<<

Primary Source Verification Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

Active MCSR's for OPTOMETRISTS

First Name Last name Middle Name Suffix Address City State Zip Issued Expires Class Drug_Schedules JOHN ABBONDANZA M VISION CARE SPECIALIST 30 TURNPIKE ROAD, SUITE 7 SOUTHBORO MA 01772 8/9/2021 8/9/2022 OD VI KELLY ABBOTT ANNE EYE Q OPTICAL 615 CENTRE ST JAMAICA PLAIN MA 02130 10/23/2020 10/23/2021 OD VI ANGELA ABRAHAM B 67 TROWBRIDGE AVE NEWTON MA 02460 6/6/2021 6/6/2022 OD VI MICHAEL ADAMS R MILFORD-FRANKLIN EYE CENTER 750 UNION ST FRANKLIN MA 02038 4/23/2021 4/23/2022 OD VI JEANNETTE ADELSBERGER CAMBRIDGE HEALTH ALLIANCE 236 HIGHLAND AVE SOMERVILLE MA 02143 5/22/2021 5/22/2022 OD VI BRITT ADORNATO E FOREST PARK EYE CARE 453 SUMNER AVENUE SPRINGFIELD MA 01108 3/2/2021 3/2/2022 OD VI SURAJ AFSHAR S HELLER EYECARE 230 LOWELL ST 1B WILMINGTON MA 01887 1/30/2021 1/30/2022 OD VI TALISH AGHABABAYAN MAGALHAES AND ASSOCIATES, INC. 382 STATE RD NORTH DARTMOUTH MA 02747 11/15/2020 11/15/2021 OD VI DANA AGNES RENDALL 3 SUNDAY WOODS RD WESTON MA 02493 3/23/2021 3/23/2022 OD VI LOUIS AGUIAR F 289 PLEASANT STREET, SUITE 201 FALL RIVER MA 02721 10/23/2021 10/23/2022 OD VI DIANE AH-KINE NG POON HING 204 ARSENAL STREET SUITE 100 WATERTOWN MA 02472 1/13/2021 1/13/2022 OD VI SAAD AHMED EYE HEALTH VISION CENTERS 933 PLEASANT ST. FALL RIVER MA 02723 7/15/2021 7/15/2022 OD VI NAYIRI AJOIAN EYESMILE 333 TRAPELO RD BELMONT MA 02478 8/26/2021 8/26/2022 OD VI BRIAN ALEO M EYECARE - EYEWEAR ASSOC. 45 COHANNET STREET TAUNTON MA 02780 6/14/2021 6/14/2022 OD VI THOMAS ALEO H FAMILY VISION CENTER 283 WASHINGTON STREET WEYMOUTH MA 02188 2/7/2021 2/7/2022 OD VI HYDER ALMOSAWY JAMAL 500 EAST WASHINGTON STREET, SUITE 12 NORTH ATTLEBORO MA 02760 11/12/2020 11/12/2021 OD VI PAMELA ANDERSON K WORCESTER OPHTHALMOLOGY ASSOCIATES 25 OAK AVENUE WORCESTER MA 01605 8/24/2021 8/24/2022 OD VI MELISSA ANDRADE MARIA 85 FRONT STREET SCITUATE MA 02066 11/12/2020 11/12/2021 OD VI THOMAS ANDREA CHARLES 107 COMMERCIAL ST. MASHPEE MA 02649 6/26/2021 6/26/2022 OD VI PHYLLIS ANDREJKO NEW ENGLAND EYE ROSLINDALE 4199 WASHINGTON ST, SUITE 2 ROSLINDALE MA 02131 7/9/2021 7/9/2022 OD VI JAMES ANDREWS III 1105 BOSTON ROAD SPRINGFIELD MA 01119 4/6/2021 4/6/2022 OD VI KEITH ANDREWS PAUL C/O LEE OPTICAL 103 PLEASANT STREET MALDEN MA 02148 10/22/2020 10/22/2021 OD VI SHAWNA ANDREWS R. 591 MEMORIAL DRIVE CHICOPEE MA 01020 7/13/2021 7/13/2022 OD VI NIKITA ANEJA THE DIMOCK CENTER EYE CARE SERVICES 55 DIMOCK STREET ROXBURY MA 02119 8/19/2021 8/19/2022 OD VI STEPHEN ANGELO J 154 HAVERHILL STREET METHUEN MA 01844 11/3/2020 11/3/2021 OD VI GRACE ANOSIKE E. 100 CAMBRIDGE PL CAMBRIDGE MA 02141 7/6/2021 7/6/2022 OD VI THOMAS ANZALDI M BAYSTATE EYE ASSOCIATES 427 LYNNWAY LYNN MA 01905 1/7/2021 1/7/2022 OD VI SARA APOLLONIO ANNE D'AMBROSIO EYE CARE INC. 479 OLD UNION TURNPIKE LANCASTER MA 01523 8/6/2021 8/6/2022 OD VI KATHRYN ARRUDA M ADVANCED EYE CTRS., INC. SUITE 110 500 FAUNCE CORNER ROAD NORTH DARTMOUTH MA 02747 3/7/2021 3/7/2022 OD VI PHILIP ARSENAULT M BRAINTREE EYE ASSOCIATES 250 GRANITE, SUITE 2069 BRAINTREE MA 02184 7/21/2021 7/21/2022 OD VI HAROOT ARTINIAN NATICK EYE ASSOCIATES 1364 WORCESTER RD NATICK MA 01760 7/22/2021 7/22/2022 OD VI BITA ASGHARI 464 HILLSIDE AVE STE 205 NEEDHAM MA 02494 10/16/2021 10/16/2022 OD VI ELIZABETH ASKEW ANN RELIANT MEDICAL GROUP 24 NEWTON STREET SOUTHBOROUGH MA 01772 11/12/2021 11/12/2022 OD VI ROBERT AUDYCKI A OPTOMEYES HEALTH 535 FAUNCE CORNER RD DARTMOUTH MA 02747 4/6/2021 4/6/2022 OD VI MICHAEL AYER H. HARVARD VANGUARD / VISUAL SERVICES 228 BILLERICA ROAD CHELMSFORD MA 01824 9/25/2021 9/25/2022 OD VI ARTHUR BABABEKOV 24 MONTVALE STREET ROSLINDALE MA 02131 2/12/2021 2/12/2022 OD VI KATARZYNA BABINSKI LUDLOW EYE CARE PC 200 CENTER STREET, SUITE 1 LUDLOW MA 01056 8/20/2021 8/20/2022 OD VI KELLY BADO ANN SOUTHAMPTON OPTICAL DOCTORS OFFICE 15-B COLLEGE HIGHWAY SOUTHAMPTON MA 01073 6/24/2021 6/24/2022 OD VI VANIA BAE YIP KOCH EYE 1404 ATWOOD AVE JOHNSTON RI 02919 11/7/2020 11/7/2021 OD VI MARTIN BAER JOSHUA 8 HOPKINS CIRCLE METHUEN MA 01844 7/17/2021 7/17/2022 OD VI ANNA BAGLIERI M BOSTON CHILDEN HOSPITAL 9 HOPE AVENUE WALTHAM MA 02453 11/1/2020 11/1/2021 OD VI LAWRENCE BAITCH WILLIAM MCPHS UNIVERSITY SCHOOL OF OPTOMETRY 10 LINCOLN SQ, RM 210-I WORCESTER MA 01608 2/6/2021 2/6/2022 OD VI AUDRA BAKE LINDSEY HARVARD VANGUARD VISUAL SERVICES 26 CITY HALL MALL MEDFORD MA 02155 7/14/2021 7/14/2022 OD VI

Page 1 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

KAYLA BAKER B EYE HEALTH VISION CENTERS 51 STATE ROAD NORTH DARTMOUTH MA 02747 7/6/2021 7/6/2022 OD VI AMANDA BALTAZAR M 274 PLEASANT ST NORTHAMPTON MA 01060 11/25/2020 11/25/2021 OD VI KRISTIN BARAGONA WATTS EYE ASSOCIATES 33 LOW ST NEWBURYPORT MA 01950 7/19/2021 7/19/2022 OD VI DAVID BARON EDWARD PARKHILL PLAZA 96 FRANKLIN ROAD FITCHBURG MA 01420 7/3/2021 7/3/2022 OD VI KATHLEEN BARR BENNETT FAMILY EYE CARE 231 BELMONT ST BELMONT MA 02478 12/7/2020 12/7/2021 OD VI ARA BARSAMIAN VISION ASSOCIATES 103 MAIN STREET MARLBOROUGH MA 01752 11/16/2020 11/16/2021 OD VI SHUDESHNA BASHIR D'AMBROSIO EYECARE 479 OLD UNION TURNPIKE LANCASTER MA 01523 8/18/2021 8/18/2022 OD VI KATHLEEN BASILE ANN 22 SPLIT ROCK ROAD LYNN MA 01904 7/21/2021 7/21/2022 OD VI DANIEL BASTIAN A. LYNN CUMMUNITY HEALTH CENTER 20 CENTRAL AVENUE, 1ST FLOOR LYNN MA 01901 8/26/2021 8/26/2022 OD VI RACHEL BATES LYNETTE ASSOCIATED EYE SURGEONS 45 RESNIK RD #304 PLYMOUTH MA 02360 10/15/2020 10/15/2021 OD VI ALYSSA BATISTINE K 377 PLANTATION ST WORCESTER MA 01605 10/2/2020 10/2/2021 OD VI URSULA BATOR SZAJTA HILL EYE ASSOCIATES BEAVER BROOK VILLAGE 91 HILL ST STE 6 DRACUT MA 01826 12/7/2020 12/7/2021 OD VI STEPHANIE BATTISTA ALISSA LUNETTE OPTIC 121 HIGH ST BOSTON MA 02110 5/27/2021 5/27/2022 OD VI MURRAY BAUMAL H. 607 BOYLSTON STREET BOSTON MA 02116 1/26/2021 1/26/2022 OD VI BRITTANY BAUSCH ISABELLE 785 WILLIAMS ST #198 PO BOX #198 LONGMEADOW MA 01106 9/6/2021 9/6/2022 OD VI DANIEL BAUSCH EDWARD 11 WILBRAHAM ROAD SPRINGFIELD MA 01109 6/8/2021 6/8/2022 OD VI STACY BEAN E 40 ENON STREET BEVERLY MA 01915 1/25/2021 1/25/2022 OD VI ALLYX BEAULIER VA BOSTON HEALTHCARE SYSTEM 150 S. HUNTINGTON AVE JAMAICA PLAIN MA 02130 8/18/2021 8/18/2022 OD VI ALAN BEAULIEU DAVID WAKEFIELD EYE ASSOCIATES 336 MAIN STREET WAKEFIELD MA 018805013 3/30/2021 3/30/2022 OD VI KRISTEN BEHRENS HEATHER MCPHS UNIVERSITY OPTOMETRY DEPT 10 LINCOLN SQUARE WORCESTER MA 01608 7/16/2021 7/16/2022 OD VI FLORENCE BEJIAN 17 VILLAGE SQUARE CHELMSFORD MA 01824 5/5/2021 5/5/2022 OD VI HEATHER BELL ANNE MCPHS EYE AND VISION CENTER 10 LINCOLN SQUARE WORCESTER MA 01608 5/16/2021 5/16/2022 OD VI AMANDA BELLEVILLE LYNNE 231 BELMONT STREET BELMONT MA 02478 7/11/2021 7/11/2022 OD VI KENNETH BELLUCCI 1445 MAIN STREET TEWKSBURY MA 01876 7/8/2021 7/8/2022 OD VI CHRISTINA BENEVIDES MARIA EYE HEALTH VISION CENTERS 51 STATE ROAD DARTMOUTH MA 02747 9/23/2021 9/23/2022 OD VI LINDA BENNETT MAE 101 CHILTON STREET BELMONT MA 02478 7/10/2021 7/10/2022 OD VI PAUL BENOIT V EYE & LASIK CENTER 33 RIDDELL STREET GREENFIELD MA 01301 9/30/2021 9/30/2022 OD VI LYN BENTON ANN BASS RIVER OPTOMETRICS 173 CRANBERRY HIGHWAY ORLEANS MA 02653 9/19/2021 9/19/2022 OD VI CAYLA BERGSTROM MYRE VISION NORTH 77 N. WASHINGTON ST. BOSTON MA 02114 7/6/2021 7/6/2022 OD VI CLAIRE BERGUS A. 772 COUNTY STREET TAUNTON MA 02780 4/20/2021 4/20/2022 OD VI RACHEL BERKOWITZ NORA BROCKTON NEIGHBORHOOD HEALTH CENTER 63 MAIN ST. BROCKTON MA 02301 8/17/2021 8/17/2022 OD VI MARK BERNARDO M. MASS EYE & EAR LONGWOOD OPHTHALMOLOGY 3RD FLOOR 800 HUNTINGTON AVENUE BOSTON MA 02115 8/19/2021 8/19/2022 OD VI ELIZABETH BERRY PROKOS STURBRIDGE EYE CARE 135 MAIN STREET STURBRIDGE MA 01566 7/24/2021 7/24/2022 OD VI LEONARD BERTOLI VISIONWORKS TOWN LINE PLAZA 1 HIGHLAND AVENUE MALDEN MA 02148 6/26/2021 6/26/2022 OD VI JESSICA BESEN MARY EYE HEALTH VISION CENTERS 51 STATE RD DARTMOUTH MA 02747 8/1/2021 8/1/2022 OD VI PATRICK BESSETTE LUKE LAHEY CLINIC DEPT OF OPHTHALMOLOGY 41 MALL ROAD BURLINGTON MA 01805 6/30/2021 6/30/2022 OD VI MAHESH BHARDWAJ K. LAHEY CLINIC 1 ESSEX CENTER DRIVE PEABODY MA 01960 6/3/2021 6/3/2022 OD VI ELENA BIFFI ZAHAROVA NEW ENGLAND COLLEGE OF OPTOMETRY 424 BEACON STREET BOSTON MA 02115 7/7/2021 7/7/2022 OD VI MARK BIRRELL ALAN 26 WILLOW LN LENOX MA 01240 4/13/2021 4/13/2022 OD VI KELLY BLAKE C FENWAY HEALTH OPTOMETRY 1340 BOYLSTON STREET BOSTON MA 02215 9/12/2021 9/12/2022 OD VI MICHELLE BLEW L LOWELL COMMUNITY HEALTH CENTER 101 JACKSON ST LOWELL MA 01852 4/25/2021 4/25/2022 OD VI ALFRED BLISS JOSEPH III AUBURN VISION ASSOCIATES 385 SOUTHBRIDGE STREET AUBURN MA 01501 11/10/2021 11/10/2022 OD VI FREDERICK BLOOM HARVEY MYEYEDR 489 BERNARDSTON ROAD GREENFIELD MA 01301 6/11/2021 6/11/2022 OD VI GREGORY BODRIE TAYLOR 66 PLEASANT STREET P.O.BOX 532 SAGAMORE MA 02561-0532 4/2/2021 4/2/2022 OD VI JENNIFER BOGGIE L JL/ VISION/PEARLE VISION 90 PLEASANT VALLEY ST., #250 METHUEN MA 01844 5/19/2021 5/19/2022 OD VI JOHN BONA M 1 WIDGER RD MARBLEHEAD MA 01945 5/30/2021 5/30/2022 OD VI

Page 2 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

VIRGINIA BONOLI ANN 120 STOCKWELL DR. AVON MA 02322 7/13/2021 7/13/2022 OD VI SIRI BOONSIRISERMSOOK REDSTONE EYE ASSOC., LLC 75 MAIN STREET STONEHAM MA 02180 8/15/2021 8/15/2022 OD VI ANDREW BORASKI EMERSON 334 WALNUT STREET AGAWAM MA 01001 7/1/2021 7/1/2022 OD VI LON BORNSTEIN PEARLE VISION 287 SCHOOL ST MANSFIELD MA 02048 11/5/2021 11/5/2022 OD VI HENRY BOROYAN J 73 PRINCETON ST., SUITE 201 N. CHELMSFORD MA 01863 5/11/2021 5/11/2022 OD VI TIMOTHY BOSSIE 930 COMMONWEALTH AVE BOSTON MA 02215 8/8/2021 8/8/2022 OD VI LINDA BOTELLO S 127 WASHINGTON ST NORWELL MA 02061 8/5/2021 8/5/2022 OD VI IRA BOURNE R LUMIERE EYE CARE ASSOCIATES, PC 978 MAIN ST S. WEYMOUTH MA 02190 12/15/2020 12/15/2021 OD VI MARC BRAITHWAITE L RELIANT MEDICAL GROUP 4 BROTHERTON WAY AUBURN MA 01501 9/23/2021 9/23/2022 OD VI LYNN BRANDES MARCIA EYE CARE EYEWARE ASSOCIATES PC 45 COHANNET ST TAUNTON MA 02780 10/16/2021 10/16/2022 OD VI LINDSAY BRAUN COFFEY DORCHESTER HOUSE MULTI SERVICE CENTER EYE CLINIC 1353 DORCHESTER AVENUE DORCHESTER MA 02122 7/13/2021 7/13/2022 OD VI BRIAN BRAVEMAN D DEDHAM MEDICAL ASSOCIATES 1177 PROVIDENCE HIGHWAY DEDHAM MA 02062 10/21/2021 10/21/2022 OD VI PETER BRIDGER H. 40 ENON STREET BEVERLY MA 01915 8/17/2021 8/17/2022 OD VI REBECCA BRIDGER 40 ENON STREET BEVERLY MA 01915 8/14/2021 8/14/2022 OD VI CHERYL BROWN A HARVARD VANGUARD MEDICAL ASSOC. 40 HOLLAND ST SOMERVILLE MA 02144 11/16/2021 11/16/2022 OD VI KANI BROWN MICHAEL BALIN EYE & LASER CENTER 269 LOCUST STREET NORTHAMPTON MA 01062 12/23/2020 12/23/2021 OD VI KRISTEN BROWN 71 EAST STREET SHARON MA 02067 11/25/2020 11/25/2021 OD VI MICHAEL BUCKLEY DENIS ACTON VISION 163 GREAT ROAD ACTON MA 01720 9/26/2021 9/26/2022 OD VI KIMBERLY BUDRI NOLAN COMMONWEALTH EYECARE PROFESSIONALS 809 WILLIAMS STREET LONGMEADOW MA 01106 8/7/2021 8/7/2022 OD VI DYLAN BUI HUY 216 CENTRE STREET MALDEN MA 02148 8/16/2021 8/16/2022 OD VI TRUNG BUI V 44 UNION AVENUE FRAMINGHAM MA 01702 8/16/2021 8/16/2022 OD VI TED BUKOWSKI FRANCIS 140 EAST MAIN ST. NORTON MA 02766 4/9/2021 4/9/2022 OD VI ROBERT BUONFIGLIO A. PRATTVILLE EYE ASSOC., LLC 200 WALNUT STREET SAUGUS MA 01906 9/26/2021 9/26/2022 OD VI KALAH BURCHFIELD PYLAR 2020 ON - SITE 29 GARDEN STREET EVERETT MA 02149 3/18/2021 3/18/2022 OD VI MAUREEN BURKE CAROLINE HARVARD SQUARE EYE CARE 198 ELM STREET NORTH CAMBRIDGE MA 02140 8/28/2021 8/28/2022 OD VI BRETT BURNS PATRICK CHICOPEE EYECARE 113 CENTER STREET CHICOPEE MA 01013 8/9/2021 8/9/2022 OD VI SHAYLA BURROWS LENS CRAFTERS 1250 S WASHINGTON STREET NORTH ATTLEBORO MA 02760 7/12/2021 7/12/2022 OD VI ROGER BUSH ALLEN OPHTHALMIC CONSULTANTS OF BOSTON 146 INDUSTRIAL PARK ROAD PLYMOUTH MA 02360 5/1/2021 5/1/2022 OD VI MELISSA BUTLER J 238 SHELBURNE CENTER ROAD SHELBURNE MA 01370 8/21/2021 8/21/2022 OD VI YI HONG CAI 238 NORTHAMPTON ST EASTHAMPTON MA 01002 9/28/2021 9/28/2022 OD VI RICHARD CALDERON MARTIN BEETHAM EYE INSTITUTE JOSLIN DIABETES CENTER ONE JOSLIN PLACE BOSTON MA 02215 9/2/2021 9/2/2022 OD VI WILLIAM CALLAHAN F JR 462 PLAIN STREET, SUITE 104 MARSHFIELD MA 02050 1/14/2021 1/14/2022 OD VI AMY CAMEROTA L JOHN P FRANGIE, M.D. 274 WESTFIELD STREET WEST SPRINGFIELD MA 01089 8/20/2021 8/20/2022 OD VI JOHN CAMMISA III 141 SPRINGFIELD ROAD WESTFIELD MA 01085 6/30/2021 6/30/2022 OD VI GARY CAMPBELL G. 17 NORTH AVENUE P.O. BOX 321 ROCKLAND MA 02370 12/28/2020 12/28/2021 OD VI PAUL CANGIANO M. VISION NORTH 77 NORTH WASHINGTON STREET BOSTON MA 02114 8/25/2021 8/25/2022 OD VI CARI CANNON L.E. 341 BELGRADE AVENUE ROSLINDALE MA 02131 8/25/2021 8/25/2022 OD VI ROBERT CAPONE CHARLES EAST BOSTON NEIGHBOR HEALTH CTR ATT: EYE CLINIC 20 MAVERICK SQUARE EAST BOSTON MA 02128 9/2/2021 9/2/2022 OD VI JESSICA CAPRI TUFTS MEDICAL CENTER OPTOMETRY 800 WASHINGTON ST BOSTON MA 02111 8/23/2021 8/23/2022 OD VI CARDONE CENTER FOR SIGHT 1565 N MAIN ST., SUITE 406 FALL RIVER MA 02720 3/24/2021 3/24/2022 OD VI LESLIE CAREY K 32 FAIRVIEW ROAD LYNNFIELD MA 01940 10/2/2020 10/2/2021 OD VI SVEN-CHRISTIAN CARLSSON HARVARD VANGARD MED ASSOCIATES VISUAL SER. 1250 HANCOCK STREET QUINCY MA 02169 5/31/2021 5/31/2022 OD VI ANDREA CARR LYNN 326 NICHOLS ROAD FITCHBURG MA 01420 7/19/2021 7/19/2022 OD VI KAREN CARRASQUILLO G BOSTON FOUNDATION FOR SIGHT 464 HILLSIDE AVE., SUITE 205 NEEDHAM MA 02494 2/7/2021 2/7/2022 OD VI ALEXA CARUSO MY EYE DR 1191 CHESTNUT ST. NEWTON UPPER FALLS MA 02464 8/6/2021 8/6/2022 OD VI JAMES CARUSO MICHAEL DOT HOUSE HEALTH 1353 DORCHESTER AVE DORCHESTER MA 02122 1/17/2021 1/17/2022 OD VI

Page 3 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

JOANNE CARUSO 235 WAVERLY AVENUE WATERTOWN MA 02472 9/11/2021 9/11/2022 OD VI BOBBIE JO CASEY OPTICALSTUDIO 274 PLEASANT ST NORTHAMPTON MA 01060 7/23/2021 7/23/2022 OD VI NEIL CASEY PATRICK 44 STERLING STREET WEST BOYLSTON MA 01583 6/17/2021 6/17/2022 OD VI MICHELE CASSIN MIT MEDICAL EYE SERVICE 25 CARLETON ST. CAMBRIDGE MA 02142 9/25/2021 9/25/2022 OD VI AMY CATALANO J 95 WASHINGTON ST #466 CANTON MA 02021 7/29/2021 7/29/2022 OD VI JERRY CAVALLERANO DANIEL JR BEETHAM EYE INSTITUTE JOSLIN DIABETES CENTER 1 JOSLIN PLACE BOSTON MA 02215 9/2/2021 9/2/2022 OD VI NICOLE CERIO FRANCES VISION SOURCE OF WORCESTER 335 PARK AVENUE WORCESTER MA 01610 7/24/2021 7/24/2022 OD VI CEIDA CHAN P OPTOMETRY CLINIC PINE STREET INN 444 HARRISON AVE BOSTON MA 02118 9/8/2021 9/8/2022 OD VI JUNG CHAN E SCITUATE HARBOR VISION SOURCE 85 FRONT ST, UNIT 81 SCITUATE MA 02066 4/17/2021 4/17/2022 OD VI KIMBERLEY CHAN W CHILDREN'S HOSPITAL OF BOSTON 300 LONGWOOD AVENUE, FEGAN 4 DEPT OF OPHTHALMOLOGY BOSTON MA 02115 9/9/2021 9/9/2022 OD VI WAYNE CHAN WING DBA STUDIO OPTICS 229 BERKELEY STREET BOSTON MA 02116 12/28/2020 12/28/2021 OD VI HUI-CHU CHANG J 9 HENSHAW STREET BRIGHTON MA 02135 8/8/2021 8/8/2022 OD VI BRUCE CHASE D 40 THOMAS STREET MIDDLEBORO MA 02346 2/10/2021 2/10/2022 OD VI TAK-YIN CHAU VA BOSTON HEALTHCARE SYSTEM, JAMAICA PLAIN OPTOMETRY CLINIC (112) 150 SOUTH HUNTINGTON AVENUEJAMAICA PLAIN MA 02130 6/30/2021 6/30/2022 OD VI KATHRYN CHEHADE MARY RELIANT MEDICAL GROUP - OPTOMETRY 5 NEPONSET STREET WORCESTER MA 01606 7/2/2021 7/2/2022 OD VI HONGXIA CHEN LI 145 SOUTH STREET BOSTON MA 02111 5/6/2021 5/6/2022 OD VI HONG-MING CHENG 3 RIDGEFIELD ROAD WINCHESTER MA 01890 4/2/2021 4/2/2022 OD VI QIAOMEI CHENG NEWTON EYE CARE, LLC 1157 WALNUT STREET NEWTON MA 02461 7/26/2021 7/26/2022 OD VI SUSAN CHENG SUWAN PRO OPTICAL 175 CAMBRIDGE ST BOSTON MA 02114 8/16/2021 8/16/2022 OD VI BETH CHENIER B TED BUKOWSKI, OD & ASSOCIATES 140 EAST MAIN STREET NORTON MA 02766 11/16/2020 11/16/2021 OD VI WILLIAM CHEON YOUNG-IL HEALTH DRIVE 100 CROSSING BOULEVARD FRAMINGHAM MA 01702 11/1/2021 11/1/2022 OD VI RITA CHERIAN A NSEA 669 MAIN STREET, SUITE 1 WAKEFIELD MA 01880 3/1/2021 3/1/2022 OD VI ANGELA CHERNIAK MARIE PIONEER VALLEY OPHTHALMIC CONSULTANTS 489 BERNARDSTON ROAD GREEN MA 01301 4/12/2021 4/12/2022 OD VI CHRISTINA CHERNY MASS EYE AND EAR OPTOMETRY 243 CHARLES STREET BOSTON MA 02114 8/27/2021 8/27/2022 OD VI LEIGH CHERVENKA SHA ROSE WESTFORD VALLEY EYECARE 175 LITTLETON ROAD WESTFORD MA 01886 1/25/2021 1/25/2022 OD VI ANDREW CHESNICK HARVEY 854 NEWTON STREET CHESTNUT HILL MA 02467 6/27/2021 6/27/2022 OD VI DAVID CHIANG ARTHUR 3 WOODLAND ROAD, STE 120 STONEHAM MA 02180 6/6/2021 6/6/2022 OD VI JOHN CHILD A 87 DAVIS STRAITS FALMOUTH MA 02540 7/16/2021 7/16/2022 OD VI JASON CHIN R ANDOVER EYE ASSOCIATES 138 HAVERHILL ST., STE 104 ANDOVER MA 01810 9/8/2021 9/8/2022 OD VI EDNA CHIU LIFETIME VISION 1219 HANCOCK ST QUINCY MA 02169 8/10/2021 8/10/2022 OD VI EMMA CHU 169 WEST STREET MALDEN MA 02148 7/15/2021 7/15/2022 OD VI GARY CHU YIU-KIN NECO CENTER FOR EYE CARE 930 COMMONWEALTH AVE BOSTON MA 02215 10/1/2020 10/1/2021 OD VI BRANDON CHUANG HAU SOUTH BOSTON COMMUNITY HEALTH CENTER 409 WEST BROADWAY BOSTON MA 02127 7/30/2021 7/30/2022 OD VI VIVIAN CHUNG RAKTE DR. LAURA ANNE POTVIN, P.C. 939 SALEM ST., UNIT 7 GROVELAND MA 01834 5/1/2021 5/1/2022 OD VI HARRY CHURCHILL G. JR CEDARVILLE EYE ASSOCIATES, INC. 2277 STATE ROAD PLYMOUTH MA 02360 6/30/2021 6/30/2022 OD VI LAUREL CHUTE YANOF MYEYEDR 274 PLEASANT ST. NORTHAMPTON MA 01060 5/21/2021 5/21/2022 OD VI KIM CIAMPA-MAGGIO M MELROSE FAMILY OPTOMETRY 490 MAIN ST MELROSE MA 02176 9/23/2021 9/23/2022 OD VI MICHAEL CIANCA PAUL EYE SERVICE 63 MAIN STREET BROCKTON MA 02301 7/28/2021 7/28/2022 OD VI ANGELA CIOCCA ROSE 1176 MEMORIAL DRIVE STE B CHICOPEE MA 01020 8/29/2021 8/29/2022 OD VI PATRICIA CLARK A SPRINGFIELD EYE ASSOCIATES 3640 MAIN STREET, SUITE 205 SPRINGFIELD MA 01107-1145 6/7/2021 6/7/2022 OD VI SCOTT CLARK B. 491 RANTOUL STREET BEVERLY MA 01915 3/13/2021 3/13/2022 OD VI NAOMI CLAY GRACE NORTHAMPTON VISION SPECIALISTS 86 MASONIC STREET NORTHAMPTON MA 01060 12/12/2020 12/12/2021 OD VI KATHLEEN CLEARY MONICA 470 SOUTHERN ARTERY QUINCY MA 02169 6/26/2021 6/26/2022 OD VI CHRISTINE CLEGG SACCO 450 PLEASANT ST. EAST BRIDGEWATER MA 02333 3/26/2021 3/26/2022 OD VI RONALD CLINE MARK MY EYE DR 27 MEMORIAL PARKWAY RANDOLPH MA 02368 6/22/2021 6/22/2022 OD VI JANET CODLEY 133 OTIS STREET HINGHAM MA 02043 11/5/2021 11/5/2022 OD VI

Page 4 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

KATHERINE COFFEY F. 104 QUARRY ST., SUITE 3 QUINCY MA 02169 7/16/2021 7/16/2022 OD VI DEBRA COHEN O 538 CORONATION DR FRANKLIN MA 02038 5/26/2021 5/26/2022 OD VI LAWRENCE COHEN S. EYE SEE QUALITY EYE CARE 934 ASHLEY BLVD NEW BEDFORD MA 02745 6/26/2021 6/26/2022 OD VI MARJORIE COHEN A 38 VANDERBILT AVENUE NORWOOD MA 02062 1/11/2021 1/11/2022 OD VI JEFFREY COHN LUCASH 48 AUBURN STREET AUBURN MA 01501 7/19/2021 7/19/2022 OD VI MICHAEL COHN JAY 48 AUBURN STREET AUBURN MA 01501 4/1/2021 4/1/2022 OD VI ABIGAIL COLBERT HARVARD SQUARE EYECARE 15 BELMONT ST. CAMBRIDGE MA 02138 8/22/2021 8/22/2022 OD VI PAUL COLBURN ANDREW EDITH NOURSE ROGERS MEMORIAL VETERANS HOSP OPTOMETRY DEPARTMENT 200 SPRINGS ROAD BEDFORD MA 01730 4/6/2021 4/6/2022 OD VI MICHELE COLEMAN D BETH ISRAEL DEACONESS MED CTR DIVISION OF OPHTHOMOLOGY 330 BROOKLINE AVENUE BOSTON MA 02215 12/30/2020 12/30/2021 OD VI LILY COLLETTE T DR. JEFFREY L. MORRILL & ASSOCIATES 480 W. CENTRAL ST FRANKLIN MA 02038 11/6/2020 11/6/2021 OD VI ROBERT CONDON MICHAEL 736 WASHINGTON STREET NORWOOD MA 02062 12/19/2020 12/19/2021 OD VI CAROLINE CONSIGLI PERRIELLO MILFORD-FRANKLIN EYE CENTER 160 SOUTH MAIN ST. MILFORD MA 01757 6/18/2021 6/18/2022 OD VI LEONARD CONTARDO 12 VALLEY ROAD ARLINGTON MA 02476 10/14/2021 10/14/2022 OD VI DAVID CONWAY JOSEPH 6 HARVEY STREET CAMBRIDGE MA 02140 3/6/2021 3/6/2022 OD VI MEGAN COPE L 1276 MASSACHUSETTS AVENUE CAMBRIDGE MA 02138 2/16/2021 2/16/2022 OD VI DOMENIC COVELLO ANTHONY 64 WOO DRIVE SEEKONK MA 02771 7/19/2021 7/19/2022 OD VI NEILL COWLES STODDARD 259 CROWELL ROAD CHATHAM MA 02633 6/17/2021 6/17/2022 OD VI STEPHANIE COX MCLIN NEW ENGLAND EYE CENTER 800 WASHINGTON ST #450 BOSTON MA 02111 8/2/2021 8/2/2022 OD VI ROBERT CRAWFORD DONALD 110 LIBERTY STREET BROCKTON MA 02301 6/18/2021 6/18/2022 OD VI ANNA CRESSEY MARIE 68 CENTRAL ST. WELLESLEY MA 02482 8/12/2021 8/12/2022 OD VI BRENDA CRONIN L 21 WORTHEN ROAD LEXINGTON MA 02421 5/21/2021 5/21/2022 OD VI JESSICA CROOKER MARIE SCITUATE HARBOR VISION SOURCE 85 FRONT STREET SCITUATE HARBOR MA 02066 1/25/2021 1/25/2022 OD VI PHILIP CROOKS L HAMEL EYE ASSOCIATES 339 SQUIRE ROAD REVERE MA 02151 5/10/2021 5/10/2022 OD VI MICAELA CROWLEY LEXINGTON EYE ASSOCIATES 133 LITTLETON RD, #305 WESTFORD MA 01886 8/15/2021 8/15/2022 OD VI QIQI CUI 550 PROVIDENCE HWY WALPOLE MA 02081 12/22/2020 12/22/2021 OD VI ALANA CURRAN CHRISTINA EYEBAR BOSTON/DR ROSANNA C LAMAIVA & ASSOC 10 CITY HALL AVENUE BOSTON MA 02108 7/1/2021 7/1/2022 OD VI HAROLD CURTIN F. III PEARL VISION 435 BOSTON POST ROAD SUDBURY MA 01778 7/13/2021 7/13/2022 OD VI ALICE CUSNER A 537 WASHINGTON STREET CANTON MA 02021 3/12/2021 3/12/2022 OD VI ELISE D'AMIANO F MEDFIELD EYE ASSOCOCIATES 6 WEST MILL STREET, 1ST FLOOR MEDFIELD MA 02052 3/8/2021 3/8/2022 OD VI JENNIFER D'AMICO EYE ASSOCIATES 355 NORTH MAIN ST. NORTH BROOKFIELD MA 01535 9/10/2021 9/10/2022 OD VI DOMENIC D'ANGELO A 600 BROADWAY RTE 1 NORTH SAUGUS MA 01906 3/26/2021 3/26/2022 OD VI LUCIA D'ANGELO A 54 COUSINEAU DR SWANSEA MA 02777 6/28/2021 6/28/2022 OD VI CYNTHIA D'AURIA G TUFTS MEDICAL CENTER NEW ENGLAND EYE CENTER 800 WASHINGTON ST. BOX 450 BOSTON MA 02111 5/10/2021 5/10/2022 OD VI NYSSA D'HEDOUVILLE A 42 PINKHAM RD SANDWICH MA 02563 6/18/2021 6/18/2022 OD VI JOHN DADAH ANTHONY 1 WASHINGTON ST TAUNTON MA 02780 5/17/2021 5/17/2022 OD VI MICHAEL DALTON E OPHTHALMIC CONSULTANTS OF BOSTON 50 STANIFORD STREET, SUITE 600 BOSTON MA 02114 8/2/2021 8/2/2022 OD VI PETYA DAMYANOVA T. BAYSTATE EYE 427 LYNNWAY LYNN MA 01905 3/14/2021 3/14/2022 OD VI LIEN-THU DAO V. HAVERHILL FAMILY EYE CARE, P.C. 59 WASHINGTON STREET, UNIT 1B HAVERHILL MA 01832 12/20/2020 12/20/2021 OD VI SANDRA DAOUD V IN FOCUS EYE CARE 95 WASHINGTON ST., SUITE 466 CANTON MA 02021 6/5/2021 6/5/2022 OD VI BRITTANY DARNLEY ANN NECO CENTER FOR EYE CARE COMMONWEALTH 930 COMMONWEALTH AVE BOSTON MA 02215 6/25/2021 6/25/2022 OD VI JUDITH DARROW ROBERTA SOUTH BOSTON COMMUNITY HEALTH CENTER 409 WEST BROADWAY SOUTH BOSTON MA 02127 4/24/2021 4/24/2022 OD VI JORDAN DAVIDNER C 25 MECHANIC ST FOXBORO MA 02035 11/15/2021 11/15/2022 OD VI ISABEL DEAKINS MASS EYE AND EAR INFIRMARY 243 CHARLES ST., FIRST FLR BOSTON MA 02114 9/13/2021 9/13/2022 OD VI JOSEPH DEERING P WINCHESTER EYE CARE 888 MAIN STREET WINCHESTER MA 01890 8/20/2021 8/20/2022 OD VI CARLOS DEFREITAS RAMOS 500 FAUNCE CORNER RD NORTH DARTMOUTH MA 02747 6/8/2021 6/8/2022 OD VI ROBERT DELANEY E 27 BRIDGE ST. SHELBURNE FALLS MA 01370 7/31/2021 7/31/2022 OD VI

