arizona medical board · 2017-07-01 · 1908 r76074 havard lauren lehne active 07/01/2017...
TRANSCRIPT
Facility Lictype License Num Licensee Status Start Date End Date
Abrazo Central Campus 1908 R75844 Agha Ahmed KM Active 07/01/2017 06/30/2018
1908 R75845 Amurao Miguel Carlo Active 07/01/2017 06/30/2018
1908 R76421 Bierny Philippe Joseph Active 07/01/2017 06/30/2018
1908 R75298 Donaldson Janelle Evans Active 07/01/2017 06/30/2018
1908 R75847 Gonzales Miguel Roberto Active 07/01/2017 06/30/2018
1908 R76074 Havard Lauren Lehne Active 07/01/2017 06/30/2018
1908 R75297 Hayes Kellen Joseph Active 07/01/2017 06/30/2018
1908 R75296 Okafor Mark Chukwuamaka Active 07/01/2017 06/30/2018
1908 R75295 Park Dalnam Active 07/01/2017 06/30/2018
1908 R75848 Raad Kareem Naji Active 07/01/2017 06/30/2018
1908 R75849 Rechul Dawid Robert Active 07/01/2017 06/30/2018
1908 R75846 Rechul Kisria Ann Active 07/01/2017 06/30/2018
1908 R76075 Speirs Shane Ryan Active 07/01/2017 06/30/2018
1908 R76320 Veliz Pablo Nicholas Active 07/01/2017 06/30/2018
1908 R76321 Vieira Renato Monteiro Active 07/01/2017 06/30/2018
1908 R75293 Von Detten Tanya Kalani Active 07/01/2017 06/30/2018
1908 R76076 Wong Christina Pui-Yunn Active 07/01/2017 06/30/2018
1908 R75850 Zhang Jing Qian Active 07/01/2017 06/30/2018
1908 R75294 Zweig Matthew Sterling Active 07/01/2017 06/30/2018
College of Medicine, Mayo Clinic 1908 R75872 Abdel-aty Yassmeen Active 07/01/2017 06/30/2018
1908 R74602 Abdul Muhsin Haidar M Active 07/01/2017 06/30/2018
1908 R75554 Adler Cameron Robert Active 07/01/2017 06/30/2018
1908 R75563 Agasthi Pradyumna Active 07/01/2017 06/30/2018
1908 R76315 Aguilar Maria Theresa Active 07/01/2017 06/30/2018
1908 R75889 Al-Saffar Farah Isam Abdul... Active 06/30/2016 07/01/2017
1908 R75335 Allen Sorcha Active 07/13/2017 07/12/2018
1908 R76453 Angelov Daniel Iliev Active 07/11/2017 01/05/2018
1908 R75256 Arca Karissa Nicole Active 07/01/2017 06/30/2018
1908 R76264 Arthur Jaymeson Ray Active 07/01/2017 06/30/2018
1908 R76396 Aston Jeffrey William Active 07/01/2017 06/30/2018
1908 R74696 Atwal Danish Active 07/01/2017 06/30/2018
1908 R75861 Babb Benjamin Albert Active 07/01/2017 06/30/2018
Page Number 1 of 48
Arizona Medical Board
Facility Lictype License Num Licensee Status Start Date End Date
College of Medicine, Mayo Clinic 1908 R76401 Behbehani Sadikah F A A A ... Active 07/01/2017 06/30/2018
1908 R76285 Bergman Daniel Joseph Active 07/01/2017 06/30/2018
1908 R75862 Bering Jamie Lauren Active 07/01/2017 06/30/2018
1908 R75058 Bhangoo Ronik Singh Active 07/01/2017 06/30/2018
1908 R75879 Blech Benzion Chaim Yitzch... Active 07/01/2017 06/30/2018
1908 R75859 Breite Matthew Dennis Active 07/01/2017 06/30/2018
1908 R76397 Calderon Saa Jaramillo Est... Active 07/01/2017 06/30/2018
1908 R75857 Carlin Rachel Elizabeth Active 07/01/2017 06/30/2018
1908 R76278 Carnahan Molly Brent Active 07/01/2017 06/30/2018
1908 R76276 Carolan Alexandra Maria Ci... Active 07/01/2017 06/30/2018
1908 R74587 Chiang Chia-Chun Active 07/01/2017 06/30/2018
1908 R75950 Core Steven Brent Active 07/31/2017 08/25/2017
1908 R76253 Davis Amy Darlene Active 07/01/2017 06/30/2018
1908 R76250 Davis Ralph Gordon Active 07/01/2017 06/30/2018
1908 R75856 Delafield Nathan Lechase Active 07/01/2017 06/30/2018
1908 R75858 Dhanik Arjun Active 07/01/2017 06/30/2018
1908 R76277 Faraj Kassem Samer Active 07/01/2017 06/30/2018
1908 R75778 Fleck Andrew Ryan Active 07/01/2017 06/30/2018
1908 R75912 Franklin Taft Joseph Active 10/29/2016 10/29/2017
1908 R75925 Funk Eric Cornelius Active 02/25/2017 02/25/2018
1908 R75424 Giorgakis Emmanouil Active 07/01/2017 06/30/2018
1908 R75873 Hall Scott Ryan Active 07/01/2017 06/30/2018
1908 R76281 Hammond Jacob Benjamin Active 07/01/2017 06/30/2018
1908 R74600 Hansen Daniel Alexander Active 07/01/2017 06/30/2018
1908 R76266 Hassebrock Jeffrey Dalton Active 07/01/2017 06/30/2018
1908 R75877 Hill Hannah Elizabeth Active 07/01/2017 06/30/2018
1908 R75790 Hoffman Laura Ann Active 07/01/2017 06/30/2018
1908 R75792 Hopp Alix Chen Active 07/01/2017 06/30/2018
1908 R75863 Horsley Robert Kenneth Active 07/01/2017 06/30/2018
1908 R75931 Hsu Ying-han Active 01/16/2017 01/16/2018
1908 R76286 Huber Jordan Talmage Active 07/01/2017 06/30/2018
1908 R76262 Jackson Niki Rose Active 07/01/2017 06/30/2018
Page Number 2 of 48
Arizona Medical Board
Facility Lictype License Num Licensee Status Start Date End Date
College of Medicine, Mayo Clinic 1908 R76287 Jackson William Taylor Active 07/01/2017 06/30/2018
1908 R76451 Jain Varun Active 07/01/2017 06/30/2018
1908 R75875 Jamison Dale Kenneth Active 07/01/2017 06/30/2018
1908 R75939 Jayaprakash Namita Active 12/31/2016 12/30/2017
1908 R76292 Jogerst Kristen Michelle Active 07/01/2017 06/30/2018
1908 R75936 Jones Derick David Active 04/01/2017 03/31/2018
1908 R76251 Kasule Sabirah Nakakande Active 07/01/2017 06/30/2018
1908 R75389 Keeney Michael Gary Active 01/16/2017 01/15/2018
1908 R76468 Kenny Grace Mary Active 07/11/2017 01/05/2018
1908 R75960 Khoury Nadeen Active 03/13/2017 03/12/2018
1908 R76288 Knox Molly Gay Active 07/01/2017 06/30/2018
1908 R76466 Kohli Divyanshoo Rai Active 07/01/2017 06/30/2018
1908 R76312 Kumar Anjushree Active 07/01/2017 06/30/2018
1908 R75866 Lacy Curtis Ray Active 07/01/2017 06/30/2018
1908 R76254 Lai Kin Chung Active 07/01/2017 06/30/2018
1908 R75101 Lara Nina Jeanette Active 06/23/2017 06/22/2018
1908 R75878 Lehrer Michael David Active 07/01/2017 06/30/2018
1908 R76289 Lim Victoria Melodie Active 07/01/2017 06/30/2018
1908 R75367 Lindor Rachel Alice Active 01/03/2017 01/02/2018
1908 R75864 Maddux Jacob Tyler Active 07/01/2017 06/30/2018
1908 R75870 Makovicka Justin Lee Active 07/01/2017 06/30/2018
1908 R76282 Malan Shawn Hamilton Active 07/01/2017 06/30/2018
1908 R75254 McGarvey Jonathan Active 07/01/2017 06/30/2018
1908 R75945 McKenna Timothy John Active 01/03/2017 01/02/2018
1908 R76291 Meyer Megan Marie Active 07/01/2017 06/30/2018
1908 R75853 Molloy Michael John Active 07/01/2017 06/30/2018
1908 R76452 Moran Conor Paul Active 07/11/2017 01/05/2018
1908 R75865 Murad Douglas Alexander Active 07/01/2017 06/30/2018
1908 R74216 Murphy Katie Mary Active 07/01/2017 06/30/2018
1908 R76255 Nafissi Nellie Niloofar Active 07/01/2017 06/30/2018
1908 R76417 Navaratnam Anojan Kandiah Active 07/01/2017 06/30/2018
1908 R73754 Nunez Nateras Rafael Aleja... Active 06/29/2017 06/28/2018
Page Number 3 of 48
Arizona Medical Board
Facility Lictype License Num Licensee Status Start Date End Date
College of Medicine, Mayo Clinic 1908 R75994 O'callaghan Marissa E Active 06/29/2017 07/05/2017
1908 R76252 Obeid Robert Abraham Active 07/01/2017 06/30/2018
1908 R75855 Ornelas Abbie Sabrina Active 07/01/2017 06/30/2018
1908 R75924 Pagani-Estevez Gabriel Lui... Active 01/30/2017 01/30/2018
1908 R76279 Parnall Taylor Hanna Active 07/01/2017 06/30/2018
1908 R75913 Pennington Kelly Marie Active 10/29/2016 10/29/2017
1908 R75874 Pflibsen Lacey Rachel Active 07/01/2017 06/30/2018
1908 R76316 Rau Jill Camille Active 07/01/2017 06/30/2018
1908 R75888 Rayfield Corbin Alexander Active 07/01/2017 06/30/2018
1908 R76249 Renfrew John Granby Active 07/01/2017 06/30/2018
1908 R73756 Rhee Daniel Hyun Kyu Active 06/29/2017 06/28/2018
1908 R75876 Ritz Matthew Lewis Active 07/01/2017 06/30/2018
1908 R76402 Rofael Michael Adel Daniel... Active 06/06/2017 07/01/2017
1908 R75887 Rose Kyle Matthew Active 07/01/2017 06/30/2018
1908 R75429 Saleem Abdulaziz Mamdooh Active 08/01/2017 07/31/2018
1908 R75091 Sattur Mithun Guraraj Active 07/01/2017 06/30/2018
1908 R75334 Scotch Allison Hope Gathan... Active 07/01/2017 06/30/2018
1908 R75871 Scott Kelly Leigh Active 07/01/2017 06/30/2018
1908 R76284 Seman Mithcell Tim Active 07/01/2017 06/30/2018
1908 R76314 Sharma Akanksha Active 07/01/2017 06/30/2018
1908 R75867 Shipman Justin Neal Active 07/01/2017 06/30/2018
1908 R75868 Smith Erin Michelle Active 07/01/2017 06/30/2018
1908 R75976 Springman Korey Kathleen Active 05/27/2017 07/01/2017
1908 R75384 Stanich Jessica Ann Active 04/03/2017 04/02/2018
1908 R75562 Stoker Alexander David Active 07/01/2017 06/30/2018
1908 R75860 Stone Jonathan Brian Active 07/01/2017 06/30/2018
1908 R75282 Stull Lindsey Blair Active 07/01/2017 06/30/2018
1908 R76268 Taylor Cullen Michael Active 07/01/2017 06/30/2018
1908 R75382 Thornton Jonathan Mark Active 02/27/2017 02/26/2018
1908 R76290 Thorpe Cameron Scott Active 07/01/2017 06/30/2018
1908 R76272 Thorwarth Ryan Matthew Active 07/01/2017 06/30/2018
1908 R75869 Tseng Andrew Sean Active 07/01/2017 06/30/2018
Page Number 4 of 48
Arizona Medical Board
Facility Lictype License Num Licensee Status Start Date End Date
College of Medicine, Mayo Clinic 1908 R76280 Vaidya Rohan Vilas Active 07/01/2017 06/30/2018
1908 R75305 Valencia Sanchez Cristina ... Active 07/01/2017 06/30/2018
1908 R74790 Vengerovsky Alexander Active 01/28/2017 01/27/2018
1908 R75881 Wallace Alex Lee Active 07/01/2017 06/30/2018
1908 R75854 Webb Christopher Joseph Active 07/01/2017 06/30/2018
1908 R76313 Whigham Morgan Alexandra Active 07/01/2017 06/30/2018
1908 R74798 White Mariah L Active 02/13/2017 02/12/2018
1908 R76263 Wiedmeier Julia Erin Active 07/01/2017 06/30/2018
1908 R76273 Yu Nathan Yung-Chuen Active 07/01/2017 06/30/2018
1908 R75923 Zaquera Carvalho Diego Active 01/30/2017 01/30/2018
1908 R75880 Zaw Yuzana Active 07/01/2017 06/30/2018
HonorHealth Scottsdale Osborn 1908 R75015 Choo Jean So Young Active 07/01/2017 06/30/2018
1908 R75016 Combs Kara Lynn Active 07/01/2017 06/30/2018
1908 R75560 DeGrio Arie Jase Active 07/01/2017 06/30/2018
1908 R75019 Garcia Ann Catherine Active 07/01/2017 06/30/2018
1908 R76084 Holman Bradley Active 07/01/2017 06/30/2018
1908 R74444 Kruger Tricia Marie Active 07/01/2017 06/30/2018
1908 R75020 La Rosa William Robert Active 07/01/2017 06/30/2018
1908 R75021 Powell Matthew Reed Active 07/01/2017 06/30/2018
1908 R76113 Wagner Glenn Travis Active 07/01/2017 06/30/2018
1908 R76114 Webb Jeremy Daniel Active 07/01/2017 06/30/2018
1908 R76115 Wypiszynski Sarah D Active 07/01/2017 06/30/2018
HonorHealth Scottsdale Thompson Peak Medical Center 1908 R75481 Chaudhari Harshad Kumar Active 07/01/2017 06/30/2018
1908 R76165 Davis Daniel Adam Active 07/01/2017 06/30/2018
1908 R76172 Hundley Evan Lynn Active 07/01/2017 06/30/2018
1908 R75099 Lawson Benjamin Ondreyco Active 07/01/2017 06/30/2018
1908 R75480 MacDonald Alexis Upton Active 07/01/2017 06/30/2018
1908 R75482 Petersen Jameson Ross Active 07/01/2017 06/30/2018
1908 R75478 Varadarajan Rangashree Active 07/01/2017 06/30/2018
HonorHealth Scottsdale Thompson Peak Medical Center 1908 R75479 Bikowski Brandon Michael Active 07/01/2017 06/30/2018
Maricopa Medical Center 1908 R74691 Adipue Iris Amay Active 06/23/2017 06/22/2018
1908 R75171 Ahmad Mamuna Active 06/23/2017 06/22/2018
Page Number 5 of 48
Arizona Medical Board
Facility Lictype License Num Licensee Status Start Date End Date
Maricopa Medical Center 1908 R75619 Al Charakh Mohammed B. Active 06/23/2017 06/22/2018
1908 R75172 Al Marzooq Ali A. Active 06/23/2017 06/22/2018
1908 R76243 Al-abbadi Tabarik Khalil Active 06/23/2017 06/22/2018
1908 R75615 Albadwi Gheyath G Active 06/23/2017 06/22/2018
1908 R76137 Aldridge Morgan Leigh Active 06/15/2017 06/14/2018
1908 R76424 Allen Christopher Michael Active 07/05/2017 07/18/2017
1908 R75173 Alnaser Ammar Active 06/23/2017 06/22/2018
1908 R76133 Alshati Ali Salim Abood Active 06/15/2017 06/14/2018
1908 R73870 Alt Rachel Louise Active 06/23/2017 06/22/2018
1908 R75174 Apstein Ted Elliott Active 06/23/2017 06/22/2018
1908 R76134 Armstrong Tamara Marie Active 06/15/2017 06/14/2018
1908 R76241 Baer Shoshauna Grace Active 06/23/2017 06/22/2018
1908 R75175 Bajwa Inderjot K. Active 06/23/2017 06/22/2018
1908 R76301 Barlingay Gauri Chandrakan... Active 06/23/2017 06/22/2018
1908 R75177 Bollenbach Stephanie Elain... Active 06/23/2017 06/22/2018
1908 R75678 Bonfiglio Chelsea Caterino... Active 06/23/2017 06/22/2018
1908 R76162 Bueno Mark Gregory Yanez Active 06/23/2017 06/22/2018
1908 R74717 Callow Samantha Myers Active 07/01/2017 06/30/2018
1908 R76132 Carman Aubri Sue Active 06/15/2017 06/14/2018
1908 R76131 Carotenuto Giuseppe Active 06/15/2017 06/14/2018
1908 R75179 Carter Ashley Elizabeth Active 06/23/2017 06/22/2018
1908 R76129 Chalifour Stephanie Anne B... Active 06/15/2017 06/14/2018
