIP ALASTAIR MD 36857 5/13/2020 6/22/2021 Active

THOSANI SONALI NIRANJAN MD 36640 5/13/2020 6/22/2021 Active

THROCKMORTON WHITNEY RENEE PA 4207 5/13/2020 6/22/2021 Active

TIBBETS MELSSA ANN RC 5319 12/17/2020 6/22/2021 Active

TILLMAN MATTHEW MURRAY MD 36880 5/13/2020 6/22/2021 Active

TILNEY GORDON STEPHEN PA 4130 5/13/2020 6/22/2021 Active

TIMCIUC LAURA PA 4361 5/13/2020 6/22/2021 Active

TIMSINA CHUDA MANI RC 5343 1/25/2021 6/22/2021 Active

TODD SARAH ELIZABETH PA 4121 5/13/2020 6/22/2021 Active

TORRES ERIC SHAWN RC 5335 1/14/2021 6/22/2021 Active

TORRES HARRYS ANTONIO MD 36664 5/13/2020 6/22/2021 Active

TORRES TORRES KEILA ENITT MD 36636 5/13/2020 6/22/2021 Active

TOTTEN MATTHEW BYRON MD 37437 10/15/2020 6/22/2021 Active

TRAIL ALLISON MICHELLE PA 4337 5/13/2020 6/22/2021 Active

TRAN-CAO HOP SANDERSON MD 36735 5/13/2020 6/22/2021 Active

TRIPATHY DEBASISH MD 36520 5/13/2020 6/22/2021 Active

TRUONG MINH PA 4017 5/13/2020 6/22/2021 Active

TSAO ANNE SZU-I MD 36490 5/13/2020 6/22/2021 Active

TSIMBERIDOU APOSTOLIA MARIA MD 36688 5/13/2020 6/22/2021 Active

TU SHI-MING MD 36399 5/13/2020 6/22/2021 Active

TUMMALA SUDHAKAR MD 36481 5/13/2020 6/22/2021 Active

TURNER KIMBERLY ANN PA 4102 5/13/2020 6/22/2021 Active

TZENG CHING-WEI DAVID MD 36675 5/13/2020 6/22/2021 Active

UENO NAOTO TADA MD 36401 5/13/2020 6/22/2021 Active

UNDERBRINK ASHTON MARIE PA 4202 5/13/2020 6/22/2021 Active

UNKE JENNA KENDEL PA 4329 5/13/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

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UPTON MICHAEL DODDS MD 37583 11/19/2020 6/22/2021 Active