Page 5 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

KATHRYN DELISO WOODS MCPHS UNIVERSITY SCHOOL OF OPTOMETRY 10 LINCOLN SQUARE WORCESTER MA 01608 3/15/2021 3/15/2022 OD VI JAMIE DELUGAN ROBERT BLUE HILLS EYE ASSOCIATES 340 WOOD ROAD BRAINTREE MA 02184 7/1/2021 7/1/2022 OD VI ANNA DENARDO EDITH NOURSE ROGERS MEMORIAL VETERAN ADMINISTRATION MEDICAL CTR 200 SPRINGS ROAD OPTOMETRYBEDFORD CLIN MA 01730 8/16/2021 8/16/2022 OD VI LEO DENATALE CARL JR 204 MALLARD WAY WALTHAM MA 02452 6/27/2021 6/27/2022 OD VI AURORA DENIAL R CODMAN SQUARE HEALTH CENTER EYE CLINIC 637 WASHINGTON ST DORCHESTER MA 02124 7/16/2021 7/16/2022 OD VI LESA DENNIS-MAHAMED GALLERY EYECARE,LLC 2304 WASHINGTON STREET ROXBURY MA 02119 6/26/2021 6/26/2022 OD VI KRISTINA DEPHILIPPO MARIE ATRIUS HEALTH 147 MILK STREET BOSTON MA 02109 6/3/2021 6/3/2022 OD VI WILLIAM DERR V JEWELL EYE INC. 601 DONALD LYNCH BLVD MARLBOROUGH MA 01572 10/9/2021 10/9/2022 OD VI JOHN DESHAIES P ANDOVER OPTOMETRY ON CENTRAL 15 CENTRAL STREET ANDOVER MA 01810 8/12/2021 8/12/2022 OD VI LENA DESJARDINS ALISA 1215 MARKET STREET LYNNFIELD MA 01940 6/18/2021 6/18/2022 OD VI LAUREN DICKERMAN J HARVARD SQUARE EYE CARE, PC 19 DUNSTER STREET CAMBRIDGE MA 02138 8/24/2021 8/24/2022 OD VI MARK DILORETO FRANCIS REINERS EYE CARE, PC 50 HOLYOKE ST., PO BOX 10254 HOLYOKE MA 01040 1/8/2021 1/8/2022 OD VI JUAN DING DEPT OF OPHTHALMOLOGY & VISUAL SCIENCES 281 LINCOLN ST WORCESTER MA 7/19/2021 7/19/2022 OD VI WEIHUA DING WELLESLEY HILLS EYE CARE 445 WASHINGTON ST. WELLESLEY MA 02482 8/24/2021 8/24/2022 OD VI YANPENG DING 2034A CENTRE STREET WEST ROXBURY MA 02132 10/26/2020 10/26/2021 OD VI DEBRA DIPRETE ANGELICA MY EYE DR 1 WASHINGTON ST. WELLESLEY MA 02481 7/23/2021 7/23/2022 OD VI KATHERINE DO QUYNH 1245 WORCESTER ST., SUITE 1024 NATICK MA 01760 7/19/2021 7/19/2022 OD VI MARC DODSON H 33 AVERY ROAD CHARLEMONT MA 01339 9/6/2021 9/6/2022 OD VI ALICIA DONAHUE MARIE NECO CENTER FOR EYE CARE COMMONWEALTH 930 COMMONWEALTH AVE BOSTON MA 02215 3/18/2021 3/18/2022 OD VI LEO DONOVAN W JR MARSHFIELD PLAZA 19 WEBSTER SQUARE MARSHFIELD MA 02050 9/22/2021 9/22/2022 OD VI DENNIS DORANS M. 1504 NORTH MAIN STREET PALMER MA 01069 7/30/2021 7/30/2022 OD VI CHRISTOPHER DOSTAL J EYE PHYSICIANS OF NORTHAMPTON 40 MAIN ST., SUITE 106 FLORENCE MA 01062 8/25/2021 8/25/2022 OD VI ERIC DOSTAL DAVID 250 NORTHAMPTON STREET EASTHAMPTON MA 01027 10/20/2021 10/20/2022 OD VI CATHLEEN DOUCETTE L. DR. LAURA ANNE POTVIN, P.C. 939 SALEM STREET, SUITE7 GROVELAND MA 01834 12/6/2020 12/6/2021 OD VI CHRISTOPHER DOWD ANTHONY DEDHAM MEDICAL ASSOCIATES 1 LYONS STREET DEDHAM MA 02026 10/14/2021 10/14/2022 OD VI JAMES DOYLE N 50 HAVERHILL STREET METHUEN MA 01844 7/30/2021 7/30/2022 OD VI BORIS DRIZIK 21 HIGH ST MEDFORD MA 02155 4/14/2021 4/14/2022 OD VI KENNETH DUDA M 701 CENTER ST. LUDLOW MA 01056 4/2/2021 4/2/2022 OD VI VICTORIA DUMONT L 677 TIMPANY BLVD GARDNER MA 01440 12/10/2020 12/10/2021 OD VI THAO DUNG M VISION WORKS ONE BRATTLE SQUARE, SUITE 2A CAMBRIDGE MA 02138 6/18/2021 6/18/2022 OD VI STEPHANIE DUNKER M. ARRIGG EYE AND EAR ASSOCIATES 439 S UNION ST STE 1101 LAWRENCE MA 01843 4/25/2021 4/25/2022 OD VI FELICIA DUPRAS M MASS OPTOMETRIC ASSOCIATES , PLLC 2421 CRANBERY HWY, SUITE 210 WAREHAM MA 02571 8/4/2021 8/4/2022 OD VI MARY DY ELIZABETH 1340 BOYLSTON STREET BOSTON MA 02215 7/18/2021 7/18/2022 OD VI G. EATON LOGAN VISION SOURCE 85 FRONT ST SCITUATE MA 02066 5/4/2021 5/4/2022 OD VI RALPH EAVES WILLIAM PEARLE VISION 1422 WASHINGTON STREET HANOVER MA 02339 6/16/2021 6/16/2022 OD VI MICHAEL EDELSTEIN KENNETH BAY STATE EYE ASSOC. 446 MOODY STREET WALTHAM MA 02453 5/22/2021 5/22/2022 OD VI HANNAH EDWARD 550 ARSENAL STREET WATERTOWN MA 02472 6/27/2021 6/27/2022 OD VI LAURIE ELGAS J. COMPREHENSIVE EYE CARE OF NEW ENGLAND 209 WEST CENTRAL STREET, SUITE 120 NATICK MA 01760 11/12/2021 11/12/2022 OD VI MAKENZIE ELLIOTT K 25 MECHANIC STREET FOXBORO MA 02035 8/21/2021 8/21/2022 OD VI PAUL ELLIOTT WILLIAM ELLIOTT EYE DOCTORS AND THE OPTICAL SHOPP, 25 MECHANIC STREET FOXBORO MA 02035 6/26/2021 6/26/2022 OD VI MARIBETH ERB ANNE OPTICAL STUDIO, LLC 274 PLEASANT ST NORTHAMPTON MA 01060 4/22/2021 4/22/2022 OD VI RAYMOND ESCHER T. 56 MAIN ST PO BOX 2817 ORLEANS MA 02653 8/6/2021 8/6/2022 OD VI MIKAELA ESPOSITO ELLIOTT EYE DOCTORS 196 EAST MAIN STREET MILFORD MA 01757 10/19/2021 10/19/2022 OD VI CLAUDIA EVANS CHRISTINE 8 GLOUCESTER STREET BOSTON MA 02115 7/7/2021 7/7/2022 OD VI LARA FARAH C LUNETTE OPTIC 92 DERBY STREET, SUITE 135 HINGHAM MA 02043 4/14/2021 4/14/2022 OD VI ANDREA FARBER C NORTH SUBURBAN EYE 669 MAIN ST WAKEFIELD MA 01880 12/12/2020 12/12/2021 OD VI

Page 6 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

TALINE FARRA WINK EYECARE 647 E BROADWAY SOUTH BOSTON MA 02127 4/15/2021 4/15/2022 OD VI MARYAM FATTAHY EYECARE ASSOCIATES OF MA, PC 1300 WORCESTER STREET, SUITE 11 NATICK MA 01760 10/8/2021 10/8/2022 OD VI DEREK FEIFKE 50 BURLINGTON MALL ROAD, SUITE 114 BURLINGTON MA 01803 8/17/2021 8/17/2022 OD VI MICHAEL FEINBERG S 22 UNIVERSITY DRIVE AMHERST MA 01002 4/5/2021 4/5/2022 OD VI KARA FELDBERG B HILL EYE ASSOCIATES 91 MILL ST. DRACUT MA 01826 8/21/2021 8/21/2022 OD VI ROBERTA FERACO TEIXEIRA 41 JACKSON STREET SUITE 1 SAUGUS MA 01906 1/14/2021 1/14/2022 OD VI JANELLE FERN C NEW ENGLAND EYE CENTER 800 WASHINGTON ST., #450 BOSTON MA 02111 9/27/2021 9/27/2022 OD VI LISA FERNANDEZ A 100 CROSSING BLVD FRAMINGHAM MA 01702 5/1/2021 5/1/2022 OD VI GREGORY FERRUCCI T GREATER MILFORD EYE ASSOCIATES 192 WEST STREET MILFORD MA 01757 10/2/2021 10/2/2022 OD VI JEFFREY FERRUCCI KYLE 50 STANIFORD ST., SUITE 600 BOSTON MA 02114 7/3/2021 7/3/2022 OD VI RONALD FERRUCCI RICHARD GREATER MILFORD EYE ASSOCIATES 192 WEST STREET MILFORD MA 01757 3/31/2021 3/31/2022 OD VI NICHOLAS FEUCHT R 488 PLEASANT ST WORCESTER MA 01609 3/21/2021 3/21/2022 OD VI KATIE FIELD M TANZMAN, MASELLI AND ASSOCIATES 151 ASHLAND STREET NORTH ADAMS MA 01247 10/29/2021 10/29/2022 OD VI MICHAEL FLORIDIA J MAIN STREET 3 CARVER SQUARE BLVD CARVER MA 02330 1/12/2021 1/12/2022 OD VI MATTHEW FOLEY D. 100 MACY ST, UNIT K AMESBURY MA 01913 6/13/2021 6/13/2022 OD VI ANDREW FONTE MY EYE DR 104 QUARRY STREET, SUITE QUINCY MA 02169 6/7/2021 6/7/2022 OD VI JESSICA FORTIN LEADER LEADER EYE ASSOCIATES 319 NEWBURYPORT TURNPIKE ROWLEY MA 01969 8/26/2021 8/26/2022 OD VI ANTHONY FOTI JOSEPH 200 JEFFERSON ROAD UNIT 102 WILMINGTON MA 01887 9/2/2021 9/2/2022 OD VI WAYNE FOWLER A CAPE ANN EYE SPECIALISTS, P.C. 35 MIDDLE ST GLOUCESTER MA 01930 6/27/2021 6/27/2022 OD VI PATRICIA FOX EILEEN EYES OVER COPLEY 10 HUNTINGTON AVENUE BOSTON MA 02116 7/7/2021 7/7/2022 OD VI RUSSELL FRADKIN D 999 PROVIDENCE ROAD WHITINSVILLE MA 01588 1/4/2021 1/4/2022 OD VI COSTAS FRANGOS ANDREW BAY STATE EXCELLENT VISION 3 WOODLAND RD, SUITE 112 STONEHAM MA 02180 2/24/2021 2/24/2022 OD VI CURTIS FRANK RUSSELL 10 HIGH ST STE 503 BOSTON MA 02110 9/30/2021 9/30/2022 OD VI HEIDI FRANK LOUISE INDEPENDENT OPTOMETRIST 60 CHELMSFORD STREET CHELMSFORD MA 01824 10/14/2021 10/14/2022 OD VI LOUIS FRANK ALVIN EYE AND VISION CENTER 10 LINCOLN SQUARE WORCESTER MA 01608 5/29/2021 5/29/2022 OD VI RANDI FRANKL VERA 1 HIGHLAND AVE #3B MALDEN MA 02148 8/24/2021 8/24/2022 OD VI JAMES FREEDMAN H. SOUTH SHORE EYE ASSOCIATES 670 DEPOT STREET P.O. BOX 1100 EASTON MA 02334 4/5/2021 4/5/2022 OD VI BRITTANY FRERE ANN 933 PLEASANT ST FALL RIVER MA 02723 1/12/2021 1/12/2022 OD VI BARRY FRIEDMAN S. 265 PLEASANT STREET, UNIT 2 ROCKLAND MA 02370 7/1/2021 7/1/2022 OD VI MICHAEL FU MING D'AMBROSIO EYE CARE INC 479 OLD UNION TURNPIKE LANCASTER MA 01523 10/7/2021 10/7/2022 OD VI MADELINE FULLERTON R THE DIMOCK CENTER, OPTOMETRY 55 DIMOCK ST BOSTON MA 02119 9/7/2021 9/7/2022 OD VI MARINA FURMAN HARVARD UNIVERSITY HEALTH SERVICES UNIVERSITY HEALTH SERVICES 75 MOUNT AUBURN ST. CAMBRIDGE MA 02138 9/12/2021 9/12/2022 OD VI SABRINA GAAN M. 287 SCHOOL STREET, SUITE 140 MANSFIELD MA 02048 9/3/2021 9/3/2022 OD VI JESSICA GAGE P ACK EYE 13 OLD SOUTH ROAD NANTUCKET MA 02554 6/17/2021 6/17/2022 OD VI HILARY GAISER LINN CHARLES RIVER COMMUNITY HEALTH 495 WESTERN AVE BRIGHTON MA 02135 6/26/2021 6/26/2022 OD VI CALLIOPE GALATIS J 1890 BEACON STREET BROOKLINE MA 02445 3/23/2021 3/23/2022 OD VI JULIANNE GALLERANI RAPALUS AGAWAM EYE ASSOCIATES, INC. 656 SPRINGFIELD STREET FEEDING HILLS MA 01030 4/28/2021 4/28/2022 OD VI RICHARD GALLERANI WAYNE 656 SPRINGFIELD STREET FEEDING HILLS MA 01030 4/28/2021 4/28/2022 OD VI MICHELLE GAMBINI ANNE VISION ASSOCIATES 103 MAIN STREET MARLBOROUGH MA 01752 8/18/2021 8/18/2022 OD VI AMANDA GANNON L MY EYE DR 1 WASHINGTON ST. WELLESLEY HILLS MA 02481 8/18/2021 8/18/2022 OD VI VICTOR GANSON STURDY EYE ASSOCIATES 160 PLEASANT ST ATTLEBORO MA 02703 10/24/2020 10/24/2021 OD VI ZHEN GAO ARIRELLA-WILLIAMS, LLC 591 LINCOLN STREET WORCESTER MA 01605 12/3/2020 12/3/2021 OD VI FATIMA GARCIA-FEDOROWICZ STOUGHTON OPTOMETRIC CARE, INC. 84 PEARL STREET STOUGHTON MA 02072 3/3/2021 3/3/2022 OD VI ALYSSA GARD D'AMBROSIO EYE CARE, INC. 479 OLD UNION TURNPIKE LANCASTER MA 01523 10/1/2020 10/1/2021 OD VI JACLYN GARLICH E ENVISION OPTOMETRY 126 HIGH ST STE 100 BOSTON MA 02110-2710 9/28/2021 9/28/2022 OD VI MATTHEW GARSTON J WALTER L. POTAZNICK, O.D. 584 A HIGH ST. DEDHAM MA 02026 8/31/2021 8/31/2022 OD VI

Page 7 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

KEVIN GASIOROWSKI MICHAEL 39 GREEN STREET NEWBURYPORT MA 01950 2/5/2021 2/5/2022 OD VI JOANNA GEBHARDT BOMKAMP PARIS EYECARE 289 MOODY ST WALTHAM MA 02453 3/21/2021 3/21/2022 OD VI SHERMAN GELLER ANDREW PLYMOUTH BRIDGEWATER EYE CARE 54 BROAD STREET BRIDGEWATER MA 02324 11/12/2020 11/12/2021 OD VI ANNA GEORGACOPOULOS B. GLENN P. KIMBALL, MD 680 MAIN STREET HAVERHILL MA 01830 1/5/2021 1/5/2022 OD VI MELDA GEROW NIL WINTHROP EYE CENTER 42 WOODSIDE AVE WINTHROP MA 02152 11/17/2021 11/17/2022 OD VI DAVID GIBSON BRUCE 2020 ON - SITE 29 GARDEN ST EVERETT MA 02149 8/6/2021 8/6/2022 OD VI AMARJEET GILL S 473 MAIN STREET P.O. BOX 729 FISKDALE MA 01518 11/25/2020 11/25/2021 OD VI VEENU GILL 15 FREMONT ST WOBURN MA 01801 8/19/2021 8/19/2022 OD VI MARY GILMAN ANN 10 LINCOLN SQ WORCESTER MA 01608 6/28/2021 6/28/2022 OD VI VINCENT GIOVANNUCCI D. BELLO OPTICIANS 348 SHREWSBURY STREET WORCESTER MA 01604 11/10/2020 11/10/2021 OD VI KAREN GLADSTONE JUDITH ARRIGG EYE & EAR ASSOCIATION 439 SOUTH UNION STREET LAWRENCE MA 01843 5/28/2021 5/28/2022 OD VI KRISTIN GLAVINE A LONGWOOD EYE 33 RIDDELL STREET GREENFIELD MA 01301 8/4/2021 8/4/2022 OD VI WILLIAM GLEASON J 1820 TURNPIKE STREET STE 201 NORTH ANDOVER MA 01845 4/16/2021 4/16/2022 OD VI JOSEPH GLENNON RAYMOND III 1212 KEMPTON STREET NEW BEDFORD MA 02740-1503 5/11/2021 5/11/2022 OD VI MICAELA GOBEILLE HOLYOKE HEALTH CENTER 230 MAPLE ST. HOLYOKE MA 01040 5/14/2021 5/14/2022 OD VI ROBERT GOLDEN MYLES 10 DRIVER LANE MASHPEE MA 02649 3/31/2021 3/31/2022 OD VI ARTHUR GOLDMAN M EYE HEALTH ASSOCIATES 51 STATE ROAD NORTH DARTMOUTH MA 02742 8/23/2021 8/23/2022 OD VI RANDY GOLDMAN KENNETH 1211 HIGHLAND AVENUE NEEDHAM MA 02492 6/23/2021 6/23/2022 OD VI HOLLY GOLEBIOWSKI ELIZABETH NIRO EYE CARE & ASSOCIATES 296 GREAT ROAD ACTON MA 01720 7/27/2021 7/27/2022 OD VI RENEE GOMEZ CHLEBICA M. CHARLTON OPTICAL 109-6 MASONIC HOME RD CHARLTON MA 01507 10/18/2021 10/18/2022 OD VI COLLEEN GONYEA DAVEY 38A SOUTHBRIDGE STREET WORCESTER MA 01608 12/23/2020 12/23/2021 OD VI WILLIAM GOODRICH B BERKSHIRE EYE CTR, PC 740 WILLIAMS STREET PITTSFIELD MA 01201 9/24/2021 9/24/2022 OD VI THEODORE GORDON BENNETT CENTERGATE COMMONS 354 SEWALL STREET LUDLOW MA 01056 3/11/2021 3/11/2022 OD VI CHRISTOPHER GOSWICK C 345 MAIN ST. NORTHBOROUGH MA 01532 7/26/2021 7/26/2022 OD VI MICHAEL GOUSY JOHN 509 SOUTHWICK ROAD WESTFIELD MA 01085 5/4/2021 5/4/2022 OD VI JENNIFER GRACE DARRYL GRACE & ASSOCIATES, PC 101 ARCH STREET, SUITE 120 BOSTON MA 02110 7/17/2021 7/17/2022 OD VI TAMARA GRANNER J 229 MAIN ST. WILMINGTON MA 01887 8/11/2021 8/11/2022 OD VI JOSEPH GRANT J 159 SAMOSET STREET, SUITE 6 PLYMOUTH MA 02360 3/31/2021 3/31/2022 OD VI DANIEL GRAY P UNIVERSITY HEALTH SERVICES 150 INFIRMARY WAY AMHERST MA 01003 3/14/2021 3/14/2022 OD VI DIANA GREEN ROSE NEW ENGLAND EYE CENTER 11 NEVINS ST., SUITE 205 BRIGHTON MA 02135 7/25/2021 7/25/2022 OD VI MALCOLM GREENE R 31 SPRING STREET WATERTOWN MA 02472 3/11/2021 3/11/2022 OD VI MARTIN GREENE JAY 31 SPRING STREET WATERTOWN MA 02172 4/30/2021 4/30/2022 OD VI DAVID GREENSTEIN SAMUEL 81 COREY STREET WEST ROXBURY MA 02132 10/16/2021 10/16/2022 OD VI KRISTEN GRIEBEL KAY LUNETTE OPTIC 732 LEGACY PLACE DEDHAM MA 02026 11/2/2020 11/2/2021 OD VI JUSTINE GRIER MARJORIE 115 NAUGLER AVE MARLBORO MA 01752 8/1/2021 8/1/2022 OD VI ADAM GRIMM NEW ENGLAND EYE INSTITUTE 930 COMMONWEALTH AVENUE BOSTON MA 02215 5/6/2021 5/6/2022 OD VI ROBERT GROSS BRIAN MIT MEDICAL DEPARTMENT 77 MASSACHUSETTS AVENUE BUILDING E23-268 CAMBRIDGE MA 02139 4/30/2021 4/30/2022 OD VI LEE GUERTIN E. III 598 COUNTY ST SOMMERSET MA 02726 1/14/2021 1/14/2022 OD VI ANITA GULMIRI NEW ENGLAND COLLEGE OF OPTOMETRY CENTER FOR EYECARE 930 COMMONWEALTH AVE, SUITE 2 ALLSTON MA 02215 8/10/2021 8/10/2022 OD VI NISHA GURALNICK PATEL EAST BOSTON NEIGHBORHOOD HEALTH CENTER 10 GOVE ST EAST BOSTON MA 02128 9/26/2021 9/26/2022 OD VI AMY GURLAND LYNN SIGNATURE HEALTHCARE MEDICAL GROUP 179 QUINCY ST BROCKTON MA 02302 10/27/2021 10/27/2022 OD VI CAMILLE GUZEK-LATKA MELANIE CHICOPEE EYE CARE 113 CENTER STREET CHICOPEE MA 01013 6/30/2021 6/30/2022 OD VI GERALD HAGEMAN F 301 MASS AVENUE LUNENBURG MA 01462 4/5/2021 4/5/2022 OD VI JAMES HAHN P HARVARD VANGUARD MED ASSOCIATES VISUAL SERVICES 1250 HANCOCK STREET QUINCY MA 02169 9/23/2021 9/23/2022 OD VI TRACY HAIRSTON KEITH METRO EYE DOCS. LLC 463 WORCESTER ROAD, SUITE 300 FRAMINGHAM MA 01701 7/7/2021 7/7/2022 OD VI AMANDA HALE N. 475 DALTON AVENUE PITTSFIELD MA 01201 3/28/2021 3/28/2022 OD VI

Page 8 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

HODA HAMED DIMOCK COMMUNITY HEALTH CENTER EYE CARE DEPT 55 DIMOCK STREET ROXBURY MA 02119 8/17/2021 8/17/2022 OD VI PAUL HAMEL V. HAMEL EYE ASSOCIATES 9 SYLVAN STREET PEABODY MA 01960 5/29/2021 5/29/2022 OD VI MENGLI HAN MCPHS SCHOOL OF OPTOMETRY 10 LINCOLN SQ WORCESTER MA 01608 9/13/2021 9/13/2022 OD VI MAUREEN HANLEY M THE NEW ENGLAND COLLEGE OF OPTOMETRY 424 BEACON STREET BOSTON MA 02115 10/3/2021 10/3/2022 OD VI ELIZABETH HANNIGAN BRIDGET NORTHAMPTON VISION SPECIALISTS 86 MASONIC STREET NORTHAMPTON MA 01060 3/21/2021 3/21/2022 OD VI ROBERT HANNIGAN ANDREW EYECARE-EYEWEAR ASSOC.,P.C. 45 COHANNET STREET TAUNTON MA 02780 8/17/2021 8/17/2022 OD VI TRACY HARADON ANN FOREST PARK EYE CARE 453 SUMNER AVENUE SPRINGFIELD MA 01108 3/2/2021 3/2/2022 OD VI STEPHEN HARNEY JAMES ADVANCED EYE CARE ASSOCIATES 850 CHELMSFORD STREET LOWELL MA 01851 8/14/2021 8/14/2022 OD VI JOHN HARRIS D J.C. PENNEY OPTICAL HOLYOKE MALL RT 91 & WHITING FARMS ROAD HOLYOKE MA 01040 12/16/2020 12/16/2021 OD VI MAGEN HARTNETT MARY 50 STANIFORD ST STE 600 BOSTON MA 02114 10/1/2021 10/1/2022 OD VI RICHARD HARTWELL ALEXANDER VISIONWORKS 70 WORCESTER-PROVIDENCE TURNPIKE STE 507 MILLBURY MA 01527 9/3/2021 9/3/2022 OD VI JOSEPH HASHIM D JR 145 WEST HOUSATONIC STREET PITTSFIELD MA 01201 10/2/2021 10/2/2022 OD VI LLOYD HASKES 52 KNOLL LANE LEVITTOWN NY 11756 8/16/2021 8/16/2022 OD VI MARION HAU MING WAI EAST BOSTON NEIGHBORHOOD HEALTH CTR VISION CENTER 10 GOVE STREET BOSTON MA 02128 8/11/2021 8/11/2022 OD VI JOEL HAYDEN B HAYDEN OPTOMETRIC INC 94 NORTH MAIN STREET MANSFIELD MA 02048 5/25/2021 5/25/2022 OD VI MICHAEL HENDERSON S OUTER CAPE HEALTH SERVICES 49 HARRY KEMP WAY PROVINCETOWN MA 02657 4/14/2021 4/14/2022 OD VI BRIDGET HENDRICKS C MCPHS UNIVERSITY SCHOOL OF OPTOMETRY 10 LINCOLN SQUARE WORCESTER MA 01608 9/22/2021 9/22/2022 OD VI ALEX HENTSCHEL R BAYSTATE EYE CENTER 67 OBERY STREET PLYMOUTH MA 02360 10/14/2020 10/14/2021 OD VI CHRISTINA HERALD MARIE 500 FAUNCE CORNER RD STE 110 NORTH DARTMOUTH MA 02747 6/26/2021 6/26/2022 OD VI DAVID HERRON JOHN BRAINTREE EYE ASSOCIATES 250 GRANITE STREET, SUITE 2069 BRAINTREE MA 02184 5/27/2021 5/27/2022 OD VI MARY HETTLER T NEW ENGLAND EYE CENTER 750 WASHINGTON STREET P.O. BOX 450 ATTN; CYNTHIA D'AURIA BOSTON MA 02111 3/13/2021 3/13/2022 OD VI SARAH HETU-RADNY A. 3 SOUTHFIELD ROAD AMHERST NH 03031 5/5/2021 5/5/2022 OD VI LORI HEYLER ANN 67 WEST BOYLSTON STREET, SUITE 11 WEST BOYLSTON MA 01583 8/11/2021 8/11/2022 OD VI DONALD HILL TREFRY 91 MILL STREET, SUITE 6 DRACUT MA 01826 1/2/2021 1/2/2022 OD VI ERICA HILL L 91 MILL STREET, SUITE 6 DRACUT MA 01826 3/10/2021 3/10/2022 OD VI MICHAEL HILL W. HILL EYE ASSOCIATES 91 MILL STREET, SUITE 6 DRACUT MA 01826 12/31/2020 12/31/2021 OD VI JULIE HIURA EMI THE FAMILY EYE CARE CENTER & OPTICAL GALLERY, INC. 5 CORNERSTONE SQUARE, SUITE 101 WESTFORD MA 01886 7/16/2021 7/16/2022 OD VI CONNIE HO TIFFANY 10 ANSELM TERRACE BRIGHTON MA 02135 6/25/2021 6/25/2022 OD VI EVA HO CHI-WAH DREAM VISION LLC 1461 DORCHESTER AVE BOSTON MA 02127 7/8/2021 7/8/2022 OD VI JEFFREY HO K NEW ENGLAND COLLEGE OF OPTOMETRY CENTER FOR EYE CARE 930 COMMONWEALTH AVE BOSTON MA 02215 8/8/2021 8/8/2022 OD VI RICHARD HO J EAST BOSTON NEIGHBORHOOD HEALTH CENTER VISION DEPT 20 MAVERICK SQ EAST BOSTON MA 02128 6/13/2021 6/13/2022 OD VI KRISTEN HOCK MARIE JOSLIN DIABETES CENTER BEETHAM EYE INSTITUTE 1 JOSLIN PLACE BOSTON MA 02215 10/11/2020 10/11/2021 OD VI DOUGLAS HOFFMAN JOEL 305 CONCORD RD WAYLAND MA 01778 9/2/2021 9/2/2022 OD VI STEPHEN HOLMES PAUL JR SEE BREEZE OPTICAL 68 TUPPER ROAD P.O. BOX 1660 SANDWICH MA 02563 5/6/2021 5/6/2022 OD VI STEVEN HOLTZMAN MARK FOXBORO EYE CARE CENTER 132 CENTRAL STREET, SUITE 101 FOXBORO MA 02035 5/13/2021 5/13/2022 OD VI TIFFANY HOOKS NICOLE DR. MAGALHAES AND ASSOCIATES 382 STATE ROAD DARTMOUTH MA 02747 9/17/2021 9/17/2022 OD VI JEANNE MARIE HOPKINS T MANET COMMUNITY HEALTH CENTER 110 WEST SQUANTUM ST QUINCY MA 02171 4/7/2021 4/7/2022 OD VI EMIL HOROWITZ R 38 HILLCREST RD WESTON MA 02493 11/8/2021 11/8/2022 OD VI GWYNN HORSBURGH MARGARET LAHEY CLINIC DEPARTMENT OF OPTHALMOLOGY 31 MALL ROAD BURLINGTON MA 01805 8/11/2021 8/11/2022 OD VI KEVIN HOUSTON E. MEEI DEPARTMENT OF OPTOMETRY 243 CHARLES ST BOSTON MA 02114 9/19/2021 9/19/2022 OD VI GEORGE HOWAYECK C JR 16 FAIRHAVEN COMMONS WAY FAIRHAVEN MA 02719 11/12/2021 11/12/2022 OD VI TERESA HRACH D'AGROSA 18 MILLISTON ROAD MILLIS MA 02054 3/3/2021 3/3/2022 OD VI JENNIFER HSIAO-FANG-YEN KIM EYE Q OPTICAL 615 CENTRE ST JAMAICA PLAIN MA 02130 3/14/2021 3/14/2022 OD VI JIANYAN HUANG 27 MEMORIAL PKWY RANDOLPH MA 02368 9/7/2021 9/7/2022 OD VI RAE HUANG RUI VISION CARE BOSTON INC 48 HIGH ST. BOSTON MA 02110 10/4/2021 10/4/2022 OD VI EMILY HUMPHREYS ROSE LYNN COMMUNITY HEALTH CENTER ATTN: FIRST FLOOR EYE CLINIC 20 CENTRAL AVE LYNN MA 01901 5/9/2021 5/9/2022 OD VI

Page 9 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

AMANDA HUNTER MARIE DR. JOSEPH V. MEGA JR. OD 500 E. WASHINGTON STREET, SUITE 12 NORTH ATTLEBORO MA 02760 10/19/2021 10/19/2022 OD VI MERYL HUNTER GRAY 288 LITTLETON ROAD, SUITE 2 WESTFORD MA 01886 7/28/2021 7/28/2022 OD VI TRISHA HUSSOIN EYE ASSOCIATES OF SOMERVILLE 174 BROADWAY #1 SOMERVILLE MA 02145 10/16/2021 10/16/2022 OD VI ANDY HUYNH GABRIEL EYECARE ETC 9 WARREN ST RANDOLPH MA 02368 4/11/2021 4/11/2022 OD VI DIANNA IANDOLO MARIE EAST BOSTON NEIGHBORHOOD HEALTH CENTER 10 GOVE ST. EAST BOSTON MA 02128 4/26/2021 4/26/2022 OD VI JOHN IANNITTO J 27 HEARD DR IPSWICH MA 01938 1/19/2021 1/19/2022 OD VI ELAINE ICBAN UNIVERSITY EYE CARE, LLC INSIDE TARGET OPTICAL 221 UNIVERSITY AVE WESTWOOD MA 02090 8/1/2021 8/1/2022 OD VI DZENANA IDRIZOVIC F ALL EYE CARE DOCTORS 63 STATION LANDING MEDFORD MA 02155 9/20/2021 9/20/2022 OD VI RODNEY IMMERMAN LANE 13 FORT ST FAIRHAVEN MA 02719 11/30/2021 11/30/2022 OD VI ANGELA IMPERIOLI MCPHS UNIVERSITY EYE & VISION 10 LINCOLN SQ WORCESTER MA 01608 1/30/2021 1/30/2022 OD VI KIT TUNG IP CAMBRIDGE EYE GROUP 603 CONCORD AVE, SUITE B CAMBRIDGE MA 02138 8/8/2021 8/8/2022 OD VI ANNA ISON-CHATFIELD LISA STURDY EYE ASSOCIATES 160 PLEASANT STREET ATTLEBORO MA 02703 5/4/2021 5/4/2022 OD VI HALEY ITALIA DIBIASE 243 CHARLES STREET BOSTON MA 02114 7/30/2021 7/30/2022 OD VI AUTUMN JACKSON H EYE HEALTH CENTERS 51 STATE ROAD CENTERS, RTE 6 NORTH DARTMOUTH MA 02747-3319 2/24/2021 2/24/2022 OD VI LISA JACOBSON D EYE ASSOCIATES OF NEEDHAM 400 HILLSIDE AVENUE NEEDHAM MA 02494 4/27/2021 4/27/2022 OD VI RICHARD JAMARA J 12 GALLAGHER DR RANDOLPH MA 02368 3/3/2021 3/3/2022 OD VI RICHARD JARVIS G THE EYE CENTER 184 MARKET DRIVE ATHOL MA 01331 9/2/2021 9/2/2022 OD VI RICHARD JASIAK L HAYES BUILDING 18 GRANITE ST. HAVERHILL MA 01832 1/17/2021 1/17/2022 OD VI DAVID JENNINGS J 19 CARONIA STREET CRANSTON RI 02920 12/2/2020 12/2/2021 OD VI GRACE JEONG EUNHYE DOT HOUSE HEALTH 1353 DORCHESTER AVE DORCHESTER MA 02122 2/20/2021 2/20/2022 OD VI ROSELYN JEUN WEI GWEN HOLLISTON VISION CENTER 841 WASHINGTON STREET HOLLISTON MA 01746 11/16/2021 11/16/2022 OD VI ROBIN JEWELL ANN JEWELL EYE ASSOCIATES 601 DONALD LYNCH BLVD., SUITE 1 MARLBOROUGH MA 01752 8/26/2021 8/26/2022 OD VI HONG JI 300 CONGRESS ST., SUITE 201 QUINCY MA 02169 7/23/2021 7/23/2022 OD VI YAN JIANG MASS EYE & EAR INFIRMARY DEPT OF CONTACT LENS 243 CHARLES STREET BOSTON MA 02114 6/18/2021 6/18/2022 OD VI JONATHON JIMMERSON HUDSON CENTER EYE CARE 162 PARK STREET, SUITE 201 NORTH READING MA 01864 4/10/2021 4/10/2022 OD VI LYNETTE JOHNS K 280 CONEY STREET EAST WALPOLE MA 02032 1/23/2021 1/23/2022 OD VI CATHERINE JOHNSON A SPECIALIZED PEDIATRIC EYE CARE 77 HERRICK STREET, UNIT 102 BEVERLY MA 01915 9/8/2021 9/8/2022 OD VI MARGARET JOHNSON MARY VISIONWORKS 230 FRANKLIN VILLAGE PARK FRANKLIN MA 02038 8/20/2021 8/20/2022 OD VI MATTHEW JOHNSON ALAN 360 MERRIMACK ST BLDG #9 1ST FLOOR LAWRENCE MA 01843 10/19/2021 10/19/2022 OD VI ROBERT JOHNSON DAVID ACUITY EYECARE, LLC 223 MAIN ST SALEM MA 03079 6/25/2021 6/25/2022 OD VI AMY JONES F LUNETTE OPTIC 121HIGH ST BOSTON MA 02110 8/2/2021 8/2/2022 OD VI ARIANNA JORDAN YOSHIKO 83 NEWBURY ST., FLR 3 BOSTON MA 02116 10/17/2020 10/17/2021 OD VI ROBERT JORDAN PAUL NIELSEN EYE CENTER 95 CHAPEL ST. NORWOOD MA 02062 10/21/2020 10/21/2021 OD VI CHERYL JOST DEPAOLO PRO OPTICAL 175 CAMBRIDGE STREET BOSTON MA 02114 7/24/2021 7/24/2022 OD VI ZACHARY JOST D PRO OPTICAL BOSTON 175 CAMBRIDGE ST BOSTON MA 02114 7/19/2021 7/19/2022 OD VI ZHONG LIANG JU WALMART VISION CENTER AT NORTH ATTLEBORO 1470 S. WASHINGTON ST. NORTH ATTLEBORO MA 02760 7/20/2021 7/20/2022 OD VI HEATHER KAAS LEIGH PEARLE VISION 470 SOUTHERN ARTERY QUINCY MA 02169 1/22/2021 1/22/2022 OD VI EMILY KACHINSKY S HARVARD VANGUARD MEDICAL ASSOCIATES VISUAL SERVICES 230 WORCESTER STREET WELLESLEY MA 02481 9/30/2021 9/30/2022 OD VI DAVID KAHAN I BAYSTATE EYE ASSOCIATES 436 BROADWAY METHUEN MA 01844 5/24/2021 5/24/2022 OD VI MATTHEW KAIM J 50 JEFFERSON STREET WINTHROP MA 02152 1/15/2021 1/15/2022 OD VI PADDY KALISH 1296 BEACON STREET BROOKLINE MA 02446 8/9/2021 8/9/2022 OD VI ENIAN KALLAMATA ALL EYE CARE DOCTORS 63 STATION LANDING MEDFORD MA 02155 8/10/2021 8/10/2022 OD VI GARY KAMENS HIRAM NEW ENGLAND VISION CARE, PC 378 WASHINGTON STREET SOUTH ATTLEBORO MA 027035917 6/17/2021 6/17/2022 OD VI MICHEL KAMMER M OPHTHALMIC CONSULTANTS OF BOSTON 50 STANIFORD STREET ATTN: CREDENTIALING DEPT, SUITE 600 BOSTON MA 02114 3/5/2021 3/5/2022 OD VI JOSEPH KANE EDWARD JR VA BOSTON HEALTHCARE SYSTEM OPTOMETRY CLINIC, 8TH FLR 150 SOUTH HUNTINGTON AVE JAMAICA PLAIN MA 02130 8/4/2021 8/4/2022 OD VI ANGIE KANIATOBE-VONNAHME JO 98 LOWER WESTFIELD ROAD HOLYOKE MA 01040 7/18/2021 7/18/2022 OD VI