1908 R74698 Chea Kimberly Melissa Active 07/01/2017 10/31/2017
1908 R76130 Chen Weihua Active 06/15/2017 06/14/2018
1908 R75181 Chundu Navya Active 06/23/2017 06/22/2018
1908 R74738 Cocco Daniela Active 06/23/2017 06/22/2018
1908 R74541 Colglazier Roy John Active 07/01/2017 06/30/2018
1908 R74078 Collins Michael Robert Active 07/01/2017 06/30/2018
1908 R75623 Considine Perrin Thalia Sa... Active 06/23/2017 06/22/2018
1908 R75262 Crowder Ashley Kristen Mil... Active 07/01/2017 06/30/2018
1908 R73877 Crowder Robert Thomas Jr Active 07/01/2017 06/30/2018
1908 R75182 Dahl Aaron J. Active 06/23/2017 06/22/2018
Page Number 6 of 48
Arizona Medical Board
Facility Lictype License Num Licensee Status Start Date End Date
Maricopa Medical Center 1908 R75681 Daldalyan Koruon Karen Active 06/23/2017 06/22/2018
1908 R75183 Davies Callie Marlene Active 06/23/2017 06/22/2018
1908 R74701 Davis John Jr Active 06/23/2017 06/22/2018
1908 R76161 Delapena Samantha Ang Active 06/23/2017 06/22/2018
1908 R75624 Demenna Jacob Thomas Active 06/23/2017 06/22/2018
1908 R76233 Determan Megan Renne Active 06/30/2017 06/29/2018
1908 R76127 Devin Kristen Michelle Active 06/15/2017 06/14/2018
1908 R73969 Dimick Whitney Active 07/01/2017 06/30/2018
1908 R74702 Dobbe Daniel Richard Active 07/01/2017 06/30/2018
1908 R76302 Donovan Kelley Audrey Active 06/23/2017 06/22/2018
1908 R75243 Eakin Cortney Michelle Active 06/23/2017 06/22/2018
1908 R75242 Elango Vishalakchi Active 06/23/2017 06/22/2018
1908 R75241 Elias Ghazwan M. Active 06/23/2017 06/22/2018
1908 R76447 Elswick Sarah Michele Active 07/01/2017 10/07/2017
1908 R74703 Fisher Michael Anthony Active 06/23/2017 06/22/2018
1908 R75627 Fisher Ryan David Active 06/23/2017 06/22/2018
1908 R73963 Flores Carmen Elena Active 06/23/2017 06/22/2018
1908 R76387 Frederick Ross Paul Active 06/23/2017 06/22/2018
1908 R75240 Freiheit Derek Robert Active 12/01/2016 11/30/2017
1908 R74820 Garza-Cavazos Adrian Active 07/01/2017 06/30/2018
1908 R76128 Grewal Alisha Kaur Active 06/15/2017 06/14/2018
1908 R76235 Hadi Mohanad Salwan Hadi Active 06/23/2017 06/22/2018
1908 R75761 Harmon Tanner Jesse Active 07/01/2017 06/30/2018
1908 R75632 Harper Elizabeth Christine... Active 06/30/2017 06/29/2018
1908 R74708 Hattab Bassam Talat Najeeb... Active 06/23/2017 06/22/2018
1908 R76238 Hayer Randeep Christie Active 07/01/2017 06/30/2018
1908 R75682 Heck Maya Jasmine Active 06/23/2017 06/22/2018
1908 R75685 Helpling Rachel Alma Active 06/23/2017 06/22/2018
1908 R75239 Henderson Tarann M. Active 07/01/2017 06/30/2018
1908 R75180 Huliyar Radhika Active 06/23/2017 06/22/2018
1908 R76240 Hurd Frank Salvatierra Active 06/23/2017 06/22/2018
1908 R75238 Hvidsten Kelsey Meghan Active 06/23/2017 06/22/2018
Page Number 7 of 48
Arizona Medical Board
Facility Lictype License Num Licensee Status Start Date End Date
Maricopa Medical Center 1908 R75635 Ibrahim Luma Abduljabbar Active 06/23/2017 06/22/2018
1908 R75637 Jaouen Brant Marcus Active 06/23/2017 06/22/2018
1908 R76248 Johns Laura Danielle Active 06/23/2018 06/22/2018
1908 R75025 Jugler Tanner Kris Active 07/01/2017 06/30/2018
1908 R75236 Kanwar Sandeep Active 07/01/2017 06/30/2018
1908 R75235 Kelly Christina De Baun Active 06/23/2017 06/22/2018
1908 R74711 Kim Edwin Active 06/23/2017 06/22/2018
1908 R74245 Kincaid Margaret Kathleen Active 07/01/2017 06/30/2018
1908 R76125 Kosa Dimas Yaqub Mikha Active 06/15/2017 06/14/2018
1908 R73995 Kosinski Romero Kassandra ... Active 08/25/2016 08/24/2017
1908 R75184 Kracke Elsa Jane Active 06/23/2017 06/22/2018
1908 R75639 Kraus Anthony Emmanuel Active 06/23/2017 06/22/2018
1908 R75234 Krzeminski Sylvia Eve Active 06/23/2017 06/22/2018
1908 R75233 Kukkamalla Rene Meghana Active 07/01/2017 06/30/2018
1908 R75493 Larsen Brett Robert Active 07/01/2017 06/30/2018
1908 R74755 Larson Cody Roger Active 07/01/2017 06/30/2018
1908 R74714 Le Nicholas Hoang Active 06/23/2017 07/31/2017
1908 R76239 Lentini Tim Active 06/23/2017 06/22/2018
1908 R75185 Lott Eric Stanley Active 06/23/2017 06/22/2018
1908 R76456 Mahmoudi Ashkon R. Active 06/23/2017 06/22/2018
1908 R75686 Malik Rameez Active 06/23/2017 06/22/2018
1908 R76237 Malla Sowjanya Naga Sanj Active 06/23/2017 06/22/2018
1908 R76303 Manan Rimple Active 07/01/2017 06/30/2018
1908 R75642 Mann Dylan Dulya Active 06/23/2017 06/22/2018
1908 R76126 Marquand Nicole Christine Active 06/15/2017 06/14/2018
1908 R76138 McCabe Christopher James Active 06/15/2017 06/14/2018
1908 R76164 McElhinny Megan Lynn Active 06/23/2017 06/22/2018
1908 R75231 Meng Gharett Owen Active 07/01/2017 06/30/2018
1908 R75230 Metas Elyssa Marie Active 06/23/2017 06/22/2018
1908 R76242 Mihyawi Nawfal Abdullah Ja... Active 06/23/2017 06/30/2018
1908 R75229 Mikkilineni Anupama Active 06/23/2017 06/22/2018
1908 R76244 Miucin Aleksandra Nicole Active 07/01/2017 06/30/2018
Page Number 8 of 48
Arizona Medical Board
Facility Lictype License Num Licensee Status Start Date End Date
Maricopa Medical Center 1908 R74007 Mosley Aris Ellann Daniell... Active 06/24/2017 06/23/2018
1908 R76448 Murphy Matthew Michael Active 08/01/2017 08/15/2017
1908 R75645 Naeem Arslan Active 06/23/2017 06/22/2018
1908 R75647 Najeeb Saba N Active 06/23/2017 06/22/2018
1908 R76234 Nelson Erin Da Hye Active 06/15/2017 06/14/2018
1908 R75650 Nicoll Brigham John Active 06/23/2017 06/22/2018
1908 R76236 Njiforfut Eric Koyilla Active 06/30/2017 06/29/2018
1908 R75652 Noori Tarreq Mohammad Active 06/23/2017 06/22/2018
1908 R75227 Nzuonkwelle Sumediah Active 06/23/2017 06/22/2018
1908 R75225 O'Brien Regan Victoria Active 06/23/2017 06/22/2018
1908 R76247 Ohara Stephanie Yukari Active 06/15/2017 06/14/2018
1908 R76472 Osipov Emil Mishelovich Active 06/15/2017 06/14/2018
1908 R76135 Parrado Raphael Hernando Active 06/15/2017 06/14/2018
1908 R75224 Parrish Ashley Elizabeth Active 07/01/2017 06/30/2018
1908 R73319 Patel Alpen Bhaktikumar Active 06/23/2017 06/22/2018
1908 R74524 Penny Scott Michael Active 07/01/2017 06/30/2018
1908 R76136 Pham Alexander Quan Anh Active 06/15/2017 06/14/2018
1908 R75654 Pugsley Paul Edwin Active 06/23/2017 06/22/2018
1908 R76449 Qu Jie Active 10/02/2017 10/26/2017
1908 R75655 Ramakuri Monica Active 06/23/2017 06/22/2018
1908 R75656 Ramos-jensen Whitney Active 06/30/2017 06/29/2018
1908 R75217 Rast Fawad Active 06/23/2017 06/22/2018
1908 R74720 Ravari Farrokh Active 06/23/2017 06/22/2018
1908 R75679 Raz Guy Michael Active 06/23/2017 06/22/2018
1908 R75683 Reeder Samantha Jo Hawley Active 06/23/2017 06/22/2018
1908 R74721 Rigdon Daniel Clark Active 07/01/2017 06/30/2018
1908 R76095 Robertson Lorraine Louise Active 05/01/2017 07/28/2017
1908 R75687 Robison Caitlin Marie Active 07/01/2017 06/30/2018
1908 R75216 Roy Babbitt Marie Frances Active 06/23/2017 06/22/2018
1908 R75214 Rudha Yasir Mohammad Fawz Active 06/23/2017 06/22/2018
1908 R75213 Runyan Charles Edwin III Active 06/23/2017 06/22/2018
1908 R75212 Saeed Zahid Mohammad Active 06/23/2017 06/22/2018
Page Number 9 of 48
Arizona Medical Board
Facility Lictype License Num Licensee Status Start Date End Date
Maricopa Medical Center 1908 R75728 Selzer Jordan Arthur Active 06/23/2017 06/22/2018
1908 R74740 Shah Anushi Raxit Active 07/01/2017 06/30/2018
1908 R76245 Shah Kinnari Pankajkumar Active 06/23/2017 06/22/2018
1908 R76124 Sharata Ahmed M A Active 06/15/2017 06/14/2018
1908 R75658 Shehzad Pir Active 06/23/2017 06/22/2018
1908 R76139 Shojaie Shiva Active 06/15/2017 06/14/2018
1908 R76123 Shtull-Leber Eytan Yoel Active 06/15/2017 06/14/2018
1908 R74724 Singh Sonam Active 06/23/2017 06/22/2018
1908 R75659 Sipe Michelle Vita Active 06/23/2017 06/22/2018
1908 R75186 Smith Adam James Active 07/01/2017 06/30/2018
1908 R75660 Srihari Priya Active 06/23/2017 06/22/2018
1908 R76163 Stedman Roman Chad Active 06/23/2017 06/22/2018
1908 R76122 Stevenson Justin Brady Active 06/15/2017 06/14/2018
1908 R76471 Tabarsi Hooman Active 06/23/2017 06/22/2018
1908 R73882 Tugulan Carmen Ioana Active 06/23/2017 06/22/2018
1908 R74726 Turner Andrea Elizabeth Active 06/23/2017 06/22/2018
1908 R74727 Vandervelde Joel Christoph... Active 06/23/2017 06/22/2018
1908 R75210 Veltkamp Matthew Robert Be... Active 07/01/2017 06/30/2018
1908 R75209 Watanabe Kyle Masao Active 07/01/2017 06/30/2018
1908 R76140 Wavle Nathan Dana Active 06/15/2017 06/14/2018
1908 R74729 Weimer Samuel Brey Active 06/23/2017 06/22/2018
1908 R74730 Weinhold Orla Mary Active 06/23/2017 06/22/2018
1908 R73880 Weir Alexandra Susannah Sh.. Active 06/23/2017 06/22/2018
1908 R75208 Wong Tina Wai-Ting Active 06/23/2017 06/22/2018
1908 R75688 Wright Robert Sean Active 06/23/2017 06/22/2018
1908 R76388 Wyatt Ryan Harold Active 06/23/2017 06/22/2018
1908 R75684 Zeitjian Vicken Sarkis Active 06/23/2017 06/22/2018
1908 R74732 Zeki Dina Falah Active 06/23/2017 08/16/2017
1908 R76457 Zhong Shan Active 06/23/2017 06/22/2018
Phoenix Children's Hospital/Maricopa Medical Center 1908 R75605 Adusei Charity Active 06/23/2017 06/22/2018
1908 R74423 Alfeche Robyn Louvena Active 06/23/2017 08/30/2017
1908 R76467 Alhajjat Amir Mahmood Moha.. Active 08/01/2017 07/31/2018
Page Number 10 of 48
Arizona Medical Board
Facility Lictype License Num Licensee Status Start Date End Date
Phoenix Children's Hospital/Maricopa Medical Center 1908 R76403 Anderson Janae E Active 06/23/2017 06/22/2018
1908 R76445 Anton-martin Maria Del Pil... Active 06/26/2017 06/25/2018
1908 R75606 Armenta Brittany Nichole Active 06/23/2017 06/22/2018
1908 R75136 Bahr Timothy Marvin Active 06/23/2017 06/22/2018
1908 R75607 Balaji Arvind Active 06/23/2017 06/22/2018
1908 R75608 Barshow Suzanne Marie Active 06/23/2017 06/22/2018
1908 R74438 Bennett Alysha L Active 07/28/2017 11/01/2017
1908 R75176 Bernau Lauren Michelle Active 06/23/2017 06/22/2018
1908 R75137 Bhatt Himali Harshad Active 06/23/2017 06/22/2018
1908 R74435 Blaskovich Teresa Rose Active 06/23/2017 09/29/2017
1908 R75609 Bodea Jessica Lynn Active 06/23/2017 06/22/2018
1908 R76404 Bohmer Erica D Active 06/23/2017 06/22/2018
1908 R74436 Boucek Lisa Michelle Active 06/23/2017 06/22/2018
1908 R75162 Brown Yvette Michelle Active 06/23/2017 06/22/2018
1908 R75139 Campos Elizabeth Active 06/23/2017 06/22/2018
1908 R76425 Capili Minella T Active 06/23/2017 06/22/2018
1908 R76405 Chang James Active 06/23/2017 06/22/2018
1908 R76406 Chow Clara C Active 06/23/2017 06/22/2018
1908 R75145 Conover Katherine Courtney... Active 06/23/2017 06/22/2018
1908 R76458 Cooke Jared Alan Active 01/01/2018 03/31/2018
1908 R76407 Craik Natalie K Active 06/23/2017 06/22/2018
1908 R75610 Crooks James Norman Active 06/23/2017 06/22/2018
1908 R75611 Delaney Dana Marie Active 06/23/2016 06/22/2017
1908 R76408 Desai Shivani K Active 06/23/2017 06/22/2018
1908 R76412 Devarakonda Aishwarya K Active 06/23/2017 06/22/2018
1908 R76409 Dodge Ethan J Active 06/23/2017 06/22/2018
1908 R75612 Duncan Eric William Active 06/23/2017 06/22/2018
1908 R75140 Erickson Jenna Rose Active 06/23/2017 06/22/2018
1908 R76455 Ezeh Ugonna Ernest Active 07/01/2017 09/30/2017
1908 R75614 Farmer Adam Wallace Active 06/23/2017 06/22/2018
1908 R76410 Fields Megan F Active 06/23/2017 06/22/2018
1908 R76443 Fisher Allison M Active 06/23/2017 06/22/2018
Page Number 11 of 48
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Facility Lictype License Num Licensee Status Start Date End Date
Phoenix Children's Hospital/Maricopa Medical Center 1908 R76411 Fitzgibbons Peter P Active 06/23/2017 06/22/2018
1908 R75885 Francis Sarah Elizabeth Active 07/01/2017 06/30/2018
1908 R75616 Frischknecht Adam Clair Active 06/23/2017 06/22/2018
1908 R76426 Fu Quinney S Active 06/23/2017 06/22/2018
1908 R75193 Gary Anna Josephine Active 06/23/2017 06/22/2018
1908 R74437 Giacone Heather Marie Active 06/23/2017 07/01/2017
1908 R76454 Goldthorpe Clifford Scott Active 04/01/2018 06/30/2018
1908 R75141 Gutierrez Whitney Clare Active 06/23/2017 06/22/2018
1908 R75142 Hall Jennifer Swan Active 06/23/2017 06/22/2018
1908 R76427 Haroon Zoha S Active 06/23/2017 06/22/2018
1908 R73794 Heim Jennifer Ashley Active 06/23/2017 06/22/2018
1908 R75364 Hickman Kyle Michael Jaeb Active 07/01/2017 06/30/2018
1908 R74640 Hodoba Nathaniel Blaine Active 06/23/2017 06/22/2018
1908 R75191 Hofman Ariel Renaye Active 06/23/2017 06/22/2018
1908 R75618 Hung Tracy Tsui Ying Active 06/23/2017 06/22/2018