URQUIOLA ELIZABETH ST. CLAIR PA 4230 5/13/2020 6/22/2021 Active

VADEHRA VIVEK KUMAR MD 37664 12/14/2020 6/22/2021 Active

VAILATI NEGRAO MARCELO MD 36324 5/13/2020 6/22/2021 Active

VALENTINE ALAN DAVID MD 36979 5/29/2020 6/22/2021 Active

VALERO VICENTE MD 36362 5/13/2020 6/22/2021 Active

VAPORCIYAN ARA ASADUR MD 36427 5/13/2020 6/22/2021 Active

VARGHESE JEENA JACOB MD 36784 5/13/2020 6/22/2021 Active

VARGHESE PRAVEEN JACOB PA 4266 5/13/2020 6/22/2021 Active

VAUTHEY JEAN-NICOLAS NICOLAS MD 36443 5/13/2020 6/22/2021 Active

VEGA ARTURO RONULFO MD 37730 12/28/2020 6/22/2021 Active

VELASCO JENILETTE DAMES PA 4278 5/13/2020 6/22/2021 Active

VENGRENYUK MARIYA MD 37857 1/26/2021 6/22/2021 Active

VERGE JADE NICOLE OT 5474 5/7/2020 6/22/2021 Active

VERSHEL JILL ELIZABETH PA 4134 5/13/2020 6/22/2021 Active

VERSTOVSEK SRDAN MD 36458 5/13/2020 6/22/2021 Active

VICHICH ROBERT MD 37163 7/27/2020 6/22/2021 Active

VICK BRANDON KEITH MD 37240 8/17/2020 6/22/2021 Active

VIDAL MARIEBERTA MD 36574 5/13/2020 6/22/2021 Active

VILA SANCHEZ MICHELLE MD 36875 5/13/2020 4/30/2021 Active

VILLA MARK TIMOTHY MD 36612 5/13/2020 6/22/2021 Active

VILLALOBOS SANDRA MARIA PA 4084 5/13/2020 6/22/2021 Active

VIOLA GEORGE MICHAEL MD 36658 5/13/2020 6/22/2021 Active

VOIT KELSEY NICOLE PA 4285 5/13/2020 6/22/2021 Active

VONDENSTEIN MINDY MARIE PA 4100 5/13/2020 6/22/2021 Active

VU CHRISTINE THANH-MAI PA 4237 5/13/2020 6/22/2021 Active

VU KHANH DIEM MD 36506 5/13/2020 6/22/2021 Active

WADE DANA MICHELLE RC 5348 2/1/2021 6/22/2021 Active

WAGUESPACK STEVEN GERARD MD 36521 5/13/2020 6/22/2021 Active

WALKER JOSHUA MD 37831 1/21/2021 6/22/2021 Active

WALSH GARRETT LYNDON MD 36384 5/13/2020 6/22/2021 Active

WALSH JESSICA ANN PA 4339 5/13/2020 6/22/2021 Active

WALTERS CHERIE ELIZABETH PA 4219 5/13/2020 6/22/2021 Active

WALTERS RONALD S. MD 36347 5/13/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

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WANAS EHAB MD 37155 7/23/2020 6/22/2021 Active