Page 10 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

CHRISTOPHER KARALEKAS A ADVANCED EYE CARE ASSOCIATES 850 CHELMSFORD STREET LOWELL MA 01851 10/6/2021 10/6/2022 OD VI FIRAS KASSIRA PETER 1099 PLEASANT ST. SUITE B WORCESTER MA 01602 9/30/2021 9/30/2022 OD VI TATYANA KATZ I 423 PARADISE ROAD SWAMPSCOTT MA 01907 8/28/2021 8/28/2022 OD VI CLAUDINE KAWABATA Y OPHTHALMIC CONSULTANTS OF BOSTON 50 STANIFORD STREET, SUITE 600 BOSTON MA 02114 10/3/2021 10/3/2022 OD VI DAVID KAY PAUL 789 MAIN STREET, SUITE 3 GREAT BARRINGTON MA 01230 6/19/2021 6/19/2022 OD VI KIANA KAYMANESH 200 GREAT ROAD, SUITE 6A BEDFORD MA 01730 4/13/2021 4/13/2022 OD VI AZADEH KELLY KARIMI 130 DARMOUTH STREET BOSTON MA 02116 11/4/2020 11/4/2021 OD VI VALERIE KELLY LYNNE FAMILY EYE CARE CENTER & OPTICAL GALLERY, INC. 5 CORNERSTONE SQUARE, SUITE 101 WESTFORD MA 01886 5/26/2021 5/26/2022 OD VI KRISTIN KENNEY S ASSOCIATED EYE SURGEONS 45 RESNIK ROAD, SUITE 301 PLYMOUTH MA 02360 11/21/2021 11/21/2022 OD VI CHRISTEN KENRICK JEAN MICROSURGICAL EYE CONSULTANTS 31 CENTENNIAL DRIVE PEABODY MA 01960 10/8/2021 10/8/2022 OD VI ANN KENT-GASIOROWSKI LAHEY CLINIC NORTH SHORE EYE INSTITUTE ONE ESSEX CENTER DRIVE PEABODY MA 01960 6/3/2021 6/3/2022 OD VI KRISTEN KERBER LEIGH 424 BEACON STREET BOSTON MA 02115 11/3/2020 11/3/2021 OD VI ALIA KHALAF NAZER MCPHS SCHOOL OF OPTOMENTRY - EYE & VISION 10 LINCOLN SQ WORCESTER MA 01608 12/5/2020 12/5/2021 OD VI INRAVA KHASNABISH 3860 VICTORY BLVD STATEN ISLAND, NY 10314 11/4/2020 11/4/2021 OD VI VARUN KHEDEKAR STRIUS HEALTH DEPT OF OPTOMETRY 133 BROOKLINE AVENUE BOSTON MA 02215 6/18/2021 6/18/2022 OD VI NABEEL KHUDAIRI 10 GREENLEAF STREET MALDEN MA 02148 4/12/2021 4/12/2022 OD VI TRINH KHUU TU CODMAN SQUARE HEALTH CTR 637 WASHINGTON STREET DORCHESTER MA 02124 9/15/2021 9/15/2022 OD VI MARY KIM M. 15 COLBY WAY WESTWOOD MA 02090 7/6/2021 7/6/2022 OD VI YOUNG KIM CHUN 250 FORTUNE BLVD. MILFORD MA 01757 11/2/2020 11/2/2021 OD VI JESSICA KING L 184 MARKET DRIVE ATHOL MA 01331 5/14/2021 5/14/2022 OD VI ANNA KIRILLOVA BOSTON CHILDREN'S HOSPITAL 300 LONGWOOD AVE BOSTON MA 02115 8/15/2021 8/15/2022 OD VI MARK KIRSTEIN DAVID OPHTHALMIC CONSULTANTS OF BOSTON 50 STANIFORD STREET, SUITE 600 BOSTON MA 021142517 11/24/2021 11/24/2022 OD VI CRYSTAL KLAAHSEN J PORTER SQUARE EYE ASSOCIATES, INC. 2038 MASS AVENUE CAMBRIDGE MA 02140 8/1/2021 8/1/2022 OD VI SARA KLEINER-GOUDEY JANE PITTSFIELD VISION ASSOCIATES, PC 217 SOUTH ST PITTSFIELD MA 01201 11/12/2021 11/12/2022 OD VI DANA KLUDJIAN J 120 CAMBRIDGE STREET BURLINGTON MA 01803 10/31/2021 10/31/2022 OD VI MERITZA KLUGE RONDON 479 OLD UNION TURNPIKE LANCASTER MA 01523 12/24/2020 12/24/2021 OD VI JOSEPHINE KO 4102 LANGLAND ST., CINCINNATI OH 45223 1/20/2021 1/20/2022 OD VI NICHOLAS KOFOS M 180 BOLTON STREET MARLBOROUGH MA 01752 5/24/2021 5/24/2022 OD VI STEPHEN KOLNIK D 1191 CHESTNUT STREET NEWTON MA 02464 3/11/2021 3/11/2022 OD VI BRENDA KOMARI AUBURN WESTBOROUGH EYE ASSOCIATES 48 AUBURN ST AUBURN MA 01501 7/9/2021 7/9/2022 OD VI JACKY KONG KIN WAI THE NEW ENGLAND COLLEGE OF OPTOMETRY 424 BEACON STREET BOSTON MA 02115 4/8/2021 4/8/2022 OD VI VIVIENNE KONG T MASS EYE ASSOCIATES, P.C. 19 VILLAGE SQUARE CHELMSFORD MA 01824 2/11/2021 2/11/2022 OD VI DONALD KORB ROY 400 COMMONWEALTH AVENUE, SUITE 2 BOSTON MA 02215 5/28/2021 5/28/2022 OD VI TERESA KOS C. C/O DOSTAL EYE CARE 250 NORTHAMPTON ST EASTHAMPTON MA 01027 5/29/2021 5/29/2022 OD VI FOTINI KOSTOGIANNIS VISION WORKS 1623 BEACON STREET BROOKLINE MA 02445 9/17/2021 9/17/2022 OD VI KAREN KOUMJIAN LYNNE 124 WATERTOWN STREET, SUITE 3E WATERTOWN MA 02472 1/31/2021 1/31/2022 OD VI LEIGH KOZAK C. 123 SHERWOOD LN RAYNHAM MA 02767 3/21/2021 3/21/2022 OD VI NEIL KOZOL DAVID 20 ROCHE BROS WAY, SUITE 7 NORTH EASTON MA 02356 5/22/2021 5/22/2022 OD VI LISA KRALIAN M C/O WESTBOROUGH SPECTACLE SHOPPE 4 WEST MAIN STREET P.O. BOX 1065 WESTBORO MA 01581 10/5/2021 10/5/2022 OD VI BARRY KRAN S. N.E. EYE AT PERKINS SCHOOL FOR THE BLIND 175 NORTH BEACON STREET WATERTOWN MA 02472 7/7/2021 7/7/2022 OD VI HENDRIK KROSSCHELL III 734 NEWPORT AVENUE UNIT4 ATTLEBORO MA 02703 9/14/2021 9/14/2022 OD VI KIMBERLY KRUSELL 73 RUSSELL RD HUNTINGTON MA 01050 7/25/2021 7/25/2022 OD VI JEFFREY KUBLIN 175 CAMBRIDGE STREET BOSTON MA 02114 9/9/2021 9/9/2022 OD VI DINA KUCH NASHUA EYE ASSOCIATES 5 COLISEUM AVE NASHUA NH 03063 2/26/2021 2/26/2022 OD VI ROBERT KUPSC MOA 149 UNIVERSITY AVE WESTWOOD MA 02090 3/11/2021 3/11/2022 OD VI SUSAN KWAITER-SADLER MARIE MEDFIELD EYE CARE 67 WEST STREET MEDFIELD MA 02052 8/18/2021 8/18/2022 OD VI

Page 11 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

CHIHAE KWAN NEW ENGLAND EYE CENTER-FRAMINGHAM 959 CONCORD STREET, SUITE 302 FRAMINGHAM MA 01701 8/6/2021 8/6/2022 OD VI ANDREA LABUNSKI ELIZABETH NEW ENGLAND COLLEGE OF OPTOMETRY 930 COMMONWEALTH AVE BOSTON MA 02215 7/23/2021 7/23/2022 OD VI DEANNA LAHEY KATHERINE 250 FORTUNE BLVD MILFORD MA 01757 7/1/2021 7/1/2022 OD VI JAMES LAHIVE PAUL 100 CROSSING BLVD., SUITE 300 FRAMINGHAM MA 01702 5/12/2021 5/12/2022 OD VI MICHAEL LAKHER B ARCADE OPTICAL 318 HARVARD STREET, SUITE 10 BROOKLINE MA 02446 3/24/2021 3/24/2022 OD VI GEORGE LAKKIS COHEN'S FASHION OPTICAL 607 BOYLSTON ST BOSTON MA 02116 8/24/2021 8/24/2022 OD VI EDA LAM WING-HING 30 MAN MAR DRIVE, SUITE 6 PLAINVILLE MA 02762 7/18/2021 7/18/2022 OD VI JANE LAM TRINH LICKTEIG FAMILY EYE CARE 4110 MYSTIC VALLEY HWY MEDFORD MA 02155 11/14/2020 11/14/2021 OD VI THERESA LAM T 37 NEWBURY STREET BOSTON MA 02116 9/13/2021 9/13/2022 OD VI ROSANNA LAMALVA C. 10 CITY HALL AVENUE BOSTON MA 02108 10/4/2021 10/4/2022 OD VI KRISTEN LAMOREAU P BIDMC LONGWOOD EYE CLINIC 330 BROOKLINE AVE, SHAPIRO 5TH FLR BOSTON MA 02215 9/25/2021 9/25/2022 OD VI PHYLLIS LANDMAN F MEDICAL OFFICE BUILDING 20 HOPE AVENUE, SUITE 212 WALTHAM MA 02453 10/13/2021 10/13/2022 OD VI CHERYL LANDRY A VA BOSTON HEALTHCARE SYSTEM 130 MARSHALL ROAD LOWELL MA 01582 2/12/2021 2/12/2022 OD VI PATTI LANDRY A MIT MEDICAL DEPT. EYE SERVICE 77 MASS. AVENUE, BLDG E23-268 CAMBRIDGE MA 02139 11/18/2021 11/18/2022 OD VI MURSAL LANGER PEARLE VISION 287 SCHOOL ST MANSFIELD MA 02048 8/18/2021 8/18/2022 OD VI LAUREN LAPAGLIA A HOLLISTON VISION CENTER 841 WASHINGTON STREET HOLLISTON MA 01746 6/13/2021 6/13/2022 OD VI JENNA LAROCQUE MAUREEN FORGUES EYECARE 152 RUSSELL STREET WORCESTER MA 01609 3/20/2021 3/20/2022 OD VI MICHAEL LARSEN PAUL AUBURN VISION CENTER, INC. 59 AUBURN STREET AUBURN MA 01501 4/28/2021 4/28/2022 OD VI NAHALL LARSEN M NEW ENGLAND EYE CONSULTANTS, INC. 100 COMMERCIAL ROAD LEOMINSTER MA 01453 7/2/2021 7/2/2022 OD VI CORY LAVALLEE MICHAEL 738 HIGH STREET WESTWOOD MA 02090 7/20/2021 7/20/2022 OD VI KRISTINA LAZAR L.I. 198 COLONY PLACE ROAD PLYMOUTH MA 02360 7/24/2021 7/24/2022 OD VI HELEN LE H.N. SIGNATURE HEALTHCARE EYE SERVICES 110 LIBERTY STREET, SUITE 1100 BROCKTON MA 02301 8/3/2021 8/3/2022 OD VI HOAI LE D DREAM VISION EYECARE 1461 DORCHESTER AVE DORCHESTER MA 02122 7/23/2021 7/23/2022 OD VI JENNIFER LE KIM UPHAM'S CORNER HEALTH CENTER 636 COLUMBIA ROAD DORCHESTER MA 02125 11/7/2020 11/7/2021 OD VI JULIE LE LOWELL COMMUNITY HEALTH CENTER 161 JACKSON ST LOWELL MA 01852 9/28/2021 9/28/2022 OD VI PHISON LE DOT HOUSE HEALTH 1353 DORCHESTER AVE DORCHESTER MA 02122 8/12/2021 8/12/2022 OD VI PHIYEN LE HO CENTRAL EYE CARE OF NEWTON, LLC 1001 WATERTOWN ST., 3RD FLR WEST NEWTON MA 02465 9/14/2021 9/14/2022 OD VI THUY LE Q 34 OAK TRAIL BOLTON MA 01740 9/21/2021 9/21/2022 OD VI THUYANH LE DANG LE VISION 660 BOSTON ROAD BILLERICA MA 01821-5318 8/28/2021 8/28/2022 OD VI ALAN LEAVITT ERIC BAYVIEW OPTOMETRICS 9 MARKET STREET P.O. BOX 1410 MASHPEE MA 02649 5/4/2021 5/4/2022 OD VI THOMAS LEAVITT ALAN HARVARD VANGUARD MED ASSOCIATES 26 CITY HALL MALL MEDFORD MA 02115 8/17/2021 8/17/2022 OD VI ALLISON LEBLANC M EYE HEALTH VISION CENTERS 933 PLEASANT ST FALL RIVER MA 3/11/2021 3/11/2022 OD VI CONSTANCE LEE S UNIVERSITY EYE CARE LLC 221 UNIVERSITY AVE WESTWOOD MA 02090 8/12/2021 8/12/2022 OD VI DEBORAH LEE I BOSTON UNIVERSITY EYE ASSOCIATES 850 HARRISON AVE 3RD FLOOR BOSTON MA 02118 2/26/2021 2/26/2022 OD VI FLORENCE LEE JACKIE EYE SERVICES AT BETH ISRAEL DEACONESS HEALTHCARE -CHELSEA 1000 BROADWAY CHELSEA MA 02150 4/17/2021 4/17/2022 OD VI JOHN LEE JUNE 101 KINGSTON COLLECTION WAY C104 KINGSTON MA 02364 4/25/2021 4/25/2022 OD VI PATRICK LEE MASSACHUSETTS EYE AND EAR INFIRMARY OPTOMETRY SERVICE 243 CHARLES ST BOSTON MA 02114 6/27/2021 6/27/2022 OD VI JOHN LEFFERS TYNER VISIONWORKS 15 HIGHLAND AVENUE SEEKONK MA 02771 8/4/2021 8/4/2022 OD VI LEE LERNER D DOCTOR OF OPTOMETRY 381 MOODY STREET WALTHAM MA 02453 11/18/2021 11/18/2022 OD VI WENDY LESLIE JANIS MALL VISION CENTER 113 CORPORATION ROAD HYANNIS MA 02601 5/1/2021 5/1/2022 OD VI NGUYET LESOLTIS THAI VISION CARE 2000 48 HIGH ST. BOSTON MA 02110 5/1/2021 5/1/2022 OD VI KENNETH LEVINE B 279 CAMBRIDGE STREET BURLINGTON MA 01803 5/6/2021 5/6/2022 OD VI CRYSTAL LEWANDOWSKI MARIE NORTH END WATERFRONT HEALTH 332 HANOVER ST BOSTON MA 02113 8/12/2021 8/12/2022 OD VI APRIL LEWIS M FENWAY HEALTH OPTOMETERY DEPT 1340 BOYLSTON ST BOSTON MA 02215 3/12/2021 3/12/2022 OD VI KAREN LEWIS L 40 ENON ST. BEVERLY MA 01915 6/15/2021 6/15/2022 OD VI YAN LI TARGET OPTICAL 101 COMMERCE WAY WOBURN MA 01801 3/9/2021 3/9/2022 OD VI

Page 12 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

ZHUORAN LI 101 MIDDLESEX TURNPIKE BURLINGTON MA 01803 8/26/2021 8/26/2022 OD VI JENNIFER LIAO M NECO CENTER FOR EYE CARE 930 COMMONWEALTH AVENUE BOSTON MA 02215 3/21/2021 3/21/2022 OD VI JIA JIANN LIAW MASS OPTOMETRIC ASSOCIATES 1 HIGHLAND AVE 3B MALDEN MA 02148 10/11/2021 10/11/2022 OD VI PETER LIBERTO J BROCKTON NEIGHBORHOOD HEALTH CENTER 63 MAIN STREET BROCKTON MA 02301 3/21/2021 3/21/2022 OD VI BENJAMIN LICKTEIG THOMAS 15 BROOK ST STE 3 MEDFIELD MA 02052 6/26/2021 6/26/2022 OD VI BURKE LIEPPMAN CODMAN SQUARE HEALTH CENTER 637 WASHINGTON ST. DORCHESTER MA 02124 7/25/2021 7/25/2022 OD VI DIANNA LISTER ENVISION OPTOMETRY 126 HIGH ST STE 100 BOSTON MA 02110 7/28/2021 7/28/2022 OD VI JANETTE LIU L. PEARLE VISION 90 PLEASANT VALLEY STREET, SUITE 250 METHUEN MA 01844 8/23/2021 8/23/2022 OD VI YING LIU TARGET OPTICAL ONE MYSTIC VIEW ROAD EVERETT MA 02149 6/20/2021 6/20/2022 OD VI ERNEST LOEWENSTEIN VICTOR 471 WASHINGTON STREET NEWTON MA 02458 4/30/2021 4/30/2022 OD VI JAMES LOMBARDO A JR HARVARD VANGUARD MEDICAL ASSOCIATES 20 WALL STREET BURLINGTON MA 01803 5/21/2021 5/21/2022 OD VI CRISTINA LOPES M C&C OPTOMETRIC SERVICES INC 492 WINTHROP ST .UNIT 2 REHOBOTH MA 02769 5/14/2021 5/14/2022 OD VI MEGAN LOPEZ LYNN LEXINGTON EYE ASSOCIATES 21 WORTHEN ROAD LEXINGTON MA 02421 12/10/2020 12/10/2021 OD VI ERIN LORD ELIZABETH 870 PROVIDENCE HIGHWAY DEDHAM MA 02026 12/1/2020 12/1/2021 OD VI JENNA LOUGHLIN ANNE 50 STANIFORD ST., SUITE 600 BOSTON MA 02114 12/12/2020 12/12/2021 OD VI RICHARD LUBAS M. 36 PARAMOUNT DRIVE VISION CENTER RAYNHAM MA 02767 10/2/2021 10/2/2022 OD VI SUZANNE LUCASH 4 LYMAN STREET WESTBOROUGH MA 01581 3/24/2021 3/24/2022 OD VI JAMES LUCCIO A C/O PAM CARROLL 516 WESTGATE DRIVE BROCKTON MA 02301 11/3/2021 11/3/2022 OD VI ALAYNA LUCERO ALLARD EYE HEALTH VISIONCENTERS 51 STATE ROAD DARTMOUTH MA 02747 9/6/2021 9/6/2022 OD VI DAVID LURIA M 12 ELIOT STREET CAMBRIDGE MA 02138 2/17/2021 2/17/2022 OD VI SIVHOUR LY VISION WORKS 435 B STATE RD DARTMOUTH MA 02747 8/6/2021 8/6/2022 OD VI ALISON LYNCH CATHERINE HEALTH DRIVE 100 CROSSINGS BLVD FRAMINGHAM MA 01702 12/10/2020 12/10/2021 OD VI TIMOTHY LYNCH T BAYSTATE EYE CARE, PC ONE NORTH MAIN STREET MANSFIELD MA 02048 6/17/2021 6/17/2022 OD VI STACY LYONS A THE NEW ENGLAND COLLEGE OF OPTOMETRY 424 BEACON STREET BOSTON MA 02115 5/25/2021 5/25/2022 OD VI SHAN MA NATICK EYE ASSOCIATES 1364 WORCESTER ST NATICK MA 01760 12/16/2020 12/16/2021 OD VI LILY MAC KIM 90 MIDDLESEX TURNPIKE BURLINGTON MA 01803 3/21/2021 3/21/2022 OD VI MELANIE MACBETH C 231 BELMONT STREET BELMONT MA 02478 8/10/2021 8/10/2022 OD VI ANDREW MACIASZEK S MYEYEDR 150 NORTH KING STREET NORTHAMPTON MA 01020 12/12/2020 12/12/2021 OD VI KIM MACIASZEK MCGILLICUDDY VALLEY EYECARE 10 HAMBURG STREET SPRINGFIELD MA 01107 10/10/2020 10/10/2021 OD VI JOHN MAGALHAES D. JOHN D. MAGALHAES & ASSOCIATES INC. 382 STATE ROAD DARTMOUTH MA 02747 7/13/2021 7/13/2022 OD VI CHARLES MAGGIO EAST BOSTON NEIGHBORHOOD HEALTH CENTER 20 MAVERICK SQUARE E. BOSTON MA 02128 7/13/2021 7/13/2022 OD VI THOMAS MAHER G GOSWICK EYE CARE 150 BRYN MAWR AVE AUBURN MA 01501 2/14/2021 2/14/2022 OD VI ANNA MAI CHAU ORLEN EYE CARE 50 HOLYOKE STREET, BOX 10366 HOLYOKE MA 01040 7/27/2021 7/27/2022 OD VI REBECCA MAIDA BENNETT 231 BELMONT STREET BELMONT MA 02478 7/15/2021 7/15/2022 OD VI ALEXIS MALKIN G NECO CENTER FOR EYE CARE 930 COMMONWEALTH AVE BOSTON MA 02215 4/13/2021 4/13/2022 OD VI VIVEK MALLAMPALLI EYE Q OPTICAL 615 CENTRE ST JAMAICA PLAIN MA 02130 7/29/2021 7/29/2022 OD VI KATHERINE MAM WESTGATE VISION PEARLE VISION 516 WESTGATE DRIVE BROCKTON MA 02301 3/24/2021 3/24/2022 OD VI EWA MAMBER M PEARL VISION FOR DR. EWA MAMBER 100 CITY HALL PLAZA BOSTON MA 02108 8/23/2021 8/23/2022 OD VI CHARLES MANDEL I 7 GASTON DR PITTSFIELD MA 01201 2/10/2021 2/10/2022 OD VI JACQUELINE MANDILE L VALLEY MEDICAL GROUP, PC EYE CARE DEPT 70 MAIN STREET FLORENCE MA 01062-1466 7/14/2021 7/14/2022 OD VI MARIE MANTELLI A MCPHS UNIVERSITY 10 LINCOLN SQUARE WORCESTER MA 01608 12/3/2020 12/3/2021 OD VI GAIL MARCHETTO S. 673 BEDFORD STREET STE 3 ABINGTON MA 02351 11/13/2020 11/13/2021 OD VI NELI MARCHEVA Z ATRIUS HEALTH VISUAL SERVICES DEPT 133 BROOKLINE AVENUE BOSTON MA 02215 8/8/2021 8/8/2022 OD VI PAUL MARESCALCHI ALBERT EYE CLINIC DEPT OF VETERANS AFFAIRS 150 SOUTH HUNTINGTON AVE JAMAICA PLAIN MA 02130 1/13/2021 1/13/2022 OD VI AILEEN MARIA TALLMAN EYE ASSOCIATES 360 MERRIMACK ST, BLDG 9 LAWRENCE MA 01843 1/30/2021 1/30/2022 OD VI CHRISTINE MARIPURI ELLEN TALLMAN EYE ASSOCIATES 360 MERRIMACK ST BLDG 9 LAWRENCE MA 01843 8/1/2021 8/1/2022 OD VI

Page 13 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

CASSANDRA MARK LYNNE YOSEMITE EYEWEAR 42 LANGLEY ROAD NEWTON CENTER MA 02459 8/4/2021 8/4/2022 OD VI STEVEN MARKOW A. VILLAGE EYE CARE, P.C. 7 HADLEY STREET, SUITE 1 SOUTH HADLEY MA 01075 11/9/2020 11/9/2021 OD VI BREANNA MARQUES CATHERINE 51 STATE RD DARTMOUTH MA 02747 7/23/2021 7/23/2022 OD VI LISA MARQUES ANN 1741 PRESIDENT AVENUE FALL RIVER MA 02720 10/10/2021 10/10/2022 OD VI NOREEN MARRON-CURDO B. HELLER EYECARE 230 LOWELL ST STE 1B WILMINGTON MA 01887 2/11/2021 2/11/2022 OD VI ALEXANDER MARTIN RICHARD BOSTON LASER EYE INSTITUTE 25 MARSTON ST #104 LAWRENCE MA 01841 5/1/2021 5/1/2022 OD VI GERALDINE MARTIN C 2 MYSTIC VIEW ROAD EVERETT MA 02149 7/17/2021 7/17/2022 OD VI JULIANNE MARTIN NECO CENTER FOR EYE CARE 930 COMMONWEALTH AVE BOSTON MA 02215 8/25/2021 8/25/2022 OD VI LAURA MARTIN E C/O SOUTH END EYE 681 TREMONT STREET BOSTON MA 02118 6/2/2021 6/2/2022 OD VI RICHARD MARTINO CHARLES MCPHS WORCESTER EYE & VISION CENTER 10 LINCOLN SQUARE WORCESTER MA 01608 6/26/2021 6/26/2022 OD VI THOMAS MASELLI R 151 ASHLAND STREET P.O. BOX 836 NORTH ADAMS MA 01247 4/29/2021 4/29/2022 OD VI TIMOTHY MASELLI MICHAEL 151 ASHLAND STREET NORTH ADAMS MA 01247 8/16/2021 8/16/2022 OD VI RONALD MASTROLIA J. JR. EYE HEALTH VISION CENTERS 70 HUTTLESTON AVE FAIRHAVEN MA 02719 9/27/2021 9/27/2022 OD VI MARY MATHIAS L PEARLE VISION 739 BROADWAY SAUGUS MA 01906 11/18/2020 11/18/2021 OD VI KENDALL MAULT L.H. NORTH SHORE EYE CARE 116 R HIGHLAND AVENUE SALEM MA 01970 8/13/2021 8/13/2022 OD VI SHANNON MCCANN L LEXINGTON EYE ASSOCIATES 133 LITTLETON RD, SUITE 305 WESTFORD MA 01886 8/30/2021 8/30/2022 OD VI CHANTAL MCCARRON D 113 HAVERHILL ST UNIT 1 NORTH READING MA 01864 8/20/2021 8/20/2022 OD VI ROGER MCCARTHY DENNIS 2 OLD SNAKE POND ROAD FORESTDALE MA 02644 4/25/2021 4/25/2022 OD VI CHAD MCDONALD EVERETT WATTS EYE ASSOCIATES, LLC 33 LOW STREET NEWBURYPORT MA 01950 8/31/2021 8/31/2022 OD VI MARK MCGEE A WALMART VISION CENTER 333 MAIN STREET TEWKSBURY MA 01876 5/22/2021 5/22/2022 OD VI SUMMER MCGEEVER J THE VISION STANDARD C/O LENSCRAFTERS 100 CAMBRIDGE SIDE PLACE, SUITE 2 CAMBRIDGE MA 02141 2/24/2021 2/24/2022 OD VI JOHN MCHALE E 315 MAIN STREET, SUITE 201 READING MA 01867 3/16/2021 3/16/2022 OD VI MICHELE MCHALE 2005 BAY ST STE 206 TAUNTON MA 02780 1/21/2021 1/21/2022 OD VI CHARLES MCKERVEY J. 186 MAIN STREET GLOUCESTER MA 01930 7/7/2021 7/7/2022 OD VI REBECCA MCLAUGHLIN SUZANNE AUBURN WESTBORO EYE ASSOCIATES 48 AUBURN ST AUBURN MA 01501 10/11/2021 10/11/2022 OD VI ANDREW MCLEOD DONALD LEONARD KORB & ASSOCIATES 400 COMMONWEALTH AVE SUITE 2 BOSTON MA 02215 8/30/2021 8/30/2022 OD VI KIMBERLY MCLEOD J. MCLEOD EYE ASSOCIATES 567 SOUTHBRIDGE STREET, SUITE 12 AUBURN MA 01501 7/12/2021 7/12/2022 OD VI LAUREN MCLOUGHLIN K. THE NEWBURYPORT OPTIQUE 27R PLEASANT ST NEWBURYPORT MA 01950 8/6/2021 8/6/2022 OD VI LANCE MCNAUGHTON 930 COMMONWEALTH AVE BOSTON MA 02215 8/1/2021 8/1/2022 OD VI MEGAN MCPHAIL LYNN 230 MAPLE STREET HOLYOKE MA 01040 2/5/2021 2/5/2022 OD VI DAVID MCQUEEN ANDREW FESTIVAL AT HYANNIS 1070 ROUTE 132 HYANNIS MA 02601 6/30/2021 6/30/2022 OD VI JOSEPH MEDEIROS V 260 NORTH MAIN STREET FALL RIVER MA 02720 1/19/2021 1/19/2022 OD VI JOSEPH MEGA V JR MEGA EYECARE 500 EAST WASHINGTON ST., SUITE 12 NORTH ATTLEBORO MA 02760 5/18/2021 5/18/2022 OD VI SAMANTHA MEIN A DR. LAURA ANNE POTVIN, P.C. OPTOMETRISTS 939 SALEM ST, STE 7 GROVELAND MA 01834 6/19/2021 6/19/2022 OD VI ASHA MELOOTTU VISION SOURCE OF PARK SQUARE 31 ST. JAMES AVE, SUITE 135 BOSTON MA 02116 8/27/2021 8/27/2022 OD VI TAYLOR MELTZER ANN PEARLE VISION OF SOMERVILLE 22 MCGRATH HWY #14 SOMERVILLE MA 02143 7/21/2021 7/21/2022 OD VI JANNA MENDENHALL M EYECARE ASSOCIATES OF MA 111 DRUM HILL RD CHELMSFORD MA 01863 11/16/2020 11/16/2021 OD VI LOTFI MERABET BACHIR MASS EYE AND EAR INFIRMARY DEPT. OF OPHTHALMOLOGY 20 STANIFORD STREET, (2 WEST BUILDING) BOSTON MA 02114 12/12/2020 12/12/2021 OD VI MARIA MERCURI TUFTS MEDICAL CENTER DEPT OF OPHTHALMOLOGY 750 WASHINGTON ST BOX 450 BOSTON MA 02111 1/6/2021 1/6/2022 OD VI JAMES MERLIN IRA VALLEY MEDICAL GROUP 329 CONWAY STREET GREENFIELD MA 01301 10/24/2020 10/24/2021 OD VI MICHAEL MERRITT CLIVE LYNN COMMUNITY HEALTH CENTER EYE CLINIC 20 CENTRAL AVE 1ST FLOOR LYNN MA 01901 11/2/2020 11/2/2021 OD VI DAVID METSCH SETH 542B TURNPIKE STREET NORTH ANDOVER MA 01845 2/19/2021 2/19/2022 OD VI LORI MICHAUD B ADVANCED EYE CENTERS, INC 500 FAUNCE CORNER RD, SUITE 110 BLDG 100 N. DARTMOUTH MA 02747 8/7/2021 8/7/2022 OD VI BRUCE MICLEY H. NEW ENGLAND EYE ASSOCIATES, INC. 495 WESTGATE DRIVE BROCKTON MA 02301 4/6/2021 4/6/2022 OD VI DAVID MIGNAULT P BOSTON VISION WORKS, INC. 335 MAIN STREET SAUGUS MA 01906 6/1/2021 6/1/2022 OD VI FRANK MILLER E NATICK FAMILY EYE CARE 45 WEST CENTRAL STREET NATICK MA 01760 5/21/2021 5/21/2022 OD VI

Page 14 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

KATHRYN MILLER B BOSTON CHILDREN'S HOSPITAL DEPT OF OPHTHALMOLOGY 300 LONGWOOD AVENUE BOSTON MA 02115 9/10/2021 9/10/2022 OD VI MARIA MILLER B. 4 PATRICK ST ARLINGTON MA 02474 7/24/2021 7/24/2022 OD VI MONICA MILLER LYNN LENSCRAFTERS IN MACYS 450 WASHINGTON ST. BOSTON MA 02111 6/15/2021 6/15/2022 OD VI LAURA MILNER O. WACHUSETT FAMILY EYE CARE 44 STERLING STREET WEST BOYLSTON MA 01583 11/24/2020 11/24/2021 OD VI MICHELE MIRANDA RENEE DR. ANDREW BORASKI 334 WALNUT STREET EXT AGAWAM MA 01001 2/9/2021 2/9/2022 OD VI STEVEN MIZERAK GARY MCLEOD EYE ASSOCIATES 567 SOUTHBRIDGE STREET AUBURN MA 01501 2/5/2021 2/5/2022 OD VI MATTHEW MODDERNO J 138 NAHATAN STREET NORWOOD MA 02062 7/22/2021 7/22/2022 OD VI MELISSA MOHAMMAD S TALLMAN EYE ASSOCIATES 360 MERRIMACK STREET, BLDG 9 LAWRENCE MA 01843 10/29/2021 10/29/2022 OD VI PREETI MOKKA L BOSTON CHILDREN'S HOSPITAL DEPT OF OPHTHALMOLOGY 300 LONGWOOD AVE BOSTON MA 02215 10/6/2021 10/6/2022 OD VI ANTHONY MOLINARI ROBERT 1 HOLLYWOOD DRIVE GRAFTON MA 01536 8/18/2021 8/18/2022 OD VI VALERIE MOLINARO-GUDAS M 17 COVE LANE P.O. BOX 3023 POCASSET MA 02559 10/31/2021 10/31/2022 OD VI DAVID MOMNIE CONRAD CHICOPEE EYECARE, P. C. 113 CENTER STREET, P.O. BOX 420 CHICOPEE MA 01014 4/9/2021 4/9/2022 OD VI JOHN MOONEY THOMAS JR 23 MILL STREET LEOMINSTER MA 01453 4/4/2021 4/4/2022 OD VI ESTHER MORALES M SOUTH SHORE EYE ASSOCIATES 670 DEPOT ST NORTH EASTON MA 02356 9/16/2021 9/16/2022 OD VI ANDREA MORRIS R. 2 ESSEX CTR DRIVE PEABODY MA 01960 5/10/2021 5/10/2022 OD VI CHRISTINE MORRIS LIVINGSTONE OPHTHALMIC CONSULTANTS OF BOSTON 186 JONES RD FALMOUTH MA 02540 5/24/2021 5/24/2022 OD VI DALE MORRIS DUANE JR 793 IYANNOUGH ROAD HYANNIS MA 02601 3/2/2021 3/2/2022 OD VI STEPHEN MORRIS DOUGLAS 16 MERCHANTS WAY MIDDLEBORO MA 02346 1/4/2021 1/4/2022 OD VI ANDREA MOSEMAN T 345 MAIN ST NORTHBOROUGH MA 01532 7/28/2021 7/28/2022 OD VI HOLLY MOSKOS SAVARD & MOSKOS EYE HEALTH CARE, LLC 511 WEST GROVE STREET, SUITE 101 MIDDLEBORO MA 02346 8/12/2021 8/12/2022 OD VI ERIC MOULTON ALAN BOSTON CHILDREN'S HOSPITAL DEPT OF OPHTHALMOLOGY 300 LONGWOOD AVE BOSTON MA 02115 2/28/2021 2/28/2022 OD VI AMY MOY ROAN MARTHA ELLIOT HEALTH CENTER EYE CLINIC 75 BICKFORD STREET JAMAICA PLAIN MA 02130 6/16/2021 6/16/2022 OD VI SANTANU MUKHERJEE VISIONWORKS 250 GRANITE ST., #1041C BRAINTREE MA 02184 12/4/2020 12/4/2021 OD VI BETTY MULER JOSEPH INDEPENDENT DOCTOR OF OPTOMETRY 248 HARVARD STREET BROOKLINE MA 02446 9/4/2021 9/4/2022 OD VI BRYAN MURPHY DANIEL ADVANCED EYE CENTER, INC 500 FAUNCE CORNER RD STE 110 NORTH DARTMOUTH MA 02747-3319 5/15/2021 5/15/2022 OD VI KATHLEEN MURPHY M CUSTOM-EYES 50 PROSPECT STREET CAMBRIDGE MA 02139 12/28/2020 12/28/2021 OD VI LISA MURRAY M OPHTHALMIC CONSULTANTS OF BOSTON 186 JONES ROAD FALMOUTH MA 02540 7/7/2021 7/7/2022 OD VI ARASH NAMIRANIAN DEDHAM OPHTHALMIC CONSULTANTS & SURGEONS, 980 WASHINGTON ST., SUITE 120 DEDHAM MA 02026 10/26/2021 10/26/2022 OD VI EMILY NANGLE ROSE BOSTON EYE GROUP 1101 BEACON ST., #6W BROOKLINE MA 02446 7/25/2021 7/25/2022 OD VI IRWIN NATHANSON M 85 CONSTITUTION LANE STE 100C DANVERS MA 01923 9/22/2021 9/22/2022 OD VI AMY NAU C KORB ASSOCIATES 400 COMMONWEALTH AVENUE, U-Z BOSTON MA 02115 6/11/2021 6/11/2022 OD VI KAREN NECKERS L LENS CRAFTERS AT MACY S 210 ANDOVER ST PEABODY MA 01960 1/8/2021 1/8/2022 OD VI RACHEL NEGRIS ELIZABETH HARVARD VANGUARD MED. ASSOC. 228 BILLERICA ROAD CHELMSFORD MA 01824 6/15/2021 6/15/2022 OD VI LILY NG NIELSEN EYE CENTER 300 CONGRESS STREET, SUITE 201 QUINCY MA 02169 9/21/2021 9/21/2022 OD VI SHARON NG JANIECE ATRIUS HEALTH VISUAL SERVICES 291 INDEPENDENCE DR. CHESTNUT HILL MA 02467 6/21/2021 6/21/2022 OD VI CLARISSA NGUI M EZ EYECARE INC. 1341 BOYLSTON ST. BOSTON MA 02215 10/26/2020 10/26/2021 OD VI BAO-KIM NGUYEN C PRO OPTICAL 175 CAMBRIDGE STREET BOSTON MA 02114 9/6/2021 9/6/2022 OD VI DAN PHUONG NGUYEN T EYES SERVICES CONSULTANTS 2110 DORCHESTER AVE SETON BUILDING -ROOM 311 DORCHESTER MA 02124 4/20/2021 4/20/2022 OD VI KHUONG NGUYEN A 1 EAST MAIN STREET WESTBOROUGH MA 01581 7/23/2021 7/23/2022 OD VI MAI-KHUYEN NGUYEN MILFORD-FRANKLIN EYE CENTER 750 UNION STREET FRANKLIN MA 02038 7/17/2021 7/17/2022 OD VI MONICA NGUYEN DIEM PHUONG 800 WASHINGTON ST. BOSTON MA 02111 2/6/2021 2/6/2022 OD VI THUY NGUYEN THANH VISIONWORKS ONE BRATTLE SQUARE CAMBRIDGE MA 02138 8/11/2021 8/11/2022 OD VI TU QUYNH NGUYEN THI BOSTON EYEWORKS 1676 DORCHESTER AVENUE DORCHESTER MA 02122 5/22/2021 5/22/2022 OD VI YEN-LINH NGUYEN TRINH NEPONSET HEALTH CENTER 398 NEPONSET AVE DORCHESTER MA 02122 12/23/2020 12/23/2021 OD VI OSCAR NI WEIJAY 751 FALL RIVER AVENUE, UNIT 4 SEEKONK MA 02771 6/29/2021 6/29/2022 OD VI JOSEPH NIRO MICHAEL NIRO EYE CARE & ASSOCIATES LLC 296 GREAT ROAD ACTON MA 01720 6/15/2021 6/15/2022 OD VI