1908 R74441 Irwin Lacy Dawn Active 06/23/2017 07/01/2017
1908 R74642 Julien Daniel Christopher Active 07/01/2017 06/30/2018
1908 R75621 Kanafani Adam Active 06/23/2017 06/22/2018
1908 R75653 Kapadia Saher Norruislam Active 06/23/2017 06/22/2018
1908 R76428 Kauffman Alexandra G Active 06/23/2017 06/22/2018
1908 R74456 Kehring Allysa Lauren Klem... Active 06/23/2017 07/01/2017
1908 R76429 Kourosh Khatami Sean Active 06/23/2017 06/22/2018
1908 R73351 Kulkarni Neil A Active 06/23/2017 06/22/2018
1908 R75626 Kum Pamela Hun Yiu Active 06/23/2017 06/22/2018
1908 R74483 Lee Alice Moran Active 06/23/2017 07/01/2017
1908 R76430 Leffler Sarah A Active 06/23/2017 06/22/2018
1908 R75143 Lorimer, Jr Dean Paul Active 06/23/2017 06/22/2018
1908 R76460 Lui Jackie Zhuo Jun Active 07/07/2017 07/06/2018
1908 R74485 Luu Kevin Duc Active 06/23/2017 08/01/2017
1908 R76431 Maenchen Molly E Active 06/23/2017 06/22/2018
1908 R75628 Mantrala Malica Deepti Active 06/23/2017 06/22/2018
1908 R76432 Matthews Shawn Active 06/23/2017 06/22/2018
Page Number 12 of 48
Arizona Medical Board
Facility Lictype License Num Licensee Status Start Date End Date
Phoenix Children's Hospital/Maricopa Medical Center 1908 R75629 Matz Megan Sara Active 06/23/2017 06/22/2018
1908 R75630 McAnally Cady Michelle Active 06/23/2017 06/22/2018
1908 R75144 McClellan Ryan Scott Active 06/23/2017 06/22/2018
1908 R76013 McMahon Erika Hoenke Active 07/03/2017 07/28/2017
1908 R74501 Mecham Cherisse Active 06/23/2017 07/01/2017
1908 R75631 Moreira Axel Gerardo Active 06/23/2017 06/22/2018
1908 R75195 Morse Keith Ellis Active 06/23/2017 06/22/2018
1908 R75194 Moza Rohin Active 06/23/2017 06/22/2018
1908 R75636 Naille Lauren Active 06/23/2017 06/22/2018
1908 R74487 Nau Eric Donald Active 06/23/2017 07/01/2017
1908 R75146 Navarre Brittany Mary Active 06/23/2017 06/22/2018
1908 R74488 Neal Richelle Mary Active 06/23/2017 07/14/2017
1908 R75147 Niles Denver Trevyine Active 06/23/2017 06/22/2018
1908 R75148 Obradov Aleksandra Active 06/23/2017 06/22/2018
1908 R75651 Oh Ann Suen Hee Active 06/23/2017 06/22/2018
1908 R75138 Osborn Julie Active 06/23/2017 06/22/2018
1908 R75199 Patel Rinkal Raj Active 06/23/2017 06/22/2018
1908 R74489 Penn Natalie Christine Active 06/23/2017 07/01/2017
1908 R76433 Pitt Jordan D Active 06/23/2017 06/22/2018
1908 R75152 Plesh Lauren Louise Active 06/23/2017 06/22/2018
1908 R76117 Powell Garret Michael Active 07/31/2017 08/25/2017
1908 R75153 Rakkar Jaskaran Active 06/23/2017 06/22/2018
1908 R76319 Ranjan Manish Active 08/01/2017 07/31/2018
1908 R75154 Rosado Jose Gabriel Active 06/23/2017 06/22/2018
1908 R74490 Roth Emily Vanessa Catheri... Active 06/23/2017 07/01/2017
1908 R75196 Ruffenach Stephen Charles Active 06/23/2017 06/22/2018
1908 R75592 Russi Daniela Cotrim Active 08/08/2016 08/07/2017
1908 R75155 Sabella Colleen Marie Active 06/23/2017 06/22/2018
1908 R75633 Sachs Jonathan Walk Active 06/23/2017 06/22/2018
1908 R76434 Saenz Juan J Active 06/23/2017 06/22/2018
1908 R76435 Salame Jennifer B Active 06/23/2017 06/22/2018
1908 R75634 Sanderson Michael Quintin Active 06/23/2017 06/22/2018
Page Number 13 of 48
Arizona Medical Board
Facility Lictype License Num Licensee Status Start Date End Date
Phoenix Children's Hospital/Maricopa Medical Center 1908 R76436 Santiago Jason A Active 06/23/2017 06/22/2018
1908 R74498 Schell-Yates Tyler Ray Active 06/23/2017 07/01/2017
1908 R74484 Schmidt Corinne Lieu Active 06/23/2017 08/30/2017
1908 R75157 Schmieding Ashley Olivia Active 06/23/2017 06/22/2018
1908 R75638 Shane Romy Bianca Active 06/23/2017 06/22/2018
1908 R75640 Shillington Jon Mark Active 06/23/2017 06/22/2018
1908 R74326 Smith Jessica Amanda Active 07/01/2017 06/30/2018
1908 R75641 Sokolove Rebecca-lyn Active 06/23/2017 06/22/2018
1908 R75197 Solove Matthew Active 06/23/2017 06/22/2018
1908 R74491 Sood Arun Active 07/07/2017 07/06/2018
1908 R76437 Sprague Garrett J Active 06/23/2017 06/22/2018
1908 R75192 Srivastava Amit Kumar Active 06/23/2017 06/22/2018
1908 R75643 Stamm John David Active 06/23/2017 06/22/2018
1908 R75159 Stewart Ryan Michael Active 06/23/2017 06/22/2018
1908 R76438 Stewart Viktoria Active 06/23/2017 06/22/2018
1908 R76304 Summerfield Daniel Darrell... Active 04/08/2018 05/06/2018
1908 R76465 Tan Xin Active 08/01/2017 08/31/2017
1908 R74643 Teherani Meghan F Active 06/23/2017 07/01/2017
1908 R73795 Tokhie Harlori Kaur Active 06/23/2017 06/22/2018
1908 R75160 Tsin Cathy Mei Active 06/23/2017 06/22/2018
1908 R75646 Tung Chia-hsiang Active 06/23/2017 06/22/2018
1908 R76439 Ugwuzor Chinyere A Active 06/23/2017 06/22/2018
1908 R75648 Vala Aarti Active 06/23/2017 06/22/2018
1908 R74495 Vandervelde Kathryn Ault Active 06/23/2017 08/30/2017
1908 R75999 Waseemuddin Mohammed Active 08/01/2017 07/31/2018
1908 R76440 Watt Sarah K Active 06/23/2017 06/22/2018
1908 R76441 Weiss Brian S Active 06/23/2017 06/22/2018
1908 R74497 Wickland Jessica Lynn Active 06/23/2017 07/01/2017
1908 R75649 York Sara Michelle Active 06/23/2017 06/22/2018
1908 R74499 Zarlengo Dominic Joseph Active 06/23/2017 07/01/2017
1908 R74500 Zomer Crystal Dawn Active 06/23/2017 07/01/2017
Phoenix Integrated Residency 1908 R76221 Chapman Hannah L Active 07/01/2017 06/30/2018
Page Number 14 of 48
Arizona Medical Board
Facility Lictype License Num Licensee Status Start Date End Date
St Joseph's Hospital and Medical Center 1908 R75006 Ajisebutu Adekunle Oladega... Active 07/01/2017 06/30/2018
1908 R75749 Al Hasan Yazan Mahmoud Active 07/01/2017 06/30/2018
1908 R73457 Al Qaisi Saifuldeen Awf Ab... Active 07/01/2017 06/30/2018
1908 R75492 Albadri Mina Moayad Majeed... Active 07/01/2017 06/30/2018
1908 R75489 Allos Samir Sahim Active 07/01/2017 06/30/2018
1908 R72011 Almefty Rami Ossama Akram Active 07/01/2017 06/30/2018
1908 R74314 Anand Keshav Active 07/01/2017 06/30/2018
1908 R75763 Arora Kanika Active 07/01/2017 06/30/2018
1908 R75556 Bahadir Jenna Deniz Active 07/01/2017 06/30/2018
1908 R74877 Bailey Mark Ammon Active 07/01/2017 06/30/2018
1908 R75750 Balbuena-root Melissa Rene... Active 07/01/2017 06/30/2018
1908 R74997 Baranoski Jacob Francis Active 07/01/2017 06/30/2018
1908 R74931 Barbu Shadi Vida Active 07/01/2017 06/30/2018
1908 R75007 Barrett Aaron Cameron Active 07/01/2017 06/30/2018
1908 R76195 Benet Cabero Arnau Active 07/01/2017 06/30/2018
1908 R76213 Bhandari Supriya Active 07/01/2017 06/30/2018
1908 R76212 Biswas Roy Sreeja Active 07/01/2017 06/30/2018
1908 R74090 Bohl Michael Austin II Active 07/01/2017 06/30/2018
1908 R75571 Brigeman Scott T Active 07/01/2017 06/30/2018
1908 R75558 Bryan Lynn Lisa Active 07/01/2017 06/30/2018
1908 R75988 Buller Mark Al Active 07/01/2017 06/30/2018
1908 R75515 Burton Meisje C'Sable Active 07/01/2017 06/30/2018
1908 R76231 Casey Daniel J Active 07/01/2017 06/30/2018
1908 R74924 Casino Geraldine Marapao Active 07/01/2017 06/30/2018
1908 R75567 Catapano Joshua Stephen Active 07/01/2017 06/30/2018
1908 R74921 Chan Justine Kit Active 07/01/2017 06/30/2018
1908 R75427 Chaudhary Anirudh Active 07/01/2017 06/30/2018
1908 R76199 Chavez Marin A Active 07/01/2017 06/30/2018
1908 R75001 Chen Edward Yuder Active 07/01/2017 06/30/2018
1908 R72477 Chen Tsinsue Active 07/01/2017 06/30/2018
1908 R74072 Chesteen George Vernon II Active 07/01/2017 06/30/2018
1908 R76200 Cheung Philip Yue Cheng Active 07/01/2017 06/30/2018
Page Number 15 of 48
Arizona Medical Board
Facility Lictype License Num Licensee Status Start Date End Date
St Joseph's Hospital and Medical Center 1908 R76345 Choi Kevin S Active 07/01/2017 06/30/2018
1908 R76201 Christiansen Eric Martin Active 07/01/2017 06/30/2018
1908 R76196 Chua Michelle Hui Juan Active 07/01/2017 06/30/2018
1908 R74881 Cole Tyler Scott Active 07/01/2017 06/30/2018
1908 R75460 Crete Ryan Nicholas Active 07/01/2017 06/30/2018
1908 R75566 Curole Justin Luke Active 07/01/2017 06/30/2018
1908 R74912 Dameworth Jonathan Lark Active 07/01/2017 06/30/2018
1908 R76222 Danci Ioana Christiana Active 07/01/2017 06/30/2018
1908 R74674 Dasyam Sravya Active 07/01/2017 06/30/2018
1908 R74657 Davis Trent Wilkins II Active 07/01/2017 06/30/2018
1908 R75751 Dawit Sara Active 07/01/2017 06/30/2018
1908 R76346 De Lima Marianne Lim Active 07/01/2017 06/30/2018
1908 R76226 De Souza Katherine Mary Active 07/01/2017 06/30/2018
1908 R76371 Ding Dale Active 07/01/2017 06/30/2018
1908 R76223 Dozier Melissa Grace Active 07/01/2017 06/30/2018
1908 R74067 Drotar Persida Sarona Active 07/01/2017 06/30/2018
1908 R74920 Duong Joseph Thanh-Phu Active 07/01/2017 06/30/2018
1908 R75514 Eells Madeline Elizabeth Active 07/01/2017 06/30/2018
1908 R75516 Elsenheimer Kaitlin Nelson... Active 07/01/2017 06/30/2018
1908 R76197 Farber Samuel Harrison Active 07/01/2017 06/30/2018
1908 R75691 Farnworth Michael Todd Active 07/01/2017 06/30/2018
1908 R74659 Fayard Daniel Marcel Active 07/01/2017 06/30/2018
1908 R75004 Fegale Stephanie Laroche Active 07/01/2017 06/30/2018
1908 R75557 Fetten Katharina Active 07/01/2017 06/30/2018
1908 R75517 Firouzi Kameren Reza Active 07/01/2017 06/30/2018
1908 R74927 Fletcher Amanda Whitleigh Active 07/01/2017 06/30/2018
1908 R74590 Flicek Kristina Therese Active 07/01/2017 06/30/2018
1908 R76229 Fullner Jonathan Daniel Active 07/01/2017 06/30/2018
1908 R74677 Gemma Vincent Anthony Active 07/01/2017 06/30/2018
1908 R74648 Godzik Jakub Active 07/01/2017 06/30/2018
1908 R73464 Goldsmit Samuel Kalb Active 07/01/2017 06/30/2018
1908 R76347 Gonzalez Daniel Active 07/01/2017 06/30/2018
Page Number 16 of 48
Arizona Medical Board
Facility Lictype License Num Licensee Status Start Date End Date
St Joseph's Hospital and Medical Center 1908 R74928 Griffin Kenneth Scott Active 07/01/2017 06/30/2018
1908 R72414 Gubbels Ashley Lynn Active 07/01/2017 06/30/2018
1908 R76348 Guidos Paul A Active 07/01/2017 06/30/2018
1908 R74666 Gutierrez James Joseph Active 07/01/2017 06/30/2018
1908 R73968 Habib Naomi Grace Active 07/01/2017 06/30/2018
1908 R74668 Hamed Moath A Active 07/01/2017 06/30/2018
1908 R74929 Hamilton Robert Sanford Active 07/01/2017 06/30/2018
1908 R72490 Hardesty Douglas Allen Active 07/01/2017 06/30/2018
1908 R74675 Harry Rishi Inder Singh Active 07/01/2017 06/30/2018
1908 R74914 Harwood Matthew Lee Active 07/01/2017 06/30/2018
1908 R74651 Haverland Rachael Ann Active 07/01/2017 06/30/2018
1908 R74652 Hefley Erin Foster Active 07/01/2017 06/30/2018
1908 R75570 Hendricks Benjamin Kevin Active 07/01/2017 06/30/2018
1908 R72006 Hill David Anthony Active 03/26/2017 03/25/2018
1908 R73509 Hlubek Randall John Active 07/01/2017 06/30/2018
1908 R75490 Ho Timothy Kenneth Active 07/01/2017 06/30/2018
1908 R74155 Hopkins Gina Marie Active 07/01/2017 06/30/2018
1908 R74676 Hoshi Sami Active 07/01/2017 06/30/2018
1908 R75752 Hoskin Justin Lynn Active 07/01/2017 06/30/2018
1908 R74925 Hosten Blackmond Tiffany A... Active 07/01/2017 06/30/2018
1908 R76349 Houston Drew Active 07/01/2017 06/30/2018
1908 R74681 Huang Dih-dih Active 07/01/2017 06/30/2018
1908 R76211 Hughes Brett William Active 07/01/2017 06/30/2018
1908 R74665 Jackson Robert Julian Active 07/01/2017 06/30/2018
1908 R74672 Jacobsen Bill James Active 07/01/2017 06/30/2018
1908 R76225 Jenkins Taylor Marie Active 07/01/2017 06/30/2018
1908 R75559 Jones Michael David Active 07/01/2017 06/30/2018
1908 R76219 Kannampuzah Jovil Anthony Active 07/01/2017 06/30/2018
1908 R76210 Kaur Sukhdeep Active 07/01/2017 06/30/2018
1908 R76217 Khalil Nabiha Active 07/01/2017
1908 R76216 Krate Jonida Active 07/01/2017 06/30/2018
1908 R73381 Kuwabara Michael Skarles Active 07/01/2017 06/30/2018
Page Number 17 of 48
Arizona Medical Board
Facility Lictype License Num Licensee Status Start Date End Date
St Joseph's Hospital and Medical Center 1908 R75406 Labib Mohamed Ahmed Maher Active 07/01/2017 06/30/2018
1908 R76215 Lanser Erica Marie Active 07/01/2017 06/30/2018
1908 R76202 Lee Bonnie Ka Man Active 07/01/2017 06/30/2018
1908 R76228 Lee Jae Seung Active 07/01/2017 06/30/2018
1908 R75800 Lish James Robert Active 07/01/2017 06/30/2018
1908 R74680 Matthees Nicholas Garrity Active 07/01/2017 06/30/2018
1908 R74066 McClure Kelsey Elizabeth Active 07/01/2017 06/30/2018
1908 R74074 McCourt Jason Michael Active 07/01/2017 06/30/2018
1908 R76224 McHenry Avory Marie Hening... Active 07/01/2017 06/30/2018
1908 R74655 Mehandru Natasha Active 07/01/2017 06/30/2018