WANG CHENYANG MD 36888 5/13/2020 6/22/2021 Active

WANG HONGYAN PA 4071 5/13/2020 6/22/2021 Active

WANG JANE PA 4255 5/13/2020 6/22/2021 Active

WANG JENNIFER MD 36670 5/13/2020 6/22/2021 Active

WANG JIANBO MD 36820 5/13/2020 6/22/2021 Active

WANG LAN SUN MD 36811 5/13/2020 6/22/2021 Active

WANG LUHUA MICHAEL MD 36434 5/13/2020 6/22/2021 Active

WANG RUI JENNIFER MD 36867 5/13/2020 6/22/2021 Active

WANG RUN MD 36514 5/13/2020 4/30/2021 Active

WARADY BRADLEY ALAN MD 36180 4/28/2020 6/22/2021 Active

WARD JOHN FRANCIS III MD 36602 5/13/2020 6/22/2021 Active

WARGO JENNIFER ANN MD 36773 5/13/2020 6/22/2021 Active

WATERS KAITLIN PA 4375 5/13/2020 6/22/2021 Active

WAXALI ALEAH SAMANTHA PA 4336 5/13/2020 6/22/2021 Active

WEATHERLY JACQUELINE MARIE PA 4114 5/13/2020 6/22/2021 Active

WEATHERS SHIAO-PEI MD 36799 5/13/2020 6/22/2021 Active

WEBER DONNA MARIE MD 36411 5/13/2020 6/22/2021 Active

WEBER RANDAL SCOTT MD 36360 5/13/2020 6/22/2021 Active

WEBSTER STACEY SUSTALA PA 4099 5/13/2020 6/22/2021 Active

WEI STEVEN HWONG PA 4052 5/13/2020 6/22/2021 Active

WEINBERG JEFFREY STEVEN MD 36491 5/13/2020 6/22/2021 Active

WEINBERGER PHUONG KHUU PA 4270 5/13/2020 6/22/2021 Active

WEISENFELD SHELLY MD 37259 8/21/2020 6/22/2021 Active

WEITZMAN STEVEN PHILIP MD 36779 5/13/2020 6/22/2021 Active

WELCH MARY ALMA PA 4058 5/13/2020 6/22/2021 Active

WELDON MARLA E. PA 4022 5/13/2020 6/22/2021 Active

WELSH JAMES WILLIAM MD 36630 5/13/2020 6/22/2021 Active

WESTIN JASON ROBERT MD 36594 5/13/2020 6/22/2021 Active

WESTIN SHANNON NEVILLE MD 36623 5/13/2020 6/22/2021 Active

WESTNEY OUIDA LENAINE MD 36451 5/13/2020 6/22/2021 Active

WHEELIS MICHAEL LEON MD 37846 1/25/2021 6/22/2021 Active

WHITE CANDICE NICOLE PA 4143 5/13/2020 6/22/2021 Active

WHITLOW TONYA G PA 4035 5/13/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

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WIDEMAN CAYLA PA 4350 5/13/2020 6/22/2021 Active

WIERDA WILLIAM GEORGE MD 36502 5/13/2020 6/22/2021 Active

WIESE MEGAN ALLISON PA 4319 5/13/2020 6/22/2021 Active

WIJEGUNARATNE KANISHKA MD 37164 7/27/2020 6/22/2021 Active

WILBOURN DARIN KEITH MD 37156 7/23/2020 4/30/2021 Active

WILLETT ANNELEIS FRANCES PA 4231 5/13/2020 6/22/2021 Active

WILLIAMS JESSICA K PA 4271 5/13/2020 6/22/2021 Active

WILLIAMS TAMIKA TIFFANY PA 4225 5/13/2020 6/22/2021 Active

WILSON CODIE CRAFT RC 5349 2/1/2021 6/22/2021 Active

WILSON JORDAN WOOD PA 4334 5/13/2020 6/22/2021 Active

WILSON JOSEPH A. SR PA 4546 1/11/2021 6/22/2021 Active

WILSON RENEE MARIE PA 4282 5/13/2020 6/22/2021 Active

WIMBERLY ROBERT LANE MD 37963 2/24/2021 6/22/2021 Active

WISE ELSA PA 4203 5/13/2020 6/22/2021 Active

WOLF ELIZABETH ANNE PA 4036 5/13/2020 6/22/2021 Active

WOLFF ROBERT ALAN MD 36431 5/13/2020 6/22/2021 Active

WOLLET JILLIAN A PA 4272 5/13/2020 6/22/2021 Active

WONG ANGELIQUE MD 36786 5/13/2020 6/22/2021 Active

WONG KATHLEEN MARIE MD 37264 8/24/2020 6/22/2021 Active

WONG MICHAEL KA KEU MD 36840 5/13/2020 6/22/2021 Active

WONG QUILES CHRIS IVETTE MD 37545 11/11/2020 6/22/2021 Active

WOOD CHRISTOPHER GRIFFITH MD 36423 5/13/2020 6/22/2021 Active

WOODARD TERRI LYNN MD 36740 5/13/2020 6/22/2021 Active

WOODHOUSE KRISTINA DEMAS MD 36864 5/13/2020 6/22/2021 Active

WOODMAN KARIN HOANG MD 36616 5/13/2020 6/22/2021 Active

WOODS MYRSHIA LASHUN PA 4053 5/13/2020 6/22/2021 Active

WOODWARD WENDY ANN MD 36568 5/13/2020 6/22/2021 Active

WOOLSEY CAITLYN ANN PA 4280 5/13/2020 6/22/2021 Active

WU JOHN HENRY MD 37444 10/16/2020 6/22/2021 Active

YAM CLINTON MD 36896 5/13/2020 6/22/2021 Active

YANG KYUNGIN MD 37314 9/14/2020 6/22/2021 Active

YAO JAMES CHING MD 36425 5/13/2020 6/22/2021 Active

YAP TIMOTHY ANTHONY MD 36333 5/13/2020 4/30/2021 Active

YATES ERIN BOYKIN PA 4104 5/13/2020 6/22/2021 Active

CRITICAL NEED LICENSES Attachment #1

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YATSKO MARCHELLE LOUISE PA 4226 5/13/2020 6/22/2021 Active