Page 15 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

YU-QIONG NIU VISIONWORKS/MASS OPTOMETRIC ASSOCIATES 1623 BEACON STREET BROOKLING MA 02445 5/19/2021 5/19/2022 OD VI GABRIELLE NIVAR 83 CAMBRIDGE ST., UNIT 1D BURLINGTON MA 01803 8/18/2021 8/18/2022 OD VI JEFFREY NORDEN PAUL EXETER EYE ASSOCIATES 37 NEWBURY STREET BOSTON MA 02116 2/9/2021 2/9/2022 OD VI CYNTHIA NORMANDIE A 1015 MAIN STREET HOLDEN MA 01520 5/19/2021 5/19/2022 OD VI SAMPSON NOSIKE O NEW ENGLAND EYE CENTER 800 WASHINGTON ST., SUITE 450 BOSTON MA 02111 7/19/2021 7/19/2022 OD VI TIMOTHY O'CONNOR EYE ASSOCIATES 355 NORTH MAIN STREET NORTH BROOKFIELD MA 01535 9/10/2021 9/10/2022 OD VI MARK O'DONOGHUE WESTBY NEW ENGLAND COLLEGE OF OPTOMETY CENTER FOR EYECARE 930 COMMONWEALTH AVE BOSTON MA 02215 8/21/2021 8/21/2022 OD VI EUGENE O'LEARY THOMAS JR READING EYE ASSOCIATES 70 HAVEN STREET READING MA 01867 3/29/2021 3/29/2022 OD VI KATHLEEN O'LEARY P MCPHS-EYE & VISION CENTER 10 LINCOLN SQUARE MAIN STREET WORCESTER MA 01608 2/13/2021 2/13/2022 OD VI MICHAEL O'NEIL J NASHOBA VISION 140 MAIN STREET GROTON MA 01450 11/28/2020 11/28/2021 OD VI BLAIR O'REILLY FRANCIS TARGET OPTICAL 529 LINCOLN ST WORCESTER MA 01605-1805 3/17/2021 3/17/2022 OD VI SUSAN O'SHEA M KENMORE OPTICAL 1018 BEACON STREET, SUITE 100 BROOKLINE MA 02446 8/10/2021 8/10/2022 OD VI DEMIAN OCHOA JOHN 137 TEATICKET HIGHWAY WAL-MART VISION CENTER EAST FALMOUTH MA 02536 8/11/2021 8/11/2022 OD VI CHRISTOPHER OLDHAM R VISION ASSOCIATES 103 MAIN STREET MARLBORO MA 01752 9/30/2021 9/30/2022 OD VI WILLIAM OLSON L 13 WEST STREET BROCKTON MA 02301 2/24/2021 2/24/2022 OD VI MICHAEL ONYON JAMES 136 CORLISS HILL ROAD HAVERHILL MA 01830 6/24/2021 6/24/2022 OD VI ILANA ORELOWITZ 67 WEST STREET MEDFIELD MA 02052 10/3/2021 10/3/2022 OD VI JANE ORENSTEIN CYNTHIA 999 PROVIDENCE ROAD WHITINSVILLE MA 01588 11/15/2021 11/15/2022 OD VI JOSHUA ORLEN E. 50 HOLYOKE STREET, BOX 10366 HOLYOKE MA 01040 6/10/2021 6/10/2022 OD VI KHYLA OSARETIN E. D'AMBROSIO EYE CARE 479 OLD UNION TURNPIKE LANCASTER MA 01523 3/11/2021 3/11/2022 OD VI JAD OSMANSKI SOUTHERN NEW ENGLAND EYE, INC 147 COURT ST PLYMOUTH MA 02360 8/30/2021 8/30/2022 OD VI ASHLEY PAINE LAUREN CAMBRIDGE HEALTH ALLIANCE 236 HIGHLAND AVENUE SOMERVILLE MA 02143 7/11/2021 7/11/2022 OD VI ELIZABETH PALLANTE M NEW ENGLAND COLLEGE OF OPTOMETRY CENTER FOR EYE CARE -PEDI VISION THERAPY 930 COMMONWEALTHBOSTON AVE MA 02215 7/12/2021 7/12/2022 OD VI MARISA PALUMBO 31 PINE STREET, SUITE 201 NORFOLK MA 02056 8/6/2021 8/6/2022 OD VI IOANIS PANAGIOTOPOULOS V TALLMAN EYE ASSOCIATES 360 MERRIMACK STREET, BLDG 9 LAWRENCE MA 01843 3/10/2021 3/10/2022 OD VI LUCY PANOYAN EBNHC/ SOUTH END COMMUNITY HEALTH CENTER VISION DEPARTMENT 1601 WASHING STREET BOSTON MA 02118 7/20/2021 7/20/2022 OD VI YEN PANTANO M METROWEST FAMILY EYE CARE 81 SPEEN ST NATICK MA 01760 4/27/2021 4/27/2022 OD VI JOSEPH PAPANDREA V EYE LOOK OPTICAL 1760 MASSACHUSETTS AVE LEXINGTON MA 02420 9/27/2021 9/27/2022 OD VI STEPHANIE PARIS-WHITNEY A EJC EYECARE, LLC 289 MOODY STREET WALTHAM MA 02453 2/22/2021 2/22/2022 OD VI MIRI PARK P SOUTH EAST EYE 88 POND STREET SHARON MA 02067 8/31/2021 8/31/2022 OD VI TINA PARKER-HOWAYECK M DR MAGALHAES AND ASSOCIATES, INC. 382 STATE ROAD N. DARTMOUTH MA 02747 6/18/2021 6/18/2022 OD VI ROBERT PARKS J BROCKTON V.A.M.C. 940 BELMONT STREET EYE CLINIC BLDG 3 BROCKTON MA 02301 9/12/2021 9/12/2022 OD VI REEM PARSEGHIAN R 31 CENTENNIAL DRIVE PEABODY MA 01960 2/26/2021 2/26/2022 OD VI JAMI PARSONS MALLOY BETH 10 LINCOLN SQUARE WORCESTER MA 01608 8/13/2021 8/13/2022 OD VI ANTOINETTE PARVIS D. 216 MAIN STREET OXFORD MA 01540 8/14/2021 8/14/2022 OD VI DONALD PASAKARNIS LOUIS 24 COSTA LN WESTPORT MA 02790 4/9/2021 4/9/2022 OD VI BINA PATEL J THE NEW ENGLAND COLLEGE OF OPTOMETRY 424 BEACON STREET BOSTON MA 02115 3/4/2021 3/4/2022 OD VI CHIRAG PATEL K BOSTON FOUNDATION FOR SIGHT 464 HILLSIDE AVENUE, SUITE 205 NEEDHAM MA 02494 3/6/2021 3/6/2022 OD VI HEMANT PATEL AUBURN VISION ASSOCIATES 385 SOUTHBRIDGE ST AUBURN MA 01501 12/7/2020 12/7/2021 OD VI KOMAL PATEL T 1 HAWES WAY STOUGHTON MA 02072 1/30/2021 1/30/2022 OD VI NIRALI PATEL YOGESH BOSTON LASER EYE INSTITUTE 1101 BEACON ST BROOKLINE MA 02446 3/14/2021 3/14/2022 OD VI PARTHAVI PATEL D MYEYEDR 22 UNIVERSITY DR AMHERST MA 01002 8/2/2021 8/2/2022 OD VI PURVI PATEL JASON GILBERT MD 101 MAIN ST #208 MEDFORD MA 02155 12/21/2020 12/21/2021 OD VI TORAL PATEL D'AMBROSIO EYECARE, INC. 479 OLD UNION TURNPIKE LANCASTER MA 01523 8/6/2021 8/6/2022 OD VI NICOLE PATRICIO MEDEIROS DR. MAGALHAES & ASSOCIATES, INC. 382 STATE RD DARTMOUTH MA 02747 7/30/2021 7/30/2022 OD VI SANDRA PAYTON M 23 STOUGHTON STREET RANDOLPH MA 02368 8/19/2021 8/19/2022 OD VI

Page 16 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

PAMELA PEARSON VISIONWORKS ONE HIGHLAND AVE MALDEN MA 02148 9/1/2021 9/1/2022 OD VI ELIEZER PELI NEW ENGLAND EYE CENTER 750 WASHINGTON STREET, BOX 450 BOSTON MA 02111 5/15/2021 5/15/2022 OD VI PIERRE PELLERIN RENE LAHEY CLINIC MEDICAL CENTER DEPT. OF OPHTHALMOLOGY 41 MALL ROAD BURLINGTON MA 01805 9/27/2021 9/27/2022 OD VI JONATHAN PENA RAYMOND 29 GARDEN STREET EVERETT MA 02149 7/13/2021 7/13/2022 OD VI DORA PEPO RELIANT MEDICAL GROUP 5 NEPONSET STREET WORCESTER MA 01606-2714 6/2/2021 6/2/2022 OD VI STEVEN PERRYMAN T HOPKINTON VISION CENTER 10 CEDAR STREET HOPKINTON MA 01748 3/6/2021 3/6/2022 OD VI MICHAEL PETERS V. 232 GARDEN CITY DRIVE CRANSTON RI 02920 3/18/2021 3/18/2022 OD VI KRISTEN PETERSON KATHLEEN 344 RUSSELL ST. #5 HADLEY MA 01035 11/23/2020 11/23/2021 OD VI RICHARD PETRONE MICHAEL LAHEY CLINIC EYE INSTITUTE 1 ESSEX CENTER DRIVE PEABODY MA 01960 6/3/2021 6/3/2022 OD VI RAFFAELE PETROSINO ANTHONY 22 YALE AVENUE WAKEFIELD MA 01880 5/22/2021 5/22/2022 OD VI ROBERT PEYTON V. PLEASANT VISION CENTER 1554 PLEASANT STREET FALL RIVER MA 02723 3/3/2021 3/3/2022 OD VI MICHAEL PFEFFER JOHN 480 WEST CENTRAL STREET FRANKLIN MA 02038 7/15/2021 7/15/2022 OD VI LINDA PHAM DAO NECO CENTER FOR EYE CARE 4199 WASHINGTON ST., STE 2 ROSLINDALE MA 02131 1/16/2021 1/16/2022 OD VI JULIE PHAN T NECO CENTER FOR EYE CARE SPECIALTY DEPT 930 COMMONWEALTH AVE BOSTON MA 02215 3/24/2021 3/24/2022 OD VI TYLER PHAN MCPHS UNIVERSITY SCHOOL OF OPTOMETRY 10 LINCOLN SQUARE WORCETER MA 01608 10/19/2020 10/19/2021 OD VI MATTHEW PHILIBIN JEFFREY 860 ROUTE 134, UNIT 8 P.O.BOX 1412 SOUTH DENNIS MA 02660 4/23/2021 4/23/2022 OD VI LAWRENCE PHILLIPS A. 1077 MASSACHUSETTS AVENUE CAMBRIDGE MA 02138 6/28/2021 6/28/2022 OD VI MICHAEL PHILLIPS LORD 53 10TH AVE WARWICK RI 02886 10/19/2021 10/19/2022 OD VI AIMEE PICKETT GRAY KADRMAS EYE CARE NEW ENGLAND 40 INDUSTRIAL PARK ROAD PLYMOUTH MA 02360 8/5/2021 8/5/2022 OD VI JUSTINE PIDGEON KORB AND ASSOCIATES 400 COMMONWEALTH AVE, UNIT 2 BOSTON MA 02215 8/23/2021 8/23/2022 OD VI LAROUSHNA PIERRE LUMIERE EYE CARE ASSOCIATES 978 MAIN ST. SOUTH WEYMOUTH MA 02190 2/19/2021 2/19/2022 OD VI BRIAN PIETRANTONIO JOHN LOWELL COMMUNITY HEALTH CENTER EYECARE 161 JACKSON ST. LOWELL MA 01852 6/18/2021 6/18/2022 OD VI JOHN PIETRANTONIO JOSEPH JR EAST BOSTON NEIGHBORHOOD HEALTH CTR EYE DEPARTMENT 20 MAVERICK SQUARE EAST BOSTON MA 02128 9/2/2021 9/2/2022 OD VI EMILY PILOTTE H HOPKINTON EYE ASSOCIATES 77 WEST MAIN ST HOPKINTON MA 01748 4/2/2021 4/2/2022 OD VI LYUDMILA PODBEREZIN P PEABODY EYE ASSOCIATES NORTH SHORE MALL 210 ANDROVER ST. PEABODY MA 01960 2/20/2021 2/20/2022 OD VI NICOLE POGUE D THE DIMOCK CENTER 55 DIMOCK STREET ROXBURY MA 02119 7/16/2021 7/16/2022 OD VI AMRIT POKHAREL HEALTHDRIVE EYE CARE GROUP 100 CROSSING BLVD, SUITE 300 FRAMINGHAM MA 01702 8/2/2021 8/2/2022 OD VI CHARLES POLGLASE K 506 STATE ROAD NORTH DARTMOUTH MA 02747 11/17/2020 11/17/2021 OD VI DARINA POLSONETTI NASHOBA VISION 140 MAIN ST. GROTON MA 01450 7/28/2021 7/28/2022 OD VI ROBERT PORCARO EDWARD ATRIUS HEALTH - POST OFFICE SQUARE VISUAL SERVICES 147 MILK STREET BOSTON MA 021094818 6/4/2021 6/4/2022 OD VI JESSICA POSCOVER KATZ BETH ISRAEL DEACONESS MED CTR DEPT OF OPHTHALMOL., SHAP. 5TH FL 330 BROOKLINE AVENUE BOSTON MA 02215 3/25/2021 3/25/2022 OD VI DOUGLAS POSNER S. FALL RIVER VISION CENTER, INC. 520 NEWTON STREET FALL RIVER MA 02721 5/3/2021 5/3/2022 OD VI REBECCA POSNER T SCITUATE HARBOR VISION SOURCE 85 FRONT ST., UNIT 81 SCITUATE MA 02066 7/12/2021 7/12/2022 OD VI KRISHNACHAND POSTUM 108 MECHANIC ST., SUITE 14 BELLINGHAM MA 02019 8/14/2021 8/14/2022 OD VI ZAINUB POSTUM 108 MECHANIC ST, SUITE 14 BELLINGHAM MA 02019 8/24/2021 8/24/2022 OD VI WALTER POTAZNICK LEON OPTICAL ILLUSION PVC 584 HIGH ST DEDHAM MA 02026 9/2/2021 9/2/2022 OD VI ELIZABETH POTVIN T 860 RTE 134 UNIT 8 P.O. BOX 1412 S DENNIS MA 02660 7/27/2021 7/27/2022 OD VI LAURA POTVIN A 939 SALEM STREET, SUITE 7 GROVELAND MA 01834 3/15/2021 3/15/2022 OD VI ANNE POYANT FARLEY OPHTHALMIC CONSULTANTS OF BOSTON 88 ANSEL HALLET ROAD W. YARMOUTH MA 02673 6/22/2021 6/22/2022 OD VI CHERI PRASEUTH M METROWEST EYECARE, LLC 6102 SHOPS WAY NORTHBOROUGH MA 01532 11/22/2020 11/22/2021 OD VI ANHTHY PRENDEVILLE TRINH 26 OAK KNOLL ROAD CARLISLE MA 01741 8/2/2021 8/2/2022 OD VI WILLIAM PRENTISS M NORTH SHORE EYE SPECIALISTS 85 CONSTITUTION LANE, SUITE 100C DANVERS MA 01923 3/5/2021 3/5/2022 OD VI JEANINE PREVOST SOMERSET EYE CARE 1287 WILBUR AVENUE SOMERSET MA 02725 1/11/2021 1/11/2022 OD VI SUSAN PREWANDOWSKI PATRICIA 64 WINTHROP ST. TAUNTON MA 02780 8/24/2021 8/24/2022 OD VI KATHLEEN PRUCNAL A 18 MAIN STREET, SUITE 106 TOWNSEND MA 01469 5/8/2021 5/8/2022 OD VI MICHAEL PURDY AARON HILLTOWN COMMUNITY HEALTH CENTERS, INC. 73 RUSSELL ROAD HUNTINGTON MA 01050 8/23/2021 8/23/2022 OD VI

Page 17 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

MATTHEW PUZIO S 860 ROUTE 134 UNIT 8 P.O. BOX 1412 SOUTH DENNIS MA 02660 8/4/2021 8/4/2022 OD VI JUAN QU DEDHAM MEDICAL ASSOCIATES/ ATRIUS HEALTH VISUAL SERVICES ONE LYONS STREET DEDHAM MA 02026 6/12/2021 6/12/2022 OD VI ANGELA QUACH EYES FOR EYECARE 94 DERBY STREET SUITE 233 HINGHAM MA 02043 8/13/2021 8/13/2022 OD VI KEVIN QUANG LEOMINSTER FAMILY EYECARE 23 MILL ST. LEOMINSTER MA 01453 4/22/2021 4/22/2022 OD VI DAVID QUARTZ W QUARTZ EYE CARE LLC SIXTEEN ACRES OPTICAL 1907 WILBRAHAM ROAD SPRINGFIELD MA 01129 12/18/2020 12/18/2021 OD VI COLM QUIGLEY 739 BROADWAY SAUGUS MA 01906 4/20/2021 4/20/2022 OD VI NICOLE QUINN BOISVERT NEW ENGLAND COLLEGE OF OPTOMETRY 424 BEACON STREET BOSTON MA 02115 8/20/2021 8/20/2022 OD VI NICOLE RABIDEAU MARIE EYE HEALTH VISION CENTER 64 WINTHROP ST TAUNTON MA 02780 1/26/2021 1/26/2022 OD VI ANDREW RABKIN JON KORB & ASSOCIATES 400 COMMONWEALTH AVE, SUITE 2 BOSTON MA 02215 10/26/2021 10/26/2022 OD VI RYAN RACETTE CHRISTOPHER PLYMOUTH FAMILY OPTOMETRY, LLC 212 SOUTH MEADOW ROAD, UNIT 5C PLYMOUTH MA 02360 9/1/2021 9/1/2022 OD VI JOYCE RACHED NIDAL BAYSTATE EYE CENTER 1 NORTH MAIN STREET MANSFIELD MA 02048 10/15/2020 10/15/2021 OD VI APARNA RAGHURAM BOSTON CHILDREN'S HOSPITAL DEPT OF OPHTHALMOLOGY, FEGAN 4 300 LONGWOOD AVENUE BOSTON MA 02215 2/5/2021 2/5/2022 OD VI MICHELLE RAHIMIAN F LUNETTE BOSTON 121 HIGH STREET BOSTON MA 02110 8/6/2021 8/6/2022 OD VI MONISHA RAJINIKANTH MIT MEDICAL 25 CARLETON ST. CAMBRIDGE MA 02142 5/19/2021 5/19/2022 OD VI BRUCE RAKUSIN L. 1 WORCESTER RD #225 FRAMINGHAM MA 01701 5/30/2021 5/30/2022 OD VI RAMKUMAR RAMAMIRTHAM APPLETON EYE ASSOCIATES 39 GREEN STREET NEWBURYPORT MA 01950 7/19/2021 7/19/2022 OD VI ALAN RAPOPORT MARK 537 WASHINGTON STREET CANTON MA 02021 6/3/2021 6/3/2022 OD VI ABBY RAPOSO LYNN ATTLEBORO OPHTHALMOLOGICAL ASSOCIATES 174 PLEASANT ST. ATTLEBORO MA 02703 7/25/2021 7/25/2022 OD VI FATIMA RAPOSO MEGA EYECARE 500 E WASHINGTON ST., SUITE 12 NORTH ATTLEBORO MA 02760 8/23/2021 8/23/2022 OD VI SHRUTI RAVULA SANJANA ONE HIGHLAND AVE MALDEN MA 02148 4/11/2021 4/11/2022 OD VI ELIZABETH REDMAN J.S. 91 WALKER LANE ABINGTON MA 02351 8/31/2021 8/31/2022 OD VI ROSE REDMOND MARY 15 MARION AVENUE ANDOVER MA 01810 11/18/2021 11/18/2022 OD VI JENNIFER REILLY ANN MARTHA ELIOT HEALTH CENTER OPTOMETRY CLINIC 75 BICKFORD ST JAMAICA PLAIN MA 02130 2/22/2021 2/22/2022 OD VI DAVID REIN H 79 DUNSTER DRIVE STOW MA 01775 11/4/2021 11/4/2022 OD VI COLLIN REINERS W. 50 HOLYOKE ST PO BOX 10254 HOLYOKE MA 01040 11/2/2020 11/2/2021 OD VI GINA REINERS MARIE PITTSFIELD VISION ASSOCIATES 217 SOUTH STREET PITTSFIELD MA 01201 7/31/2021 7/31/2022 OD VI RENEE REIS BERTHIAUME EYE HEALTH ASSOCIATES 51 STATE ROAD NORTH DARTMOUTH MA 02747 4/9/2021 4/9/2022 OD VI PETER REMILLARD A MY EYE DR 22 UNIVERSITY DRIVE AMHERST MA 01002 1/11/2021 1/11/2022 OD VI JACQUELINE RENTERIA RAE D'AMBROSIO EYE CARE 479 OLD UNION TURNPIKE LANCASTER MA 01523 8/1/2021 8/1/2022 OD VI ALEXANDRA REZNITSKY VISIONWORKS 1623 BEACON ST BROOKLINE MA 02445 8/28/2021 8/28/2022 OD VI VALARIE RICCIARDI ANN FAMILY EYE CARE, INC. 177 MAIN STREET SPENCER MA 01562 6/26/2021 6/26/2022 OD VI KELLEN RICCOBONO RUTH NECO CENTER FOR EYECARE 930 COMMONWEALTH AVE BOSTON MA 02215 8/19/2021 8/19/2022 OD VI DANNIELLE RICHARD F. 104 ENDICOTT ST., SUITE 303 DANVERS MA 01923 8/18/2021 8/18/2022 OD VI PATTI RICHARD A. FAMILY EYE CARE 555 TURNPIKE STREET, SUITE 56 NORTH ANDOVER MA 01845 6/16/2021 6/16/2022 OD VI JACK RICHMAN E. 112 WARD STREET HINGHAM MA 02043 7/6/2021 7/6/2022 OD VI DANA RICKER C BOURNE VISION CONSULTANTS 4 BARLOWS LANDING ROAD, STE 18 POCASSET MA 02559 5/12/2021 5/12/2022 OD VI ALAN RINGENBACH R VISION ASSOC. OF NORTHAMPTON 78 MAIN STREET P.O. BOX 298 NORTHAMPTON MA 010610298 4/26/2021 4/26/2022 OD VI HOPE RITTICHIER ELIZABETH 21 TORREY ST. BROCKTON MA 02301 12/12/2020 12/12/2021 OD VI JEFFREY ROBINS G 1268 SUMNER AVE SPRINGFIELD MA 01118 9/14/2021 9/14/2022 OD VI EMILY ROCHA HIGHLAND OPTICIANS 33 LINCOLN ST. HIGHLANDS MA 02461 9/20/2021 9/20/2022 OD VI SUSAN RODGIN G. P.O. BOX 5121 39 WEST PLAIN STREET WAYLAND MA 01778 2/14/2021 2/14/2022 OD VI BING LAN RONG PEARLE VISION 101 MIDDLESEX TURNPIKE BURLINGTON MA 01803 7/16/2021 7/16/2022 OD VI ARTHUR ROSEN NEIL 13 LANEWOOD AVENUE FRAMINGHAM MA 01701 11/9/2021 11/9/2022 OD VI SUZANNE ROSENBERG MEREDITH HOPKINTON EYE ASSOCIATES 77 WEST MAIN STREET HOPKINTON MA 01748 7/29/2021 7/29/2022 OD VI RICHARD ROSENTHAL JAY 4 MERLIN ST FRAMINGHAM MA 01701 3/30/2021 3/30/2022 OD VI NICOLE ROSS CHRISTIE NEW ENGLAND EYE-COMMONWEALTH 930 COMMONWEALTH AVENUE BOSTON MA 02215 8/28/2021 8/28/2022 OD VI

Page 18 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

MOOJAN ROUHI LEXINGTON EYE ASSOCIATES 21 WORTHER ROAD LEXINGTON MA 02421 5/14/2021 5/14/2022 OD VI LISA RUBIN L OPHTHALMIC CONSULTANTS OF BOSTON 146 INDUSTRIAL PARK RD PLYMOUTH MA 02360 11/6/2021 11/6/2022 OD VI MARY ANN RUBIS KATHERINE PAPALE EYE CENTER 1515 ALLEN STREET SPRINGFIELD MA 01118 8/31/2021 8/31/2022 OD VI MICHAEL RUBY J 13 OLD SOUTH ROAD NANTUCKET MA 02554 7/7/2021 7/7/2022 OD VI KRISTIN RULLO STANLEY LEXINGTON EYE ASSOCIATES, INC 21 WORTHEN RD LEXINGTON MA 02421 11/18/2020 11/18/2021 OD VI ALEX RUSSAKOVSKY PEARLE VISION 22 MC GRATH HIGHWAY, SUITE 4 SOMERVILLE MA 02143 8/8/2021 8/8/2022 OD VI ANMARIE RUSSO J. 8 COLONIAL VILLAGE DRIVE #8 ARLINGTON MA 02474 8/11/2021 8/11/2022 OD VI CINDY RUSSO LEIGH 48 LOVEJOY ROAD ANDOVER MA 01810 8/30/2021 8/30/2022 OD VI DIANE RUSSO M NEW ENGLAND COLLEGE OPTOMETRY 424 BEACON STREET BOSTON MA 02115 8/3/2021 8/3/2022 OD VI JOSEPH RUSSO A ATTLEBORO VISION CARE ASSOC. 51 MAN-MAR DRIVE, UNIT 2 PLAINVILLE MA 02762 7/28/2021 7/28/2022 OD VI ELIZABETH RYAN ANN 119 PLEASANT ST SOUTHAMPTON MA 01073 6/11/2021 6/11/2022 OD VI WILLIAM RYAN JOSEPH III PEARLE VISION CENTER 440 MIDDLESEX AVENUE TYNGSBORO MA 01879 9/8/2021 9/8/2022 OD VI SUSAN RZEPKA E APPLETON EYE ASSOCIATES 39 GREEN STREET NEWBURYPORT MA 01950 10/2/2021 10/2/2022 OD VI EVERETT SABREE B DARTMOUTH STREET VISION CENTER 130 DARTMOUTH STREET BOSTON MA 02116 9/4/2022 9/4/2023 OD VI LUSAPER SAHAGIAN LUCY PUTNOI EYECARE 1 WASHINGTON STREET WELLESLEY HILLS MA 02481 7/23/2021 7/23/2022 OD VI NIKHIL SAINI EYES ON WORCESTER 488 PLEASANT ST WORCHESTER MA 01609 12/21/2020 12/21/2021 OD VI TIMOTHY SAJBAN J ADVANCED EYECARE SPECIALISTS, PC 352 MAIN STREET FALMOUTH MA 02540 6/29/2021 6/29/2022 OD VI SHIRLEY SALOMON STATE STREET EYE 33 BROAD STREET BOSTON MA 02109 6/27/2021 6/27/2022 OD VI MARIE SALVAS KATHLEEN 1105 LAKEVIEW AVENUE DRACUT MA 01826 6/15/2021 6/15/2022 OD VI NIMIRA SAMJI H. INDEPENDENT EYECARE 495 CABOT STREET BEVERLY MA 01915 3/1/2021 3/1/2022 OD VI MARIA SAMPALIS P 235 NEW BOSTON RD FALL RIVER MA 02720 8/25/2021 8/25/2022 OD VI ADELE SAN CLEMENTE MARIE 823 WASHINGTON STREET BRAINTREE MA 02184 5/10/2021 5/10/2022 OD VI MICHELLE SANDLER JESSICA MASS EYE AND EAR OPTOMETRY AT FOXBOROUGH 22 PATRIOTS PLACE, 3RD FLR FOXBOROUGH MA 02035 9/2/2021 9/2/2022 OD VI GEORGE SANTOS A JR 638 MAIN STREET P.O. BOX 327 VINEYARD HAVEN MA 02568 4/26/2021 4/26/2022 OD VI MICHAEL SANTOS CORREIA THE DIMOCK HEALTH CENTER 55 DIMOCK ST ROXBURY MA 02119 6/29/2021 6/29/2022 OD VI STEVEN SANTOS WALTER C/O EYE HEALTH VISION CENTER 51 STATE ROAD NORTH DARTMOUTH MA 02747 2/5/2021 2/5/2022 OD VI ERIN SAVAGE 382 STATE RD DARTMOUTH MA 02747 8/4/2021 8/4/2022 OD VI GLENDA SAVITZ JOYCE EYESPOT 1 BOYLSTON STREET, SUITE 3E CHESTNUT HILL MA 02467 7/16/2021 7/16/2022 OD VI VIVIAN SCHAEFER C 20 EMERSON ST. MEDFORD MA 02155 7/31/2021 7/31/2022 OD VI NATALIE SCHAEFFER ELIZABETH 179 QUINCY ST STE 3 BROCKTON MA 02302 8/29/2021 8/29/2022 OD VI HOLLY SCHNEIDER P OPHTHALMIC CONSULTANTS OF BOSTON 50 STANIFORD STREET, SUITE 600 BOSTON MA 02114 12/8/2020 12/8/2021 OD VI STACY SCHRADER-COEN MARDINE DR. STACY COEN, LLC 83 NEWBURY STREET, 2ND FL BOSTON MA 02116 11/16/2020 11/16/2021 OD VI THOMAS SCHULTZ A 40 EAST MAIN STREET, SUITE 5 WARE MA 01082 3/1/2021 3/1/2022 OD VI DAVID SCHURGIN J 224 PARK STREET C-5 STONEHAM MA 02180 3/30/2021 3/30/2022 OD VI HERBERT SCHURGIN L. SUBURBAN EYE ASSOCIATES/TOWNE OPTICAL 511 MAIN STREET MELROSE MA 02176 10/2/2021 10/2/2022 OD VI SARI SCHWARTZ RACHEL NECO CENTER FOR EYE CARE 930 COMMONWEALTH AVENUE BOSTON MA 02215 10/12/2020 10/12/2021 OD VI BEVERLY SCOTT T 29 PARK STREET PEPPERELL MA 01463 12/11/2020 12/11/2021 OD VI CLIFFORD SCOTT A JR 199 GLEN ST NATICK MA 01760 4/14/2021 4/14/2022 OD VI MARK SCOTT F JR 120 STAFFORD STREET WORCESTER MA 01603 6/20/2021 6/20/2022 OD VI ROBERT SEGOOL E 112 WINN STREET BURLINGTON MA 01803 6/13/2021 6/13/2022 OD VI MINA SEHIZADEH HARVARD VANGUARD MEDICAL ASSOCIATES 133 BROOKLINE AVENUE, 5TH FL, VISUAL DEP BOSTON MA 02215 8/3/2021 8/3/2022 OD VI MARGOT SELIGMAN S. 422 HANOVER ST UNIT 1 BOSTON MA 02113 1/23/2021 1/23/2022 OD VI MARIA SERIO F HEALTH DRIVE MEDICAL & DENTAL PRACTICES 100 CROSSING BLVD FRAMINGHAM MA 01702-9931 9/28/2021 9/28/2022 OD VI JAYASREE SESHADRI EYE AND VISION CENTER ATTN: HEATHER FUSCO 10 LINCOLN SQUARE WORCESTER MA 01608 9/3/2021 9/3/2022 OD VI JEANETTE SEWELL MARIE CODMAN SQUARE HEALTH CENTER EYE CLINIC 637 WASHINGTON ST DORCHESTER MA 02124 6/19/2021 6/19/2022 OD VI ALEXANDRA SEXTON ELIZABETH 772 CANTY ST TAUNTON MA 02780 7/21/2021 7/21/2022 OD VI

Page 19 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

ANTHONY SEYMOUR L INDEPENDENT EYE CARE 164 SYLVAN STREET DANVERS MA 01923 3/5/2021 3/5/2022 OD VI MANISH SHAH H THE EYE STORE 1044 BEACON ST. BROOKLINE MA 02446 6/26/2021 6/26/2022 OD VI VANDHANA SHARDA HARVARD VANGUARD MEDICAL ASSOCIATES VISUAL SERVICES 133 BROOKLINE AVE BOSTON MA 02215 9/11/2021 9/11/2022 OD VI ANNI SHARMA LEXINGTON EYE ASSOCIATES 21 WORTHEN RD LEXINGTON MA 02421 8/21/2021 8/21/2022 OD VI STEVEN SHARMA 100 CAMBRIDGESIDE PLACE, W110 LENCRAFTERS SUITE CAMBRIDGE MA 02141 1/20/2021 1/20/2022 OD VI RYAN SHEA P 28 STATE ROAD PO BOX 519 VINEYARD HAVEN MA 02568 7/18/2021 7/18/2022 OD VI DAVID SHEINKOPF JACOB 21 THACHER ST YARMOUTHPORT MA 02675 11/10/2020 11/10/2021 OD VI ASHA SHERRING K RELIANT MEDICAL GROUP 24 NEWTON ST SOUTHBOROUGH MA 01772 3/14/2021 3/14/2022 OD VI GRACE SHIN SOYEUN MASSACHUSETTS EYE AND EAR 243 CHARLES ST. BOSTON MA 02114 6/29/2021 6/29/2022 OD VI DENIS SHLOSMAN JOSEPH OPHTHALMIC CONSULTANTS OF BOSTON 52 2ND AVENUE, SUITE 2500 WALTHAM MA 02451 7/17/2021 7/17/2022 OD VI BAHRAM SHOMALI 18 TREMONT STREET, SUITE 702 BOSTON MA 02108 11/5/2020 11/5/2021 OD VI YALE SHRIBER GORDON GORDON EYE ASSOC., INC. 47 WALTHAM STREET LEXINGTON MA 02421 7/21/2021 7/21/2022 OD VI HERBERT SHUER MORTON 37 RICHARD ROAD NEEDHAM MA 02492 6/26/2021 6/26/2022 OD VI MARTIN SHUMAN LEONARD DRS LAGER & SHUMAN, INC. 200 WALNUT STREET SAUGUS MA 01906 5/29/2021 5/29/2022 OD VI IRWIN SHWOM M. 421 BROADWAY EVERETT MA 021493435 5/27/2021 5/27/2022 OD VI EMMELINE SIEBERT L 50 STANIFORD ST. BOSTON MA 02114 7/10/2021 7/10/2022 OD VI FAYE SIEGEL E. 120 EAGLE ROCK ROAD STOUGHTON MA 02072 6/16/2021 6/16/2022 OD VI HOWARD SIEGEL FAMILY EYE ASSOC., INC. 694 MAIN STREET HOLDEN MA 01520 8/31/2021 8/31/2022 OD VI LAWRENCE SIEGEL D. 120 EAGLE ROCK ROAD STOUGHTON MA 02072 6/17/2021 6/17/2022 OD VI NATASHA SIEGEL D'AMBROSIO EYECARE 479 OLD UNION TURNPIKE LANCASTER MA 01523 4/14/2021 4/14/2022 OD VI STEVEN SIKALIS ADVANCED EYE CARE ASSOCIATES 850 CHELMSFORD STREET LOWELL MA 01851 6/29/2021 6/29/2022 OD VI JOSEPH SILVA SARMENTO RELIANT MEDICAL GROUP 64 BOYDEN ROAD HOLDEN MA 01520 7/24/2021 7/24/2022 OD VI ROBERT SILVA THEODORE ORLEN EYE CARE 50 HOLYOKE STREET, BOX 10366 HOLYOKE MA 01040 8/22/2021 8/22/2022 OD VI PHILIP SILVER MARTIN JOSLIN DIABETES CENTER 1 JOSLIN PLACE BOSTON MA 02215 9/4/2021 9/4/2022 OD VI SABRINA SINGH 345 MAIN ST NORTHBOROUGH MA 9/19/2021 9/19/2022 OD VI MICHAEL SINOPOLI 470 SOUTHERN ARTERY C/O KATHLEEN M CLEARY, OD PC QUINCY MA 02169 6/7/2021 6/7/2022 OD VI FEI SIU SHETH HORSLEY EYE CENTER 3 WOODLAND RD, STE 120 STONEHAM MA 02180 2/19/2021 2/19/2022 OD VI KATHRYN SKARBEZ LYN EYESIGHT AND SURERY 299 CAREW ST #201 SPRINGFIELD MA 01104 3/28/2021 3/28/2022 OD VI ELIZABETH SKEYA L FAMILY EYE CARE CENTER & OPTICAL GALLERY 5 CORNERSTONE SQUARE, SUITE 101 WESTFORD MA 01886 7/3/2021 7/3/2022 OD VI DEBRA SLEIGHT JANE VISION ASSOCIATES 103 MAIN STREET MARLBORO MA 01752 8/3/2021 8/3/2022 OD VI ALEC SMAIL JONATHAN EYE ASSOCIATES, P.C. 172 CAMBRIDGE STREET BURLINGTON MA 01803 7/6/2021 7/6/2022 OD VI DUANE SMITH D CENTER FOR SIGHT 1565 N. MAIN STREET #406 FALL RIVER MA 02720 4/12/2021 4/12/2022 OD VI JUSTIN SMITH B 4 TURNER LANE LANCASTER MA 01523-3218 5/22/2021 5/22/2022 OD VI LISA SMITH GAIL SWANSEA VISION CENTER 1044 G.A.R. HIGHWAY SWANSEA MA 02777 8/19/2021 8/19/2022 OD VI LORRAINE SMITH LABIENTO SUDBURY EYE CARE, PLLC 344 BOSTON POST ROAD SUDBURY MA 01776 12/20/2020 12/20/2021 OD VI MICHAEL SMOOKLER L 18 VERMONT ST WEST ROXBURY MA 02132-2320 3/21/2021 3/21/2022 OD VI DENISE SNOW-WILLIAMS EYE CARE ETC 9 WARREN STREET RANDOLPH MA 02368 5/14/2021 5/14/2022 OD VI DAVID SNOWDON C JR GORAL COMMUNITY OPTICIAN 38A SOUTHBRIDGE ST WORCESTER MA 01608-2019 12/2/2020 12/2/2021 OD VI RACHEL SOCOLOF PEARLE VISION 739 BROADWAY SAUGUS MA 01906 2/17/2021 2/17/2022 OD VI SATVINDER SODHI K. DOSTAL EYE CARE 250 NORTHAMPTON STREET EASTHAMPTON MA 01127 8/15/2021 8/15/2022 OD VI DAVID SOLL M DOWNTOWN EYE ASSOCIATES 8 WILTSHIRE ROAD BRIGHTON MA 02135 3/8/2021 3/8/2022 OD VI LEAH SOLL MY EYE DR 5O BURLINGTON ROAD, SUITE 114 BURLINGTON MA 01803 8/17/2021 8/17/2022 OD VI LESLIE SOMOHANO MYEYE DR-STATE STREET 33 BROAD STREET BOSTON MA 02109 8/1/2021 8/1/2022 OD VI XUELING SONG KATELYN SONG EYE CARE 663 VFW PARKWAY CHESTNUT HILL MA 02467 8/10/2021 8/10/2022 OD VI NICOLE SOPP MARIE HARVARD VANGUARD 230 WORCESTER ST. WELLESLEY MA 02481 8/11/2021 8/11/2022 OD VI ASHLEY SOUSA ELISE EYE HEALTH VISION CENTERS 51 STATE ROAD DARTMOUTH MA 02747 9/5/2021 9/5/2022 OD VI