1908 R75485 Misra Suman Susant Active 07/01/2017 06/30/2018
1908 R74678 Mistrot Daniel Paul Active 07/01/2017 06/30/2018
1908 R74667 Mony Shruti Sukumar Active 07/01/2017 06/30/2018
1908 R74142 Mooney Michael Anthony Active 07/01/2017 06/30/2018
1908 R75569 Morgan Clinton David Active 07/01/2017 06/30/2018
1908 R73519 Mulholland Celene Bardales... Active 07/01/2017 06/30/2018
1908 R75765 Munshi Aarohi Hiren Active 07/01/2017 06/30/2018
1908 R74663 Murthy Ganesh Raghava Active 07/01/2017 06/30/2018
1908 R72721 Nalagan Justin Andre Active 07/01/2017 06/30/2018
1908 R75488 Nallagangula Aparna Active 07/01/2017 06/30/2018
1908 R72595 Nanaszko Michael Joseph Active 07/01/2017 06/30/2018
1908 R76350 Nicholson Alexandra Helene... Active 07/01/2017 06/30/2018
1908 R76203 Nissen Gary Michael Active 07/01/2017 06/30/2018
1908 R74139 Nwojo Macaulay Ezera Active 07/01/2017 06/30/2018
1908 R75433 Osho Ayokunle Tolulope Active 07/01/2017 06/30/2018
1908 R76214 Pandya Siddharth Yogen Active 07/01/2017 06/30/2018
1908 R76351 Passeri Michlene Active 07/01/2017 06/30/2018
1908 R74926 Patel Shyam Active 07/01/2017 06/30/2018
1908 R75008 Pham An Thien Active 07/01/2017 06/30/2018
1908 R75428 Plasto Dinko Active 07/01/2017 06/30/2018
1908 R75005 Powers Kathleen Ann Active 07/01/2017 06/30/2018
1908 R74879 Przybylowski Colin John Active 07/01/2017 06/30/2018
Page Number 18 of 48
Arizona Medical Board
Facility Lictype License Num Licensee Status Start Date End Date
St Joseph's Hospital and Medical Center 1908 R76227 Reinert Anna Elizabeth Active 07/01/2017 06/30/2018
1908 R75518 Reise Kathryn Helena Active 07/01/2017 06/30/2018
1908 R76204 Rieger Rebecca Marie Active 07/01/2017 06/30/2018
1908 R75010 Ritz Lauren Christine Active 07/01/2017 06/30/2018
1908 R74664 Robers Michael Vincent Active 07/01/2017 06/30/2018
1908 R76230 Robinson Jaclyn Michaela Active 07/01/2017 06/30/2018
1908 R75753 Root Shane Marcus Active 07/01/2017 06/30/2018
1908 R75487 Ross Mitchell David Active 07/01/2017 06/30/2018
1908 R75459 Roura Daniel Active 07/01/2017 06/30/2018
1908 R75215 Rubalcava Nathaniel Scott Active 07/01/2017 06/30/2018
1908 R74653 Rzepka Alexandra Josephine... Active 07/01/2017 06/30/2018
1908 R75009 Saadoun Basma Mamdouh Active 07/01/2017 06/30/2018
1908 R74918 Sanford Jessica Lauren Active 07/01/2017 06/30/2018
1908 R74880 Sarris Christina Elizabeth... Active 07/01/2017 06/30/2018
1908 R76205 Schmidgall Justin Alan Active 07/01/2017 06/30/2018
1908 R76232 Schmieder Stephanie Nance Active 07/01/2017 06/30/2018
1908 R75895 See Pok-meng Active 07/01/2017 06/30/2018
1908 R74080 Serrone Rosemarie Orene Active 07/01/2017 06/30/2018
1908 R76206 Shah Ishani Jayesh Active 07/01/2017 06/30/2018
1908 R75720 Shah Paarth Janak Active 07/01/2017 06/30/2018
1908 R75002 Sharif Momamed Fatima Aba Active 07/01/2017 06/30/2018
1908 R74091 Sheehy John Paul Active 07/01/2017 06/30/2018
1908 R75553 Shetty Rashna Active 07/01/2017 06/30/2018
1908 R76218 Sibghat Tul Llah Fnu Active 07/01/2017 06/30/2018
1908 R75486 Singh Nisha Mei Active 07/01/2017 06/30/2018
1908 R75565 Stenquist Justin Jay Active 07/01/2017 06/30/2018
1908 R75432 Stricof Jared Jacob Active 07/01/2017 06/30/2018
1908 R76352 Tadipatri Ramya Active 07/01/2017 06/30/2018
1908 R76353 Tarzi Fawaz P Active 07/01/2017 06/30/2018
1908 R74683 Taylor Rachel Reinhart Active 07/01/2017 06/30/2018
1908 R74919 Thakrar Hiral Pradip Active 07/01/2017 06/30/2018
1908 R76207 Uppal Surabhi Active 07/01/2017 06/30/2018
Page Number 19 of 48
Arizona Medical Board
Facility Lictype License Num Licensee Status Start Date End Date
St Joseph's Hospital and Medical Center 1908 R75000 Usman Uzma Active 07/01/2017 06/30/2018
1908 R75764 Vajjala Vimala Sravanthi Active 07/01/2017 06/30/2018
1908 R75003 Vo Elise Halan Active 07/01/2017 06/30/2018
1908 R76220 Vyas Neil Active 07/01/2017 06/30/2018
1908 R74649 Walker Corey Tyler Active 07/01/2017 06/30/2018
1908 R75754 Wang Liang Active 07/01/2017 06/30/2018
1908 R74923 Wang Tingrui Active 07/01/2017 06/30/2018
1908 R75755 Weng Xiao Jun Active 07/01/2017 06/30/2018
1908 R74646 Whiting Alexander Charles Active 07/01/2017 06/30/2018
1908 R72485 Wright Ernest John III Active 07/01/2017 06/30/2018
1908 R76209 Wu Elliott Active 07/01/2017 06/30/2018
1908 R73471 Xu David Shuo Active 07/01/2017 06/30/2018
1908 R75426 Yerasi Charan Teja Reddy Active 07/01/2017 06/30/2018
1908 R74930 Yuen Steven Active 07/01/2017 06/30/2018
1908 R74662 Zhang Roy Xiao Active 07/01/2017 06/30/2018
1908 R76198 Zhou James Active 07/01/2017 06/30/2018
1908 R74669 Zigelbaum Aaron Active 07/01/2017 06/30/2018
Tucson Hospitals Medical Education 1908 R76146 Cervantes Jose Antonio Active 07/01/2017 06/30/2018
1908 R76147 Foster Alexander Armanthus... Active 07/01/2017 06/30/2018
1908 R76148 Haddadin Zaid Muhannad Active 07/01/2017 06/30/2018
1908 R76149 Huckstep Trent Austin Active 07/01/2017 06/30/2018
1908 R76150 Kartchner Jeffrey Zane Active 07/01/2017 06/30/2018
1908 R76151 Kenrick Anthony Thomas Active 07/01/2017 06/30/2018
1908 R76152 Lansky Charlotte Anne Active 07/01/2017 06/30/2018
1908 R76153 Sawyer David Miles Active 07/01/2017 06/30/2018
1908 R76154 Scott Gabriel Rene Active 07/01/2017 06/30/2018
1908 R76155 Staack Sasha O'Brien Active 07/01/2017 06/30/2018
University of Arizona 1908 R74160 Abdelaziz Amr Samy Mohame Active 07/01/2017 07/27/2017
1908 R76069 Addams Joel Active 07/01/2017 06/30/2018
1908 R76098 Adel Eugene Active 07/01/2017 06/30/2018
1908 R75504 Aggarwal Avin Active 07/01/2017 06/30/2018
1908 R74338 Ahmed Bashar Khandaker Active 07/01/2017 06/30/2018
Page Number 20 of 48
Arizona Medical Board
Facility Lictype License Num Licensee Status Start Date End Date
University of Arizona 1908 R76118 Ahmed Iman Mohamoud Active 07/01/2017 06/30/2018
1908 R76093 Ahrendt Nicholas Reuben Active 07/01/2017 06/30/2018
1908 R75471 Al Bayati Shahad Shamel Ib... Active 07/01/2017 06/30/2018
1908 R72935 Al-Salman Khalil Active 07/01/2017 07/15/2017
1908 R74693 Alam Payam Active 07/01/2017 06/30/2018
1908 R75032 Alden Michelle Lynn Active 07/01/2017 06/30/2018
1908 R75572 Ali Hasan Akram Active 07/01/2017 06/30/2018
1908 R75463 Ali Zeina Abdulla Active 07/01/2017 06/30/2018
1908 R76072 Alizadeh Reza Active 07/01/2017 06/30/2018
1908 R74603 Alkatib Rhonda Emily Active 07/01/2017 06/30/2018
1908 R73830 Alobaidi Fahad K Active 07/01/2017 06/30/2018
1908 R76462 Alotaibi Saleh Active 07/31/2017 08/27/2017
1908 R75462 Altisheh Roula Active 07/01/2017 06/30/2018
1908 R75030 Amberger Mimi Z Active 07/01/2017 06/30/2018
1908 R76077 Amire-brahimi Benjamin Abr... Active 07/01/2017 06/30/2018
1908 R74560 Anderson Jason Thomas Active 07/01/2017 06/30/2018
1908 R76110 Angus Christopher Robert Active 07/01/2017 06/30/2018
1908 R75597 Anvar Elhaam Active 07/01/2017 06/30/2018
1908 R74909 Aquino Alian Active 07/01/2017 06/30/2018
1908 R74385 Aranas Jennifer Leigh Active 07/01/2017 06/30/2018
1908 R75425 Asseri Ali Mohammed Active 04/11/2017 04/10/2018
1908 R72856 Ateeli Huthayfa Afif Active 07/01/2017 06/30/2018
1908 R74605 August Jessica Ann Active 07/01/2017 06/30/2018
1908 R75667 Avila Guerra Mauricio Jose... Active 07/01/2017 06/30/2018
1908 R74017 Aziz Hassan Active 07/01/2017 06/30/2018
1908 R75443 Bach Mimi Sabrine Henia Active 07/01/2017 06/30/2018
1908 R76028 Bailey Morgan Elizabeth Active 07/01/2017 06/30/2018
1908 R74531 Bailey Omavi Folu Active 07/01/2017 06/30/2018
1908 R75076 Baksh Aureen Reza Active 07/01/2017 06/30/2018
1908 R75465 Balogun Rilwan Abiola Active 07/01/2017 06/30/2018
1908 R75526 Bang Sung-wook Jesse Active 07/01/2017 06/30/2018
1908 R75534 Barbee Bonnie Jane Active 07/01/2017 06/30/2018
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University of Arizona 1908 R76064 Barber Samuel Ralph Active 07/01/2017 06/30/2018
1908 R75663 Barcelo Bianca Elena Active 07/01/2017 06/30/2018
1908 R75198 Barnett Kelly Active 07/01/2017 06/30/2018
1908 R74341 Barry Jonnae Yvonne Active 07/01/2017 06/30/2018
1908 R76169 Barth Talmage Hans Active 07/01/2017 06/30/2018
1908 R75669 Bayze Brian Edward Active 07/01/2017 06/30/2018
1908 R74607 Beatty Norman Laurence Active 07/01/2017 06/30/2018
1908 R74608 Bechtold Lance Lee Active 07/01/2017 06/30/2018
1908 R75017 Beck Emily Nicole Active 07/01/2017 06/30/2018
1908 R74945 Bell Robert Christopher Active 07/01/2017 06/30/2018
1908 R76031 Bellacose Carmel S Active 07/01/2017 06/30/2018
1908 R76014 Bendall William Bryson Active 07/01/2017 06/30/2018
1908 R76119 Benson Darik Scott Active 07/01/2017 06/30/2018
1908 R75723 Benton Lauren Deanna Active 07/01/2017 06/30/2018
1908 R74933 Bergersen Andrew Michael Active 07/01/2017 06/30/2018
1908 R74893 Berlinberg Adam Justin Active 07/01/2017 06/30/2018
1908 R74934 Bernardi Mark Thomas Active 07/01/2017 06/30/2018
1908 R75672 Bertoch Spencer Todd Active 07/01/2017 06/30/2018
1908 R74962 Betancourt Robert Anthony ... Active 07/01/2017 06/30/2018
1908 R75589 Bethel Aubrey Anne Active 07/01/2017 06/30/2018
1908 R74165 Bhargava Rishi Kumar Active 07/01/2017 06/30/2018
1908 R76094 Bhatia Shanti Chan Active 07/01/2017 06/30/2018
1908 R74455 Bhowra Amarpreet Singh Active 07/01/2017 06/30/2018
1908 R74633 Bilal Jawad Active 07/01/2017 06/30/2018
1908 R74045 Bina Robert Wagner Active 06/24/2017 06/23/2018
1908 R75707 Binks Joshua Thomas Active 07/01/2017 06/30/2018
1908 R74994 Bixby Billie Ann Active 07/01/2017 06/30/2018
1908 R76046 Borg Bryan Austin Active 07/01/2017 06/30/2018
1908 R76142 Borra Nikhil Raj Active 07/01/2017 06/30/2018
1908 R76038 Bouzigard Rory M Active 07/01/2017 06/30/2018
1908 R76037 Boyer Preston J Active 07/01/2017 06/30/2018
1908 R74884 Brasiliense Leonardo Bruno... Active 07/01/2017 06/30/2018
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University of Arizona 1908 R75573 Breeding Breanna Cherie Active 07/01/2017 06/30/2018
1908 R76035 Breen Kevin T Active 07/01/2017 06/30/2018
1908 R74900 Buckley Ryan Donald Active 07/01/2017 06/30/2018
1908 R75510 Buff Michelle Ann Active 07/01/2017 06/30/2018
1908 R75539 Burke Patrick Rian Active 07/01/2017 06/30/2018
1908 R76002 Bybee-driscoll Shannon J Active 07/01/2017 06/30/2018
1908 R74111 Byreddy Seenaiah Active 07/01/2017 06/30/2018
1908 R76003 Cain Cooper D Active 07/01/2017 06/30/2018
1908 R75435 Cannon Alexis Michelle Active 07/01/2017 06/30/2018
1908 R75537 Caraveo Marshall Aaron Active 07/01/2017 06/30/2018
1908 R74386 Cardenas - Trowers Olivia ... Active 07/01/2017 06/30/2018
1908 R74537 Carey John Joseph Active 07/01/2017 06/30/2018
1908 R76063 Carr Joseph L Active 07/01/2017 06/30/2018
1908 R76052 Carr Marcus P Active 07/01/2017 06/30/2018
1908 R75496 Cartagena De Jesus Carla M... Active 07/01/2017 06/30/2018
1908 R74985 Cerruti Marc Anthony Active 07/01/2017 06/30/2018
1908 R76121 Champion Connor M Active 07/01/2017 06/30/2018
1908 R75511 Chan Christine Emi Active 07/01/2017 06/30/2018
1908 R76004 Chang Michelle E Active 07/01/2017 06/30/2018
1908 R74348 Chao Joseph T. Active 07/01/2017 06/30/2018
1908 R75724 Charles Rachael Ann Active 07/01/2017 06/30/2018
1908 R75450 Chaus Fahad Mohammedamin Active 07/01/2017 06/30/2018
1908 R76450 Chekuri Srinivasa C Active 07/01/2017 06/30/2018
1908 R76066 Chen Winsor P Active 07/01/2017 06/30/2018
1908 R74911 Chiacchio Stephany Active 07/01/2017 06/30/2018
1908 R75498 Chiapaikeo David Active 07/01/2017 06/30/2018
1908 R74961 Chikwava Gwinyai Active 07/01/2017 06/30/2018
1908 R75894 Chinyadza Mandinanisa Active 07/01/2017 06/30/2018
1908 R76025 Chopde Rakesh N Active 07/01/2017 06/30/2018
1908 R73836 Choudhury Nabajit Active 07/01/2017 06/30/2018
1908 R73837 Chyatte David Anthony Active 07/01/2017 06/30/2018
1908 R76005 Clark Devin W Active 07/01/2017 06/30/2018
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University of Arizona 1908 R74984 Clendenen Jordan Christoph... Active 07/01/2017 06/30/2018
1908 R76180 Cobos Leopoldo M Active 07/01/2017 06/30/2018
1908 R75538 Coffman Nathan Eugene Active 07/01/2017 06/30/2018
1908 R76171 Cole Denzel A Active 07/01/2017 06/30/2018
1908 R74344 Cosentino Anna-Marie Active 07/01/2017 06/30/2018
1908 R75272 Cotton Colleen Helen Active 07/13/2017 07/12/2018
1908 R76179 Coverley Catherine R Active 07/01/2017 06/30/2018
1908 R75574 Cox Aneela Active 07/01/2017 06/30/2018
1908 R75575 Cox Joshua Keegan Active 07/01/2017 06/30/2018
