MD ag05.03.2021.Virtual Special Meeting
Transcript of 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)
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
2
___ Adjournment
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
CRITICAL NEED LICENSES Attachment #1
Page 1 of 51
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
Page 2 of 51
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
Page 3 of 51
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
Page 4 of 51
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
CRITICAL NEED LICENSES Attachment #1
Page 5 of 51
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
CRITICAL NEED LICENSES Attachment #1
Page 6 of 51
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
CRITICAL NEED LICENSES Attachment #1
Page 7 of 51
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
CRITICAL NEED LICENSES Attachment #1
Page 8 of 51
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
CRITICAL NEED LICENSES Attachment #1
Page 9 of 51
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
CRITICAL NEED LICENSES Attachment #1
Page 10 of 51
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
CRITICAL NEED LICENSES Attachment #1
Page 11 of 51
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
CRITICAL NEED LICENSES Attachment #1
Page 12 of 51
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
Page 13 of 51
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
Page 14 of 51
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
Page 15 of 51
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
Page 16 of 51
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
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
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
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
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
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
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
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
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
Page 25 of 51
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
Page 26 of 51
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
Page 27 of 51
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
Page 28 of 51
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
Page 29 of 51
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
Page 30 of 51
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
Page 31 of 51
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
Page 32 of 51
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
Page 33 of 51
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
Page 34 of 51
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
Page 35 of 51
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
Page 36 of 51
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
Page 37 of 51
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
Page 38 of 51
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
Page 39 of 51
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
Page 40 of 51
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
Page 41 of 51
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
Page 42 of 51
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
Page 43 of 51
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
Page 44 of 51
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
Page 45 of 51
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
Page 46 of 51
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
Page 47 of 51
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
Page 48 of 51
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
Page 49 of 51
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
Page 50 of 51
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
Page 51 of 51
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