Page 20 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

ZACHARY SOUSA WILLIAM MA OPTOMETRIC ASSOCIATES (INSIDE VISIONWORKS) 15 HIGHLAND AVENUE SEEKONK MA 02771 6/22/2021 6/22/2022 OD VI MOLLY SPATCHER JEAN EYE & LASIK CENTER 33 RIDDELL STREET GREENFIELD MA 01301 6/22/2021 6/22/2022 OD VI KIMBERLY SPENCE VERA 22 UNIVERSITY DR AMHERST MA 01002 7/13/2021 7/13/2022 OD VI ANNA SPITSEREV DR. ELIZABETH PROKOS BERRY & ASSOCIATES 135 MAIN STREET , SUITE 5 STURBRIDGE MA 01566 10/8/2021 10/8/2022 OD VI GAYATHRI SRINIVASAN NEW ENGLAND EYE INSTITUTE 424 BEACON ST BOSTON MA 02115 2/27/2021 2/27/2022 OD VI JASON ST. PETER T 16 QUIET KNOLL ROAD BOX 767 STOCKBRIDGE MA 01262 12/11/2020 12/11/2021 OD VI ERIC STAFFIER A 42 MAIN ST. TAIMTPM MA 02780 10/17/2021 10/17/2022 OD VI JOSEPH STAMM MARTIN MCPHS UNIVERSITY SCHOOL OF OPTOMETRY 10 LINCOLN SQ WORCESTER MA 01608 6/14/2021 6/14/2022 OD VI NANCY LEE STAROSCIAK ANN 934 ASHLEY BLVD NEW BEDFORD MA 02745 7/7/2021 7/7/2022 OD VI JOSEPH STASIO A 11 NEWBURY STREET DANVERS MA 01923 8/30/2021 8/30/2022 OD VI JESSICA STEJNA L. 800 WASHINGTON STREET BOX 450 BOSTON MA 02111 11/19/2020 11/19/2021 OD VI CATHY STERN D. 7 CEDAR DRIVE CANTON MA 02021 6/22/2021 6/22/2022 OD VI GRAHAM STETSON R 480 WEST CENTRAL ST FRANKLIN MA 02038 8/14/2021 8/14/2022 OD VI ASHLEY STEVENS JADENE SHEINKOPF & TOMASIK EYE CARE ASSOCIATES 279 STATION AVE SOUTH YARMOUTH MA 02664 7/22/2021 7/22/2022 OD VI TERESA STONE LYNETTE RELIANT MEDICAL GROUP DEPT OF EYE SERVICES 5 NEPONSET STREET WORCESTER MA 01606 5/27/2021 5/27/2022 OD VI MILA STOPARIC 50 BURLINGTON MAIL ROAD SUITE 101 BURLINGTON MA 01803 7/20/2021 7/20/2022 OD VI BENJAMIN STRAKE RAPHAEL 20 CENTRAL AVE LYNN MA 01901 8/17/2021 8/17/2022 OD VI MICHELLE STRAUBE MARIE DURAND HOPKINTON EYE ASSOCIATES 77 WEST MAIN ST. HOPKINTON MA 01748 10/25/2020 10/25/2021 OD VI ABIGAIL STRAUSS A ATRIUS HEALTH - VISUAL SERVICES 26 CITY HALL MALL MEDFORD MA 02155 5/3/2021 5/3/2022 OD VI STEPHEN STREBEL C. 37 WASHINGTON STREET WESTFIELD MA 01085 4/14/2022 4/14/2023 OD VI STEVEN STROJNY M 12 WARREN ROAD BOURNE MA 02532 6/28/2021 6/28/2022 OD VI ARTHUR STUCHINS M 361 WASHINGTON STREET WESTWOOD MA 02090 3/27/2021 3/27/2022 OD VI DEREK STURTEVANT EYE PHYSICIANS OF NORTHAMPTON 40 MAIN ST FLORENCE MA 01062 7/28/2021 7/28/2022 OD VI YU SU 214 WREN ST WEST ROXBURY MA 02132 8/10/2021 8/10/2022 OD VI DANIEL SULLIVAN G SULLIVAN OPTOMETRY, P.C. 34 POPE STREET HUDSON MA 01749 12/4/2020 12/4/2021 OD VI GARRETT SULLIVAN FRANCIS 34 POPE STREET HUDSON MA 01749 6/15/2021 6/15/2022 OD VI KATHARINE SULLIVAN D WATTS EYE ASSOCIATES 33 LOW ST NEWBURYPORT MA 01950 11/3/2021 11/3/2022 OD VI AZADEH SUPPAPPOLA 65 E. INDIA ROW UNIT #33G BOSTON MA 02110 7/17/2021 7/17/2022 OD VI KATHRYN SURDOVEL A DEPARTMENT OF VETERAN'S AFFAIRS 377 PLANTATION ST., STE 4 WORCESTER MA 01605 4/5/2021 4/5/2022 OD VI LYUDMILA SUTHERLAND LENS DOCTORS 381 S. WILLOW ST. MANCHESTER NH 03103 8/8/2021 8/8/2022 OD VI PHILIP SUTHERLAND LEE 16 POLE HILL DRIVE ANDOVER MA 01810 6/26/2021 6/26/2022 OD VI SCOTT SYLVIA 1 PORTER SQUARE CAMBRIDGE MA 02140 3/4/2021 3/4/2022 OD VI ANNA SYMOLON DOSTAL EYECARE 250 NORTHAMPTON ST EASTHAMPTON MA 01027 10/24/2021 10/24/2022 OD VI CHRISTOPHER SYMOLON M. EYESIGHT & SURGERY ASSOCIATES 299 CAREW STREET, SUITE 201 SPRINGFIELD MA 01104 10/29/2020 10/29/2021 OD VI ANGELICA SZELLER LENSCRAFTERS 37 NEWBURY ST. BOSTON MA 02116 7/23/2021 7/23/2022 OD VI H. DAVID TABAIE 585 CHANDLER STREET WORCESTER MA 01602 4/13/2021 4/13/2022 OD VI AFSOON TAKRIMI VISION WORKS TOWNE PLAZA 700 BOSTON RD BILLERICA MA 02821 1/23/2021 1/23/2022 OD VI KRISTIN TALLMAN BREED TALLMAN EYE ASSOCIATES 360 MERRIMACK STREET, BLDG 9 LAWRENCE MA 01843 10/9/2021 10/9/2022 OD VI THEANCHAI TANLAMAI NEWBURY VISIONS 215 NEWBURY STREET BOSTON MA 02116 3/3/2021 3/3/2022 OD VI WENHONG TAO STOUGHTON EYE ASSOCIATES C/O TARGET OPTICAL 1 MYSTIC VIEW ROAD EVERETT MA 02149 10/13/2021 10/13/2022 OD VI JOSEPH TARANTINO A PEARLE VISION 20 COMMERCE WAY SEEKONK MA 02771 2/26/2021 2/26/2022 OD VI KEITH TAYLOR EDWARD 166 ATLANTIC AVENUE MARBLEHEAD MA 019452911 6/24/2021 6/24/2022 OD VI STEPHEN TAYLOR M OPHTHALMIC CONSULTANTS OF BOSTON 50 STANIFORD STREET, SUITE 600 BOSTON MA 02114 6/22/2021 6/22/2022 OD VI ANGELA TCHAO BLUE HILLS EYE ASSOCIATES 340 WOOD ROAD BRAINTREE MA 02184 7/20/2021 7/20/2022 OD VI HANNAH TENNANT MARIE ELAINE 68 MARSHALL ST BILLERICA MA 01821 10/15/2020 10/15/2021 OD VI KOMAL THAKORE NEW ENGLAND EYE CENTER 800 WASHINGTON STREET, BOX 450 BOSTON MA 02111 9/5/2021 9/5/2022 OD VI

Page 21 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

BRIAN THAMEL STEVEN FAMILY EYE CARE, INC. 335 PARK AVE. WORCESTER MA 01610 5/22/2021 5/22/2022 OD VI LAUREN THAMEL FAMILY EYE CARE INC. 335 PARK AVE WORCESTER MA 01610 7/28/2021 7/28/2022 OD VI DANIEL THURM WILLIAM 340 WOOD ROAD BRAINTREE MA 02184 7/3/2021 7/3/2022 OD VI PAUL TIERI ROBERT 281 GREAT ROAD MAYNARD MA 01754 7/12/2021 7/12/2022 OD VI ROBERT TIERI MICHAEL 342 GREAT ROAD ACTON MA 01720 12/29/2020 12/29/2021 OD VI DAVID TIERNEY WILLIAM HARVARD UNIVERSITY HEALTH SERVICES 75 MOUNT AUBURN ST CAMBRIDGE MA 02138 7/16/2021 7/16/2022 OD VI ALAN TITELBAUM RICHARD EYE ASSOC. OF SOMERVILLE 174 BROADWAY SOMERVILLE MA 02145 4/20/2021 4/20/2022 OD VI JENNA TITELBAUM ROCHELLE 3 VICTORIA LANE MARBLEHEAD MA 01945 9/10/2021 9/10/2022 OD VI PATRICK TITTERINGTON WILLIAM LAHEY HOSPITAL AND MEDICAL CENTER DEPT OF OPHTHALMOLOGY 41 MALL RD BURLINGTON MA 01805 2/5/2021 2/5/2022 OD VI DIANE TODD P. 9 WEST ROAD ORLEANS MA 02653 7/2/2021 7/2/2022 OD VI ZOEY TOLCHIN 550 MAIN ST WOBURN MA 01801 10/2/2020 10/2/2021 OD VI DOROTHY TOLLS J JOSLIN DIABETES CTR BEETHAM EYE INSTITUTE ONE JOSLIN PLACE BOSTON MA 02215 10/22/2021 10/22/2022 OD VI MELISSA TOM-KUN 15 BROOK ST UNIT 3 MEDFIELD MA 02052 6/22/2021 6/22/2022 OD VI THOMAS TOMASIK DAVID 279 STATION AVENUE SOUTH YARMOUTH MA 02664 4/27/2021 4/27/2022 OD VI SUSAN TOMASINO F 192 WORCESTER STREET NATICK MA 01760 1/19/2021 1/19/2022 OD VI EVAN TONG EI-CHENG GREATER MILFORD EYE ASSOCIATES 192 WEST ST MILFORD MA 01757 10/15/2021 10/15/2022 OD VI CAROLINE TOOMEY-GITTO J MCPHS- EYE AND VISION CENTER 10 LINCOLN SQUARE WORCESTER MA 01608 4/1/2021 4/1/2022 OD VI MAURA TRAIL-O'BRIEN L NORTH SUBURBAN EYE ASSOCIATES 669 MAIN STREET WAKEFIELD MA 01880 3/9/2021 3/9/2022 OD VI BRIANNA TRAN VISIONWORKS 200 WESTGATE DR., SPACE E133 BROCKTON MA 02301 7/25/2021 7/25/2022 OD VI CHRISTINE TRAN MINH LICKTEIG FAMILY EYECARE (LENSCRAFTERS) 870 PROVIDENCE HWY DEDHAM MA 02026 7/19/2021 7/19/2022 OD VI THUONG TRAN MONG 1 SCAMMELL ST. QUINCY MA 02169 3/15/2021 3/15/2022 OD VI TONY TRAN 87 GRANDVIEW AVENUE WATERBURY CT 06078 8/2/2021 8/2/2022 OD VI LINH TRANG THUY THI EZ EYECARE 529 LINCOLN ST WORCESTER MA 01605 8/19/2021 8/19/2022 OD VI LISA TRAVEIS A 21 MARKET STREET, SUITE 100 IPSWICH MA 01938 5/19/2021 5/19/2022 OD VI MARK TRAVEIS A BURLINGTON VISION ASSOCIATES, INC. 385 CAMBRIDGE STREET BURLINGTON MA 01803 2/3/2021 2/3/2022 OD VI SPENCER TRAXLER E WATTS EYE ASSOCIATES 33 LOW STREET NEWBURYPORT MA 01950 8/10/2021 8/10/2022 OD VI COURTNEY TREVINO MOTA KEM OPTICAL 83B FAUNCE CORNER MALL ROAD NORTH DARTMOUTH MA 02747 8/28/2021 8/28/2022 OD VI LINH TRIEU TU 2 SUMMER ST NATICK MA 01760-4529 12/27/2020 12/27/2021 OD VI PHUONG TRINH D 44 UNION AVENUE FRAMINGHAM MA 01702 8/15/2021 8/15/2022 OD VI LANA TSESLER G 50 BURLINGTON MALL RD, SUITE 101 BURLINGTON MA 01803 9/13/2021 9/13/2022 OD VI MARC TURCO JOSEPH 131 HOWARD STREET SAUGUS MA 01906 5/3/2021 5/3/2022 OD VI AMANDA TURCOTTE KATE CLEARY SQUARE EYECARE 7 FAIRMOUNT AVE HYDE PARK MA 02136 7/1/2021 7/1/2022 OD VI JEFFREY UNDERKOFFLER R RELIANT MEDICAL GROUP DEPT OF EYE SERVICES 5 NEPONSET STREET WOCESTER MA 01606 2/22/2021 2/22/2022 OD VI KARIN UNDERKOFFLER L RELIANT MEDICAL GROUP DEPT OF EYE SERVICES 900 UNION STREET WESTBOROUGH MA 01581 2/23/2021 2/23/2022 OD VI STEVEN VACHULA VICTOR II EYE & LASIK CENTER 33 RIDDELL STREET GREENFIELD MA 01301-2025 9/12/2021 9/12/2022 OD VI FREDERICK VALENTINE RANDALL JR. 1044 GAR HIGHWAY SWANSEA MA 02777 10/21/2021 10/21/2022 OD VI HENRY VALENTINE R VALENTINE EYE CARE 80 ERDMAN WAY, SUITE 205 LEOMINSTER MA 01453 11/21/2020 11/21/2021 OD VI DONNA VANN TALLMAN EYE ASSOCIATES 360 MERRIMACK STREET, BLD#9 1ST.FL. LAWRENCE MA 01843 9/2/2021 9/2/2022 OD VI PATRICIA VANTOSH BETH 27 RAILROAD AVENUE, SUITE 1 DUXBURY MA 02332 6/1/2021 6/1/2022 OD VI ROYA VATAN E LEXINGTON EYE ASSOCIATES 21 WORTHEN RD LEXINGTON MA 02421 12/3/2020 12/3/2021 OD VI JANINE VECCHIARELLO A NATICK EYE ASSOCIATES 1364 WORCESTER ST NATICK MA 01760 9/13/2021 9/13/2022 OD VI FERDINAND VELAZQUEZ 90 MORELANDGREEN DR WORCESTER MA 01609 3/29/2021 3/29/2022 OD VI GABRIELLA VELONIAS LEXINGTON EYE ASSOCIATES 21 WORTHEN ROAD LEXINGTON MA 02421 4/28/2021 4/28/2022 OD VI FUENSANTA VERA-DIAZ ASCENSION NEW ENGLAND COLLEGE OF OPTOMETRY 424 BEACON ST BOSTON MA 02115 1/7/2021 1/7/2022 OD VI AMANDA VESSELS NEW ENGLAND EYE CENTER 800 WASHINGTON STREET, #450 BOSTON MA 02111 7/19/2021 7/19/2022 OD VI VIKTORIYA VILKOMIR BOSTON EYE GROUP/BOSTON LASER 204 WORCESTER ST WELLESLEY MA 02481 11/17/2020 11/17/2021 OD VI

Page 22 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

MICHELLE VINAGRE D. CAPE OPTICAL 3003 - B CRANBERRY HIGHWAY EAST WAREHAM MA 02538 6/28/2021 6/28/2022 OD VI PETER VIOLETTE J 333 NORTH AVENUE WAKEFIELD MA 01880 9/27/2021 9/27/2022 OD VI MARY VO LIFETIME VISION, LLC 1219 HANCOCK STREET QUINCY MA 02169 10/9/2021 10/9/2022 OD VI MIEU VO D. ATTN: INSIDE LENSCRAFTERS 101 KINGSTON COLLECTION WAY KINGSTON MA 02364 8/18/2021 8/18/2022 OD VI ANDREA VOSBIKIAN D BOROYAN EYE ASSOCIATES P.C. 73 PRINCETON ST., SUITE 201 N. CHELMSFORD MA 01863 9/11/2021 9/11/2022 OD VI BRIAN WADMAN WINFIELD MY EYE DR 489 BERARDSTON RD STE 202 GREENFIELD MA 01301 5/11/2021 5/11/2022 OD VI GLENNA WAITT A 74 SURF AVENUE MARSHFIELD MA 02050 4/29/2021 4/29/2022 OD VI GREG WALDORF ROSS 10 LINCOLN SQ WORCESTER MA 01608 6/3/2021 6/3/2022 OD VI ASHLEY WALECKA CENTER FOR EYE HEALTH 1 PEARL ST., SUITE 1100 BROCKTON MA 02301 11/18/2020 11/18/2021 OD VI ANDREW WALKOWIAK 33 RIDDELL STREET GREENFIELD MA 01301 5/3/2021 5/3/2022 OD VI GUANG-JI WANG 65 HARRISON AVE #206 BOSTON MA 02111 6/23/2021 6/23/2022 OD VI JUNGLING WANG G 383 MAIN STREET WORCESTER MA 01608 11/6/2021 11/6/2022 OD VI RONALD WATANABE K. ANDOVER OPTOMETRY ON CENTRAL ANDOVER MA 01810 4/16/2021 4/16/2022 OD VI MATTHEW WATERBURY WRIGHT 47 PLACE ROAD FALMOUTH MA 02540 7/19/2021 7/19/2022 OD VI AMY WATTS CROTEAU MEEI DEPT OF OPTOMETRY 243 CHARLES STREET BOSTON MA 02114 7/27/2021 7/27/2022 OD VI DEBORAH WAYNE L 380 BROADWAY P.O. BOX 505614 CHELSEA MA 02150 6/21/2021 6/21/2022 OD VI JANA WEGRZYN L 495 CABOT ST., #1 BEVERLY MA 01915 7/23/2021 7/23/2022 OD VI ANN-WHA WEI JENNIFER HOLDEN EYE CARE 1355 MAIN ST. HOLDEN MA 01520 10/21/2021 10/21/2022 OD VI BONNY WEINGARTEN M 29 RAILROAD AVENUE STATION PLACE GLOUCESTER MA 01930 2/4/2021 2/4/2022 OD VI ERIK WEISSBERG M NEW ENGLAND COLLEGE OF OPTOMETRY 424 BEACON STREET BOSTON MA 02115 3/29/2021 3/29/2022 OD VI MICHAEL WELLINGTON CHARLES WALMART VISION CTR 555 HUBBARD AVENUE PITTSFIELD MA 01201 4/13/2021 4/13/2022 OD VI GEOFFREY WHITE ANDREW DBA CENTRAL SQUARE EYE CARE 3 CENTRAL SQUARE CAMBRIDGE MA 02139 9/25/2021 9/25/2022 OD VI RANDAL WHITE HARRISON VISION WORKS-OPTOMETRY 1 SCAMMEL ST QUINCY MA 02169 1/29/2021 1/29/2022 OD VI SANDRA WHITE J 84 TREMONT ST DUXBURY MA 02332 4/7/2021 4/7/2022 OD VI JOHN WHITING CHARLES RELIANT MEDICAL GROUP DEPT OF EYE SERVICES 64 BOYDEN ROAD HOLDEN MA 01520 10/3/2020 10/3/2021 OD VI EMILY WIECEK KATRINA BOSTON CHILDREN'S HOSPITAL DEPT OF OPHTHALMOLOGY FEGAN 4 300 LONGWOOD AVE BOSTON MA 02115 9/6/2021 9/6/2022 OD VI AMANDA WIEDERODER KATHRYN APPLETON EYE ASSOCIATES 39 GREEN ST. NEWBURYPORT MA 01950 7/11/2021 7/11/2022 OD VI ROBERT WILCOX MARTIN 56 NORTH MAIN STREET FALL RIVER MA 02720 6/26/2021 6/26/2022 OD VI HILARY WILLIAMS WELLS NANTASKET EYECARE ASSOCIATES, LLC 538 NANTASKET AVENUE HULL MA 02045 4/14/2021 4/14/2022 OD VI SARAH WILLIAMS ALYCE NEW ENGLAND COLLEGE OF OPTOMETRY 424 BEACON ST BOSTON MA 02115 7/24/2021 7/24/2022 OD VI RHONDA WILLINGER Z STUDIO OPTICS 659 WORCESTER ROAD FRAMINGHAM MA 01701 11/5/2021 11/5/2022 OD VI KATRINA WINSLADE MARIE 198 ELM ST NORTH CAMBRIDGE MA 02140 1/31/2021 1/31/2022 OD VI PHILIP WINSLOW J ADVANCED EYE CENTER 500 FAUNCE CORNER RD STE 110 NO DARTMOUTH MA 02747 8/8/2021 8/8/2022 OD VI LINDA WISE J 76 CHESTNUT STREET FRANKLIN MA 02038 12/3/2020 12/3/2021 OD VI GARY WOLF 1140 THORNDIKE STREET P.O. BOX 909 PALMER MA 01069 4/24/2021 4/24/2022 OD VI CARMEN WOOD HUANG LUMIERE EYE CARE ASSOCIATES, PC 978 MAIN STREET SOUTH WEYMOUTH MA 02190 6/16/2021 6/16/2022 OD VI HENRY WOODCOME EDWARD BROCKTON NEIGHBORHOOD HEALTH CENTER 63 MAIN STREET BROCKTON MA 02301 7/1/2021 7/1/2022 OD VI KRISTY WOOLER B OPHTHALMIC CONSULTANTS OF BOSTON 88 ANSEL HALLET ROAD YARMOUTH MA 02673 9/17/2021 9/17/2022 OD VI EMILY WU H MACY'S LENSCRAFTERS BRAINTREE 250 GRANITE STREET BRAINTREE MA 02184 10/11/2021 10/11/2022 OD VI KUN WU NANCY D'AMBROSIO EYE CARE INC 479 OLD UNION TURNPIKE LANCASTER MA 01523 7/27/2021 7/27/2022 OD VI USANA WU Y.S. 200 COVE WAY, SUITE 504 QUINCY MA 02169 12/22/2020 12/22/2021 OD VI YING WU-FREEMAN FRIENDLY EYE CARE INSIDE WALMART VISION CENTER 780 LYNNWAY LYNN MA 01905 6/15/2021 6/15/2022 OD VI HONGBIN XU 242 WOODLAND STREET, SUITE 210 WEST BOYLSTON MA 01583 8/11/2021 8/11/2022 OD VI MENG XU MENG SOUTH BOSTON COMMUNITY HEALTH CENTER EYE CLINIC 386 W BROADWAY BOSTON MA 02127 5/21/2021 5/21/2022 OD VI HANIEH YAGHOOBI 62 DUNBOYST BRIGHTON MA 02135 6/26/2021 6/26/2022 OD VI VICTORIA YAMPOLSKY S PREMIER FAMILY EYECARE PC 5 NORTH MAIN STREET SHARON MA 02067 2/22/2021 2/22/2022 OD VI

Page 23 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

YUERAN YAN COSTCO OPTOMETRY 200 LEGACY BLVD DEDHAM MA 02026 6/28/2021 6/28/2022 OD VI YANG YANG OPHTHALMIC CONSULTANTS OF BOSTON 50 STANIFORD STREET, SUITE 600 BOSTON MA 02114 8/5/2021 8/5/2022 OD VI VIVIAN YAO 1101 BEACON STREET, SUITE 6W BROOKLINE MA 02446 7/11/2021 7/11/2022 OD VI WENSHENG YAO WINSTON COMMUNITY OPTICS 410 ESSEX STREET LAWRENCE MA 01840 8/9/2021 8/9/2022 OD VI SANDRA YELEN M VISIONARY GROUP, LLC D.B.A. VISIONARY EYE CARE 875 MERRIAM AVENUE, UNIT 127 LEOMINSTER MA 01453 2/3/2021 2/3/2022 OD VI SUNNY YOON 88 LAFAYETTE STREET SALEM MA 01970 7/23/2021 7/23/2022 OD VI BENJAMIN YOUNG G NECO CENTER FOR EYE CARE ROSLINDALE 4199 WASHINGTON ST #2 ROSLINDALE MA 02131 12/9/2020 12/9/2021 OD VI YUE YU 135 OAK STREET NEWTON MA 02464 10/3/2021 10/3/2022 OD VI MINSHENG YUAN COVE COMMNITY HEALTH CENTER 88 HOLMES ST QUINCY MA 02171 12/31/2020 12/31/2021 OD VI YIN YIN YUEN TARGET OPTICAL 400 COCHITUATE ROAD FRAMINGHAM MA 01701 4/13/2021 4/13/2022 OD VI WAYNE ZAHKA EDWARD 738 HIGH STREET WESTWOOD MA 02090 8/20/2021 8/20/2022 OD VI ZDENEK ZAK 10 CODY STREET WEBSTER MA 01570 9/18/2021 9/18/2022 OD VI NADIA ZALATIMO S ANDOVER OPTOMETRY ON CENTRAL 15 CENTRAL ST ANDOVER MA 01810 2/14/2021 2/14/2022 OD VI MARY-ANN ZAPPALA 11 HARVARD STREET BROOKLINE MA 02445 8/12/2021 8/12/2022 OD VI KAREN ZAR L 1601 TRAPELO ROAD, SUITE 184 WALTHAM MA 02451 4/28/2021 4/28/2022 OD VI OLGA ZELDIN G. BETH ISRAEL DEACONESS MEDICAL CENTER DIV OF OPHTHALMOLOGY, SHAPIRO 5 330 BROOKLINE AVENUE, CC5BOSTON MA 02215 11/8/2020 11/8/2021 OD VI SAHAR ZELKHA 44 WASHINGTON ST BROOKLINE MA 02445 11/16/2020 11/16/2021 OD VI DONNA ZHANG MEI 27 MEMORIAL PARKWAY RANDOLPH MA 02368 6/26/2021 6/26/2022 OD VI RICHARD ZHANG YILIN THE MEDICAL BUILDING 16 CLARKE STREET, B2 LEXINGTON MA 02421 4/27/2021 4/27/2022 OD VI LIXIN ZHENG CHA EYE CENTER 236 HIGHLAND AVENUE SOMERVILLE MA 02143 7/29/2021 7/29/2022 OD VI JIAYI ZHOU LAHEY HOSPITAL AND MEDICAL CENTER DEPT OF OPHTHALMOLOGY 31 MALL RD BURLINGTON MA 01803 3/16/2021 3/16/2022 OD VI XIAOHONG ZHOU MASSACHUSETTS EYE AND EAR INFIRMARY DEPT OF OPTOMETRY 243 CHARLES ST BOSTON MA 02114 8/29/2021 8/29/2022 OD VI XINSHENG ZHU MALDEN EYECARE CLINIC LLC 65 HARRISON AVE, SUITE 403 BOSTON MA 02111 7/15/2021 7/15/2022 OD VI YUHUI ZHU 333 MAIN ST TEWKSBURY MA 01876 7/23/2021 7/23/2022 OD VI ARNOLD ZIDE S 10 GREENVIEW ST. #18 FRAMINGHAM MA 01701 6/26/2021 6/26/2022 OD VI CARYN ZIMMERMAN L EYE CARE AT DOT HOUSE HEALTH 1353 DORCHESTER AVE DORCHESTER MA 02122 9/13/2021 9/13/2022 OD VI KURTIS ZIMMERMAN R RELIANT MEDICAL GROUP, DEPT. OF EYE SERVIC 5 NEPOINSET STREET WORCESTER MA 01606 4/26/2021 4/26/2022 OD VI ANDREW ZODIKOFF D NATICK EYE ASSOCIATES, INC. 1364 WORCESTER ROAD NATICK MA 01760 11/25/2020 11/25/2021 OD VI DEBORAH ZOPATTI MARIE LEBLANC 15 LONGVIEW AVE WEBSTER MA 01570 5/11/2021 5/11/2022 OD VI

As of 10/01/21

Page 24 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

Active MCSR's for PODIATRISTS

First Name Last name Middle Name Suffix Address City State Zip Issued Expires Class Drug_Schedules GEORGE ABBOUD A 30 NEWCROSSING RD., SUITE 311 READING MA 01867 12/21/2018 / / DPM II,III,IV,V,VI SHADI ABBOUD A HEALTH DRIVE PODIATRY GROUP 100 CROSSING BLVD SUITE 300 FRAMMINGHAM MA 01702 2/11/2019 / / DPM II,III,IV,V,VI DONALD ADAMS W JR 61 LINCOLN ST. SUITE 210 FRAMINGHAM MA 01701 7/23/2021 / / DPM II,III,IV,V,VI USMAN AKRAM TANZEEM 40 SECOND AVE WALTHAM MA 02451 4/23/2018 / / DPM II,III,IV,V,VI JAMEY ALLEN ANN 100 UNICON PARK DRIVE #3 WOBURN MA 01801 5/26/2021 / / DPM II,III,IV,V,VI DAVID ALPER B ONE OAK AVENUE BELMONT MA 02478 12/9/2018 / / DPM II,III,IV,V RIYA ALTOMONTE 888 WORCESTER STREET WELLESLEY MA 02482 12/16/2018 / / DPM II,III,IV,V,VI JAMES ANDERSON A JR 184 WEST CENTRAL ST FRANKLIN MA 02038 5/13/2019 / / DPM II,III,IV,V,VI PAULA ANGELINI F 140 PARK ST. SUITE 1 ATTLEBORO MA 02703 9/24/2021 / / DPM II,III,IV,V,VI JAMES APPLETON F 72 WASHINGTON ST. SUITE 1100 TAUNTON MA 02780 10/20/2019 / / DPM II,III,IV,V,VI JANE ARLANDER CURTIS 93 FEDERAL STREET SALEM MA 01970 12/19/2020 / / DPM II,III,IV,V,VI NEAL ARMSTRONG E ARMSTRONG PODIATRY ASSOCIATES, P.C. 47 ASHBY STATE ROAD, LOWER LEVEL FITCHBURG MA 01420 12/24/2018 / / DPM II,III,IV,V,VI RICHARD ARMSTRONG A FALMOUTH PODIATRY 342 GIFFORD STREET, SUITE A FALMOUTH MA 02540 6/13/2019 / / DPM II,III,IV,V,VI SCOTT ARONSON MICHAEL 1017 TURNPIKE STREET, SUITE 12B CANTON MA 02021 6/29/2021 / / DPM II,III,IV,V,VI JILL ASHCRAFT FRANCINE ATRIUS HEALTH 40 HOLLAND ST. SOMERVILLE MA 02144 8/17/2021 / / DPM II,III,IV,V,VI WILLIAM AXTON ANTHONY HAMPDEN PODIATRY ASSOCIATES 77 WINSOR STREET, SUITE 204 LUDLOW MA 01056 6/9/2020 / / DPM II,III,IV,V,VI THOMAS BAER DAVID SCITUATE PODIATRY GROUP JACOB HATCH BLDG 10 NEW DRIFTWAY RD SCITUATE MA 02066 3/5/2021 / / DPM II,III,IV,V,VI RICHARD BAKER E. JR PRIMACARE, P.C. 289 PLEASANT STREET FALL RIVER MA 02721 4/3/2020 / / DPM II,III,IV,V,VI JANA BALAS RELIANT MEDICAL GROUP, DEPARTMENT OF PODIATRY 5 NEPONSET STREET WORCESTER MA 01606 6/20/2017 / / DPM II,III,IV,V,VI ANGELA BARNES JAMES J. DIRESTA DPM & ASSOCIATES 37 1/2 FORRESTER STREET NEWBURYPORT MA 01950 6/15/2021 / / DPM II,III,IV,V,VI NEIL BARNEY ALLEN LOWER CAPE PODIATRY ORLEANS BREWSTER OFFICE PARK 4 GRANITE STATE COURT BREWSTER MA 02631 10/10/2020 / / DPM II,III,IV,V,VI NICOLE BARRELLA BULGER VETERINARY HOSPITAL 141 WINTHROP AVE LAWRENCE MA 01843 8/5/2019 / / DPM II,III,IV,V,VI PHILIP BASILE CRIMSON FOOT AND ANKLE SPECIALISTS 725 CONCORD AVENUE, SUITE 3600 CAMBRIDGE MA 02138 7/16/2021 / / DPM II,III,IV,V,VI ETHEL BAYLOR R. 342 A GIFFORD STREET FALMOUTH MA 02340 9/28/2020 / / DPM II,III,IV,V,VI STEVEN BELANGER M 1030 PRESIDENT AVENUE SUITE 116 FALL RIVER MA 02720 7/15/2019 / / DPM II,III,IV,V,VI DAREN BERGMAN J HARVARD VANGUARD MEDICAL ASSOCIATES 230 WORCESTER ST. WELLESLEY MA 02481 5/18/2019 / / DPM II,III,IV,V,VI BONNI BERKOWITZ J. 61 PLEASANT ST. #1386 NEWBURYPORT MA 01950 12/28/2020 / / DPM II,III,IV,V,VI STEVEN BERMAN I 983 BENNINGTON ST EAST BOSTON MA 02128 9/24/2018 / / DPM II,III,IV,V,VI MICHAEL BIANCAMANO J. 993 PROVIDENCE ROAD WHITINSVILLE MA 01588 1/11/2021 / / DPM II,III,IV,V,VI TAMMIE BLACK A VALLEY PODIATRY ASSOC. 81 WILLIAMSETT STREET SOUTH HADLEY MA 01075 1/3/2019 / / DPM II,III,IV,V,VI TARA BLITZ 888 WORCESTER ST, SUITE 130 WELLESLEY MA 02482 4/12/2019 / / DPM II,III,IV,V,VI MATTHEW BOCK P DEDHAM MEDICAL ASSOCIATES 1177 PROVIDENCE HIGHWAY ATTN: MATTHEW BOCK NORWOOD MA 02062 3/14/2019 / / DPM II,III,IV,V,VI RUDY BOKOR 1563 FALL RIVER AVE. SEEKONK MA 02771 8/23/2017 / / DPM II,III,IV,V,VI MARIA BOLLA AUBURN PODIATRY 492 WASHINGTON STREET AUBURN MA 01501 7/14/2020 / / DPM II,III,IV,V,VI TRACI BOLOGNA-JILL M SOUTHERN NEW ENGLAND SURGERY 738 WASHINGTON STREET ATTLEBORO MA 02703 7/29/2021 / / DPM II,III,IV,V,VI SHAWN BRAUNAGEL TYLER 1050 FALMOUTH ROAD HYANNIS MA 02563 6/22/2021 / / DPM II,III,IV,V,VI ALBERT BRAVO A 800 NORTH STREET PITTSFIELD MA 01201 4/23/2021 / / DPM II,III,IV,V,VI CLAIRE BRICKELL HOLLY MCLEAN HOSPITAL 115 MILL ST. BELMONT MA 02478 7/13/2017 / / DPM II,III,IV,V,VI DANIEL BROWN EDWARD PEABODY PODIATRY LLC 6 ESSEX CENTER DRIVE, SUITE 208 PEABODY MA 01960 9/12/2019 / / DPM II,III,IV,V AMY BRUCE ELIZABETH TRINITY HEALTH OF NEW ENGLAND MEDICAL GROU 444 MONTGOMERY STREET CHICOPEE MA 01020 8/27/2020 / / DPM II,III,IV,V,VI KYLE BRUCE WAYNE RIVER BEND MEDICAL GROUP 305 BICENTENNIAL HIGHWAY SPRINGFIELD MA 01118 8/21/2018 / / DPM II,III,IV,V,VI

Page 25 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

JENNIFER BUCHANAN LYNN CAMBRIDGE HEALTH ALLIANCE 1493 CAMBRIDGE ST. CAMBRIDGE MA 02139 5/4/2020 / / DPM II,III,IV,V,VI KELLY BUREK DINEEN 150 SOUTHAMPTON ROAD WESTFIELD MA 01085 12/14/2019 / / DPM II,III,IV,V,VI TERESA BURTOFT J FOOT HEALTH CENTER 451 ANDOVER ST., STE 209 NORTH ANDOVER MA 01845 1/18/2020 / / DPM II,III,IV,V MATTHEW BUTLER PAUL BRIGHAM AND WOMEN'S FAULKNER HOSPITAL 1153 CENTRE STREET, SUITE 5C BOSTON MA 02130 6/8/2021 / / DPM II,III,IV,V,VI BETHANY CALABRESE ANN PIONEER SPINE & SPORT 271 PARK STREET WEST SPRINGFIELD MA 01089 8/31/2020 / / DPM II,III,IV,V,VI DAVID CALDARELLA J SOUTHERN NEW ENGLAND SURGERY-CENTER 738 WASHINGTON STREET ATTLEBORO MA 02703 10/20/2020 / / DPM II,III,IV,V,VI REBECCA CALDER R BEVERLY PODIATRY 900 CUMMINGS CENTER SUITE 309V BEVERLY MA 01915 5/12/2021 / / DPM II,III,IV,V,VI DANIEL CALLAHAN F 873 TURNPIKE ST. NORTH ANDOVER MA 01845 8/20/2021 / / DPM II,III,IV,V,VI FRANK CAMPO S. 260 NORTH ST. BOSTON MA 02113 12/11/2018 / / DPM II,III,IV,V,VI PASQUALE CANCELLIERE MASSACHUSETTS FOOT AND ANKLE SPECIALISTS 53 MAIN ST. SOMERVILLE MA 02145 10/28/2021 / / DPM II,III,IV,V,VI MATTHEW CAPOZZI V PEABODY PODIATRY, LLC 6 ESSEX CENTER DRIVE, SUITE 208 PEABODY MA 01960 4/14/2019 / / DPM II,III,IV,V,VI GREGORY CATALANO D. ORTHOPEDIC AFFILIATES 54 BAKER AVE EXT. SUITE 200 CONCORD MA 01742 7/16/2021 / / DPM II,III,IV,V,VI JAMES CATALDO G 104 WHALON STREET, SUITE 1B FITCHBURG MA 01420 12/18/2018 / / DPM II,III,IV,V,VI KENNETH CESA G 290 ESSEX STREET BEVERLY MA 01915 7/10/2018 / / DPM II,III,IV,V,VI PAUL CHAMAS J. VA CENTER CALIFORNIA HEALTH CARE SYSTEM 2615 E CLINTON AVE FRESNO CA 93703 8/19/2021 / / DPM II,III,IV,V,VI CHONG CHAN KIT WILLIAM 1221 MAIN STREET, SUITE 204 WEYMOUTH MA 02190 9/20/2019 / / DPM II,III,IV,V,VI QUINN CHARBONNEAU TAYLOR PEABODY PODIATRY 6 ESSEX CENTER DRIVE, SUITE 208 PEABODY MA 01960 7/13/2019 / / DPM II,III,IV,V,VI JOEL CHARITON T 999 NORTH MAIN STREET RANDOLPH MA 02368 6/2/2020 / / DPM II,III,IV,V,VI ROBERT CHASEN S 54 UNION STREET SOUTH WEYMOUTH MA 02190 9/28/2018 / / DPM II,III,IV,V,VI JOYCE CHILD R COMPASS MEDICAL 1 COMPASS WAY, SUITE 208 EAST BRIDGEWATER MA 02333 6/15/2021 / / DPM II,III,IV,V HELEN CHO H. MERRIMACK VALLEY PODIATRY 10 RESEARCH PLACE SUITE 201 N. CHELMSFORD MA 01863 4/6/2020 / / DPM II,III,IV,V,VI JAMES CHRZAN S BOSTON PODIATRY SERVICE P.C. 28 PACIFIC STREET, P.O. BOX 342 ROCKLAND MA 02370 3/10/2019 / / DPM II,III,IV,V,VI NICHOLAS CIOTOLA ANTHONY METHUEN PODIATRY ASSOCIATES LLP 386 MERRIMACK ST STE 1B METHUEN MA 01844 7/14/2020 / / DPM II,III,IV,V,VI ALAN CLAYMAN E. 616 GREAT PLAIN AVE. NEEDHAM MA 02192 12/4/2020 / / DPM II,III,IV,V,VI LAWRENCE COBRIN C 72 WASHINGTON ST. SUITE 1100 ATTLEBORO MA 02915 2/10/2020 / / DPM II,III,IV,V,VI MICHAEL COBY E 306 A HIGH STREET GREENFIELD MA 01301 2/5/2021 / / DPM II,III,IV,V,VI JEFFERY COEN R. 294 WASHINGTON STREET, SUITE 217 BOSTON MA 02108 11/28/2018 / / DPM II,III,IV,V,VI ALLYSON COHEN L HARVARD VANGUARD MEDICAL ASSOC. DEPT OF SURGERY/PODIATRY 133 BROOKLINE AVENUE BOSTON MA 02215 7/14/2020 / / DPM II,III,IV,V,VI CHARLES CONNOLLY W JR. 990 PARADISE ROAD SWAMPSCOTT MA 01907 2/3/2020 / / DPM II,III,IV,V,VI SEAN CONNOLLY F. SR 459 BROADWAY SUITE 200 EVERETT MA 02149 9/6/2019 / / DPM II,III,IV,V,VI CARL CONUI 30 NEW CROSSING ROAD SUITE 311 READING MA 01867 6/8/2021 / / DPM II,III,IV,V,VI EMILY COOK A MOUNT AUBURN HOSPITAL 330 MT. AUBURN ST. CAMBRIDGE MA 02138 3/14/2019 / / DPM II,III,IV,V,VI JEREMY COOK J MOUNT AUBURN HOSPITAL 330 MT AUBURN ST CAMBRIDGE MA 02138 3/21/2019 / / DPM II,III,IV,V,VI WILLIAM COOPER C. RELIANT MEDICAL GROUP 24 NEWTON STREET SOUTHBORO MA 01772 6/10/2019 / / DPM II,III,IV,V,VI GARY COUNT WAYNE 10 NEW DRIFTWAY ROAD P.O. BOX #352 SCITUATE MA 02066 9/22/2019 / / DPM II,III,IV,V,VI JAMES COURNIOTES HARRY II FOOT SPECIALISTS ASSOCIATES INC 1786 WILBRAHAM ROAD SPRINGFIELD MA 01119 7/11/2019 / / DPM II,III,IV,V,VI PAUL COURNOYER A 123 SUMMER ST. SUITE 550 WORCESTER MA 01608 3/19/2021 / / DPM II,III,IV,V,VI RUSSELL COURNOYER WILFRED JR. RELIANT MEDICAL GROUP 5 NEPONSET ST WORCESTER MA 01606 9/28/2020 / / DPM II,III,IV,V,VI CANDACE CRISCIONE J FOOT & ANKLE INSTITUTE OF N.E 300 HANOVER STREET SUITE 1E FALL RIVER MA 02720 2/11/2019 / / DPM II,III,IV,V,VI BRUCE CROFT T. 795 MAIN ST HOLDEN MA 01520 10/13/2019 / / DPM II,III,IV,V,VI RICHARD CROSSMAN A 30 GRANT STREET P.O. BOX 541436 WALTHAM MA 02454 4/21/2019 / / DPM II,III,IV,V,VI MICHAEL CROWE JOSEPH III 211 ALDEN ROAD FAIRHAVEN MA 02719 12/1/2020 / / DPM II,III,IV,V,VI RICHARD CULLEN W. 300 CHESTNUT ST., SUITE 500 NEEDHAM MA 02492 12/19/2020 / / DPM II,III,IV,V,VI EMILY CURLEY RYAN SANPHY PODIATRY GROUP 98 NAHANT ST LYNN MA 01902 11/19/2018 / / DPM II,III,IV,V,VI