1908 R74986 Craig Miguel Antonio Active 07/01/2017 06/30/2018
1908 R74944 Cristan Elaine Ann Active 07/01/2017 06/30/2018
1908 R75525 Dacey Michael Joseph Active 07/01/2017 06/30/2018
1908 R75484 Dahip Michael Satkyes Active 07/01/2017 06/30/2018
1908 R75958 Daley Sarah Keiko Active 01/01/2017 12/31/2017
1908 R74349 Damian Joshua Ruben Active 07/01/2017 06/30/2018
1908 R74387 Dardis Danielle Rose Active 07/01/2017 06/30/2018
1908 R76015 Dare Reese M Active 07/01/2017 06/30/2018
1908 R75031 Das Anindita Active 07/01/2017 06/30/2018
1908 R76464 Datta Sanchari Active 07/01/2017 06/30/2018
1908 R76044 Davoodi Auva Active 07/01/2017 06/30/2018
1908 R75121 Dawod Judy Active 07/01/2017 06/30/2018
1908 R75756 Demant Martin Thomas Active 07/01/2017 06/30/2018
1908 R76000 Dhakal Bishnu Prasad Active 07/01/2017 06/30/2018
1908 R76065 Dicken John M Active 07/01/2017 06/30/2018
1908 R74480 Dill James Joseph II Active 07/01/2017 06/30/2018
1908 R75442 Dinovitz Matthew Scott Active 07/01/2017 06/30/2018
1908 R76159 Dionisopoulos Alexandra Active 07/01/2017 06/30/2018
1908 R74983 Divittorio Sarah Emily Active 07/01/2017 06/30/2018
1908 R76078 Djabiras Christina Active 07/01/2017 06/30/2018
1908 R74561 Dong Yimin Active 07/01/2017 06/30/2018
1908 R74559 Dowling Tyler Randolph Active 07/01/2017 06/30/2018
1908 R76061 Du Mont Christian M Active 07/01/2017 06/30/2018
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University of Arizona 1908 R76016 Dunne Katherine Active 07/01/2017 06/30/2018
1908 R76181 Duran Rincon Juanita Active 07/01/2017 06/30/2018
1908 R75506 Durando Michael Luca Active 07/01/2017 06/30/2018
1908 R74960 Dyniewski Bradley Eugene Active 07/01/2017 06/30/2018
1908 R75053 Eales Justin Robert Active 07/01/2017 06/30/2018
1908 R75444 Effron Morgan Rebecca Active 07/01/2017 06/30/2018
1908 R76017 Effron Zachary A Active 07/01/2017 06/30/2018
1908 R72892 El Ramahi Razan Al Watheq ... Active 08/01/2016 07/31/2017
1908 R73685 El-Aini Ahmed Tammer Yehia.. Active 02/01/2017 01/31/2018
1908 R76047 Elliott Charles W Active 07/01/2017 06/30/2018
1908 R74353 Elrokhsi Salaheddin H. I. ... Active 07/01/2017 07/12/2017
1908 R75455 Enriquez Nicolas Antonio Active 07/01/2017 06/30/2018
1908 R75317 Erisman Matthew Saxon Active 07/01/2017 06/30/2018
1908 R75811 Eshghi Naghmehossadat Active 07/01/2017 06/30/2018
1908 R74391 Esparza Melissa Active 07/01/2017 06/30/2018
1908 R76160 Espinoza Olortegui Eduardo... Active 07/01/2017 06/30/2018
1908 R75890 Estep Lauren Elizabeth Active 07/01/2017 06/30/2018
1908 R75551 Etter Micah Active 07/01/2017 06/30/2018
1908 R76092 Eubank Louis R Active 07/01/2017 06/30/2018
1908 R74533 Faheem Urooba Active 07/01/2017 06/30/2018
1908 R75576 Falgout David Matthew Active 07/01/2017 06/30/2018
1908 R75596 Familtsev Dmitry Active 07/01/2017 06/30/2018
1908 R74963 Famoso Justin Michael Active 07/01/2017 06/30/2018
1908 R76036 Fan Heinrich D Active 07/01/2017 06/30/2018
1908 R74993 Farshad Kayven Max Active 07/01/2017 06/30/2018
1908 R74536 Fauq Irfan Kibrya Active 07/01/2017 06/30/2018
1908 R76317 Favaloro Ercole A III Active 07/01/2017 06/30/2018
1908 R75503 Field Adam Michael Active 07/01/2017 06/30/2018
1908 R74896 Finkelshteyn Ilya Active 07/01/2017 06/30/2018
1908 R74966 Fletcher Peter Joseph Active 07/01/2017 06/30/2018
1908 R74970 Ford Sydne Danielle Active 07/01/2017 06/30/2018
1908 R76041 Forrestel Andrew C Active 07/01/2017 06/30/2018
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University of Arizona 1908 R76034 Foshee James P Active 07/01/2017 06/30/2018
1908 R74388 Fotouhie Azadeh Farah Active 07/01/2017 06/30/2018
1908 R74057 Fox James David Active 07/01/2017 06/30/2018
1908 R73925 Franke Kimberly Jo Active 07/01/2017 06/30/2018
1908 R74354 Gadd Crystal Lorraine Active 07/01/2017 06/30/2018
1908 R75473 Gadzik Erica Smith Active 07/01/2017 06/30/2018
1908 R74988 Gaefke Claudia Lucia Active 07/01/2017 06/30/2018
1908 R75070 Gamez Justin Michael Active 07/01/2017 06/30/2018
1908 R75500 Ganddini-wagner Gabriela M... Active 07/01/2017 06/30/2018
1908 R75507 Gangar Pamela Active 07/01/2017 06/30/2018
1908 R76173 Garcia Alexander N Active 07/01/2017 06/30/2018
1908 R76042 Garcia Ariel E Active 07/01/2017 06/30/2018
1908 R74899 Garcia Mary Carmen Active 07/01/2017 06/30/2018
1908 R76101 Gardner Gregory P Active 07/01/2017 06/30/2018
1908 R74952 Garrison David Jeremiah Active 07/01/2017 06/30/2018
1908 R73241 Garza Hyon-he Kim Active 07/01/2017 06/30/2018
1908 R74473 Garza Joshua Isaac Active 07/01/2017 06/30/2018
1908 R76062 Gaskin Gregory L Active 07/01/2017 06/30/2018
1908 R76048 Gaul Corey J Active 07/01/2017 06/30/2018
1908 R75135 Ghani Sadia Begum Active 07/01/2017 06/30/2018
1908 R74969 Ghazala Sehem Active 07/01/2017 06/30/2018
1908 R75588 Glasser Joshua Anders Active 07/01/2017 06/30/2018
1908 R76086 Glazer Alex M Active 07/01/2017 06/30/2018
1908 R74750 Glotser Phillip L Active 07/01/2017 06/30/2018
1908 R74889 Goel Khushboo Active 07/01/2017 06/30/2018
1908 R76079 Golconda Umamaheshwari Active 07/01/2017 06/30/2018
1908 R76097 Goldberg Daniel Active 07/01/2017 06/30/2018
1908 R75013 Gonsalves Steven Wesley Al... Active 07/01/2017 06/30/2018
1908 R74554 Gonzales Christopher Josep... Active 07/01/2017 06/30/2018
1908 R73243 Gonzalez Maritza Grisselle... Active 07/01/2017 06/30/2018
1908 R75582 Gosey Gregory Maxwell Active 07/01/2017 06/30/2018
1908 R75466 Graetz Riley Michael Active 07/01/2017 06/30/2018
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University of Arizona 1908 R75066 Green Tiffany Hyman Active 07/01/2017 06/30/2018
1908 R75532 Grigsby Brianna Michelle Active 07/01/2017 06/30/2018
1908 R74908 Grin Boris Active 07/01/2017 06/30/2018
1908 R76059 Guyton Kevin P Active 07/01/2017 06/30/2018
1908 R74579 Habibi Pasdar Seyed Sohail... Active 07/01/2017 08/31/2017
1908 R75074 Hagenberg Robert John Active 07/01/2017 06/30/2018
1908 R75445 Halasa Rachelle Megan Active 07/01/2017 06/30/2018
1908 R75767 Han James Edward Active 07/01/2017 06/30/2018
1908 R75067 Hansra Haramrit Singh Active 07/01/2017 06/30/2018
1908 R75583 Hanzlik Thomas Pinkas Active 07/01/2017 06/30/2018
1908 R76470 Harb De La Rosa Alfredo Active 07/01/2017 06/30/2018
1908 R75593 Harhash Ahmed Active 07/01/2017 06/30/2018
1908 R75726 Harkins Ryan Michael Active 07/01/2017 06/30/2018
1908 R75048 Harms Christopher Thomas Active 07/01/2017 06/30/2018
1908 R76022 Harris Nathaniel A Active 07/01/2017 06/30/2018
1908 R75467 Hartl Katherine Nicole Active 07/01/2017 06/30/2018
1908 R75061 Havens Tara Nicole Active 07/01/2017 06/30/2018
1908 R75603 Helmrick-blossom Jessin Active 07/01/2017 06/30/2018
1908 R75705 Henglefelt Steven Ross Active 07/01/2017 06/30/2018
1908 R75092 Hennigan Andrew William Active 07/01/2017 06/30/2018
1908 R75302 Hernandez Leslie Ann Active 07/01/2017 06/30/2018
1908 R74940 Hernandez Zachary James Active 07/01/2017 06/30/2018
1908 R75521 Heyn Andrea Naomi Active 07/01/2017 06/30/2018
1908 R75446 Higham-kessler Richard Aug... Active 07/01/2017 06/30/2018
1908 R75585 Hill Michael Cary Active 07/01/2017 06/30/2018
1908 R76060 Hinkel Cameron J Active 07/01/2017 06/30/2018
1908 R75548 Ho Cathy Vu Active 08/01/2017 07/31/2018
1908 R74894 Ho Hang Thi Thuy Active 07/01/2017 06/30/2018
1908 R73891 Hoang Brian Hai Active 07/01/2017 06/30/2018
1908 R74895 Hodgdon Kathryn Ellen Active 07/01/2017 06/30/2018
1908 R76141 Holloway Amanda R Active 07/01/2017 06/30/2018
1908 R76112 Hothi Samandip S Active 07/01/2017 06/30/2018
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University of Arizona 1908 R74897 Howard Ryan Hood Active 07/01/2017 06/30/2018
1908 R75023 Hu Amy Yawen Active 07/01/2017 06/30/2018
1908 R74954 Huynh Dang Hai Active 07/01/2017 06/30/2018
1908 R74973 Huynh Jacqueline Ngoc Active 07/01/2017 06/30/2018
1908 R75594 Ibarra Alejandro Active 07/01/2017 06/30/2018
1908 R74990 Imbornoni Lauren Marie Active 07/01/2017 06/30/2018
1908 R75600 Insel Michael Active 07/01/2017 06/30/2018
1908 R74613 Jaffer Faraz Active 07/01/2017 06/30/2018
1908 R76170 Janajreh Yousef M Active 07/01/2017 06/30/2018
1908 R74898 Jarrett II Benjamin Jay Active 07/01/2017 06/30/2018
1908 R76416 Jayagurunathan Usha Active 07/01/2017 06/30/2018
1908 R76039 Jean Joshua Active 07/01/2017 06/30/2018
1908 R73897 Jhajj Sandeep Singh Active 07/01/2017 06/30/2018
1908 R75595 Johnson Christopher Brian Active 07/01/2017 06/30/2018
1908 R75535 Johnson Drew Carter Active 07/01/2017 06/30/2018
1908 R74396 Jones Trahern Wallace Active 07/01/2017 06/30/2018
1908 R76054 Joseph Robin A Active 07/01/2017 06/30/2018
1908 R75448 Junna Shilpa Active 07/01/2017 06/30/2018
1908 R74946 Kasch Anthony Robert Active 07/01/2017 06/30/2018
1908 R76318 Kay Matthew D Active 07/01/2017 06/30/2018
1908 R74964 Kellis Nathan Ammon Active 07/01/2017 06/30/2018
1908 R74916 Kemmerly Thomas Michael Active 07/01/2017 06/30/2018
1908 R76045 Kempers Brian T Active 07/01/2017 06/30/2018
1908 R76006 Khan Abdul S Active 07/01/2017 06/30/2018
1908 R74935 Khan Maria Mohammad Active 07/01/2017 06/30/2018
1908 R75398 Khattab Nasim Abdelhamid M.. Active 01/18/2017 01/17/2018
1908 R75494 Khwaja Ansab Mohammad Active 07/01/2017 06/30/2018
1908 R74979 Kim Candice Jinhee Active 07/01/2017 06/30/2018
1908 R76026 Kim David D Active 07/01/2017 06/30/2018
1908 R76018 Kim Jaehyun H Active 07/01/2017 06/30/2018
1908 R75578 Kim James D Active 07/01/2017 06/30/2018
1908 R75501 Kim Jeeyong Charlie Active 07/01/2017 06/30/2018
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University of Arizona 1908 R74362 Kim Sunchin Active 07/01/2017 06/30/2018
1908 R75477 King Skye Chance Active 07/01/2017 06/30/2018
1908 R73263 Kisat Mehreen Teizoon Active 07/01/2017 06/30/2018
1908 R76311 Kittrell Laurel H Active 07/01/2017 06/30/2018
1908 R74551 Kjellsson Kristine Blosk Active 07/01/2017 06/30/2018
1908 R74122 Koleilat Shadi Maher Active 07/01/2017 06/30/2018
1908 R74363 Korovin Lev Nikolayevich Active 07/01/2017 06/30/2018
1908 R73264 Kovoor Andrew Iype Active 07/01/2017 06/30/2018
1908 R73900 Kraemer Codyjo Kenneth Active 07/01/2017 06/30/2018
1908 R75012 Krase Jeffrey Michael Active 07/01/2017 06/30/2018
1908 R76073 Kubba Saad Sabah Active 07/01/2017 06/30/2018
1908 R76007 Kumala Erica Active 07/01/2017 06/30/2018
1908 R74890 Kurland Yonatan Active 07/01/2017 06/30/2018
1908 R75709 Lakhanpal Aleena Active 07/01/2017 06/30/2018
1908 R76090 Landreth Hannah J Active 07/01/2017 06/30/2018
1908 R75475 Larkin Kevin Eugene Active 07/01/2017 06/30/2018
1908 R76056 Larsen Sean W Active 07/01/2017 06/30/2018
1908 R76050 Lavi Jonathan R Active 07/01/2017 06/30/2018
1908 R75701 Lawrence Charles David Active 07/01/2017 06/30/2018
1908 R74452 Lawson Kevin Andrew Active 07/01/2017 06/30/2018
1908 R75502 Lecomte Matthew David Active 07/01/2017 06/30/2018
1908 R75512 Lectura Melissa Active 07/01/2017 06/30/2018
1908 R76043 Lee Ashton A Active 07/01/2017 06/30/2018
1908 R75190 Lightfoot-Siordia Catrissa... Active 07/01/2017 06/30/2018
1908 R73976 Lin Frank C. Active 07/01/2017 06/30/2018
1908 R75483 Lisowski Mark James Active 07/01/2017 06/30/2018
1908 R75549 Liu Fangzhou Active 07/01/2017 06/30/2018
1908 R76020 Liu Xibei Active 07/01/2017 06/30/2018
1908 R75757 Logsdon Mary Anna Active 07/01/2017 06/30/2018
1908 R73479 Lokhandwala Adil Mohamadal.. Active 07/01/2017 06/30/2018
1908 R75552 Lopker Michael John Jr Active 07/01/2017 06/30/2018
1908 R74892 Low See Wei Active 07/01/2017 06/30/2018
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University of Arizona 1908 R74905 Lukefahr Ashley Leigh Active 07/01/2017 06/30/2018
1908 R75505 Lwin Aye Aung Active 07/01/2017 06/30/2018
1908 R76040 Lynn Bailey A Active 07/01/2017 06/30/2018
1908 R76080 Macaraeg Marci D Active 07/01/2017 06/30/2018
1908 R75469 Maestas Travis Serafin Active 07/01/2017 06/30/2018
1908 R76081 Mahoney William A Active 07/01/2017 06/30/2018
1908 R74958 Makoni John William Active 07/01/2017 06/30/2018
1908 R74980 Malburg Louise Cantisano Active 07/01/2017 06/30/2018
1908 R75043 Mann Dushyant Singh Active 07/01/2017 06/30/2018
1908 R76030 Manoharan Aditya Active 07/01/2017 06/30/2018
1908 R74174 Mansour Iyad S.M Active 07/01/2017 06/30/2018
1908 R76019 Manu Preeth N Active 07/01/2017 06/30/2018
1908 R74950 Manzo Rachel Lauren Active 07/01/2017 06/30/2018