YEBOA DEBRA NANA MD 36838 5/13/2020 6/22/2021 Active

YEE RICHARD WILLINGTON MD 36342 5/13/2020 6/22/2021 Active

YENNU SRIRAM MD 36532 5/13/2020 6/22/2021 Active

YEPEZ GUEVARA EDUARDO MD 36741 5/13/2020 6/22/2021 Active

YILMAZ MUSA MD 36827 5/13/2020 6/22/2021 Active

YING ANITA KUO MD 36624 5/13/2020 6/22/2021 Active

YOBURN TEWLYN RAMSAYE PA 4172 5/13/2020 6/22/2021 Active

YORK RENE ELIZABETH PA 4250 5/13/2020 6/22/2021 Active

YOU CHENXI PA 4314 5/13/2020 6/22/2021 Active

YOU YI-QIAN NANCY MD 36665 5/13/2020 6/22/2021 Active

YU IRENE SOU WAI MD 37865 1/27/2021 6/22/2021 Active

YU MICAH MD 37742 12/30/2020 6/22/2021 Active

YU PEIRONG ZEXI MD 36895 5/13/2020 6/22/2021 Active

YUNG W. ALFRED MD 36348 5/13/2020 6/22/2021 Active

YUSUF SYED WAMIQUE MD 36492 5/13/2020 6/22/2021 Active

ZACHARIAH ANNIE PA 4140 5/13/2020 6/22/2021 Active

ZAFAR SABOOHI MD 37222 8/10/2020 6/22/2021 Active

ZAFEREO MARK EDWIN MD 36676 5/13/2020 6/22/2021 Active

ZAMOR KIMBERLY CASSENDRE MD 37181 7/29/2020 6/22/2021 Active

ZAND BEHROUZ KAZEROONI MD 36747 5/13/2020 6/22/2021 Active

ZARZOUR MARIA ALEJANDRA MD 36649 5/13/2020 6/22/2021 Active

ZEBALLOS TATIANA MD 37935 2/17/2021 6/22/2021 Active

ZENDEHDEL SARA PA 4267 5/13/2020 6/22/2021 Active

ZHANG HAO CHI MD 36883 5/13/2020 6/22/2021 Active

ZHANG JIANJUN MD 36731 5/13/2020 6/22/2021 Active

ZHUKOVSKY DONNA SALTZBURG MD 36477 5/13/2020 6/22/2021 Active

ZIMMERMAN DANIEL JAMES PA 4558 1/29/2021 6/22/2021 Active

ZURITA-SAAVEDRA AMADO JAVIER MD 36689 5/13/2020 6/22/2021 Active

DOMINIQUE STEVENSON MD 36085 Inactive

GRANT GERALD ARTHUR MD 37922 Inactive

HURWITZ S ROBERT MD 36983 Inactive

TO PATRICIA LAM MD 36242 Inactive

UY LEAH CHRISTINE SANGALANG MD 36059 Inactive

CRITICAL NEED LICENSES Attachment #1

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Title 435 – State Board of Medical Licensure and Supervision

Chapter 11 – COVID-19 Pandemic Emergency Rules

435:11-1-12 Temporary Licensure Following Expiration of COVID-19 Declared

Emergency

All out-of-state physicians, surgeons, and physician assistants possessing a critical need

license at the time of the expiration or withdrawal of the Governor’s emergency declaration under

Second Amended Executive Order 2021-07 may continue to practice in the State of Oklahoma

under a temporary, restricted license by the Oklahoma State Board of Medical Licensure and

Supervision for a period not to exceed one hundred and fifty (150) days to allow for the physician,

surgeon, or physician assistant sufficient time to apply for full or unrestricted licensure, or to

transition any patients back to in-person examination and treatment.

Attachment #2