Page 26 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

TIMOTHY CURRAN G 80 NORTH AVE ABINGTON MA 02351 2/16/2019 / / DPM II,III,IV,V,VI EVAN CWASS P. 264 N. MAIN STREET EAST LONGMEADOW MA 01028 12/1/2019 / / DPM II,III,IV,V,VI SARAH DAIGLE JEANNE HARRINGTON PHYSICAN SERVICES 94 SOUTH ST SOUTHBRIDGE MA 01550 4/11/2021 / / DPM II,III,IV,V,VI CHRISTINE DALRYMPLE F 451 ANDOVER ST., SUITE 209 NORTH ANDOVER MA 01845 7/25/2020 / / DPM II,III,IV,V,VI ALBERT DALY A 253 SALEM STREET MALDEN MA 02148 1/23/2020 / / DPM II,III,IV,V,VI JACK DALY A 253 SALEM STREET MALDEN MA 02148 10/8/2018 / / DPM II,III,IV,V,VI EDWIN DAMON STEVEN MERCY HOSPITAL 299 CAREW ST. SPRINGFIELD MA 01109 10/11/2019 / / DPM II,III,IV,V,VI CORTLANDT DAVIS Y HEALTHDRIVE PODIATRY GROUP 888 WORCESTER ST, SUITE 130 WELLESLEY MA 02482 4/12/2019 / / DPM II,III,IV,V,VI ANTONIO DE MELO M 222 MILLIKEN BLVD, 4TH FLOOR FALL RIVER MA 02721 1/12/2021 / / DPM II,III,IV,V,VI LOUIS DECARO J 10 WEST STREET, UNIT 7 WEST HATFIELD MA 01088 2/10/2019 / / DPM II,III,IV,V,VI BENJAMIN DICKERT C 222 CAREW ST. SUITE 101 SPRINGFIELD MA 01104 9/16/2019 / / DPM II,III,IV,V,VI THANH DINH L. BETH ISRAEL DEACONESS MEDICAL CENTER WEST CAMPUS, PODIATRY DEPT. ONE DEACONESS ROAD BOSTON MA 02215 5/26/2021 / / DPM II,III,IV,V JOUDY-ANN DINNALL TAMEIKA VALLEY MEDICAL GROUP GREENFIELD HEALTH CTR 329 CONWAY STREET GREENFIELD MA 01301 2/11/2019 / / DPM II,III,IV,V,VI JAMES DIRESTA JOHN THE PROFESSIONAL BUILDING 37 1/2 FORRESTER STREET NEWBURYPORT MA 01950 5/13/2019 / / DPM II,III,IV,V,VI CAROL DIVAIO A MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT ST. YAWKEY 3F BOSTON MA 02114 6/24/2018 / / DPM VI YENA DO HOANG 2211 MASSACHUSETTS, #1 CAMBRIDGE MA 02140 4/7/2019 / / DPM II,III,IV,V,VI KAREN DOBE-COSTA E. 197 ADAMS ROAD WILLIAMSTOWN MA 01267 12/12/2019 / / DPM II,III,IV,V,VI SUSAN DORRY PODIATRIC MEDICINE AND SURGERY 268 MAIN STREET WAREHAM MA 02571 10/2/2018 / / DPM II,III,IV,V,VI TERRYL DORSCH A. AFFILIATED FOOT CARE 45 RESNICK ROAD, SUITE 107 PLYMOUTH MA 02360 12/19/2020 / / DPM II,III,IV,V,VI EDMUND DOSREMEDIOS T SOUTHERN NEW ENGLAND SURGICAL CENTER 738 WASHINGTON STREET ATTLEBORO MA 02703 7/14/2019 / / DPM II,III,IV,V,VI TIMOTHY DOWNS M NEW ENGLAND FOOT & ANKLE PC 4 COURTHOUSE LANE STE 11 CHELMSFORD MA 01824 9/12/2019 / / DPM II,III,IV,V,VI RAYMOND DUBOIS J 116 WHITMUN ROAD LONGMEADOW MA 01106 9/25/2021 / / DPM II,III,IV,V,VI GEORGE DUCACH J 1261 FURNACE BROOK PARKWAY SUITE 18 QUINCY MA 02169 6/5/2020 / / DPM II,III,IV,V,VI RICHARD DUROCHER W 168 LOUIS ROAD SPRINGFIELD MA 01118 3/5/2019 / / DPM II,III,IV,V,VI JAMES DWYER E 210 WINTER STREET WEYMOUTH MA 02188 12/8/2019 / / DPM II,III,IV,V,VI WILLIAM EDGERTON CHARLES 9E DOCTOR OSMAN BABSON ROAD GLOUCESTER MA 01930 3/2/2018 / / DPM II,III,IV,V,VI DEBRA EISNER E 62 BROWN STREET SUITE 203 HAVERHILL MA 01830 3/12/2020 / / DPM II,III,IV,V,VI RICHARD EISNER S 55 HIGHLAND AVENUE, SUITE 103 SALEM MA 01970 12/6/2019 / / DPM II,III,IV,V,VI JAY EMLEN C RHODE ISLAND FOOT CARE INC. 537 FAUNCE CONCER ROAD DARTMOUTH MA 02747 5/12/2021 / / DPM II,III,IV,V,VI MATTHEW ENGELTHALER BROOKS MAIN STREET PODIATRY 730 MAIN STREET SUITE 1D MILLIS MA 02054 4/28/2021 / / DPM II,III,IV,V,VI JOHANN ENTINGER KARL AFFILIATES IN FOOT CARE 100 UNICORN PARK DRIVE SUITE 3 WOBURN MA 01801 10/22/2019 / / DPM II,III,IV,V,VI JOHN ERSKINE B AMHERST MEDICAL CENTER 31 HALL DRIVE AMHERST MA 01002 5/19/2021 / / DPM II,III,IV,V,VI RAYMOND ESPER PAUL 44 MEADOWBROOK ROAD MASHPEE MA 02649 9/23/2021 / / DPM II,III,IV,V,VI RONALD ETSKOVITZ BRIAN NEW ENGLAND PODIATRY 1244 BOYLSTON STREET-SUITE 101 CHESTNUT HILL MA 02467 10/6/2019 / / DPM II,III,IV,V,VI NEIL FELDMAN J. CENTRAL MASS PODIATRY 299 LINCOLN STREET, SUITE 202 WORCESTER MA 01605 5/22/2021 / / DPM II,III,IV,V,VI WILLIAM FENN ZACHARY RELIANT MEDICAL GROUP SOUTHBORO PODIATRY 28 NEWTON ST. SOUTHBOROUGH MA 01772 5/8/2020 / / DPM II,III,IV,V,VI JENNIFER FICHTER ENID PRIMA CARE, P.C. 289 PLEASANT STREET, SUITE 202 FALL RIVER MA 02721 11/28/2019 / / DPM II,III,IV,V,VI MATTHEW FILIPPI J. MEADOWS PODIATRY, P.C. 319 MAPLE STREET EAST LONGMEADOW MA 01028 3/21/2020 / / DPM II,III,IV,V,VI LAUREN FISHER A SANPHY PODIATRY GROUP, INC. 98 NAHANT STREET LYNN MA 01902 7/25/2020 / / DPM II,III,IV,V,VI MARC FISHER A MEDICAL SURGICAL FOOT SPECIALIST 48 EAST SILVER STREET WESTFIELD MA 01085 9/21/2021 / / DPM II,III,IV,V,VI TIMOTHY FISHER K THE BEST FOOT FORWARD. PLLC ONE BOSTON PLACE, SUITE 2600 BOSTON MA 02108 10/24/2019 / / DPM II,III,IV,V,VI PAULA FONTAINE A FAMILY FOOT CARE CENTER PC 32 STATE ROAD EAST WESTMINSTER MA 01473 3/7/2019 / / DPM II,III,IV,V,VI THOMAS FRANCHINI CHRISTOPHER NEW ENGLAND ORTHOPAEDICS SURGEONS 300 BIRNIE AVE SPRINGFIELD MA 01107 6/11/2018 / / DPM II,III,IV,V ROBERT FRANGER RICH 626 MAIN STREET SHREWSBURY MA 01545 4/20/2019 / / DPM II,III,IV,V,VI

Page 27 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

HARVEY FRITZ W 36 RALPH ROAD MARBLEHEAD MA 01945 3/20/2019 / / DPM II,III,IV,V,VI CYNTHIA GALAVOTTI M 1200 CONVERSE ST., STE 103 LONGMEADOW MA 01106 4/26/2020 / / DPM II,III,IV,V,VI MARIA GALIMIDI J HEALTHDRIVE PODIATRY GROUP 888 WORCESTER ST, SUITE 130 WELLESLEY MA 02482 4/12/2019 / / DPM II,III,IV,V,VI RODNEY GALLO R 179 GREAT ROAD SUITE 101 ACTON MA 01720 1/11/2020 / / DPM II,III,IV,V,VI ROBERT GALLUCCI E FOOT & ANKLE INSTITUTE OF NEW ENGLAND 300 HANOVER STREET, SUITE 1E FALL RIVER MA 02720 12/19/2019 / / DPM II,III,IV,V,VI MARINA GARAS KAMEEL 125 EDGEMERE ROAD APT# 202 WEST ROXBURY MA 02132 10/9/2019 / / DPM II,III,IV,V,VI DOMINICK GARIBALDI 2 CHAMBERLAIN AVE UNIT 2 WINTHROP MA 02152 11/25/2019 / / DPM II,III,IV,V,VI CAROLINE GAUTHIER READING FOOT & ANKLE SPECIALISTS 50 HAVEN STREET READING MA 01867 4/24/2020 / / DPM II,III,IV,V,VI MICHAEL GAVIGAN K 4 BARLOWS LANDING ROAD, SUITE 17 PO BOX 3227 POCASSET MA 02559 9/18/2021 / / DPM II,III,IV,V,VI RICHARD GENOVESE E 52 CENTRAL STREET GARDNER MA 01440 2/21/2019 / / DPM II,III,IV,V,VI JOHN GEORGE EBLEM 45 LYMAN ST., STE 10 WESTBOROUGH MA 01581 3/28/2019 / / DPM II,III,IV,V,VI PAUL GEORGES A PRIME FOOT AND ANKLE CARE LLC 817 MERRIMACK ST. LOWELL MA 01854 8/12/2019 / / DPM II,III,IV,V,VI SUMMER GETZEN G 34 DEARFOOT ROAD SOUTHBOROUGH MA 01772 9/4/2020 / / DPM II,III,IV,V,VI FIROOZEH GHADYARY-KHORZOOGHY 888 WORCESTER ST, SUITE 130 WELLESLEY MA 02482 5/9/2019 / / DPM II,III,IV,V,VI JOSEPH GIMBEL B. 22 CHESTNUT PLACE SUITE 506 BROOKLINE MA 02445 12/18/2020 / / DPM II,III,IV,V,VI JOHN GIURINI M. DEPT OF PODIATRY 185 PILGRIM ROAD BOSTON MA 02215 10/21/2019 / / DPM II,III,IV,V,VI DOUGLAS GLOD J 72 WASHINGTON ST. SUITE 1100 TAUNTON MA 02780 1/11/2021 / / DPM II,III,IV,V,VI LARRY GOLDSTEIN IRA 31 ROUND HILL RD LINCOLN MA 01773 5/12/2017 / / DPM II,III,IV,V,VI ROBERT GOODMAN C 10 COLONIAL RD. SUITE 8 SALEM MA 01970 3/30/2019 / / DPM II,III,IV,V,VI STANLEY GORGOL A LAWRENCE GENERAL HOSPITAL 1 GENERAL STREET LAWRENCE MA 01841 12/3/2020 / / DPM II,III,IV,V,VI SATWINDER GOSAL KAUR 39 BRIDGE STREET APT # 13 WATERTOWN MA 02472 9/7/2021 / / DPM II,III,IV,V,VI ANN GREALISH PATRICIA FRANKLIN FOOT CARE 184 WEST CENTRAL STREET FRANKLIN MA 02038 9/7/2021 / / DPM II,III,IV,V,VI ALAN GREEN HILEL NEW ENGLAND PODIATRY ASSOC., P.C. 1244 BOYLSTON ST. STE 101 CHESTNUT HILL MA 02467 10/6/2019 / / DPM II,III,IV,V,VI DAVID GREENBERG M SOUTHERN NEW ENGLAND SURGERY CTR 738 WASHINGTON STREET ATTLEBORO MA 02703 5/22/2019 / / DPM II,III,IV,V,VI DAVID GREENBLOTT H. MERRIMACK VALLEY FOOT SPECIALISTS, INC. 62 BROWN STREET, SUITE 206 HAVERHILL MA 01830 9/4/2021 / / DPM II,III,IV,V,VI ROBERT GREENE J RELIANT MEDICAL GROUP-NEPONSET PODIATRY 5 NEPONSET STREET WORCESTER MA 01606-2714 1/23/2019 / / DPM II,III,IV,V,VI AYLEEN GREGORIAN 22 PARK LANE HARVARD MA 01451 6/2/2019 / / DPM II,III,IV,V,VI ROBERT GRONDIN RAYMOND RELIANT MEDICAL GROUP DEPT OF PODIATRY 225 NEW LANCASTER RD LEOMINSTER MA 01453 1/5/2020 / / DPM II,III,IV,V,VI SUZANNE GRONDIN 123 SUMMER STREET, SUITE 550 WORCESTER MA 01608 8/28/2021 / / DPM II,III,IV,V,VI GEOFFREY HABERSHAW MARTIN BOSTON MEDICAL CENTER 732 HARRISON AVENUE, PRESTON 5 BOSTON MA 02119 3/12/2018 / / DPM II,III,IV,V,VI RICHARD HACKER A. 154 WEST GROVE STREET MIDDLEBORO MA 02346 3/11/2021 / / DPM VI RUSSELL HAMILTON W. JR FLETCHER HILL PROFESSIONAL CENTER 9 FLETCHER STREET CHELMSFORD MA 01824 7/20/2019 / / DPM II,III,IV,V,VI CHRIS HAN C SYNERGY SURGICALISTS, INC. 84 GRAPE STREET NEW BEDFORD MA 02740 12/14/2018 / / DPM II,III,IV,V,VI MICHAEL HARRINGTON P STURDY MEMORIAL HOSPITAL 211 PARK STREET ATTLEBORO MA 02703 6/28/2021 / / DPM II,III,IV,V,VI MARTIN HARRIS CLAYTON 7 WILKINS DR PLAINVILLE MA 02762 9/28/2019 / / DPM II,III,IV,V,VI JOSEPH HARTIGAN A 1153 CENTRE STREET, SUITE 5 SOUTH BOSTON MA 02130 9/28/2020 / / DPM II,III,IV,V,VI WILLIAM HARTIGAN J JR 31 COLLEGE AVE ARLINGTON MA 02474 6/3/2019 / / DPM II,III,IV,V MICHAEL HASS I 1244 BOYLSTON STREET, SUITE 101 CHESTNUT HILL MA 02467 7/15/2019 / / DPM II,III,IV,V,VI NAJWAH HAYMAN S AUBURN PODIATRY 492 WASHINGTON STREET AUBURN MA 01501 2/17/2021 / / DPM II,III,IV,V,VI MICHAEL HAYNES STEPHEN 200 SILVER STREET SUITE 215 AGAWAM MA 01001 11/12/2018 / / DPM II,III,IV,V,VI PAUL HEFFERNAN M SURGICAL ASSOCIATES OF C.H.A. 1493 CAMBRIDGE ST CAMBRIDGE MA 02139 7/31/2019 / / DPM II,III,IV,V,VI HENRY HENCZEL K RELIANT MEDICAL GROUP DEPARTMENT OF PODIATRY 5 NEPONSET STREET WORCESTER MA 01606 9/22/2019 / / DPM II,III,IV,V,VI MILLARD HENNESSEE T. 654 EAST BROADWAY SOUTH BOSTON MA 02127 6/14/2017 / / DPM II,III,IV,V,VI ERIK HENRIKSEN ALAN PLYMOUTH PODIATRY 135 SANDWICH STREET PLYMOUTH MA 02360 4/2/2019 / / DPM II,III,IV,V,VI

Page 28 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

MARVELA HERMANUS G 888 WORCESTER STREET WELLESEY MA 02482 5/6/2019 / / DPM II,III,IV,V,VI JOHN HESTER T PRO SPORTS ORTHOPEDICS 20 GUEST STREET, SUITE 225 BRIGHTON MA 02135 8/15/2020 / / DPM II,III,IV,V,VI CLARENCE HILL EUGENE JR 51 MAIN ST HYANNIS MA 02601 6/4/2019 / / DPM II,III,IV,V,VI TIFFANY HODGSON LORRAINE PRIMA CARE, PC 289 PLEASANT STREET, STE 202 FALL RIVER MA 02721 11/23/2019 / / DPM II,III,IV,V,VI SCOTT HORWITZ MARTIN 280 WASHINGTON STREET #304A BRIGHTON MA 02135 9/21/2019 / / DPM II,III,IV,V,VI WILLIAM HUBBARD C. 680 ASHBURNHAM HILL ROAD FITCHBURG MA 01420 9/19/2019 / / DPM II,III,IV,V,VI RACHEL HUTCHINS ELIZABETH WHITTIER STREET HEALTH CTR 1290 TREMONT ST. BOSTON MA 02120 9/10/2021 / / DPM II,III,IV,V,VI JAMES IOLI PETER BRIGHAM ORTHOPEDIC ASSOCIATES 75 FRANCIS ST BOSTON MA 02115 12/30/2018 / / DPM II,III,IV,V,VI CATHERINE JACOBS KILLER FEET 33 BARTLETT STREET, SUITE 402 LOWELL MA 01852 3/12/2020 3/12/2023 DPM II,III,IV,V,VI SARAH JANCEK PRIME MEDICAL ASSOCIATES 237A STATE RD DARTMOUTH MA 02747 5/9/2019 / / DPM II,III,IV,V,VI MICHAEL JEDRZYNSKI CHARLES 118 MAIN STREET, SUITE 4 STURBRIDGE MA 01566 8/1/2020 / / DPM II,III,IV,V,VI FREDERIC JEWETT C. SEVEN FEDERAL ST., STE. 33 DANVERS MA 01923 5/20/2021 / / DPM II,III,IV,V,VI DEEPA JHAVERI LAHEY OUTPATIENT CENTER DANVERS 480 MAPLE STREET DANVERS MA 01923 10/20/2019 / / DPM II,III,IV,V,VI THOMAS JOHN DOUGLAS 572 WASHINGTON STREET WELLESLEY MA 02482 6/18/2018 / / DPM II,III,IV,V,VI LINDSAY JOHNSON JESSICA HARVARD VANGUARD MEDICAL ASSOCIATES DEPT. OF PODIATRIC SURGERY 111 GROSSMAN DRIVE BRAINTREE MA 02184 1/15/2019 / / DPM II,III,IV,V,VI RICHARD JOHNSON C 427 SPRINGDALE WESTFIELD MA 01085 6/25/2018 / / DPM II,III,IV,V,VI PATRICK JONES M SPRINGFIELD PODIATRY ASSOCIATES 222 CAREW ST. #101 SPRINGFIELD MA 01104 11/25/2019 / / DPM II,III,IV,V,VI ARTHUR KALIL G. JR. ARTHUR G. KALIL, JR., DPM 23 WHITE'S PATH UNIT A-2 SOUTH YARMOUTH MA 02664 9/7/2021 / / DPM II,III,IV,V,VI JUSTIN KAMINSKI PAUL PEABODY PODIATRY 6 ESSEX CENTER ST #208 PEABODY MA 01960 7/8/2020 / / DPM II,III,IV,V,VI DAVID KAPLAN BRUCE 165 COTTAGE STREET, SUITE 705 CHELSEA MA 02150 10/23/2020 / / DPM II,III,IV,V,VI JONATHAN KAPLAN D. KAPLAN FOOT CARE- DR JONATHAN KAPLAN 65 WALNUT ST SUITE 360 WELLESLEY MA 02481 6/29/2021 / / DPM II,III,IV,V,VI JAMES KARADIMOS D. 45 LYMAN ST., SUITE 10 WESTBOROUGH MA 01581 7/25/2020 / / DPM II,III,IV,V,VI GEORGE KARRAT JOHN 119 LEICESTER ST. NORTH OXFORD MA 01537 3/16/2020 / / DPM II,III,IV,V,VI CHRISTOPHER KARTER DAVID ADVANCED PODIATRY OF NEEDHAM 1410 HIGHLAND AVE SUITE 204 NEEDHAM MA 02492 5/30/2021 / / DPM II,III,IV,V,VI TIMOTHY KARTHAS ADAM ATRIUS HEALTH, PODIATRY 2 ESSEX CENTE DRIVE PEABODY MA 01960 5/24/2020 / / DPM II,III,IV,V,VI DAVID KAUFMANN MERRILL COMMUNITY HEALTH CONNECTION 326 NICHOLS RD FITCHBURG MA 01420 5/4/2020 / / DPM II,III,IV,V,VI ROBERT KELEMEN 26 ASYLUM ST MILFORD MA 01757 5/24/2019 / / DPM II,III,IV,V,VI BART KELLERMAN ALAN BART KELLERMAN DPM 161 ASH ST. READING MA 01867 11/1/2017 / / DPM II,III,IV,V,VI LEROY KELLEY J. III 480 WASHINGTON STREET NORWOOD MA 02062 12/9/2019 / / DPM II,III,IV,V,VI SAMUEL KELLNER GEORGE CENTRAL MASS PODIATRY 299 LINCOLN ST, STE 202 WORCESTER MA 01605 4/13/2020 / / DPM II,III,IV,V,VI JAMES KERR P CENTRAL WESTERN MASS VA HEALTH CARE SYSTEM 421 N MAIN ST LEEDS MA 01053 1/13/2020 / / DPM II,III,IV,V,VI JONATHAN KETCHUM 1378 MAIN ST. WORCESTER MA 01603 12/16/2019 / / DPM II,III,IV,V,VI FILZA KHAN FOOT & ANKLE CENTER OF MASSACHUSETTS 230 LOWELL ST., UNITS C & E WILMINGTON MA 01887 6/10/2019 / / DPM II,III,IV,V,VI GURNEET KHANGURA KAUR MASSACHUSETTS GENERAL HOSPITAL ORTHOPEDIC ASSOCIATES 55 FRUIT STREET, SUITE 3F BOSTON MA 02114 6/10/2020 / / DPM II,III,IV,V STUART KIGNER EVAN MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT ST BOSTON MA 02114 10/5/2020 / / DPM II,III,IV,V,VI PATRICIA KIM JANE NEW ENGLAND FOOT & ANKLE PC 4 COURTHOUSE LANE, SUITE 2 CHELMSFORD MA 01824 5/6/2019 / / DPM II,III,IV,V,VI CHARLES KING T. 207 QUINCY STREET BROCKTON MA 02402 3/18/2019 / / DPM II,III,IV,V,VI ROBERT KIRSNER E 14 HARRIS STREET NEWBURYPORT MA 01950 4/19/2020 / / DPM II,III,IV,V,VI MARC KLEIN D METHUEN PODIATRY ASSOCIATES 386 MERRIMACK STREET, SUITE 1B METHUEN MA 01844 2/11/2019 / / DPM II,III,IV,V,VI BENJAMIN KNABEL J 7 WILKINS DR PLAINVILLE MA 02762 6/19/2021 / / DPM II,III,IV,V,VI MATTHEW KNABEL MICHAEL ST. VINCENT'S HOSPITAL PODIATRY 123 SUMMER ST. #550 WORCESTER MA 01608 5/14/2020 / / DPM II,III,IV,V,VI KATHERINE KOOT REBECCA FRANKLIN FOOT CARE 184 W CENTRAL STREET FRANKLIN MA 02038 7/1/2019 / / DPM II,III,IV,V,VI AMY KOTOUCH LYNN 888 WORCESTER ST. WELLESLEY MA 02482 1/13/2020 / / DPM II,III,IV,V,VI ALAN KRANTZ G 400 WEST STREET BROCKTON MA 02301 12/12/2020 / / DPM II,III,IV,V,VI

Page 29 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

GLORIA KRASON J. 5 SPRING ST. CHICOPEE MA 01013 10/6/2020 / / DPM II,III,IV,V,VI ALISSA KUIZINAS RUTH CONCORD FOOT & ANKLE CENTER 54 BAKER AVE EXTENSION, SUITE 301 CONCORD MA 01742 7/12/2021 / / DPM II,III,IV,V,VI DOROTHY KURTZ PHELAN HELEN BROOKBY VILLAGE MEDICAL CENTER 100 BROOKSBY VILLAGE DRIVE PEABODY MA 01960 2/25/2021 / / DPM II,III,IV,V,VI BOBBY KURUVILLA MATHEW ORTHOPAEDICS NORTHEAST P.C. 575 TURNPIKE STREET, STE 11 NORTH ANDOVER MA 01845 11/17/2020 / / DPM II,III,IV,V,VI JOSEPH LACONTE M. 340 PLANTATION ST. WORCESTER MA 01604 5/26/2021 / / DPM II,III,IV,V,VI FRANCES LAGANA J. UMASS MEMORIAL MEDICAL CENTER DEPT. OF ORTHOPEDICS 55 LAKE AVE NORTH WORCESTER MA 01605 5/4/2021 / / DPM II,III,IV,V,VI BHANU LAMBA PRATAP 230 RHODE ISLAND AVE FALL RIVER MA 02724 5/30/2018 / / DPM II,III,IV,V,VI ADAM LANDSMAN S CAMBRIDGE HEALTH ALLIANCE 1493 CAMBRIDGE ST. CAMBRIDGE MA 02139 9/28/2018 / / DPM II,III,IV,V,VI ADAM LANG MICHAEL AFFILIATES IN FOOTCARE, P.C. 100 UNICORN PARK DRIVE, SUITE 3 WOBURN MA 01801 8/3/2018 / / DPM II,III,IV,V,VI KENNETH LAVIN M 272 CHAUNCY STREET SUITE # 4 MANSFIELD MA 02048 2/25/2019 / / DPM II,III,IV,V,VI MARK LAWRENCE F DRIFTWAY SOUTH 10 NEW DRIFTWAY P.O. BOX 352 SCITUATE MA 02066 10/13/2019 / / DPM II,III,IV,V,VI KENNETH LAWTON A 95 WASHINGTON ST. SUITE 464 CANTON MA 02021 7/24/2021 / / DPM II,III,IV,V,VI KENNETH LEAVITT MARTIN 125 PARKER HILL #390 BOSTON MA 02120 5/11/2019 / / DPM II,III,IV,V,VI ALAN LECHAN R 966 RAY STREET FALL RIVER MA 02720 3/27/2018 / / DPM II,III,IV,V,VI LIEKE LEE T. AFFILIATES IN FOOT CARE, PC 100 UNICOM PARK DRIVE, SUITE 3 WOBURN MA 01801 12/27/2020 / / DPM II,III,IV,V,VI SAMMY LEE 39 OLYMPIC VILLAGE METHUEN MA 01844 12/12/2019 / / DPM II,III,IV,V,VI PAUL LEPLEY M JR 440 EAST CENTRAL ST. #6 FRANKLIN MA 02038 6/12/2019 / / DPM II,III,IV,V,VI KRYSIA LEPOER L SOUTHERN NEW ENGLAND SURGICAL CENTER 738 WASHINGTON ST. ATTLEBORO MA 02703 7/18/2019 / / DPM II,III,IV,V,VI CHRISTOPHER LOCKE M SOUTH SHORE HOSPITAL- SPECIALTY CLINICS 2 POND PARK ROAD SUITE 303 HINGHAM MA 02043 12/19/2019 / / DPM II,III,IV,V,VI JAMES LUCARELLI E 30 BRIGHAM ST. NEW BEDFORD MA 02740 6/28/2021 / / DPM II,III,IV,V DAMIEN LUCIUS A MILFORD PODIATRY ASSOCIATES 258 MAIN STREET, SUITE 212 MILFORD MA 01757 2/22/2019 / / DPM II,III,IV,V,VI MARSHALL LUKOFF L. 500 CONGRESS STREET SUITE 1-D QUINCY MA 02169 12/22/2020 / / DPM II,III,IV,V,VI PHILIP LUKOFF F. 192 WORCESTER ROAD NATICK MA 01760 1/2/2020 / / DPM II,III,IV,V,VI JANE LYMAN S 474 MAIN ST. GREENFIELD MA 01301 12/15/2019 / / DPM II,III,IV,V,VI ARTHUR LYNCH W 6 GREENFIELD DR PLAISTOW NH 03865 11/13/2021 / / DPM III THOMAS LYONS E. CENTER FOR SPINE SPORTS MEDICINE AND ORTHOPEDICS 2 POND PARK ROAD HINGHAM MA 02043 9/4/2021 / / DPM II,III,IV,V,VI JOHN MACLEOD A 300 HANOVER STREET SUITE 4B FALL RIVER MA 02720 4/26/2020 / / DPM II,III,IV,V,VI KENDRA MAHER SILVA FRAMINGHAM PODIATRY ASSOCIATES 61 LINCOLN ST. SUITE 210 FRAMINGHAM MA 01702 1/19/2020 / / DPM II,III,IV,V,VI VANI MANCHANDA BOSTON COMMON PODIARTY 264 BEACON STREET BOSTON MA 02116 8/18/2021 / / DPM II,III,IV,V,VI ELENA MANNING SOPHIA ORTHOPEDIC CARE PHYSICIAN NETWORK 675 PARAMOUNT DRIVE SUITE 205 RAYNHAM MA 02767 4/25/2019 / / DPM II,III,IV,V,VI RICHARD MANOLIAN JAMES 94 SOUTH ST, SOUTBRIDGE MA 01550 8/18/2020 / / DPM II,III,IV,V,VI RAMIRO MANZANO J 140 COMMONWEALTH AVENUE, SUITE #107 DANVERS MA 01923 11/9/2020 / / DPM II,III,IV,V,VI WAYNE DENNIS MARCHAND AUBURN PODIATRY LLP 492 WASHINGTON STREET AUBURN MA 01501 11/16/2019 / / DPM II,III,IV,V,VI JOHN MARCOUX THOMAS STEWARD ST. ELIZABETH'S MEDICAL CENTER 736 CAMBRIDGE ST. BRIGHTON MA 02135 10/1/2020 / / DPM II,III,IV,V,VI DANIEL MARCUS R. 9 LEO ROAD MARBLEHEAD MA 01945 11/30/2020 / / DPM II,III,IV,V,VI PAULA MARELLA M ADVANCED FOOT CARE, INC. 95 TREMONT STREET, SUITE 5 DUXBURY MA 02332 3/18/2019 / / DPM II,III,IV,V,VI MARIAN MARKOWITZ SWANSEA COUNCIL ON AGING 260 OCEAN GROVE AVENUE SWANSEA MA 02777 3/29/2020 / / DPM II,III,IV,V,VI ASHLEY MASTRANGELO NANCY COASTAL ORTHOPEDICS 77 HERRICK ST STE #201 BEVERLY MA 01915 7/28/2020 / / DPM II,III,IV,V,VI DOROTHY MCCARTHY-CURRAN A 34 LINWOOD ROAD WELLESLEY HILLS MA 02481 11/20/2019 / / DPM II,III,IV,V,VI MICHELLE MCCRUMB A. 395 STATE ROAD VINEYARD MA 02568 6/17/2019 / / DPM II,III,IV,V,VI MOIRA MCDERMOTT L DBA LOWER CAPE PODIATRY FOUR GRANITE STATE COURT BREWSTER MA 02631 1/25/2021 / / DPM II,III,IV,V,VI LAWRENCE MCGINNESS EDWARD 900 CUMMINGS CENTER SUITE 309V BEVERLY MA 01915 1/18/2020 / / DPM II,III,IV,V,VI E. KELLY MCLAUGHLIN 140 PARK STREET, SUITE 1 ATTLEBORO MA 02703 3/6/2021 / / DPM II,III,IV,V,VI JOHN MCLOUGHLIN P 22 CHRISTY'S DRIVE BROCKTON MA 5/4/2020 / / DPM II,III,IV,V,VI

Page 30 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

GREGORY MCNAMARA 33 BARTLETT STREET LOWELL MA 01852 4/13/2019 / / DPM II,III,IV,V,VI ROBERT MEDAGLIO A. 459 BROADWAY SUITE 200 EVERETT MA 02149 11/18/2019 / / DPM II,III,IV,V,VI GARRETT MELICK ANDREW READING FOOT & ANKLE SPECIALISTS, P.C 50 HAVEN STREET READING MA 01867 5/14/2020 / / DPM II,III,IV,V,VI SIMON MELNICK 60 FALCON CIRCLE EAST GREENWICH RI 02818 12/3/2020 / / DPM II,III,IV,V,VI EWALD MENDESZOON R JR BOSTON MEDICAL CENTER 732 HARRISON AVE, PRESTON BLDG FL #5 BOSTON MA 02118 3/8/2020 / / DPM II,III,IV,V ERIK MEUNIER V VALLEY PODIATRY ASSOCIATES, PC 81 WILLIMANSETT ST. SOUTH HADLEY MA 01075-3000 10/26/2019 / / DPM II,III,IV,V,VI JONATHAN MILLER A. SR ADVANCED PODIATRIC ASSOCIATES, INC. 31 MEETINGHOUSE ROAD SOUTH CHATHAM MA 02659 10/18/2019 / / DPM II,III,IV,V,VI ABINASH MISHRA METHUEN PODIATRY ASSOCIATES 386 MERRIMACK STREET SUITE 1B METHUEN MA 01844 7/22/2021 / / DPM II,III,IV,V,VI MICHAEL MITRY 1410 HIGHLAND AVE #204 NEEDHAM MA 02492 5/28/2021 / / DPM II,III,IV,V,VI MICHAEL MOHARAN 825 WASHINGTON ST. #390 NORWOOD MA 02062 3/19/2018 / / DPM II,III,IV,V,VI FRANK MOLE SALVATORE 2440 BOSTON ROAD, UNIT B WILBRAHAM MA 01095 3/9/2019 / / DPM II,III,IV,V,VI SARAH MONTGOMERY MICHELLE FRANKLIN FOOTCARE 184 W CENTRAL STREET FRANKLIN MA 02038 10/31/2020 / / DPM II,III,IV,V,VI CECILIA MOORE G. 1245A MAIN ST. CHATHAM MA 02633 5/26/2021 / / DPM II,III,IV,V,VI MICHELLE MORSE ALLEN COMPASS MEDICAL 54 MILLER ST. SUITE 201 QUINCY MA 02169 5/4/2019 / / DPM II,III,IV,V,VI JEFFREY MOSER D 57 CITY HALL AVENUE GARDNER MA 01440 6/30/2019 / / DPM II,III,IV,V,VI EDWARD MOSTONE J. CAMBRIDGE PODIATRY NETWORK, PC 425 SALEM STREET MEDFORD MA 02155 11/13/2020 / / DPM II,III,IV,V,VI REGINA MOSTONE M MARTHA;S VINEYARD HOSPITAL 1 HOSPITAL ROAD, PO BOX 1477 OAK BLUFFS MA 02557 2/26/2021 / / DPM II,III,IV,V,VI EDGAR MULLIN H JR 376 OCEAN AVE SUITE 911 REVERE MA 02151 5/26/2019 / / DPM II,III,IV,V,VI RAYMOND MURANO S. 101 MAIN STREET SUITE 207 MEDFORD MA 02155 9/21/2019 / / DPM II,III,IV,V,VI RAYMOND MURANO SALVATORE NEW ENGLAND PODIATRY 1244 BOYLSTON ST STE 101 CHESTNUT HILL MA 02467 7/6/2021 / / DPM II,III,IV,V,VI MARIA NATIVIDAD E FRANKLIN FOOT CARE 184 WEST CENTRAL ST. FRANKLIN MA 02038 8/23/2017 / / DPM II,III,IV,V,VI NIDHI NAYYAR LAHEY CLINIC DEPT. OF ORTHOPAEDICS 41 BURLINGTON MALL RD BURLINGTON MA 10805 12/31/2018 / / DPM II,III,IV,V,VI DAVID NEGRON BOSTON MEDICAL CENTER 732 HARRISON AVENUE BOSTON MA 02118 4/4/2019 / / DPM II,III,IV,V,VI TIMOTHY NEYLON ARTHUR OKLAHOMA CITY VA HEALTH CARE SYSTEM 921 NE 13TH STREET OKLAHOMA OK 73104 9/10/2019 / / DPM II,III,IV,V,VI KELLY NOONAN ANN FOOT HEALTH CENTER OF MERRIMACK VALLEY SUITE 209 NORTH ANDOVER MA 01845 9/13/2019 / / DPM II,III,IV,V,VI DENNIS NOSS B 15 MAIN STREET, SUITE 210 WATERTOWN MA 02472 7/23/2018 / / DPM II,III,IV,V,VI MARSHALL NOVIS S. 258 MAIN STREET SUITE 212 MILFORD MA 01757 8/11/2020 / / DPM II,III,IV,V,VI SHARENE NUBANI BECKER NEPONSET HEALTH CENTER 398 NEPONSET AVE DORCHESTER MA 02122 4/4/2017 / / DPM II,III,IV,V,VI NELSON ROBERT NUNBERG 41 WEST ST NEWTON MA 02458 10/27/2020 / / DPM II,III,IV,V,VI KATHLEEN O'KEEFE A FOOT HEALTH CENTER OF MERRIMACK VALLEY 451 ANDOVER STREET, SUITE 209 N. ANDOVER MA 01845 7/28/2020 / / DPM II,III,IV,V,VI ROBERT O'LEARY J. 536 BROAD STREET WEYMOUTH MA 02189 1/10/2020 / / DPM II,III,IV,V,VI KAYLA O'MALLEY POPE 250 N. MAIN STREET SUITE 102 EAST LONGMEADOW MA 01028 4/14/2020 / / DPM II,III,IV,V,VI JUSTIN OGBONNA C BOSTON MEDICAL CENTER 732 HARRISON AVENUE, PRESTON 5 BOSTON MA 02118 6/3/2021 / / DPM II,III,IV,V,VI JESSICA OLSON LYNN NEW ENGLAND FOOR & ANKLE. P.C. 4 COURTHOUSE LN CHELMSFORD MA 01824 6/20/2017 / / DPM II,III,IV,V,VI PETER PAICOS C JR FOUR ORCHARD ST BYFIELD MA 01922 3/23/2020 / / DPM II,III,IV,V,VI DANIEL PAKNIA PIONEER PODIATRY PC DBA DECAROTOTAL FOOTCARE CENTER 10 WEST ST. SUITE # 7 WEST HATFIELD MA 01088 8/1/2020 / / DPM II,III,IV,V,VI JEFFREY PANTANO PAUL NEW ENGLAND FAMILY FOOT CARE PLLC 100 HIGHLAND STREET SUITE #122 MILTON MA 02186 4/29/2019 / / DPM II,III,IV,V,VI PAUL PANTANO JOSEPH 32 SOUTH ST. SUITE 300A WALTHAM MA 02454 7/1/2019 / / DPM II,III,IV,V,VI HARRY PAPAZIAN Z BEDFORD VAMC 200 SPRINGS RD BEDFORD MA 01730 4/19/2020 / / DPM II,III,IV,V,VI JAMES PARLON MICHAEL 61 LINCOLN ST. #210 FRAMINGHAM MA 01702 12/19/2019 / / DPM II,III,IV,V,VI JAMES PASCALIDES T SOUTHERN NEW ENGLAND SURGICAL CENTER 738 WASHINGTON ST. ATTLEBORO MA 02703 7/14/2019 / / DPM II,III,IV,V,VI PAUL PEICOTT S 6 ESSEX CENTER DRIVE, SUITE 208 PEABODY MA 01923 10/25/2019 / / DPM II,III,IV,V,VI DONALD PELTO E CENTRAL MASSACHUSETTS PODIATRY, PC 299 LINCOLN STREET, SUITE 202 WORCESTER MA 01605 6/18/2021 / / DPM II,III,IV,V,VI EMILY PEPYNE MARIE OCPN 15 ROCHE BROTHERS WAY NORTH EASTON MA 02356 6/14/2020 / / DPM II,III,IV,V,VI