1908 R75018 Marble Jorden Bryan Active 07/01/2017 06/30/2018
1908 R75452 Martin Adriana Adiana Theo... Active 07/01/2017 06/30/2018
1908 R74389 Martinez Carolina Active 07/01/2017 06/30/2018
1908 R74465 Martinez Ryan Anthony Active 07/01/2017 08/11/2017
1908 R76145 Masood Hana S Active 07/01/2017 06/30/2018
1908 R73903 Mathew Prakash Joel Active 07/01/2017 06/30/2018
1908 R76067 McAllister Kevin J Active 07/01/2017 06/30/2018
1908 R75069 McCoppin Richard Francis Active 07/01/2017 06/30/2018
1908 R75662 McCusker Ashley Katherine Active 08/01/2017 07/31/2018
1908 R74157 McGlothin Travis Michael Active 07/01/2017 06/30/2018
1908 R75472 Meadows Christopher Andrew.. Active 07/01/2017 06/30/2018
1908 R75666 Means Russell Reed Active 07/01/2017 06/30/2018
1908 R74012 Meek Cameron Alan Active 07/01/2017 08/11/2017
1908 R76158 Meiklejohn Karleen M Active 07/01/2017 06/30/2018
1908 R74578 Memeh Kelvin Onyeka Active 07/01/2017 06/30/2018
1908 R73907 Michalak John Robert Active 07/01/2017 06/30/2018
1908 R73778 Miller Christopher Ryan Active 07/01/2017 06/30/2018
1908 R76082 Miller David C Active 07/01/2017 06/30/2018
1908 R74941 Miller Heather Lea Anne Active 07/01/2017 06/30/2018
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University of Arizona 1908 R76107 Miller Kristine M Active 07/01/2017 06/30/2018
1908 R74367 Milligan Rebecca Leigh Active 07/01/2017 06/30/2018
1908 R74907 Mitra Hari Shankar Active 07/01/2017 06/30/2018
1908 R72814 Mobily Matthew Edward Active 07/01/2017 06/30/2018
1908 R75528 Molina Andres Active 07/01/2017 06/30/2018
1908 R74913 Molligan Christopher Scott... Active 07/01/2017 06/30/2018
1908 R74369 Moosavi Rana Active 07/01/2017 06/30/2018
1908 R76166 Morgan Brittany L Active 07/01/2017 06/30/2018
1908 R74395 Morin Matthew Lamar Active 07/01/2017 06/30/2018
1908 R75579 Moritz Alison Paige Active 07/01/2017 06/30/2018
1908 R75696 Morrison Christopher Micha... Active 07/01/2017 06/30/2018
1908 R76167 Morrison Tiffany T Active 07/01/2017 06/30/2018
1908 R76008 Mortel Maria Dominique Jea... Active 07/01/2017 06/30/2018
1908 R75759 Mosadeghi Sasan Active 07/01/2017 06/30/2018
1908 R76051 Moseley Joseph R Active 07/01/2017 06/30/2018
1908 R75580 Mossadeghi Bijan Active 07/01/2017 06/30/2018
1908 R75599 Murphy Kevin Gerard Jr. Active 07/01/2017 06/30/2018
1908 R75109 Mushtaq Raza Active 07/01/2017 06/30/2018
1908 R75533 Nasser Keaton Mackenzie Active 07/01/2017 06/30/2018
1908 R75104 Nealey Kathryn Ann Active 07/01/2017 06/30/2018
1908 R75524 Neill Matthew Adam Active 07/01/2017 06/30/2018
1908 R75022 Nejad Andrew Ashkahn Active 07/01/2017 06/30/2018
1908 R76461 Newsome Justin B Active 07/01/2017 06/30/2018
1908 R74888 Nielsen Tyson James Active 07/01/2017 06/30/2018
1908 R75497 Nolte David Adam Active 07/01/2017 06/30/2018
1908 R75721 Norton Brian Christopher Active 07/01/2017 06/30/2018
1908 R76168 Nunes Cavalcante Parr Nadi... Active 07/01/2017 06/30/2018
1908 R74508 Nyotowidjojo Iwan Sugihart... Active 07/01/2017 06/30/2018
1908 R74982 Oats Samuel Holland Active 07/01/2017 06/30/2018
1908 R76089 Oesterle Colette M Active 07/01/2017 06/30/2018
1908 R75011 Okolo Onyemaechi Nwanneam Active 07/01/2017 06/30/2018
1908 R76099 Olds Gary S Active 07/01/2017 06/30/2018
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Arizona Medical Board
Facility Lictype License Num Licensee Status Start Date End Date
University of Arizona 1908 R76116 Oliver Brian T Active 07/01/2017 06/30/2018
1908 R72858 Omar Muna Danial Muneeb Active 07/01/2017 06/30/2018
1908 R74971 Omesiete Adejare Nkechinye... Active 07/01/2017 06/30/2018
1908 R76009 Ortega Gilbert D Active 07/01/2017 06/30/2018
1908 R75770 Osuchukwu Obiyo O Active 07/01/2017 06/30/2018
1908 R74615 Otis Justin Blake Active 07/01/2017 06/30/2018
1908 R75474 Otsuji Janelle Jk Active 07/01/2017 06/30/2018
1908 R74885 Paliwal Aditya Active 07/01/2017 06/30/2018
1908 R74373 Pandit Viraj Suresh Active 07/01/2017 06/30/2018
1908 R75522 Pantino David William Active 07/01/2017 06/30/2018
1908 R73284 Park Soyoung Active 07/01/2017 06/30/2018
1908 R74097 Patel Karnika Vinod Active 07/01/2017 06/30/2018
1908 R73853 Patel Krushangi Shashikant... Active 07/01/2017 06/30/2018
1908 R74448 Patel Lance Kirit Active 07/01/2017 06/30/2018
1908 R74617 Paul Derek Bryant Active 07/01/2017 06/30/2018
1908 R75456 Peffley Sultana Keshwani Active 07/01/2017 06/30/2018
1908 R76027 Pereira Benedict R Active 07/01/2017 06/30/2018
1908 R74752 Perovic Marko Active 07/01/2017 06/30/2018
1908 R75711 Perovic Viktor Active 07/01/2017 06/30/2018
1908 R74977 Perrian Georgia Oana Active 07/01/2017 06/30/2018
1908 R74372 Pham Thu Ngoc Active 07/01/2017 06/30/2018
1908 R74454 Phung Michael Chang Active 07/01/2017 06/30/2018
1908 R74942 Pineda Jr Exequiel Timbol Active 07/01/2017 06/30/2018
1908 R76071 Pineda Miguel Active 07/01/2017 06/30/2018
1908 R75668 Platto Terry Nathaniel Active 07/01/2017 06/30/2018
1908 R75051 Pollard Courtney Kiersten Active 07/01/2017 06/30/2018
1908 R76100 Pollock Grant R Active 07/01/2017 06/30/2018
1908 R74996 Posch Michael Ian Active 07/01/2017 06/30/2018
1908 R75440 Pratt Landon Matthew Active 07/01/2017 06/30/2018
1908 R74463 Ramey Wyatt Langdon Active 07/01/2017 06/30/2018
1908 R74965 Rao Prashant Active 07/01/2017 06/30/2018
1908 R74371 Rawani-Patel Priti Active 07/01/2017 06/30/2018
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University of Arizona 1908 R75454 Rawlins Rebecca Kathleen Active 07/01/2017 06/30/2018
1908 R75697 Rayikanti Benjamin Abhishe... Active 07/01/2017 06/30/2018
1908 R75436 Recio Boiles Alejandro Active 07/01/2017 06/30/2018
1908 R74126 Reddy Sridhar M Active 07/01/2017 06/30/2018
1908 R76032 Reed Darien E Active 07/01/2017 06/30/2018
1908 R73291 Reghunathan Saranya Active 07/01/2017 06/30/2018
1908 R74937 Retterath Lindsey Marie Active 07/01/2017 06/30/2018
1908 R75033 Reveles Candace Yoshiko Active 07/01/2017 06/30/2018
1908 R74619 Revin Vladyslav Active 07/01/2017 06/30/2018
1908 R76010 Reyes Ruel J Active 07/01/2017 06/30/2018
1908 R75437 Roberts Haydn John Active 07/01/2017 06/30/2018
1908 R75698 Robertson Jeffrey Mac Dona... Active 07/01/2017 06/30/2018
1908 R75451 Robertson Whitney Elizabet... Active 07/01/2017 06/30/2018
1908 R74959 Robinson Eric Andrew Active 07/01/2017 06/30/2018
1908 R76070 Rodriguez Juan Vitelio Active 07/01/2017 06/30/2018
1908 R76463 Rodriguez Restrepo Andrea ... Active 07/01/2017 06/30/2018
1908 R73929 Roettges Paul Sebastian Active 07/01/2017 06/30/2018
1908 R76087 Rogers Amy R Active 07/01/2017 06/30/2018
1908 R75086 Rozell Umbreem Arshad Active 07/01/2017 06/30/2018
1908 R76068 Rupakula Dinkar Active 07/01/2017 06/30/2018
1908 R76011 Russ Atlantis D Active 07/01/2017 06/30/2018
1908 R76189 Rutherford Atalie E Active 07/01/2017 06/30/2018
1908 R76102 Sabat Joseph E Active 07/01/2017 06/30/2018
1908 R75719 Saha Sujata Active 07/01/2017 06/30/2018
1908 R74025 Sakla Sameh Adel Active 07/01/2017 06/30/2018
1908 R75476 Saligrama Phan Thai Active 07/01/2017 06/30/2018
1908 R76083 Salomone Scott M Active 07/01/2017 06/30/2018
1908 R74135 Sandhu Satinder Kaur Active 07/01/2017 06/30/2018
1908 R74957 Sandoval Linsey Anne Active 07/01/2017 06/30/2018
1908 R75222 Sandoval Miguel Isaiah Active 07/01/2017 06/30/2018
1908 R75068 Sandsmark Emilee Kingston ... Active 07/01/2017 06/30/2018
1908 R75200 Sargeant Jarred Jorge Just... Active 07/01/2017 06/30/2018
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Facility Lictype License Num Licensee Status Start Date End Date
University of Arizona 1908 R75529 Saunders Aaron Truitt Active 07/01/2017 06/30/2018
1908 R75264 Sawaya Jennifer Lynn Active 07/01/2017 06/30/2018
1908 R74891 Schatz George Henry Active 07/01/2017 06/30/2018
1908 R75699 Schryer Jane Sagnep Active 07/01/2017 06/30/2018
1908 R74158 Segar Jennifer Margaret Active 07/01/2017 06/30/2018
1908 R74538 Sekhon Kawanjit Kaur Active 07/01/2017 06/30/2018
1908 R76177 Sellers Blake A Active 07/01/2017 06/30/2018
1908 R74556 Serrano - Rodriguez Jessic... Active 07/01/2017 06/30/2018
1908 R76187 Setareh Michael J Active 07/01/2017 06/30/2018
1908 R74447 Shah Aakash Shailesh Active 07/01/2017 06/30/2018
1908 R76120 Shah Ankit H Active 07/01/2017 06/30/2018
1908 R75544 Shan Elaine Yining Active 07/01/2017 06/30/2018
1908 R74987 Shponka Volodymyr Active 07/01/2017 06/30/2018
1908 R75843 Shrensel Jeffrey Adam Active 07/01/2017 06/30/2018
1908 R75708 Sifuentes Joshua D Active 07/01/2017 06/30/2018
1908 R73938 Sim Yeeck Sung Active 07/01/2017 06/30/2018
1908 R74948 Singh Jasmine Active 07/01/2017 06/30/2018
1908 R75665 Singh Prabhjyot Active 07/01/2017 06/30/2018
1908 R73940 Sinha Nisha Active 07/01/2017 06/30/2018
1908 R76188 Sipra Qurat Ui Ain Riaz Active 07/01/2017 06/30/2018
1908 R76194 Skovgaard Samuel R Active 07/01/2017 06/30/2018
1908 R73781 Skrepnik Tijana Active 07/01/2017 06/30/2018
1908 R74509 Smith Nicole Eleanor Active 07/01/2017 06/30/2018
1908 R75601 Snyder Shea Holden Active 07/01/2017 06/30/2018
1908 R75581 Sobowale Christopher Olaol... Active 07/01/2017 06/30/2018
1908 R75541 Solnicky Veronika Active 07/01/2017 06/30/2018
1908 R76055 Solola Sade A Active 07/01/2017 06/30/2018
1908 R75584 Son Tiffany Gihae Active 07/01/2017 06/30/2018
1908 R74056 Soni Nirali D Active 07/01/2017 06/30/2018
1908 R73782 Sowby James Blain Active 07/01/2017 06/30/2018
1908 R76091 Spiker Jason A Active 07/01/2017 06/30/2018
1908 R74974 Srivastava Tarang Active 07/01/2017 06/30/2018
Page Number 34 of 48
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University of Arizona 1908 R76021 Starobinska Ella I Active 07/01/2017 06/30/2018
1908 R76049 Stavrakis Demetrios G Active 07/01/2017 06/30/2018
1908 R74904 Stein Richard Benjaphan Active 07/01/2017 06/30/2018
1908 R76105 Steinmeyer Laura A Active 07/01/2017 06/30/2018
1908 R74955 Stephens Jack Edward Active 07/01/2017 06/30/2018
1908 R75438 Stout Josephine Price Active 07/01/2017 06/30/2018
1908 R75052 Stroud Steven Chase Active 07/01/2017 06/30/2018
1908 R76111 Stupinski John A Active 07/01/2017 06/30/2018
1908 R73944 Sugandi Jeffrey Anthony Active 07/01/2017 06/30/2018
1908 R74433 Sultani Masoud Ahmad Active 07/01/2017 06/30/2018
1908 R76104 Summerford Katina M Active 07/01/2017 06/30/2018
1908 R74374 Suszko Justin William Active 07/01/2017 06/30/2018
1908 R74906 Swartz Grant Gerard Active 07/01/2017 06/30/2018
1908 R75550 Symms John Thomas Active 07/01/2017 06/30/2018
1908 R76053 Tandyasraya Prita M Active 07/01/2017 06/30/2018
1908 R74630 Thongkham Jaylong Wong Active 07/01/2017 06/30/2018
1908 R73397 Tieman Joshua Thomas Shane Active 07/01/2017 06/30/2018
1908 R75602 Tongchinsub Pamela Panapor. Active 07/01/2017 06/30/2018
1908 R76174 Tovar Alexis R Active 07/01/2017 06/30/2018
1908 R75439 Tran Kim Anh Active 07/01/2017 06/30/2018
1908 R74902 Tribelhorn Elizabeth Marie... Active 07/01/2017 06/30/2018
1908 R75495 Trinidad Bradley James Active 07/01/2017 06/30/2018
1908 R74967 Trost Jaren Robert Active 07/01/2017 06/30/2018
1908 R76144 Trujillo Tysen K Active 07/01/2017 06/30/2018
1908 R76012 Truong Danh C Active 07/01/2017 06/30/2018
1908 R76023 Tsang Victoria Lj Active 07/01/2017 06/30/2018
1908 R76096 Turchioe Brian J Active 07/01/2017 06/30/2018
1908 R76024 Urquijo Martyn Active 07/01/2017 06/30/2018
1908 R71257 Valenzuela Yunuen Manuel Active 07/01/2017 06/30/2018
1908 R75710 Varma Elly Active 07/01/2017 06/30/2018
1908 R75540 Varner Samantha Elizabeth Active 07/01/2017 06/30/2018
1908 R74910 Velasco Omar Active 07/01/2017 06/30/2018
Page Number 35 of 48
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Facility Lictype License Num Licensee Status Start Date End Date
University of Arizona 1908 R75722 Venkatraman Sneha Lakshmi Active 07/01/2017 06/30/2018
1908 R75314 Villavincencio Sumire Enri... Active 07/01/2017 06/30/2018
1908 R75598 Vo Elise Taylor Active 07/01/2017 06/30/2018
1908 R75523 Vondrak Jessica Lucia Active 07/01/2017 06/30/2018
1908 R75164 Voss Kristina Active 07/01/2017 06/30/2018
1908 R75586 Wa Christianne April Active 07/01/2017 06/30/2018
1908 R75513 Wannemacher Jacob Paul Active 07/01/2017 06/30/2018
1908 R75047 Ward Timothy D Active 07/01/2017 06/30/2018
1908 R75664 Warhadpande Devdutta Sanja. Active 07/01/2017 06/30/2018
1908 R76103 Warner Joshua D Active 07/01/2017 06/30/2018
1908 R74975 Wei Ruth Man Huen Active 07/01/2017 06/30/2018
1908 R75024 Wensman Sierra Kai Chandle.. Active 07/01/2017 06/30/2018
1908 R74887 West Colin Andrew Active 07/01/2017 06/30/2018
1908 R75587 Wickenheiser Marilyn R Active 07/01/2017 06/30/2018
1908 R75035 Wickers Brian Michael Active 07/01/2017 06/30/2018
1908 R76029 Wilson Jared R Active 07/01/2017 06/30/2018
1908 R76033 Winkler Garret A III Active 07/01/2017 06/30/2018
1908 R74995 Winsor Kimberly Schmelzle Active 07/01/2017 06/30/2018
1908 R74943 Wong Ryan Christopher Active 07/01/2017 06/30/2018
1908 R74107 Wormley Molly Christine Active 07/01/2017 06/30/2018
1908 R75591 Wu Christopher Chen Active 07/01/2017 06/30/2018
1908 R76157 Yadav Kapil Active 07/01/2017 06/30/2018
1908 R76106 Yang Yan Active 07/01/2017 06/30/2018
1908 R73954 Yanquez Federico Javier Active 07/01/2017 06/30/2018
1908 R74624 Yates Brandon Lee Active 07/01/2017 06/30/2018
1908 R75546 Ynosencio Tiffany Karla Active 07/01/2017 06/30/2018
1908 R75852 Yogendran Lalanthica Vilas... Active 07/01/2017 06/30/2018
1908 R74383 Yoo Brian Junghyun Active 07/01/2017 06/30/2018
1908 R75545 Young Richard Benjamin Active 07/01/2017 06/30/2018
1908 R74989 Youngs Carl Richard Active 07/01/2017 06/30/2018
1908 R73955 Yu Soojie Active 07/01/2017 06/30/2018
1908 R76088 Zhang Bo Active 07/01/2017 06/30/2018
Page Number 36 of 48
Arizona Medical Board
Facility Lictype License Num Licensee Status Start Date End Date
University of Arizona 1908 R75453 Zhou Andrew Xingyu Active 07/01/2017 06/30/2018
1908 R76143 Zimmerman Steven A Active 07/01/2017 06/30/2018
University of Arizona College of Medicine at South Campus
1908 R75355 Ajayi-Obe Akinbola Adewole... Active 07/01/2017 06/30/2018
1908 R75303 Alba Michele Katherine Active 07/01/2017 06/30/2018
1908 R75743 Balakrishnan Mahesh Kumarr.. Active 06/23/2017 06/22/2018
1908 R76309 Beazer Alex Active 07/01/2017 06/30/2018
1908 R75129 Bellafiore Amber Lee Active 07/01/2017 06/30/2018
1908 R76354 Benepal Simran Active 07/01/2017 06/30/2018
1908 R75735 Berjaoui Chadi Active 06/23/2017 06/22/2018
1908 R75130 Bertels Karen M Active 07/01/2017 06/30/2018
1908 R75786 Bijin Babitha Active 07/01/2017 06/30/2018
1908 R76355 Blessing Joshua Matthew Active 07/01/2017 06/30/2018
1908 R76362 Blumenkron Fernando Active 07/01/2017 06/30/2018
1908 R75744 Britt Jeremy Active 06/23/2017 06/22/2018
1908 R76356 Brown Chelsea Elisa Active 07/01/2017 06/30/2018
1908 R75313 Cappe Zoe A Active 07/01/2017 06/30/2018
1908 R76357 Casanova Monroy Ana Rosa Active 07/01/2017 06/30/2018
1908 R75125 Castellano Tiffany Marie Active 07/01/2017 06/30/2018
1908 R75131 Conley Robert Benjamin Active 07/01/2017 06/30/2018
1908 R75729 Curtis Kurt Alexander Active 06/23/2017 06/22/2018
1908 R76364 Danawala Leena Active 07/01/2017 06/30/2018
1908 R75730 Dechant Ross David Active 06/23/2017 06/22/2018
1908 R76300 Ealey Ashley Lynn Active 07/01/2017 06/30/2018
1908 R75731 Ely Gregory James Active 06/23/2017 06/22/2018
1908 R75737 Engel Brian Scott Active 06/23/2017 06/22/2018
1908 R75738 Galaviz Andrea Christina Active 06/23/2017 06/22/2018
1908 R75132 Goldberg Lisa Caryn Active 07/01/2017 06/30/2018
1908 R75311 Goldlist Kady Active 07/01/2017 06/30/2018
1908 R76358 Goodstein Emma Morrow Active 07/01/2017 06/30/2018
1908 R76296 Guinn Ashley Danielle Active 07/01/2017 06/30/2018
1908 R75732 Hannan Philipp Lorenz Active 06/23/2017 06/22/2018
1908 R76298 Hartley Melissa Katherine Active 07/01/2017 06/30/2018
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Facility Lictype License Num Licensee Status Start Date End Date
University of Arizona College of Medicine at South Campus
1908 R75133 Hernandez Nicholas Clayton... Active 07/01/2017 06/30/2018
1908 R75733 Higa Kelcy Active 06/23/2017 06/22/2018
1908 R75126 Horstman Todd Anthony Active 07/01/2017 06/30/2018
1908 R75739 Hutchison Sarah Morgan Active 06/23/2017 06/22/2018
1908 R76365 Jasper Spencer C Active 07/01/2017 06/30/2018
1908 R76366 Jensen Christopher J Active 07/01/2017 06/30/2018
1908 R75312 Jonnadula Jayasree J Active 07/01/2017 06/30/2018
1908 R75315 Kannaiyan Radhamani Active 07/01/2017 06/30/2018
1908 R75826 Khare Supreet Active 07/01/2017 06/30/2018
1908 R75734 Kim Daewon Active 06/23/2017 06/22/2018
1908 R75134 Lederer Eric Thomas Active 07/01/2017 06/30/2018
1908 R76310 Lien Jessica Active 07/01/2017 06/30/2018
1908 R75127 Losey Kaitlyn Rose Active 07/01/2017 06/30/2018
1908 R75122 Marquez Jose Luis Active 07/01/2017 06/30/2018
1908 R75044 McInnis Colin Patrick Active 07/01/2017 06/30/2018
1908 R75128 Mendez Ana M Active 07/01/2017 06/30/2018
1908 R76306 Miller Ryan Michael Active 07/01/2017 06/30/2018
1908 R72379 Mora Francisco Esteban Active 07/01/2017 06/30/2018
1908 R75123 Natarajan Balaji Active 07/01/2017 06/30/2018
1908 R75745 Orta Daniel Luis Active 06/23/2017 06/22/2018
1908 R75316 Pang Rui Wen Active 07/01/2017 06/30/2018
1908 R76367 Parbtani Rozina Active 07/02/2017 06/30/2018
1908 R75740 Patterson Ralph Adam Active 06/23/2017 06/22/2018
1908 R75746 Power Emilio Antonio Active 06/23/2017 06/22/2018
1908 R75789 Raoof Sidra Active 07/01/2017 06/30/2018
1908 R76307 Ratesic Adam Thomas Active 07/01/2017 06/30/2018
1908 R75318 Saint Aubyn Jenny Farah Active 07/01/2017 06/30/2018
1908 R76359 Sayre George Anthony Active 07/01/2017 06/30/2018
1908 R75124 Singh Nirmal Active 07/01/2017 06/30/2018
1908 R76360 Sipos Josef Active 07/01/2017 06/30/2018
1908 R75748 Stockdall Chandra Beth Active 07/01/2017 06/30/2018
1908 R75118 Swazo Roberto Carlos Active 07/01/2017 06/30/2018
Page Number 38 of 48
Arizona Medical Board
Facility Lictype License Num Licensee Status Start Date End Date
University of Arizona College of Medicine at South Campus
1908 R76368 Szewczyk Marlena Marie Active 07/01/2017 06/30/2018
1908 R75827 Tariq Sarah Active 07/01/2017 06/30/2018
1908 R75742 Teramoto Kyla Miyuki Active 06/23/2017 06/22/2018
1908 R73522 Teran Marcos Andres Active 07/01/2017 06/30/2018
1908 R76370 Waller Jonathan Nicholas Active 07/01/2017 06/30/2018
1908 R75119 Wang Jillian Active 07/01/2017 06/30/2018
1908 R75741 Wang Patty Active 06/23/2017 06/22/2018
1908 R75120 Werner Samuel Chase Active 07/01/2017 06/30/2018
1908 R76308 Wesley Aaron Matthew Active 07/01/2017 06/30/2018
1908 R75301 Wong Wei Xiang Active 07/01/2017 06/30/2018
1908 R76361 Wu Patricia Ioanna Active 07/01/2017 06/30/2018
1908 R75747 Yousman Wina P Active 06/23/2017 06/22/2018
University of Arizona College of Medicine-Phoenix 1908 R76190 Abdulrazzak Mohammad Am Active 07/01/2017 06/30/2018
1908 R76293 Abela Oliver George Active 07/01/2017 06/30/2018
1908 R75670 Abreu Shawn David Active 07/01/2017 06/30/2018
1908 R76256 Adjei-kyeremeh Nathanael Active 06/23/2017 06/22/2018
1908 R75771 Aguayo Izayadeth Active 07/01/2017 06/30/2018
1908 R74398 Ahmad Zeshan Khan Active 07/01/2017 06/30/2018
1908 R76423 Ahmed Shifat Active 07/01/2017 06/30/2018
1908 R75671 Albasha Waseem Active 07/01/2017 06/30/2018
1908 R75054 Alcantar Eduardo Contreras... Active 06/22/2017 06/21/2018
1908 R76257 Alekseeva Yana Aleksandrov... Active 06/23/2017 06/22/2018
1908 R76258 Allen Shawn Conrad Active 06/23/2017 06/22/2018
1908 R76322 Alley Addison William Active 06/23/2017 06/22/2018
1908 R75056 Andersen Amanda S Active 07/01/2017 06/30/2018
1908 R75057 Anduaga Bocanegra Susan Pa Active 07/01/2017 06/30/2018
1908 R75829 Arreola Angela Sabrina Active 06/21/2017 06/20/2018
1908 R76363 Arslanian Kyle P Active 06/23/2017 06/22/2018
1908 R76191 Auran Richard Lawrence Active 06/23/2017 06/22/2018
1908 R75772 Ayeni Olubukunola Active 08/01/2016 07/31/2017
1908 R76369 Babaria Radhika C Active 06/23/2017 06/22/2018
1908 R75059 Bagheri Ramin Daniel Active 07/01/2017 06/30/2018
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University of Arizona College of Medicine-Phoenix 1908 R74399 Barber Collin Chase Active 06/23/2017 06/22/2018
1908 R73819 Bay Elizabeth Ann Active 07/01/2017 06/30/2018
1908 R76299 Behari Gauri Active 07/01/2017 06/30/2018
1908 R74317 Behbahaninia Milad Active 06/23/2017 06/22/2018
1908 R76372 Bekkedahl Ryder S Active 06/23/2017 06/22/2018
1908 R75773 Bentley Christina Elaina Active 07/01/2017 06/30/2018
1908 R75322 Bhatt Divya Bipinchandra Active 07/01/2017 06/30/2018
1908 R75674 Bhattarai Richa Active 07/01/2017 06/30/2018
1908 R76373 Black Kyler Active 06/23/2017 06/22/2018
1908 R76323 Bletsis Panagiotis Active 06/19/2017 06/18/2018
1908 R76305 Bohannan Colin James Active 06/19/2017 06/18/2018
1908 R75675 Boltz Mandy Ward Active 07/01/2017 06/30/2018
1908 R75275 Borodulin Olga Active 06/23/2017 06/22/2018
1908 R76389 Bourikian Seda Active 06/19/2017 06/18/2018
1908 R76324 Boyd Kassidy R Active 06/23/2017 06/22/2018
1908 R75775 Brewer Brett Joseph Active 07/01/2017 06/30/2018
1908 R76259 Brichta Stefanie H Active 06/23/2017 06/22/2018
1908 R74318 Brink Janel Nicole Active 06/23/2017 06/22/2018
1908 R75060 Broker Paul Michael Active 07/01/2017 06/30/2018
1908 R76192 Brown Bryant P Active 06/19/2017 06/18/2018
1908 R75776 Brown Matthew Joel Active 08/01/2016 07/31/2017
1908 R74319 Brown Tanida Lee Active 07/01/2017 06/30/2018
1908 R75777 Buchanan Jenna Leigh Active 07/01/2017 06/30/2018
1908 R76374 Burke Sean M Active 06/23/2017 06/22/2018
1908 R74517 Burns Jessica Davis Active 06/23/2017 06/22/2018
1908 R75077 Burrow Jeffrey Parker Active 07/01/2017 06/30/2018
1908 R74099 Buschmann Cory Miles Active 06/24/2017 06/23/2018
1908 R76375 Campbell David H Active 06/23/2017 06/22/2018
1908 R74697 Campodonico Joanna Judith Active 07/01/2017 06/30/2018
1908 R75779 Canestraro Anthony John Active 06/23/2017 06/22/2018
1908 R75078 Chen Joseph Sc Active 06/23/2017 06/22/2018
1908 R75201 Chopra Madhav Active 07/01/2017 06/30/2018
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University of Arizona College of Medicine-Phoenix 1908 R74516 Cochran Ernest Winston Active 07/01/2017 06/30/2018
1908 R76193 Cole Lauren S Active 06/23/2017 06/22/2018
1908 R76333 Cordray Ann M Active 06/23/2017 06/22/2018
1908 R76376 Cousins Karalynne K Active 06/23/2017 06/22/2018
1908 R73820 Cowan Mark Joel Active 06/24/2017 06/23/2018
1908 R75080 Cowles Steven Daniel Active 06/23/2017 06/22/2018
1908 R75780 Crigger Morgan Joseph Active 06/21/2017 06/20/2018
1908 R75676 Curry Craig L Active 07/01/2017 06/30/2018
1908 R76260 Dan Kelvin P Active 06/23/2017 06/22/2018
1908 R76294 Darbandi Farhad Active 08/01/2017 07/31/2018
1908 R75081 Dash Suchismita Active 07/01/2017 06/30/2018
1908 R75828 Davis Suzanne Joyce Active 07/01/2017 06/30/2018
1908 R75830 Decuffa Matthew Raymond Active 07/01/2017 06/30/2018
1908 R75820 DeGrio Angela Luanne Active 06/23/2017 06/22/2018
1908 R74406 Detlefs Sarah Ellen Active 06/23/2017 06/22/2018
1908 R75781 Digiovanni Ryan M Active 06/22/2017 06/21/2018
1908 R75082 Drutel Robert Oliver Active 07/01/2017 06/30/2018
1908 R75079 Duran Michael Dean Active 06/23/2017 06/22/2018
1908 R76057 Dy Prudence Kho Active 07/01/2017 07/31/2017
1908 R76385 Eichhorn Mitchell G Active 08/01/2017 07/31/2018
1908 R76261 Ekunwe Akua Boatemaa Active 06/23/2017 06/22/2018
1908 R75543 Ellsworth Kevin Ryan Active 07/05/2016 07/29/2017
1908 R74320 Emerick Lindsay Erin Active 06/23/2017 06/22/2018
1908 R76390 Engler Lauren Alyssa Active 06/23/2017 06/22/2018
1908 R75677 Espinoza Magdalena Active 07/01/2017 06/30/2018
1908 R75084 Eustis Dana Grace Active 06/23/2017 06/22/2018
1908 R75083 Eyberg Blake Alan Active 06/23/2017 06/22/2018
1908 R76265 Eyre Zachary W Active 06/23/2017 06/22/2018
1908 R76391 Farber Julia Gray Active 06/23/2017 06/22/2018
1908 R75260 Fega Kathryn Rebecca Active 06/23/2017 06/22/2018
1908 R76459 Fishburn Steven J Active 08/01/2017 08/16/2017
1908 R76295 Fisher Erik S Active 07/01/2017 06/30/2018
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University of Arizona College of Medicine-Phoenix 1908 R74044 Fountain Stephanie Michell... Active 07/01/2017 06/30/2018
1908 R75782 Fraker Jessica Leigh Active 07/01/2017 06/30/2018
1908 R76325 Fuchs Perry A Active 06/23/2017 06/22/2018
1908 R75087 Garcia Christian Rosario Active 06/23/2017 06/22/2018
1908 R75783 George Maya Sera Active 07/01/2017 06/30/2018
1908 R75704 German Massiell Lourdes Active 07/01/2017 06/30/2018
1908 R76377 Gidaya Alexander B Active 06/19/2017 06/18/2018
1908 R74682 Gill Dapinderjit Singh Active 07/01/2017 06/30/2018