Page 31 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

LAUREN PERICA ANN VALLEY PODIATRY ASSOCIATES 81 WILLIMANSETT ST SOUTH HADLEY MA 01075 6/19/2021 / / DPM II,III,IV,V,VI SHANEEKWA PERKINS SHAUNTE PIONEER PODIATRY, PC 10 WEST STREET, UNIT 7 WEST HATFIELD MA 01088 5/9/2019 / / DPM II,III,IV,V,VI WYNN PERLICK ADAM SOUTH SHORE MEDICAL CENTER 143 LONGWATER DR NORWELL MA 02061 4/19/2020 / / DPM II,III,IV,V,VI CHRISTOPHER PETEROS H 1200 CONVERSE STREET SUITE 103 LONGMEADOW MA 01106 1/20/2020 / / DPM II,III,IV,V,VI HAU PHAM T BOSTON MEDICAL CTR 732 HARRISON AVENUE, 5TH FLR PRESTON BLDG BOSTON MA 02118 1/28/2019 / / DPM II,III,IV,V,VI ALFRED PHILLIPS J 11 NEVINS ST., SUITE 501 BRIGHTON MA 02135 7/1/2019 / / DPM II,III,IV,V,VI STEPHEN PIDGEON SIGNATURE HEALTHCARE 110 LIBERTY ST BROCKTON MA 02301 4/16/2021 / / DPM II,III,IV,V,VI CHELSEA PIERCE K MELROSE-WAKEFIELD HOSPITAL 584 LEBANON STREET MELROSE MA 02176 11/5/2020 / / DPM II,III,IV,V,VI KRISTYN PISTONE PISTONE FOOT CENTER 471 SOUTH MAIN STREET BRADFORD MA 01835 5/24/2019 / / DPM II,III,IV,V,VI JOHN PIZZUTO A MERRIMACK VALLEY PODIATRY PC 10 RESEARCH PL. #201 N. CHELMSFORD MA 01863 8/8/2019 / / DPM II,III,IV,V,VI GEORGIOS PONIROS P AUBURN PODIATRY LLP 492 WASHINGTON STREET AUBURN MA 01501 5/19/2019 / / DPM II,III,IV,V,VI BRIAN PONTARELLI F SOUTHERN NEW ENGLAND SURGERY CTR 738 WASHINGTON STREET ATTLEBORO MA 02703 3/25/2019 / / DPM II,III,IV,V,VI NANCY PRECHTL V BAYSTATE FOOT & ANKLE SPECIALISTS, LLC 380 LOWELL ST SUITE 102 WAKEFIELD MA 01880 3/10/2019 / / DPM II,III,IV,V,VI EMILY PUGH DELON 111 GROSSMAN DR BRAINTREE MA 02184 6/27/2019 / / DPM II,III,IV,V,VI STEVEN QUAN 70 WESSON AVE QUINCY MA 02169 8/31/2020 / / DPM II,III,IV,V,VI PAUL QUIGLEY C 74 HILLSIDE RD SOUTHBRIDGE MA 01550 12/4/2017 / / DPM II,III,IV,V,VI STEPHEN QUINN MICHAEL 455 SOUTH STREET PITTSFIELD MA 01201 9/12/2019 / / DPM II,III,IV,V,VI JEFFREY RESNICK GLENN 233 AYER ROAD SUITE #5 HARVARD MA 01451 5/15/2017 / / DPM II,III,IV,V,VI MELISSA RICCI LYNN 100 HIGHLAND STREET MILTON MA 02186 4/23/2019 / / DPM II,III,IV,V,VI ROBERT RICCITELLI VINCENT EN ROGERS VETERANS HOSPITAL 20 SPRINGS ROAD BEDFORD MA 01730-0000 4/13/2020 / / DPM II,III,IV,V,VI BARBARA RICKARDS S 118 MYRTLE STREET MELROSE MA 02176 9/6/2020 / / DPM II,III,IV,V,VI KEVIN RIEMER L BIDMC - DIVISION OF PODIATRY DEPT. OF SURGERY 185 PILGRIM ROAD BOSTON MA 02215 6/10/2019 / / DPM II,III,IV,V,VI DANIEL RILEY F 409 POND ST UNIT 3 BRAINTREE MA 02184 10/20/2020 / / DPM II,III,IV,V,VI JULIE RILEY KRISTINA DANIEL F RILEY PODIATRY 409 POND ST UNIT #3 BRAINTREE MA 02184 8/15/2020 / / DPM II,III,IV,V,VI MATTHEW RIORDAN HEATH NEW ENGLAND FOOT & ANKLE 4 COURTHOUSE LANE CHELMSFORD MA 01824 1/12/2021 / / DPM II,III,IV,V,VI ROBERT RITCHEY MILTON 700 ATTUCKS LANE, UNIT 2A HYANNIS MA 02601 7/1/2019 / / DPM II,III,IV,V,VI KRISTIN RIVERA L VALLEY MEDICAL GROUP, P.C. FAMILY PRACTICE 70 MAIN STREET FLORENCE MA 01062 10/9/2019 / / DPM II,III,IV,V,VI DAPHNE ROBERT HEALTHDRIVE PODIATRY GROUP 888 WORCESTER ST, SUITE 130 WELLESLEY MA 02482 5/9/2019 / / DPM II,III,IV,V,VI MICHAEL ROBINSON A 67 UNION ST. SUITE 310, MOB NATICK MA 01760 7/29/2019 / / DPM II,III,IV,V,VI JEFFREY ROCK 8 COMMERCE BLVD MIDDLEBORO MA 02346 7/20/2021 / / DPM II,III,IV,V,VI STEPHEN ROGERS J FOOT & ANKEL INSTITUTE OF NEW ENGLAND 300 HANOVER ST STE 1E FALL RIVER MA 02720 3/7/2019 / / DPM II,III,IV,V,VI MARK ROSE ORTHOPEDICS NEW ENGLAND 313 SPEEN STREET NATICK MA 01760 1/2/2021 / / DPM II,III,IV,V,VI SARA ROSE-SAULD ELIZABETH MASS GENERAL HOSPITAL, PODIATRIST 40 SECOND AVE, SUITE 1150 WALTHAM MA 02451 7/30/2019 / / DPM II,III,IV,V,VI BARRY ROSENBLUM I BETH ISRAEL DEACONESS MEDICAL CENTER DIVISION OF PODIATRY ONE DEACONESS ROAD BOSTON MA 02215 3/23/2021 / / DPM II,III,IV,V,VI CHARLES ROSS F VA CENTRAL WESTERN MASSACHUSETTS HEALTH 25 BOND STREET SPRINGFIELD MA 01104 3/16/2020 / / DPM II,III,IV,V,VI MELISSA ROSSI R FRANKLIN FOOT CARE-MILFORD 160 WEST STREET MILFORD MA 01757 8/21/2020 / / DPM II,III,IV,V,VI R ROTONDO LOUIS LAHEY CLINIC DEPT. OF ORTHOPAEDIC SURGERY ONE ESSEX CENTER DRIVE PEABODY MA 01960 12/4/2020 / / DPM II,III,IV,V,VI JEFFY ROY J 100 UNICORN PARK DRIVE SUITE 3 WOBURN MA 01801 3/26/2019 / / DPM II,III,IV,V,VI DAVID RUGGIERO M. 72 WASHINGTON ST. SUITE 1100 TAUNTON MA 02780 3/28/2020 / / DPM II,III,IV,V,VI GLENN RUHL A 479 MAIN STREET WOBURN MA 01801 10/19/2019 / / DPM II,III,IV,V,VI DANIEL RUTOWICZ M 145 ROSEMARY ST., SUITE B NEEDHAM MA 02494 4/21/2021 / / DPM II,III,IV,V,VI DENNIS RYAN LAWRENCE METHUEN PODIATRY ASSOCIATES 386 MERRIMACK STREET, UNIT 1B METHUEN MA 01844 7/22/2021 / / DPM II,III,IV,V,VI TIMOTHY RYAN J 6 ADAMS STREET MEDFIELD MA 02052 9/10/2018 / / DPM II,III,IV,V,VI JONATHAN SABOURIN G. COASTAL FOOT & ANKLE INC 300 HANOVER STREET, SUITE 2C FALL RIVER MA 02721 6/1/2020 / / DPM II,III,IV,V,VI

Page 32 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

MARIANNE SACHETTA WAKEFIELD PLACE PODIATRY 380 LOWELL ST #102 WAKEFIELD MA 01880 8/9/2018 / / DPM II,III,IV,V,VI ATALAY SAHIN M. 289 PLEASANT ST., SUITE 202 FALL RIVER MA 02721 3/9/2021 / / DPM II,III,IV,V,VI DAVID SANDBERG E DEPT OF VETERAN'S ADMINISTRATION 421 NORTH MAIN STREET LEEDS MA 01053 3/16/2020 / / DPM II,III,IV,V,VI JAMES SANG C. VA BOSTON HEALTHCARE SYSTEM 150 SOUTH HUNTINGTON AVENUE (112) BOSTON MA 02130 1/31/2021 / / DPM II,III,IV,V,VI MARK SANPHY P. 98 NAHANT STREET LYNN MA 01902 10/2/2020 / / DPM II,III,IV,V,VI JOHN SANTO M 5 DENNETT DRIVE NEWBURYPORT MA 01950 12/26/2019 / / DPM II,III,IV,V,VI FRANK SANTOPIETRO JOHN 1180 BEACON ST. SUITE 4D BROOKLINE MA 02446 5/30/2019 / / DPM II,III,IV,V,VI ANTHONY SARAGE LOUIS 264 N. MAIN ST., SUITE 11 EAST LONGMEADOW MA 01028 12/31/2018 / / DPM II,III,IV,V,VI PETER SARDELLA J SOUTHERN NEW ENGLAND SURGICAL CENTER 738 WASHINGTON ST. ATTLEBORO MA 02703 7/14/2019 / / DPM II,III,IV,V,VI BENJAMIN SAVIET MICHAEL CENTRAL MASSACHUSETTS PODIATRY 299 LINCOLN ST STE #202 WORCESTER MA 01605 2/23/2020 / / DPM II,III,IV,V,VI ZACHARY SAX CALEB BOSTON COMMON PODIATRY 264 BEACON ST. 2ND FLOOR BOSTON MA 02116 6/23/2020 / / DPM II,III,IV,V,VI MARK SCHECHTER D 160 WEST STREET MILFORD MA 01757 12/20/2018 / / DPM II,III,IV,V,VI JOHN SCHEFFEL A 95 VERNON STREET WORCESTER MA 01610 5/22/2019 / / DPM II,III,IV,V,VI HARRY SCHNEIDER P DEPT OF PODIATRY 1493 CAMBRIDGE STREET CAMBRIDGE MA 02139 10/17/2019 / / DPM II,III,IV,V,VI ERIC SCHULTZ E 332 HANOVER STREET BOSTON MA 02113 9/12/2019 / / DPM II,III,IV,V,VI ELIZABETH SCHWARTZ ANN EAST POINT FOOT AND ANKLE, P.C 250 N. MAIN STREET SUITE#102 EASTLONGMEADOW MA 0028 3/28/2020 / / DPM II,III,IV,V,VI FREDRIC SCHWARTZ 386 COUNTY STREET NEW BEDFORD MA 02740 10/11/2019 / / DPM II,III,IV,V,VI GREGORY SCHWARTZ ALAN 386 COUNTY ST NEW BEDFORD MA 02740 10/5/2020 / / DPM II,III,IV,V,VI JAY SEGEL D 20 POND ROAD BOX 3003 WEST TISBURY MA 02575 11/30/2020 / / DPM II,III,IV,V,VI DAN SELIGMAN ZERO GOVERNORS AVE. SUITE 7 MEDFORD MA 02155 7/21/2019 / / DPM II,III,IV,V,VI STEVEN SENNEVILLE L 533 FRANKLIN STREET MELROSE MA 02176 7/14/2019 / / DPM II,III,IV,V,VI MICHAEL SGANGA LOUIS 313 SPEEN ST. NATICK MA 01760 12/31/2018 / / DPM II,III,IV,V,VI NADEEM SHEIKH HEALTHDRIVE PODIATRY GROUP 888 WORCESTER ST, SUITE 130 WELLESLEY MA 02482 4/12/2019 / / DPM II,III,IV,V,VI AARON SHEMENSKI JAMES 72 WASHINGTON ST. SUITE 1100 TAUNTON MA 02780 8/7/2020 / / DPM II,III,IV,V,VI HARRY SHOEMAKER L 167 BROADWAY TAUNTON MA 02780 6/26/2018 / / DPM II,III,IV,V,VI CAROLYN SIEGAL LIANE DEDHAM MEDICAL ASSOCIATES ATRIUS HEALTH 1177 PROVIDENCE HIGHWAY NORWOOD MA 02062 2/16/2021 / / DPM II,III,IV,V,VI EDWARD SIEGEL A 81 COREY ST. WEST ROXBURY MA 02132 8/22/2017 / / DPM II,III,IV,V,VI JUDSON SIEGEL 340 MAPLE STREET, SUITE 405 MARLBOROUGH MA 01752 3/23/2019 / / DPM II,III,IV,V,VI MITCHELL SILVERMAN G. 16 BURNT SWAMP RD CUMBERLAND RI 02864 8/27/2018 / / DPM II,III,IV,V,VI TYLER SILVERMAN JOSEPH SOUTH SHORE HOSPITAL WOUND CARE CENTER 90 LIBBY INDUSTRIAL PKWY, SUITE 100 WEYMOUTH MA 02189 1/9/2021 / / DPM II,III,IV,V,VI LOUIS SIMEONE R SOUTHERN NEW ENGLAND SURGERY CENTER 738 WASHINGTON STREET ATTLEBORO MA 02703 8/17/2020 / / DPM II,III,IV,V,VI DAVID SIPALA ANTHONY NEW ENGLAND FOOT & ANKLE SPECIALISTS 30 NEW CROSSING RD SUITE 311 READING MA 01867 6/4/2021 / / DPM II,III,IV,V,VI JENNIFER SKOLNIK ANNE MASS GENERAL HOSPITAL DEPT OF ORTHOPAEDIC SURGERY 55 FRUIT STREET, YAWKEY BUILDING, SUITE BOSTON#3 MA 02114 9/22/2021 / / DPM II,III,IV,V,VI MICHAEL SKONIECZNY JOHN PLYMOUTH PODIATRY 116 COURT ST. 2ND FLOOR PLYMOUTH MA 02360 8/4/2019 / / DPM II,III,IV,V,VI RYAN SLEPOY MASSACHUSETTS & NEW HAMPSHIRE FOOT FOOT AND ANKLE SPECIALISTS 179 GREAT ACTON ROAD ACTON MA 01720 8/26/2021 / / DPM II,III,IV,V,VI KWENDE SMITH K. 87 WASHINGTON ST. TAUNTON MA 02780 9/6/2020 / / DPM II,III,IV,V,VI LLOYD SMITH S 65 HARTMAN ROAD NEWTON MA 02459 3/30/2017 / / DPM II,III,IV,V,VI PHILLIP SMITH FRANK WHITTIER STREET HEALTH CENTER 1290 TREMONT ST ROXBURY MA 02120 8/26/2019 / / DPM II,III,IV,V,VI SHERREE SMITH SMITH PLYMOUTH PODIATRY 116 COURT ST 2ND FLOOR PLYMOUTH MA 02360 5/18/2021 / / DPM II,III,IV,V,VI DANA SMITH-NASIFF MARIE 1261 FURNACE BROOK PARKWAY SUITE 18 QUINCY MA 02169 3/31/2019 / / DPM II,III,IV,V,VI REBECCA SOUTHARD E. SCITUATE PODIATRY GROUP, INC PO BOX 352 10 NEW DRIFTWAY RD. SCITUATE MA 02066 10/17/2019 / / DPM II,III,IV,V,VI BRIAN SPERRE C 1351 MAIN STREET BROCKTON MA 02301 7/8/2019 / / DPM II,III,IV,V,VI MARC SPIEGEL SCOTT SIGNATURE MEDICAL GROUP 1215 BROADWAY RAYHAM MA 02767 8/13/2021 / / DPM II,III,IV,V,VI ANTHONY SPIRI S 172 COUNTY STREET SOMERSET MA 02726 1/2/2021 / / DPM II,III,IV,V,VI

Page 33 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

SHANE STENEHJEM D 888 WORCESTER STREET WELLESLEY MA 02482 4/20/2019 / / DPM II,III,IV,V,VI SHERRY STENEHJEM HICKS 888 WORCESTER STREET WELLESLEY MA 02482 6/8/2019 / / DPM II,III,IV,V,VI ROBERT STIPEK SYLVAN 265 WINN STREET, SUITE 104 BURLINGTON MA 01803 12/7/2020 / / DPM II,III,IV,V,VI VICKI STONE L HEALTHDRIVE PODIATRY GROUP 888 WORCESTER ST, SUITE 130 WELLESLEY MA 02482 5/9/2019 / / DPM II,III,IV,V,VI PATRICIA SULLIVAN M. AUBURN PODIATRY LLP 492 WASHINGTON STREET AUBURN MA 01501 12/8/2020 / / DPM II,III,IV,V,VI JOHN SWIERZEWSKI J COMPREHENSIVE FOOT CARE 10 HOSPITAL DRIVE, STE 306 HOLYOKE MA 01040 4/24/2020 / / DPM II,III,IV,V,VI DANIEL SWINEFORD P FRANKLIN FOOT CARE, PC 184 WEST CENTRAL STREET FRANKLIN MA 02038 8/15/2019 / / DPM II,III,IV,V,VI JORDANA SZPIRO L 264 BEACON ST. 2ND FLOOR BOSTON MA 02116 10/21/2021 / / DPM II,III,IV,V,VI DREW TAFT H 100 UNICORN PARK DRIVE, S-3 WOBURN MA 01801 5/17/2017 / / DPM II,III,IV,V,VI BRYANT TARR A SUDBURY PODIATRY 111 BOSTON POST ROAD, SUITE 108 SUDBURY MA 01776 10/13/2019 / / DPM II,III,IV,V,VI DAVID TARR S. 92 MERRIMACK ST LOWELL MA 01852 4/17/2021 / / DPM II,III,IV,V,VI ROY TARR PAUL 100 HIGHLAND ST. SUITE 122 MILTON MA 02186 11/13/2018 / / DPM II,III,IV,V,VI ROBERT TATOIAN D 850 SPRINGFIELD ST., SUITE 1 FEEDING HILLS MA 01030 8/1/2019 / / DPM II,III,IV,V,VI SCOTT TAYLOR WILLIAM 600 WORCESTER RD. # 301 FRAMINGHAM MA 01702 7/8/2020 / / DPM II,III,IV,V,VI BRIAN TEDESCO D 30 NEW CROSSING ROAD SUITE 311 READING MA 01867 10/24/2019 / / DPM II,III,IV,V,VI MICHAEL THEODOULOU H. CAMBRIDGE HEALTH ALLIANCE 1493 CAMBRIDGE ST CAMBRIDGE MA 02139 5/12/2021 / / DPM II,III,IV,V,VI SHANNON THOMPSON ANNE 230 BOWDIN STREET DORCHESTER MA 02122 3/7/2020 / / DPM II,III,IV,V,VI KIMBERLY THURMOND T FENWAY HEALTH 1340 BOYLSTON ST. BOSTON MA 02215 3/16/2020 / / DPM II,III,IV,V,VI ANTHONY TICKNER J ASSOCIATED FOOT SPECIALISTS, PC 439 MAIN STREET HUDSON MA 01749 3/27/2021 / / DPM II,III,IV,V,VI TIMOTHY TOBIN J 900 CUMMINGS CENTER SUITE 309V BEVERLY MA 01915 9/30/2019 / / DPM II,III,IV,V,VI SHARON TRESTON-MAGNACCA 730 MAIN ST., SUITE 1D MILLIS MA 02054 1/10/2020 / / DPM II,III,IV,V,VI WEI TSENG M BOSTON MEDICAL CENTER 732 HARRISON AVE, 5TH FLOOR BOSTON MA 02118 7/13/2021 / / DPM II,III,IV,V,VI STEPHEN TUBRIDY P. N.E. PODIATRY ASSOCIATES, PC 1244 BOYLSTON ST CHESTNUT HILL MA 02467 3/23/2021 / / DPM II,III,IV,V,VI DENNIS TUCK ALAN BROOKSBY VILLAGE MEDICAL CENTER 100 BROOKSBY VILLAGE DRIVE PEABODY MA 01960 10/25/2019 / / DPM II,III,IV,V,VI MARK TULER 32 SOUTH STREET SUITE 301 WALTHAM MA 02453 12/8/2019 / / DPM II,III,IV,V,VI CHRISTOPHER TVETER PATRIC BETH ISRAEL DEACONESS MEDICAL CETNER 185 PILGRIM ROAD SPAN 3 BOSTON MA 02215 4/22/2019 / / DPM II,III,IV,V,VI ROBERT UHRICH W 98 NAHANT STREET LYNN MA 01902 10/2/2020 / / DPM II,III,IV,V,VI GREGORY VAN ESS MARC 9 WARREN COURT SALEM MA 01970 11/25/2019 / / DPM II,III,IV,V,VI IRINA VASSERMAN BARSKY 510 CHAPMAN ST. CANTON MA 02021 1/4/2020 / / DPM II,III,IV,V,VI SARAH VERA-DEROSIER E 54 MAIN ST., BLDG 2 UNIT 19 LAKEVILLE MA 02347 9/11/2021 / / DPM II,III,IV,V,VI VITALIY VOLANSKY 732 HARRISON AVE PRESTON FAMILY BUILDING PODIATRY SUITE 5, OFFICE 522 BOSTON MA 02118 12/7/2019 / / DPM II,III,IV,V,VI JOHN VOMERO JOSEPH 77 WINSOR STREET LUDLOW MA 01056 6/26/2017 / / DPM II,III,IV,V,VI THOMAS VORDERER WILLIAM 319 LONGWOOD AVE BOSTON MA 02115 5/17/2021 / / DPM II,III,IV,V,VI MITCHELL WACHTEL J 451 ANDOVER ST., SUITE 300 NORTH ANDOVER MA 01845 7/7/2019 / / DPM II,III,IV,V,VI W WAKIM ANTHONY J.W. PODIATRY, P.C. 22 CHRISTY'S DRIVE, SUITE #5 BROCKTON MA 02301 12/12/2020 / / DPM II,III,IV,V,VI WENDELL WALLACE-JUEDES D 386 MERRIMACK ST. SUITE 1B METHUEN MA 01844 3/28/2017 / / DPM II,III,IV,V,VI SCOTT WALRATH MICHAEL UMASS MEMORIAL MEDICAL CENTER AMBULATORY CARE-PODIATRY 55 LAKE AVE NORTH WORCESTER MA 01655 9/17/2019 / / DPM II,III,IV,V,VI SUSAN WALSH MARIE 981 CANTON AVE MILTON MA 02186 12/18/2020 / / DPM II,III,IV,V,VI BRIAN WASCAVAGE E 42 LINCOLN STREET FRAMINGHAM MA 01702 8/29/2020 / / DPM II,III,IV,V,VI SANDRA WEAKLAND M 54 BAKER AVE EXTENSION, SUITE 301 CONCORD MA 01742 11/30/2020 / / DPM II,III,IV,V,VI SUSAN WEXLER D 58 BUCKMAN DRIVE LEXINGTON MA 02421 12/27/2020 / / DPM II,III,IV,V,VI CHRISTINE WHALEN G 1005 ELM ST WEST SPRINGFIELD MA 01089 4/25/2020 / / DPM II,III,IV,V,VI DAVID WHITNEY C SR 270 TEATICKET HIGHWAY, SUITE 1D FALMOUTH MA 02536 8/24/2021 / / DPM II,III,IV,V,VI JEFFREY WILLINSKY SCOTT ONE CHESTNUT SQUARE SHARON MA 02067 8/31/2021 / / DPM II,III,IV,V,VI

Page 34 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

CHRISTOPHER WOLF MARTIN MERCY MEDICAL CENTER 271 CAREW ST. SPRINGFIELD MA 01104 5/8/2020 / / DPM II,III,IV,V,VI WALTER WOLF RAYMOND VALLEY PODIATRY ASSOCIATES, P.C. 81 WILLIMANSETT STREET SOUTH HADLEY MA 01075 10/26/2019 / / DPM II,III,IV,V,VI NORMAN WORTZMAN ALAN 133 RYAN RD STOUGHTON MA 02072 4/6/2021 / / DPM II,III,IV,V,VI STEEVE YAMADJAKO LIONEL SANPHY PODIATRY GROUP 98 NAHANT STREET LYNN MA 01902 5/4/2020 / / DPM II,III,IV,V,VI SCOTT YATES HARVARD STREET NEIGHBORHOOD HEALTH CENTER 632 BLUE HILL AVE DORCHESTER MA 02121 3/27/2021 / / DPM II,III,IV,V,VI KI-HYUK YOO YOO FOOT & ANKLE PODIATRY 50 REDFIELD ST. SUITE 208 DORCHESTER MA 02122 5/12/2019 / / DPM II,III,IV,V,VI NEAL YUDKOFF STEPHEN 32 RIDGEWOOD DRIVE STOW MA 01775 4/23/2019 / / DPM II,III,IV,V,VI BRYANA ZAPLIN HEALTHDRIVE PODIATRY GROUP 888 WORCESTER ST, SUITE 130 WELLESLEY MA 02482 5/9/2019 / / DPM II,III,IV,V,VI BRIAN ZINSMEISTER J 76 BEDFORD ST., #31 LEXINGTON MA 02420 8/19/2021 / / DPM II,III,IV,V,VI

As of 10/01/21

Page 35 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

Active MCSR's for RESEARCHERS

First Name Last name Middle Name Suffix Address City State Zip Issued Expires Class Drug_Schedules ZSOLT ABLONCZY ORA, INC 4 CORPARATE DRIVE ANDOVER MA 01810 2/3/2021 2/3/2022 RES I,II,III,VI GEORGE ABRAHAM SAINT VINCENT HOSPITAL - PHARMACY 123 SUMMER STREET WORCESTER MA 01608 10/27/2021 10/27/2022 RES VI ALEXANDRA ACCARDI L COASTAL RESEARCH ASSOCIATES, INC. 851 MAIN ST., SUITE 16 SOUTH WEYMOUTH MA 02190 11/14/2020 11/14/2021 RES Ind NANA ADDO-TABIRI BOSTON MEDICAL CENTER INVESTIGATIONAL PHARMACY SERVICE 840 HARRISON AVE, ME-B378 BOSTON MA 02118 2/10/2021 2/10/2022 RES Ind IRIT ADINI SHRINERS HOSPITAL FOR CHILDREN CENTER FOR ENGINERING IN MEDICINE, RM 246 51 BLOSSOM STREET BOSTON MA 02114 9/14/2021 9/14/2022 RES III,VI CHRISTINE ADREANI VERTEX PHARMACEUTICALS INCORPORATED 50 NORTHERN AVENUE BOSTON MA 02210 1/11/2021 1/11/2022 RES II,III,VI SHAILESH AGARWAL BRIGHAM AND WOMEN'S HOSPITAL DEPARTMENT OF SURGERY/THORN BLDNG RM #1504 20 SHATTUCK STREET BOSTON MA 02115 11/23/2020 11/23/2021 RES III,VI SUNGEETA AGRAWAL TUFTS MEDICAL CENTER DEPARTMENT OF PHARMACY 800 WASHINGTON STREET, BOX #420 BOSTON MA 02111 3/12/2021 3/12/2022 RES Ind,VI MUNEEB AHMED BETH ISRAEL DEACONESS MEDICAL CENTER DANA BUILDING, ROOM 711 330 BROOKLINE AVENUE BOSTON MA 02215 3/21/2021 3/21/2022 RES III MASANORI AIKAWA BETH ISRAEL DEACONESS MEDICAL CENTER 330 BROOKLINE AVENUE BOSTON MA 02215 6/2/2021 6/2/2022 RES II,III MASANORI AIKAWA BRIGHAM AND WOMEN'S HOSPITAL 77 AVENUE LOUIS PASTEUR, NRB 738 BOSTON MA 02115 6/30/2021 6/30/2022 RES II,III,VI MASANORI AIKAWA KOWA PHARMACEUTICALS, BRIGHAM AND WOMEN'S HOSPITAL, CTR FOR LIFE SCIENCES 3 BLACKFAN CIRCLE, 17TH FL RM# CICS1709 BOSTON MA 02115 4/15/2021 4/15/2022 RES II,III,VI TASNEEM ALI UMASS MEMORIAL MEDICAL CENTER IDSP, ROOM AC6.058 55 LAKE AVE, NORTH WORCESTER MA 01655 11/16/2020 11/16/2021 RES Ind,II,III JAMES ALLAN STUART MASSACHUSETTS GENERAL HOSPITAL DIVISION OF THORACIC SURGERY 55 FRUIT ST.,FND 732 BOSTON MA 02114 12/31/2020 12/31/2021 RES II,III,VI JESSICA ALLEGRETTI RAVIKOFF BRIGHAM AND WOMEN'S HOSPITAL INVESTIGATIONAL DRUG SERVICE PHARMACY (IDS 75 FRANCIS ST BOSTON 2 115 1/31/2021 1/31/2022 RES Ind TODD ALLEN M RAGON INSTITUTE OF MGH, MIT AND HARVARD 400 TECHNOLOGY SQUARE ROOM 736 CAMBRIDGE MA 02139 8/23/2021 8/23/2022 RES III,VI MARIACARMELA ALLOCCA EDITAS MEDICINE C/O CRADL 100 BINNEY STREET, FLOOR 5 CAMBRIDGE MA 02142 7/15/2021 7/15/2022 RES III,VI CAROLYN ALONSO DAHLEN BETH ISRAEL DEACONESS MEDICAL CENTER WEST CAMPUS RESEARCH PHARMACY-RBB11 ONE DEACONESS ROAD BOSTON MA 02215 1/20/2021 1/20/2022 RES Ind MARIA ALORA BEATRICE MASSACHUSETTS GENERAL HOSPITAL CLINICAL UNIT FOR RESEARCH TRIALS IN SKIN 50 STANIFORD STREET, SUITE 240 BOSTON MA 02114 9/20/2021 9/20/2022 RES Ind MICHAEL ALOSCO L BOSTON MEDICAL CENTER 840 HARRISON AVE, MENINO BLDNG, 1ST FLOOR RADIOLOGY, NUCLEAR MEDICINE ME 1732 BOSTON MA 02118 5/19/2021 5/19/2022 RES Ind,VI SETH ALPER LEO BETH ISRAEL DEACONESS MEDICAL CENTER 99 BROOKLINE AVENUE, RN 386 BOSTON MA 02215 10/18/2021 10/18/2022 RES III,VI ANTHONY AMATO ARNOLD BRIGHAM AND WOMEN'S HOSPITAL INVESTIGATIONAL DRUG SERVICE PHARMACY (IDS 75 FRANCIS ST. BOSTON MA 02215 3/11/2021 3/11/2022 RES Ind MARK AMSTER S 280 WASHINGTON ST., SUITE 204 BRIGHTON MA 02135 10/31/2021 10/31/2022 RES Ind MARK AMSTER S. METRO BOSTON CLINICAL PARTNERS 60 DEDHAM AVE, #206/LL2 NEEDHAM MA 02492 5/7/2021 5/7/2022 RES Ind MURAT ANAMUR LOWELL GENERAL HOSPITAL THE CANCER CENTER 295 VARNUM AVENUE LOWELL MA 01853 6/14/2021 6/14/2022 RES Ind ASHWIN ANANTHAKRISHNAN N MASSACHUSETTS GENERAL HOSPITAL CLINICAL TRIALS PHARMACY 55 FRUIT STREET, GRB005 BOSTON MA 02114 11/16/2020 11/16/2021 RES Ind SUSAN ANDERSEN-NAVALTA LAURA MCLEAN HOSPITAL MAILMAN RESEARCH CENTER, ROOM 307 115 MILL STREET BELMONT MA 02478 5/2/2021 5/2/2022 RES I,II,III,V ANA ANDERSON C BRIGHAM AND WOMEN'S HOSPITAL 60 FENWOOD ROAD ANDERSON, ROOM 9012 BOSTON MA 02115 2/12/2021 2/12/2022 RES II RICHARD ANDERSON ROX MASSACHUSETTS GENERAL HOSPITAL WELLMAN CENTER FOR PHOTOMEDICINE 55 FRUIT STREET, THIER 2 BOSTON MA 02114 6/14/2021 6/14/2022 RES II,III POLINA ANIKEEVA MIT 77 MASSACHUSETTS AVE, ROOM 36-888 CAMBRIDGE MA 02139 7/1/2021 7/1/2022 RES II DIANA APETAUEROVA LAHEY HOSPITAL & MEDICAL CENTER 41 MALL ROAD RESEARCH PHARMACY BURLINGTON MA 01805 11/16/2020 11/16/2021 RES Ind,VI PHILIPPE ARMAND DANA-FARBER CANCER INSTITUTE 450 BROOKLINE AVE, RESEARCH PHARMACY, Y537 BOSTON MA 02115 10/7/2021 10/7/2022 RES VI ANTONIS ARMOUNDAS A. MASSACHUSETTS GENERAL HOSPITAL CVRC, 4TH FLOOR, ROOM 4.020 CHARLESTOWN MA 02129 8/15/2021 8/15/2022 RES II,III,IV,V STEPHEN AROLD AZZUR OF NEW ENGLAND, LLC 411 WAVERLY OAKS ROAD, SUITE 126 WALTHAM MA 02452 11/4/2020 11/4/2021 RES VI STEPHEN AROLD EDITAS MEDICINE 11 HURLEY STREET CAMBRIDGE MA 02141 4/26/2021 4/26/2022 RES VI NATALIE ARTZI BRIGHAM AND WOMEN'S HOSPITAL 60 FENWOOD ROAD, 11TH FLOOR BOSTON MA 02115 7/12/2021 7/12/2022 RES III,VI ARCHANA ASUNDI BOSTON MEDICAL CENTER INVESTIGATIONAL DRUG PHARMACY 840 HARRISON AVE ME-B378 BOSTON MA 02118 1/11/2021 1/11/2022 RES Ind,VI WILLIAM AUSTEN G. MGH-PLASTIC SURGERY RESEARCH LABORATORY THEIR RESEARCH BLDG 6TH FL-RM 602 THIER 50 BLOSSOM STREET BOSTON MA 02114 5/11/2021 5/11/2022 RES II,III,IV,VI CENK AYATA MASSACHUSETTS GENERAL HOSPITAL 149 13TH ST, RM6317-B CHARLESTOWN MA 02129 3/31/2021 3/31/2022 RES II,III,IV,VI JAMIL AZZI BRIGHAM AND WOMEN'S HOSPITAL 221 LONGWOOD AVE, EBRC312 BOSTON MA 02115 3/10/2021 3/10/2022 RES III,VI KRISTEN BABINSKI TUFTS MEDICAL CENTER DEPARTMENT OF PHARMAC 800 WASHINGTON STREET, BOX #420 BOSTON MA 02111 11/23/2020 11/23/2021 RES Ind,VI SUMA BABU MASSACHUSETTS GENERAL HOPITAL CLINICAL TRI 55 FRUIT ST., GRAY BIGELOW BASEMENT RM 005 BOSTON MA 02114 12/19/2020 12/19/2021 RES Ind BRIAN BACSKAI J. MASSACHUSETTS GENERAL HOSPITAL MIND BUILDING 114 16TH STREET, 2ND FLOOR CHARLESTOWN MA 02129 8/19/2021 8/19/2022 RES III,VI LINDSEY BADEN R BRIGHAM AND WOMEN'S HOSPITAL INVESTIGATIONAL DRUG SERVICE PHARMACY (IDS 75 FRANCIS STREET BOSTON MA 02215 10/7/2020 10/7/2021 RES Ind GENIE BAILEY L STANLEY STREET TREATMENT AND RESOURCES, IN 386 STANLEY STREET FALL RIVER MA 02720 10/14/2021 10/14/2022 RES III BRAD BAKER VITREO-RETINAL ASSOCIATES, PC 67 BELMONT STREET WORCESTER MA 01605 8/31/2021 8/31/2022 RES Ind ALEJANDRO BALAZS BENJAMIN MASSACHUSETTS GENERAL HOSPITAL THE RAGON INSTITUTE OF MGH, MIT & HARVARD 400 TECHNOLOGY SQUARE CAMBRIDGE MA 02139 5/5/2021 5/5/2022 RES VI DARRICK BALU T MCLEAN HOSPITAL DEPT OF PSYCHIATRY 115 MILL ST., MAILSTOP 124 BELMONT MA 02478 3/13/2021 3/13/2022 RES II,III,VI