1908 R76267 Gomez Paul Active 06/23/2017 06/22/2018
1908 R73731 Gonzalez Jennifer Active 10/10/2016 10/09/2017
1908 R74407 Goodwin Jill Anne Active 06/23/2017 06/22/2018
1908 R75831 Gorur Arathi Meghana Active 07/01/2017 06/30/2018
1908 R74413 Gottesman Bowen Bethany Ly. Active 07/01/2017 06/30/2018
1908 R75787 Graves Matthew John Active 06/23/2017 06/22/2018
1908 R76326 Grogan Scott W Active 06/23/2017 06/22/2018
1908 R75788 Groom Meg Louise Active 07/01/2017 06/30/2018
1908 R74321 Hayward Nathaniel III Active 07/01/2017 06/30/2018
1908 R75273 Higashi Ashley Sohn Active 07/01/2017 06/30/2018
1908 R74568 Hise Luke Williams Active 07/01/2017 06/30/2018
1908 R76269 Hoang Tiffany K Active 06/23/2017 06/22/2018
1908 R75791 Hoidal Kelsey Elizabeth Su... Active 06/21/2017 06/20/2018
1908 R76270 Holbert Brandon C Active 06/23/2017 06/22/2018
1908 R75833 Hollweg Christopher Andrew... Active 07/01/2017 06/30/2018
1908 R75093 Hong Willis Chia-Wei Active 06/23/2017 06/22/2018
1908 R74015 Hustedt Joshua William Active 06/24/2017 06/23/2018
1908 R75893 Irime Ioana Manuela Active 08/01/2016 07/31/2017
1908 R75094 Islam Sumaiya Mahbuba Active 07/01/2017 06/30/2018
1908 R76271 Johal Ovninder S Active 06/19/2017 06/18/2018
1908 R75797 Johnson Pierce Cameron Active 06/22/2017 06/21/2018
1908 R76327 Jordan Kelli C Active 06/23/2017 06/22/2018
1908 R76392 Kahlon Ravinder Singh Active 07/01/2017 06/30/2018
1908 R76274 Kano Daiji Active 06/19/2017 06/18/2018
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University of Arizona College of Medicine-Phoenix 1908 R76275 Karimov Alexandr Active 07/01/2017 06/30/2018
1908 R74322 Karr Sean Douglas Active 06/23/2017 06/22/2018
1908 R76398 Khorsandzadeh Shayan Active 06/23/2017 06/22/2018
1908 R74417 Kirk Katy Anne Active 07/01/2017 06/30/2018
1908 R74323 Kirkorsky Scott Eric Active 07/01/2017 06/30/2018
1908 R74515 Kloos Erin Michelle Active 06/23/2017 06/22/2018
1908 R75834 Kobayashi Akihiro Active 07/01/2017 06/30/2018
1908 R75097 Koch Robert Clinton Active 07/01/2017 06/30/2018
1908 R75098 Koenig Anna Lise Active 06/22/2017 06/21/2018
1908 R75798 Koike Kimberly Louise Active 07/01/2017 06/30/2018
1908 R76283 Korenstein Alyssa H Active 06/23/2017 06/22/2018
1908 R76413 Krajnc Viktoria Lesya Active 06/23/2017 06/22/2018
1908 R74038 Kumar Daveshni Active 06/24/2017 06/23/2018
1908 R73466 Kumar Rashmi Active 07/01/2017 06/30/2018
1908 R76378 Lazarz Gregory G Active 07/01/2017 06/30/2018
1908 R75276 Lebeau Christopher John Jr... Active 07/01/2017 06/30/2018
1908 R75799 Lee Audrey Alexandria Active 07/01/2017 06/30/2018
1908 R74046 Lee James Jinkun Active 06/24/2017 06/23/2018
1908 R75269 Lekic Mateja Active 07/01/2017 06/30/2018
1908 R74011 Leovic Michael Phillip Active 06/22/2017 06/21/2018
1908 R76328 Lion Iv Paul L Active 06/19/2017 06/18/2018
1908 R75835 Lo Andrew Yung Active 07/01/2017 06/30/2018
1908 R75100 Ludwig Rebecca Ann Active 06/23/2017 06/22/2018
1908 R74567 Luer Alexander Max Active 07/01/2017 06/30/2018
1908 R75793 Madden Heather Hyland Active 06/23/2017 06/22/2018
1908 R75802 Maestas Camila M Active 07/01/2017 06/30/2018
1908 R76329 Magee Maxwell R Active 06/23/2017 06/22/2018
1908 R75803 Maher Robert Lawrence Active 06/21/2017 06/20/2018
1908 R76330 Makarova Natasha M Active 06/23/2017 06/22/2018
1908 R74001 Malashock Hannah Rose Active 07/01/2017 06/30/2018
1908 R76297 Mann Sarabdeep Singh Active 07/01/2017 06/30/2018
1908 R74518 Manson Jerome Keith Active 06/23/2017 06/22/2018
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University of Arizona College of Medicine-Phoenix 1908 R76331 Marquez Francisco J Active 06/23/2017 06/22/2018
1908 R75804 Marston Thomas W Active 07/01/2017 06/30/2018
1908 R76379 Martin John R Active 06/23/2017 06/22/2018
1908 R75274 Matthews Abby June Active 07/01/2017 06/30/2018
1908 R73848 McEwen Cole Jamison Active 06/24/2017 06/23/2018
1908 R74410 McMillen Zoe Linda Active 07/01/2017 09/23/2017
1908 R74412 Mehr Britton Peirce Active 06/23/2017 06/22/2018
1908 R76332 Mehregany Brook R Active 06/23/2017 06/22/2018
1908 R75107 Mehrotra Anchit Pratap Active 06/19/2017 06/18/2018
1908 R75108 Merz Alexa Elizabeth Active 06/22/2017 06/21/2018
1908 R75106 Merz Jordan Patrick Active 07/01/2017 06/30/2018
1908 R75805 Mitchell Sean Michael Active 06/22/2017 06/21/2018
1908 R75149 Mohammed Arif Salam Active 07/01/2017 06/30/2018
1908 R75822 Molloy Shaida M Active 06/23/2017 06/22/2018
1908 R75110 Muhleisen Alicia Lynn Active 06/23/2017 06/22/2018
1908 R75806 Muna Aguon Paul Alfred Active 07/01/2017 06/30/2018
1908 R75189 Munroe Brent Antonio Active 07/01/2017 06/30/2018
1908 R75105 Murphy Christopher Samuel Active 07/01/2017 06/30/2018
1908 R75807 Nafisi Shirin Active 07/01/2017 06/30/2018
1908 R75808 Naim Alan Joseph Active 07/01/2017 06/30/2018
1908 R76399 Nanda Alisha Active 06/23/2017 06/22/2018
1908 R75111 Nandi Indrajit Active 07/01/2017 06/30/2018
1908 R74511 Nguyen Peter H Active 07/01/2017 06/30/2018
1908 R76334 Norton Taylor J Active 06/23/2017 06/22/2018
1908 R74414 Nwobodo Junior Chideralum Active 07/01/2017 06/30/2018
1908 R74415 Olson Kurt Lewis Active 07/01/2017 06/30/2018
1908 R76335 Ouyang Yafei Active 06/19/2017 06/18/2018
1908 R75112 Parina Ralitza Petrova Active 06/22/2017 06/21/2018
1908 R75115 Patel Mayur P Active 07/01/2017 06/30/2018
1908 R76393 Patel Nachiket Active 07/01/2017 06/30/2018
1908 R73863 Patel Raj Babu Active 06/24/2017 06/23/2018
1908 R73855 Pena Alejandro Jr Active 07/01/2017 06/30/2018
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University of Arizona College of Medicine-Phoenix 1908 R76336 Phillips Cassandra L Active 06/23/2017 06/22/2018
1908 R75266 Pressley Shari Renee Active 07/01/2017 06/30/2018
1908 R74829 Puri Akshjot Active 12/15/2016 12/14/2017
1908 R74523 Quiner Trevor Elisha Active 06/23/2017 06/22/2018
1908 R75809 Radecki Melissa Anne Active 08/01/2016 07/31/2017
1908 R76386 Rahman Bushra Active 06/23/2017 06/22/2018
1908 R75810 Rasheed Anita Fazal Active 07/01/2017 06/30/2018
1908 R75117 Reichert William Byron Active 07/01/2017 06/30/2018
1908 R75812 Reshef Evan Akiva Active 06/23/2017 06/22/2018
1908 R76337 Rheault Katelyn L Active 06/23/2017 06/22/2018
1908 R73445 Richardson Damien Arnold Active 06/25/2017 06/24/2018
1908 R76414 Roache William Kennedy Active 06/23/2017 06/22/2018
1908 R74510 Robbins Hailey Nicole Active 06/23/2017 06/22/2018
1908 R75813 Robertson Kirstin Alexis Active 07/01/2017 06/30/2018
1908 R76380 Rosenbaum Herbert B Active 06/23/2017 06/22/2018
1908 R75103 Rowley Michael William Active 07/01/2017 06/30/2018
1908 R74333 Ruggle Adam Forrest Active 07/01/2017 06/30/2018
1908 R75151 Salehpour Kaivan Majid Active 07/01/2017 06/30/2018
1908 R75814 Sander Jared Marcus Active 06/23/2017 06/22/2018
1908 R74325 Saunders Kelley Thompson Active 06/23/2017 06/22/2018
1908 R76338 Savilo Christine E Active 06/23/2017 06/22/2018
1908 R76400 Saxena Akanksha Active 06/23/2017 06/22/2018
1908 R75815 Schmidgall Matthew Akira Active 07/01/2017 06/30/2018
1908 R75837 Schultz Sondra Marie Active 07/01/2017 06/30/2018
1908 R74528 See Wade William Active 06/23/2017 06/22/2018
1908 R75816 Seelbaugh Joseph Paul Active 07/01/2017 06/30/2018
1908 R74418 Seibolt Lucas Paul Active 07/01/2017 06/30/2018
1908 R75974 Serio Sean Daniel Active 08/26/2017 09/23/2017
1908 R74525 Shamsid-Deen Nafis Ansari Active 07/01/2017 06/30/2018
1908 R73861 Shelhamer Ryan Paul Active 06/24/2017 06/23/2018
1908 R75818 Silver Aaron Michael Active 07/01/2017 06/30/2018
1908 R76419 Simmons Michael A Active 06/23/2017 06/22/2018
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University of Arizona College of Medicine-Phoenix 1908 R75327 Simpson Emma Louise Active 08/03/2017 08/02/2018
1908 R75158 Sloan Jessica Kate Active 06/22/2017 06/21/2018
1908 R75819 Soholt Molly Ann Active 06/23/2017 06/22/2018
1908 R76381 Sommer Michelle M Active 06/23/2017 06/22/2018
1908 R76394 Steck-Bayat Kayvahn Pierce Active 07/01/2017 06/30/2018
1908 R75836 Stoddard Michael Active 07/01/2017 06/30/2018
1908 R76339 Subramaniam Venkat N Active 06/23/2017 06/22/2018
1908 R73817 Sultan Michael Ha Active 07/01/2017 06/30/2018
1908 R76340 Sylar Elise V Active 06/23/2017 06/22/2018
1908 R76341 Tamar Hillary A Active 06/23/2017 06/22/2018
1908 R76418 Taranto Lydia Marie Active 06/19/2017 06/18/2018
1908 R75838 Thornley Caitlin Jayne Active 06/21/2017 06/20/2018
1908 R76395 Tortora Laura Emilia Active 07/01/2017 06/30/2018
1908 R76382 Tsen Shaw-wei D Active 06/23/2017 06/22/2018
1908 R76342 Turnock Adam R Active 06/23/2017 06/22/2018
1908 R75267 Udoko Mfonobong Nsima Active 07/01/2017 06/30/2018
1908 R75839 Van Pelt Chad Michael Active 07/01/2017 06/30/2018
1908 R76383 Velez Philip A Active 06/23/2017 06/22/2018
1908 R75165 Walker Joseph Brock Active 06/23/2017 06/22/2018
1908 R75821 Walker Robert Stephen Active 06/22/2017 06/21/2018
1908 R75268 Wang Ryan Yinghan Active 07/01/2017 06/30/2018
1908 R75166 Watters Emily Joy Active 06/22/2017 06/21/2018
1908 R75167 Weise-fleckenstein Maria D... Active 06/23/2017 06/22/2018
1908 R74329 Werk Evan Frank Active 07/01/2017 06/30/2018
1908 R75823 Wey Emily A Active 07/01/2017 06/30/2018
1908 R75168 Wheeler Kellie Deane Active 07/01/2017 06/30/2018
1908 R76384 Wheelock Brittany N Active 06/19/2017 06/18/2018
1908 R76422 Williams Mark T Active 06/23/2017 06/22/2018
1908 R75169 Yazdchi Siamac Active 07/01/2017 06/30/2018
1908 R74626 Yekta Shabnam Active 07/01/2017 06/30/2018
1908 R75824 Yunus Asfiya Active 07/01/2017 06/30/2018
1908 R75170 Zheng Albert Yimon Active 07/01/2017 06/30/2018
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University of Arizona College of Medicine-Phoenix 1908 R73730 Zuberi Sahar Shakir Active 07/18/2016 07/17/2017
1908 R76343 Zurcher Kenneth S Active 06/19/2017 06/18/2018
WBAMC/Chandler Regional Medical Center 1908 R74772 Cleveland Elaine Marie Active 03/01/2017 02/28/2018
1908 R76415 McKinnon Chelsey Anne Active 07/01/2017 06/30/2018
1908 R74831 Miller Elizabeth Ann Active 07/01/2017 06/30/2018
1908 R74287 Muir Kathryn Bethany Active 06/01/2017 05/31/2018
1908 R75892 Reitz Cara Leigh Active 11/17/2016 11/16/2017
1908 R75324 Roubik Daniel John Active 11/01/2016 10/31/2017
1908 R75891 Schultz Susan Phebe Active 09/15/2016 09/14/2017
1908 R75413 Sirkin Maxwell R Active 05/01/2017 04/30/2018
1908 R74816 Swann Jacob Andrew Active 03/01/2017 02/28/2018
1908 R75102 Viera Jennifer Lynn Active 08/31/2017
1908 R74834 Williams Matthew Rand Active 02/01/2017 01/31/2018
Yuma Regional Medical Center 1908 R75263 Aamer Muhammad Active 06/29/2017 06/28/2018
1908 R75851 Alemayehu Martha Tersit Active 07/01/2017 06/30/2018
1908 R74478 Alsaiegh Nada Active 07/02/2016 07/01/2017
1908 R75784 Alvarez Angelic Marie Active 07/01/2017 06/30/2018
1908 R75204 Baig Adil Mohammed Active 06/29/2017 06/28/2018
1908 R75205 Boparai Rajni Kaur Active 06/29/2017 06/28/2018
1908 R75270 Carvalho Giselle De Active 06/29/2017 06/28/2018
1908 R74476 Casey Ryan Patrick Active 07/02/2016 07/01/2017
1908 R75206 Fink Sayda Livier Active 06/29/2017 06/28/2018
1908 R76442 Fudalewski Tomasz Active 07/01/2017 06/30/2018
1908 R76444 Gagnon Jean-phillippe Active 07/01/2017 06/30/2018
1908 R73723 Galarza Carrazco Natalia V... Active 07/02/2016 07/01/2017
1908 R74519 Hogue Joseph Daniel Active 07/02/2016 07/01/2017
1908 R74477 Jacobson Bjorn Allan Active 07/02/2016 07/01/2017
1908 R73432 Kumar Navaneeth Chandru Active 07/26/2016 07/25/2017
1908 R75795 Nevarez Alfredo Active 07/01/2017 06/30/2018
1908 R75796 Oba Uchechukwu Kenneth Active 07/01/2017 06/30/2018
1908 R75207 Orfali Dikran Active 06/29/2017 06/28/2018
1908 R75785 Rajai Salem Alrabadi Saif ... Active 07/01/2017 06/30/2018
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Yuma Regional Medical Center 1908 R76183 Sandoval Edsel Alonzo Active 07/01/2017 06/30/2018
1908 R76184 Sandoval Rivera Eduardo Active 07/01/2017 06/30/2018
1908 R76185 Tellez Alfonso II Active 07/01/2017 06/30/2018
1908 R76186 Varughese Arun Thomas Active 07/01/2017 06/30/2018
1908 R74475 Vega Jose Luis III Active 07/02/2017 08/29/2017
1908 R74505 Venkateswaran Ayesha Priya... Active 07/02/2016 07/01/2017
1908 R76182 Wennerberg George Alfred J... Active 07/01/2017 06/30/2018
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Arizona Medical Board