Page 36 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

RINI BANERJEE ELEMENT MATERIALS TECHNOLOGY BOSTON-ACTON 33 NAGOG PARK ACTON MA 01720 7/17/2021 7/17/2022 RES II,III,IV,V,VI ALEENA BANERJI MASSACHUSETTS GENERAL HOSPITAL CLINICAL TRIALS PHARMACY GB 005 55 FRUIT STREET BOSTON MA 02114 12/21/2021 12/21/2022 RES Ind LORA BANKOVA GEORGIEVA BRIGHAM AND WOMEN'S HOSPITAL, DEPT OF MEDI DIVISION OF ALLERGY & CLINICAL IMMUNOLOGY 60 FENWOOD ROAD, HALE BTM, ROOMBOSTON 5002W MA 02115 10/5/2020 10/5/2021 RES III,VI ALEXANDER BANKS S BETH ISRAEL DEACONESS MEDICAL CENTER DEPARTMENT OF MEDICINE, CLSB 728 330 BROOKLINE AVENUE BOSTON MA 02115 8/25/2021 8/25/2022 RES III NABEEL BARDEESY MASSACHUSETTS GENERAL HOSPITAL SIMCHES BUILDING 185 CAMBRIDGE ST., (4116) BOSTON MA 02114 6/20/2021 6/20/2022 RES III,VI ELIZABETH BARNETT D BOSTON MEDICAL CENTER INVESTIGATIONAL PHARMACY SERVICE 840 HARRISON AVE, ME-B378 BOSTON MA 02118 3/18/2021 3/18/2022 RES Ind ROSEMARY BARONE MASSACHUSETTS GENERAL HOSPITAL VINCENT CENTER FOR REPRODUCTIVE BIOLOGY 55 FRUIT ST., THIER 9 BOSTON MA 02114 8/17/2021 8/17/2022 RES III,VI DAN BAROUCH H BETH ISRAEL DEACONESS MEDICAL CENTER HOSPITAL-RESEARCH PHARMACY 330 BROOKLINE AVE BOSTON MA 02215 3/15/2021 3/15/2022 RES Ind NORA BARRETT AMANDA BWH-BUILDING FOR TRANSFORMATIVE MEDICINE RHEUMATOLOGY IMMUNOLOGY, ALLERGY 60 FENWOOD ROAD, 5TH FLOOR, ROOM 5006BOSTON MA 02115 5/10/2021 5/10/2022 RES II,III,VI DAVID BARTEL WHITEHEAD INSTITUTE DAVID BARTEL LAB 455 MAIN STREET CAMBRIDGE MA 02142 1/15/2021 1/15/2022 RES VI BETH BARTELL ALYSON MASSACHUSETTS GENERAL HOSPITAL DEPT OF NEUROSURGERY, EDWARDS RES, RM 430A 55 FRUIT STREET BOSTON MA 02114 9/21/2021 9/21/2022 RES II,III,IV,VI BETH BARTELL ALYSON MASSACHUSETTS GENERAL HOSPITAL DEPT OF NEUROSURGERY,BLDNG 149, RM 3327 149 13TH STREET CHARLESTOWN MA 02129 3/18/2021 3/18/2022 RES II,III,IV,VI AMY BASTILLE MARIE LOGICBIO THERAPEUTICS 65 HAYDEN AVE, 2ND FLOOR LEXINGTON MA 02421 7/6/2021 7/6/2022 RES VI TRACY BATCHELOR T BRIGHAM AND WOMEN'S HOSPITAL INVESTIGATIONAL DRUG SERVICE PHARMACY 75 FRANCIS STREET BOSTON MA 02215 3/25/2021 3/25/2022 RES Ind,IV,V,VI FACUNDO BATISTA D MASSACHUSETTS GENERAL HOSPITAL THE RAGON INSTITUTE OF MGH, MIT & HARVARD 400 TECHNOLOGY SQUARE CAMBRIDGE MA 02139 6/20/2021 6/20/2022 RES III,VI MARIA AGUSTINA BATTISTONE MASSACHUSETTS GENERAL HOSPITAL 185 CAMBRIDGE STREET, ROOM 8.140 PROGRAM IN MEMBRANE BIOLOGY BOSTON MA 02114 5/19/2021 5/19/2022 RES II,III,VI RUSSELL BAUR LAHEY HOSPITAL & MEDICAL CENTER 41 MALL ROAD, RESEARCH PHARMACY BURLINGTON MA 01805 2/19/2021 2/19/2022 RES Ind,VI TREVOR BAYLISS J BERKSHIRE MEDICAL CENTER CANCER AND INFUSI 165 TOR COURT PITTSFIELD MA 01201 7/1/2021 7/1/2022 RES Ind,I,II,III,IV,V,VI LAURENCE BECK H BOSTON MEDICAL CENTER INVESTIGATIONAL DRUG PHARMACY 840 HARRISON AVE, ME-B378 BOSTON MA 02118 10/21/2020 10/21/2021 RES Ind FENGFENG BEI BRIGHAM AND WOMEN'S HOSPITAL DEPT OF NEUROSURGERY 60 FENWOOD ROAD, ROOM 8012 BOSTON MA 02115 2/26/2021 2/26/2022 RES II,III,VI RUDOLPH BEILER BOSTON UNIVERSITY, ANIMAL SCIENCE CENTER 590 COMMONWEALTH AVE, ROOM 423 BOSTON MA 02215 7/16/2021 7/16/2022 RES II,III,IV,VI RUDOLPH BEILER BOSTON UNIVERSITY, ANIMAL SCIENCE CENTER 700 ALBANY STREET, W825 BOSTON MA 02118 7/16/2021 7/16/2022 RES II,III,IV,VI MICHAEL BELKIN BRIGHAM AND WOMEN'S HOSPITAL DEPARTMENT OF SURGERY, THORN BLDH, RM 1031 20 SHATTUCK STREET BOSTON MA 02115 6/13/2021 6/13/2022 RES Ind DHIMITER BELLO UMASS LOWELL VIVARIUM 4 CORPORATE DRIVE, LS-118 ANDOVER MA 01810 5/10/2021 5/10/2022 RES II,III,IV,V,VI HIMISHA BELTRAN DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDG Y537 450 BROOKLINE AVE BOSTON MA 02115 9/8/2021 9/8/2022 RES Ind,VI PAVAN BENDAPUDI K BETH ISRAEL DEACONESS MEDICAL CTR DIV OF HEMOSTATIS AND THROMBOSIS 3 BLACKFAN CIR, CLS 924 BOSTON MA 6/11/2021 6/11/2022 RES II,III ERIC BENOIT LAHEY HOSPITAL & MEDICAL CENTER 41 MALL ROAD, RESEARCH PHARMACY BURLINGTON MA 01805 12/14/2020 12/14/2021 RES Ind,VI JACK BERGMAN MCLEAN HOSPITAL 115 MILL STREET, OAKS BUILDING, ROOM 116 BELMONT MA 02478 4/10/2021 4/10/2022 RES I,II,III,IV JOHN BERK L BOSTON MEDICAL CENTER INVESTIGATIONAL PHAR MENINO BUILDING (ME- B378) 840 HARRISON AVE BOSTON MA 02118 8/22/2021 8/22/2022 RES Ind BRADLEY BERNSTEIN EVAN MASSACHUSETTS GENERAL HOSPITAL RICHARD B. SIMCHES RESEARCH BLDG 185 CAMBRIDGE STREET CPZN 8400 BOSTON MA 02114 4/3/2021 4/3/2022 RES VI JAMES BERRY DALE MASSACHUSETTS GENERAL HOSPITAL CTP 55 FRUIT ST., GRAY BIGELOW BASEMENT ROOM 0 BOSTON MA 02114 12/9/2020 12/9/2021 RES Ind PENNY BEUNING J. NORTHEASTERN UNIVERSITY 035A HURTIG HALL, 360 HUNTINGTON AVENUE BOSTON MA 02115 8/28/2021 8/28/2022 RES III SHALENDER BHASIN BRIGHAM & WOMEN'S HOSPITAL INVESTIGATIONAL DRUG SERVICES 75 FRANCES ST. BOSTON MA 02115 6/6/2021 6/6/2022 RES Ind,III,IV SHALENDER BHASIN BRIGHAM AND WOMEN'S HOSPITAL INVESTIGATIONAL DRUG SERVICE (IDS) PHARMAC 75 FRANCIS STREET BOSTON MA 02115 7/19/2021 7/19/2022 RES Ind RUPAL BHATT S BETH ISRAEL DEACONESS MEDICAL CENTER 330 BROOKLINE AVE, RW 573 BOSTON MA 02215 2/6/2021 2/6/2022 RES III,VI GIADA BIANCHI DANA-FARBER CANCER INSTITUTE 450 BROOKLINE AVE RESEARCH PHARMACY, Y537 BOSTON MA 02215 3/15/2021 3/15/2022 RES VI JOSEPH BIEDERMAN MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET GRAY/BIGALOW BASEMENT ROOM 005 BOSTON MA 02114 12/11/2020 12/11/2021 RES Ind ANDREW BIEWENER A. HARVARD UNIVERSITY CONCORD FIELD STATION OLD CAUSEWAY ROAD BEDFORD MA 01730 8/10/2021 8/10/2022 RES II,III,VI KRISTEN BILLIAR WORCESTER POLYTECH. INSTITUTE BIOMEDICAL ENGINEERING DEPT. 100 INSTITUTE ROAD, GH308 WORCESTER MA 01609 9/30/2021 9/30/2022 RES II,III,IV,VI CHARLES BIRBARA A. CLINICAL PHARMACOLOGY STUDY GROUP 25 OAK AVENUE WORCESTER MA 01605 12/28/2020 12/28/2021 RES Ind,VI SUSAN BIRREN J. BRANDEIS UNIVERSITY DEPT OF BIOLOGY, SHAPIRO SCIENCE CTR 1-06 415 SOUTH STREET WALTHAM MA 02453 10/11/2021 10/11/2022 RES III,VI ERIC BITTMAN LARRY UNIVERSITY OF MASSACHUSETTS DEPT OF BIOLOGY MORRILL SCIENCE CENTER, ROOM 620 AMHERST MA 01003 9/13/2021 9/13/2022 RES II,III,VI BURKHARD BLANK ACORDA THERAPEUTICS PHARMACEUTICAL DEVELOPMENT & TECHNICAL OPE 283 BEAR HILL ROAD WALTHAM MA 02451 2/3/2021 2/3/2022 RES I RICHARD BLUMBERG S 77 LOUIS PASTEUR 6TH FLOOR, ROOM 0641 BOSTON MA 02115 4/4/2021 4/4/2022 RES II,III,VI KIMBERLY BLUMENTHAL G MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET, GRB 009 BOSTON MA 02114 3/25/2021 3/25/2022 RES Ind PAUL BLUNDELL PAUL ORGANIX INC. 240 SALEM STREET WOBURN MA 01801 3/21/2021 3/21/2022 RES I,II,III,IV,V BRUNO BOCKORNY BETH ISRAEL DEACONESS MEDICAL CENTER HOSPITAL-RESEARCH PHARMACY 330 BROOKLINE AVE BOSTON MA 02215 9/2/2022 9/2/2023 RES Ind J. BODKIN ALEXANDER MCLEAN HOSPITAL CLINICAL PSYCHOPHARMACOLOGY RESEARCH PROGRAM, 115 MILL STREET BELMONT MA 02478 8/16/2021 8/16/2022 RES Ind,IV,VI VADIM BOLSHAKOV MCLEAN HOSPITAL 115 MILL STREET, MRC, ROOM 207 BELMONT MA 02478-1064 9/4/2021 9/4/2022 RES III ROBERTO BOMPREZZI UMASS MEDICAL CENTER, INVESTIGATIONAL DRUG ACC BUILDING; AC6-201 55 LAKE AVENUE NORTH WORCESTER MA 01655 3/25/2021 3/25/2022 RES Ind PHILIP BONASIA J. SUNOVION PHARMACEUTICALS 84 WATERFORD DRIVE MARLBOROUGH MA 01752 2/28/2021 2/28/2022 RES II,III,IV,V

Page 37 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

ALAN BONDER BETH ISRAEL DEACONESS MEDICAL CENTER WEST CAMPUS RESEARCH PHARMACY-RBB11 ONE DEACONESS ROAD BOSTON MA 02215 2/24/2021 2/24/2022 RES Ind,VI ANDREW BOULEY J DRAGONFLY RESEARCH 110 CEDAR STREET, SUITE 110 WELLESLEY MA 02481 4/6/2021 4/6/2022 RES III,IV ADAM BOUTIN THOMAS GLYMPSE BIO DEPT: CANCER BIOLOGY ANIMAL FACILITY 44 SPINELLI PLACE CAMBRIDGE MA 02138 11/2/2020 11/2/2021 RES III,VI LEYDA BOWES E BLOSSOM INNOVATIONS CLINICAL DEPARTMENT 275 2ND AVE, 3RD FLOOR WALTHAM MA 02451 11/22/2020 11/22/2021 RES VI JOSHUA BOYCE A BRIGHAM AND WOMEN'S HOSPITAL BLDGS FOR TRANSFORMATIVE MEDICINE 60 FENWOOD ROAD, FIFTH FLOOR, RM 05006 BOSTON MA 02115 11/8/2020 11/8/2021 RES II,III EDWARD BOYDEN STUART III MASSACHUSETTS INSTITUTE OF TECHNOLOGY 77 MASSACHUSETTS AVENUE, ROOM 46-4264 CAMBRIDGE MA 02139 8/16/2021 8/16/2022 RES II DARA BREE CYGNAL THERAPEUTICS 325 VASSAR STREET, 2ND FLOOR CAMBRIDGE MA 02139 9/28/2021 9/28/2022 RES III,VI DARA BREE CYGNAL THERAPEUTICS C/O THE BROAD INSTITUT 75 AMES STREET CAMBRIDGE MA 02142 11/25/2020 11/25/2021 RES III HEATHER BRENHOUSE CARRIE NORTHEASTERN UNIVERSITY PSYCHOLOGY DEPARTMENT 365 NIGHTINGALE HALL BOSTON MA 02115 7/22/2021 7/22/2022 RES II MICHAEL BRENNER B. BRIGHAM AND WOMEN'S HOSPITAL DIVISION OF RHEUMATOLOGY, IMMUNOLOGY & ALL 60 FENWOOD ROAD, ROOM 06006 BOSTON MA 02115 12/23/2020 12/23/2021 RES III,VI SYLVIE BRETON MASSACHUSETTS GENERAL HOSPITAL 185 CAMBRIDGE STREET, RM 8.140 PROGRAM IN MEMBRANE BIOLOGY BOSTON MA 02114 1/23/2021 1/23/2022 RES II,III BOB BROWN DICERNA PHARMACEUTICALS, INC 33 HAYDEN AVE LEXINGTON MA 02421 3/2/2021 3/2/2022 RES III,IV,VI JENNIFER BROWN RUTH DANA-FARBER CANCER INSTITUTE 450 BROOKLINE AVE RESEARCH PHARMACY, Y537 BOSTON MA 02215 3/15/2021 3/15/2022 RES VI ROBERT BROWN H. JR. UNIVERSITY OF MASS. MEDICAL CENTER, IDS 55 LAKE AVENUE NORTH -S5-755 WORCESTER MA 01655 4/8/2021 4/8/2022 RES Ind,II,III,IV,V,VI TODD BROWN ANDREW NORTHEASTERN UNIVERSITY DEPT OF PHARMACY & HEALTH SYSTEM SCIENCES 25 BEHRAKIS HEALTH SCIENCE BUILDING BOSTON MA 02115 7/2/2021 7/2/2022 RES VI JOAN BRUGGE S. HARVARD MEDICAL SCHOOL DEPT OF CELL BIOLOGY, BLDG C1, ROOM 513A 240 LONGWOOD AVENUE BOSTON MA 02115 11/16/2020 11/16/2021 RES III,VI CARLO BRUGNARA BOSTON CHILDREN'S HOSPITAL IDS PHARMACY MAIN SB 300 LONGWOOD AVE BOSTON MA 02115 8/17/2021 8/17/2022 RES Ind NICOLAS BU-SABA MASSACHUSETTS EYE AND EAR INVESTIGATIONAL PHARMACY 243 CHARLES STREET BOSTON MA 02114 10/21/2020 10/21/2021 RES Ind GLENN BUBLEY BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS, SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 8/25/2021 8/25/2022 RES Ind,VI ELIZABETH BUCHBINDER DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDG Y537 450 BROOKLINE AVE BOSTON MA 02115 6/9/2021 6/9/2022 RES Ind,VI RACHEL BUCHSBAUM TUFTS MEDICAL CENTER DEPARTMENT OF PHARMACY 800 WASHINGTON STREET BOX #420 BOSTON MA 02111 7/6/2021 7/6/2022 RES Ind,VI ANDREW BUDSON ETHAN 180 WELLS AVENUE, SUITE 304 NEWTON MA 02459 6/16/2021 6/16/2022 RES Ind JENNIFER BUELL AGENUS 3 FORBES ROAD LEXINGTON MA 02421 9/16/2021 9/16/2022 RES Ind,VI RAPHAEL BUENO BRIGHAM AND WOMEN'S HOSPITAL INVESTIGATIONAL DRUG SERVICE PHARMACY 75 FRANCIS STREET BOSTON MA 02115 6/19/2021 6/19/2022 RES Ind NIKOLAY BUGAEV TUFTS MEDICAL CENTER DEPARMENT OF PHARMACY 800 WASHINGTON STREET BOX #420 BOSTON MA 02111 3/8/2021 3/8/2022 RES Ind,VI ANDREA BULLOCK JULIE BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS, SL-OB-07 33O BROOKLINE AVE BOSTON MA 02215 8/25/2021 8/25/2022 RES Ind DAVID BUMCROT CAMP4 THERAPEUTICS ONE KENDALL SQUARE BUILDING 1400 WEST, 3RD FLR CAMBRIDGE MA 02139 7/17/2021 7/17/2022 RES II,III,IV ANNE BURKHARDT LOUISE PURETECH HEALTH 6 TIDE STREET, ROOM 323 BOSTON MA 02210 2/20/2021 2/20/2022 RES III JAMES BURNS ALEXANDER MASSACHUSETTS GENERAL HOSPITAL LARYNGEAL SURGERY RESEARCH LAB THIER BLDG RM 617, 50 BLOSSOM STREET BOSTON MA 02114 2/18/2021 2/18/2022 RES III,IV,VI MELISSA BURNS A DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDNG Y537 450 BROOKLINE AVE BOSTON MA 02115 6/9/2021 6/9/2022 RES Ind,VI RAMI BURSTEIN BETH ISRAEL DEACONESS MEDICAL CENTER DEPT OF ANESTHESIA, CTR FOR LIFE SCIENCE 3 BLACKFAN CIRCLE, RM 624-G BOSTON MA 02115 2/27/2021 2/27/2022 RES II,III,IV,VI SUMNER BURSTEIN UNIVERSITY OF MASS. MEDICAL SCHOOL DEPT. OF BIOCHEMISTRY 55 LAKE AVENUE NORTH WORCESTER MA 01605 12/31/2020 12/31/2021 RES I EDWARD BUSICK JAMES JR. MASS RESEARCH, LLC 42 WESTON STREET, SUITE 8 WALTHAM MA 02453 1/31/2021 1/31/2022 RES Ind,IV MARY BUSS KATHLEEN BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS, SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 8/26/2021 8/26/2022 RES Ind THOMAS BYRNE PETER III DEPARTMENT OF PSYCHOLOGY MASSACHUSETTS COLLEGE OF LIBERAL ARTS 375 CHURCH STREET NORTH ADAMS MA 02147 5/10/2021 5/10/2022 RES II ELIZABETH BYRNES MCCONE CUMMINGS SCHOOL OF VET. MEDICINE,TUFTS UNIV. DEPT. OF BIOMEDICAL SCIENCES 200 WESTBORO RD, PEABODY PAVILION RM 204 NORTH GRAFTON MA 01536 6/6/2021 6/6/2022 RES I,II,III,IV SIMON CAINE BARAK MCLEAN HOSPITAL MAIL STOP 214, OAKS-476 115 MILL STREET BELMONT MA 02478 4/27/2021 4/27/2022 RES II,III,IV BARBARA CALDARONE JEAN HARVARD MEDICAL SCHOOL MOUSE BEHAVIOR COR, HARVARD INST OF MED 77 AVENUE LOUIS PASTEUR, RM945 BOSTON MA 02115 3/12/2021 3/12/2022 RES II,III,IV,VI MAUREEN CALIGIURI G FORMA THERAPEUTICS, 300 NORTH BEACON STREET WATERTOWN MA 02472 8/9/2021 8/9/2022 RES III SUSANA CAMPOS DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDNG Y537 450 BROOKLINE AVE BOSTON MA 02115 6/9/2021 6/9/2022 RES Ind,VI MARISHKA CANNELL LEIGH ACCELERON PHARMA 149 SIDNEY STREET CAMBRIDGE MA 02139 10/28/2021 10/28/2022 RES III WILLIAM CANTLEY LLOYD ALNYLAM PHARMACEUTICALS 675 WEST KENDALL STREET CAMBRIDGE MA 02142 3/31/2021 3/31/2022 RES Ind,I,II,III,IV,V,VI YU CAO TUFTS MEDICAL CENTER DEPARTMENT OF PHARMACY 800 WASHINGTON STREET BOX #420 BOSTON MA 02111 3/22/2021 3/22/2022 RES Ind,VI BRUCE CAR D AGIOS PHARMACEUTICALS, INC 88 SIDNEY STREET CAMBRIDGE MA 02139 3/8/2021 3/8/2022 RES Ind,III,VI PETER CARAVAN DAVID MASSACHUSETTS GENERAL HOSPITAL MARINOS CTR FOR BIO IMAGING, DEPT OF RADIO 149 THIRTEENTH STREET, ROOM 10116 CHARLESTOWN MA 02129 10/28/2021 10/28/2022 RES II,III,IV,VI WILLIAM CARLEZON A. Jr. MCLEAN HOSPITAL MRC 217, 115 MILL STREET BELMONT MA 02478 12/23/2020 12/23/2021 RES II,III,IV DANIEL CARLUCCI RELIANT MEDICAL GROUP@ WORCESTER MED CTR 123 SUMMER STREET 3RD FLR, NORTH PULMONARY DEPT, ROOM #8125 WORCESTER MA 01608 5/5/2021 5/5/2022 RES Ind GUILLAUME CARMONA AVENGE BIO 22 STRATHMORE ROAD, SUITE 241 NATICK MA 01760 3/1/2021 3/1/2022 RES VI MICHAEL CARROLL C. BOSTON CHILDREN'S HOSPITAL, PROGRAM IN CELLULAR & MOLECULAR MEDICINE 200 LONGWOOD AVENUE BOSTON MA 02115 4/4/2021 4/4/2022 RES III,VI SYDNEY CASH SAMUEL MASSACHUSETTS GENERAL HOSPITAL THIER 423, 55 FRUIT STREET BOSTON MA 02114 12/22/2020 12/22/2021 RES II,III,IV,VI JAMES CASSELLA V CONCERT PHARMACEUTICALS INC., DMPK & PHARMACOLOGY DEPT.,SAMPLE PREP RM 65 HAYDEN AVE, SUITE 3000N, RM 3025 BL2 LEXINGTON MA 02421 10/9/2021 10/9/2022 RES Ind,II,III,IV,VI

Page 38 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

FLAVIA CASTELINO MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET, BLAK BLDG, ROOM 029B BOSTON MA 02114 6/26/2021 6/26/2022 RES Ind,I MARIANA CASTELLS BWH INVESTIGATION DRUG SERVICES 75 FRANCIS STREET TOWER L2 BOSTON MA 02115 11/30/2020 11/30/2021 RES Ind JORGE CASTILLO DANA-FARBER CANCER INSTITUTE 450 BROOKLINE AVE,RESEARCH PHARMACY Y537 BOSTON MA 02115 10/7/2021 10/7/2022 RES VI TREVOR CASTOR P. APHIOS CORPORATION 3-E GILL STREET WOBURN MA 01801 4/27/2021 4/27/2022 RES I DAVID CAVE R UMASS MEMORIAL MEDICAL CENTER, IDP ACC BUILDING ROOM AC6-201 55 LAKE AVE NORTH WORCESTER MA 01655 7/15/2021 7/15/2022 RES Ind CONSTANCE CEPKO LOUISE HARVARD MEDICAL SCHOOL DEPT OF GENETICS, NRB, ROOM 360D 77 AVENUE LOUIS PASTEUR BOSTON MA 02115 4/30/2021 4/30/2022 RES III,VI JAN CERNY UMASS MEMORIAL MEDICAL CENTER, IDSP ROOM AC6-058 55 LAKE AVE NORTH WORCESTER MA 01655 7/15/2021 7/15/2022 RES Ind MUSHTAQUE CHACHAR AHMED BOSTON NEURO RESEARCH CENTER, LLC 237 STATE ROAD NORTH DARTMOUTH MA 02747 8/25/2021 8/25/2022 RES Ind,V,VI JASDAVE CHAHAL TIBA BIOTECH 78E OLYMPIA AVE SCIENCE DEPARTMENT WOBURN MA 01801 6/2/2021 6/2/2022 RES VI PETER CHAI FENWAY HEALTH 1340 BOYLSTON STREET BOSTON MA 02215 8/10/2021 8/10/2022 RES VI ELLIOT CHAIKOF LORNE BETH ISRAEL DEACONESS MEDICAL CENTER DEPARTMENT OF SURGERY 3 BLACKFAN CIRCLE, CLS 11101 BOSTON MA 02115 5/5/2021 5/5/2022 RES II,III EUGENE CHAN KAN-HO RHEALTH LLC 1 OAK PARK DRIVE BEDFORD MA 01730 6/10/2021 6/10/2022 RES III MONTE CHANDLER DURAN US DEPARTMENT OF AGRICULTURE SEVICES 9 MAIN STREET, SUITE 1-M SUTTON MA 01590 3/4/2021 3/4/2022 RES II,III,IV,VI VIRENDER CHANDNA WORCESTER POLYTECHNIC INSTITUTE LIFE SCIENCES & BIOENGINEERING CENTER 60 PRESCOTT STREET, GATEWAY PARK WORCESTER MA 01605 3/10/2021 3/10/2022 RES III,IV,VI VIRENDER CHANDNA K WORCESTER POLYTECH INSTITUTE GATEWAY 2/PRACTICEPOINT 50 PRESCOTT STREET WORCESTER MA 01605 12/16/2020 12/16/2021 RES II,III,IV,VI JEFFREY CHANG LAHEY MEDICAL CENTER 1 ESSEX CENTER DRIVE PEABODY MA 01960 3/18/2021 3/18/2022 RES Ind,VI ALAIN CHAREST BETH ISRAEL DEACONESS MEDICAL CENTER DEPT OF MEDICINE-GENETICS 330 BROOKLINE AVENUE, DA-0506 BOSTON MA 02115 8/9/2021 8/9/2022 RES III,VI ELENA CHARTOFF HALLEY MCLEAN HOSPITAL MAILMAN RESEARCH CENTER, ROOM 218 115 MILL STREET BELMONT MA 02478 7/14/2021 7/14/2022 RES II,III,IV,VI IAIN CHEESEMAN MCPHERSON WHITEHEAD INSTITUTE FOR BIOMEDICAL RESEARC 455 MAIN ST., ROOM 423, 4TH FLR, 1ST BAY A CAMBRIDGE MA 02142 4/18/2021 4/18/2022 RES VI LIN CHEN H MOUNT AUBURN HOSPITAL TRAVEL MEDICINE CENT 330 MOUNT AUBURN STREET CAMBRIDGE MA 02138 9/16/2021 9/16/2022 RES Ind BOBBY CHERAYIL JOSEPH MASSACHUSETTS GENERAL HOSPITAL MUCOSAL IMMUNOLOGY & BIOLOGY RESEARCH CTR BUILDING 114, 16TH STREET CHARLESTOWN MA 02129 3/4/2021 3/4/2022 RES VI ARTUR CHERNOGUZ TUFTS MEDICAL CENTER DEPARMENT OF PHARMACY 800 WASHINGTON STREET BOX #420 BOSTON MA 02111 6/15/2021 6/15/2022 RES Ind,VI PETER CHESLOCK SHANE SARTORIUS STEDIM BIOTECH 245 FIRST STREET, SUITE 250 CAMBRIDGE MA 02142 11/1/2020 11/1/2021 RES VI SUSAN CHI DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDNG Y537 450 BROOKLINE AVE BOSTON MA 02115 6/9/2021 6/9/2022 RES Ind,VI RAMASWAMY CHIDAMBARAM BAYSTATE ANIMAL CARE FACILITY/BAYSTATE HEA 3601 MAIN STREET, SPRINGFIELD MA 01199 10/14/2021 10/14/2022 RES II,III,VI JEFF CHIEN NOVA BIOMEDICAL CORPORATION ADV. RESEARCH DEPT. 201 200 PROSPECT STREET WALTHAM MA 02454 3/3/2021 3/3/2022 RES IV ENNIO CHIOCCA ANTONIO BRIGHAM & WOMEN'S HOSPITAL BUILDING OF TRANSFORMATIVE MEDICINE RM8016 60 FENWOOD ROAD BOSTON MA 02115 11/21/2021 11/21/2022 RES III,VI TANUJA CHITNIS BRIGHAM AND WOMEN'S HOSPITAL, IDS PHARMACY 75 FRANCIS STREET BOSTON MA 02115 12/18/2020 12/18/2021 RES Ind TANUJA CHITNIS MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET BOSTON MA 02114 12/18/2020 12/18/2021 RES Ind ISAAC CHIU MING-CHENG HARVARD MEDICAL SCHOOL, DIVISION OF BLAVATNIK INSTITUTE, DEPARTMENT OF IMMUNOL ROM 813, 4 BLACKFAN CIR, 77 AVE LOUIS PASTBOSTON MA 02115 2/20/2021 2/20/2022 RES II,III CHOI-FONG CHO BRIGHAM AND WOMEN'S HOSPITAL 60 FENWOOD ROAD, ROOM 8012 BOSTON MA 02115 9/15/2021 9/15/2022 RES III JAMES CHODOSH MASSACHUSETTS EYE AND EAR 243 CHARLES STREET BOSTON MA 02114 7/22/2021 7/22/2022 RES Ind ATISH CHOUDHURY D DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDG Y537 450 BROOKLINE AVE BOSTON MA 02115 9/8/2021 9/8/2022 RES Ind,VI BRIAN CHOW TUFTS MEDICAL CENTER DEPARTMENT OF PHARMAC 800 WASHINGTON STREET, BOX #420 BOSTON MA 02111 8/31/2021 8/31/2022 RES Ind,VI KAREN CICHOWSKI MARIE BRIGHAM AND WOMAN'S HOSPITAL NRB 466 77 AVENUE LOUIS PASTEUR BOSTON MA 02115 12/23/2020 12/23/2021 RES III,VI JOSEPH CIOLINO BOWERS MASSACHUSETTS EYE AND EAR 243 CHARLES STREET BOSTON MA 02114 8/26/2023 8/26/2024 RES Ind MURAT CIRIT JAVELIN BIOTECH, C2I LIFE SCIENCE CENTER 299 WASHINGTON STREET WOBURN MA 01801 6/3/2021 6/3/2022 RES II,III,IV,V,VI DEREK CISSELL INVICRO, LLC 27 DRY DOCK, 7TH FLOOR WEST BOSTON MA 02210 9/14/2021 9/14/2022 RES II,III,IV MATTHEW CLARK A. X-CHEM, INC 100 BEAVER STREET, SUITE 101 WALTHAM MA 02453 9/16/2021 9/16/2022 RES VI RACHAEL CLARK ANN BRIGHAM & WOMEN'S HOSPITAL DEPARTMENT OF DERMATOLOGY, 221 LONGWOOD AVE, EBRC ROOM 501 BOSTON MA 02115 2/26/2021 2/26/2022 RES III,VI SONYA CLARKSON M CONAGEN INC. STRAIN DEVELOPMENT ROOM 102B 15 DEANGELO DR BEDFORD MA 01730 5/31/2021 5/31/2022 RES I JASON CLEVENGER OTTO EXPONENT, INC 1075 WORCESTER STREET NATICK MA 01760 3/2/2021 3/2/2022 RES II,III,IV,VI SEAN CLOHESSY BETH ISRAEL DEACONESS MEDICAL CENTER DEPT OF MEDICINE; CLS 417-B3 330 BROOKLINE AVE BOSTON MA 02115 12/21/2020 12/21/2021 RES III,VI MARY CO DAWN UMASS MEDICAL CENTER INVESTIGATIONAL DRUG SERVICE, ACC BLDG, AC 55 LAKE AVENUE NORTH WORCESTER MA 01655 9/20/2021 9/20/2022 RES Ind DAVID COCHRAN THE CHILD & ADOLESCENT NEURODEVELOPMENT IN EK SHRIVER CENTER, UMASS MEDICAL SCHOOL 55 LAKE AVE, NORTH WORCESTER MA 01655 11/26/2020 11/26/2021 RES VI JOHN COCHRAN VERTEX PHARMACEUTICALS, INC. CHEMISTRY DEPT 50 NORTHERN AVENUE BOSTON MA 02210 8/17/2021 8/17/2022 RES IV DONALD COEN KNIPE LAB 77 AVENUE LOUIS PASTEUR, NRB 954 BOSTON MA 02115 8/2/2021 8/2/2022 RES II,III,VI DONALD COEN M. HARVARD MEDICAL SCHOOL BCMP DEPT, SMB 310A PHARMACOLOGY, 250 LONGWOOD AVE BOSTON MA 02115 7/9/2021 7/9/2022 RES II,III,VI DONALD COHEN M HARVARD MEDICAL SCHOOL BCMP DEPT, SMB 310A 250 LONGWOOD AVE BOSTON MA 02115 6/23/2021 6/23/2022 RES II,III,VI LAWRENCE COHEN HOWARD MILLENNIUM PHARMACEUTICALS INC 35 LANDSDOWNE STREET CAMBRIDGE MA 02139 11/4/2020 11/4/2021 RES III,IV STEVEN COLBERT CARDIOFOCUS, INC 500-200 NICKERSON ROAD MARLBOROUGH MA 01752 4/18/2021 4/18/2022 RES VI

Page 39 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

DAVID COLEMAN BOSTON MEDICAL CENTER INVESTIGATIONAL PHARMACY 840 HARRISON AVE ME-B378 BOSTON MA 02118 5/19/2021 5/19/2022 RES Ind NATALIE COLLINS BUCHEIMER DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDNG Y537 450 BROOKLINE AVE BOSTON MA 02115 6/9/2021 6/9/2022 RES Ind,VI AMY COLSON ESTHER COMMUNITY RESEARCH INITIATIVE OF NEW ENGLA SCHRAFFT'S CITY CENTER 529 MAIN STREET, SUITE 301 BOSTON MA 02129 3/10/2021 3/10/2022 RES Ind,VI YOLONDA COLSON L. MASSACHUSETTS GENERAL HOSPITAL RICHARD B. SIMCHES RESEARCH CENTER 185 CAMBRIDGE STREET, FLOOR 4, ROOM 4806 BOSTON MA 02114 4/10/2021 4/10/2022 RES III,VI JASON COMANDER IAN MASSACHUSETTS EYE AND EAR ROOM 563B 243 CHARLES STREET BOSTON MA 02114 8/12/2021 8/12/2022 RES Ind STEVEN COME BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 8/30/2021 8/30/2022 RES Ind RAYMOND COMENZO TUFTS MEDICAL CENTER DEPARMENT OF PHARMACY 800 WASHINGTON STREET BOX #420 BOSTON MA 02111 7/31/2021 7/31/2022 RES Ind,VI ANDREW CONERY CONSTELLATION PHARMACEUTICALS 215 FIRST ST., 2ND FLR, ROOM 254 ROOM 268 , ROOM 240 CAMBRIDGE MA 02142 2/17/2021 2/17/2022 RES Ind,III,IV,VI BRENDAN CONNELL LAHEY MEDICAL CENTER 1 ESSEX CENTER DRIVE PEABODY MA 01906 3/8/2021 3/8/2022 RES Ind,VI BRENDAN CONNELL ADDISON GILBERT HOSPITAL 298 WASHINGTON STREET GLOUCESTER MA 01930 9/16/2021 9/16/2022 RES Ind,VI BRENDAN CONNELL BEVERLY HOSPITAL 85 HERRICK STREET BEVERLY MA 01915 9/16/2021 9/16/2022 RES Ind,VI BRENDAN CONNELL LAHEY HOSPITAL & MEDICAL CENTER 41 MALL ROAD, RESEARCH PHARMACY BURLINGTON MA 01805 2/20/2021 2/20/2022 RES Ind,VI BRENDAN CONNELL LAHEY MEDICAL CENTER 1 ESSEX CENTER DRIVE PEABODY MA 01906 2/20/2021 2/20/2022 RES Ind,VI BRENDAN CONNELL WINCHESTER HOSPITAL 41 HIGHLAND AVENUE WINCHESTER MA 01809 6/13/2021 6/13/2022 RES Ind,VI RUSHIKA CONROY M BAYSTATE MEDICAL 80 WASON AVE SPRINGFIELD MA 01199 1/27/2021 1/27/2022 RES Ind RYAN CORCORAN BRUCE MASSACHUSETTS GENERAL HOSPITAL CANCER CTR 149 13TH ST., 7TH FLR, ROOM 7330 CHARLESTOWN MA 02129 6/20/2021 6/20/2022 RES III,VI KATHLEEN COREY ELIZABETH MASSACHUSETTS GENERAL HOSPITAL DEPT OF PHARMACY, GRB005 55 FRUIT STREET BOSTON MA 02114 10/29/2020 10/29/2021 RES Ind ANDREW CORNFORTH TCR2 THERAPEUTICS 10 WILSON ROAD, SUITE 300B CAMBRIDGE MA 02138 6/2/2021 6/2/2022 RES VI KATHERINE COSMOPOULOS EPIZYME, INC 400 TECHNOLOGY SQUARE, 5TH FLOOR CAMBRIDGE MA 02139 4/21/2021 4/21/2022 RES VI DANIEL COSTA B BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS, SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 8/26/2021 8/26/2022 RES Ind JOSEPH COTTEN F. MASSACHUSETTS GENERAL HOSPITAL DEPT OF ANESTHESIA, EDWARDS 505E 55 FRUIT STREET BOSTON MA 02114 10/4/2021 10/4/2022 RES II,III,IV,VI JOSEPH CRAVERO BOSTON CHILDREN'S HOSPITAL DEPARTMENT OF ANESTHESIA, BADER 3 300 LONGWOOD AVE BOSTON MA 02115 8/16/2021 8/16/2022 RES Ind KEVIN CROCE JAMES TRANSLATIONAL DISCOVERY LABORATORY MCP VIVARIUM 221 LONGWOOD AVENUE BOSTON MA 02115 9/22/2021 9/22/2022 RES II,III,IV,VI SAMANTHA CROCKER CRADL C/O SANA 100 BINNEY STREET CAMBRIDGE MA 02142 9/13/2021 9/13/2022 RES II,III,VI JENNIFER CROMBIE LEIGH DANA-FARBER CANCER INSTITUTE 450 BROOKLINE AVE RESEARCH PHARMACY, Y537 BOSTON MA 02215 3/15/2021 3/15/2022 RES VI MERIT CUDKOWICZ E. MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET BOSTON MA 02114 12/16/2020 12/16/2021 RES Ind,II,IV,V,VI CAROLYN CUFF MOMENTA PHARMACEUTICALS 301 BINNEY STREET, 5TH FLOOR CAMBRIDGE MA 02142 8/16/2021 8/16/2022 RES VI MILES CUNNINGHAM GREGORY MCLEAN HOSPITAL OAKS BUILDING, #348 115 MILL STREET BELMONT MA 02478 8/12/2021 8/12/2022 RES II,III,VI SHERRY CUNNINGHAM DONALDSON TIFFANY UNIV. OF MASS BOSTON PSYCHOLOGY DEPT. 100 MORRISSEY BOULEVARD BOSTON MA 02125 6/16/2021 6/16/2022 RES II,III,IV AIDAN CURRAN PULMATRIX 99 HAYDEN AVE, SUITE 390 LEXINGTON MA 02421 7/15/2021 7/15/2022 RES VI MICHAEL CURRY P BETH ISRAEL DEACONESS MEDICAL CENTER WEST CAMPUS RESEARCH PHARMACY-RBB11 ONE DEACONESS ROAD BOSTON MA 02215 3/19/2021 3/19/2022 RES Ind CRISTINA CUSIN MASSACHUSETTS GENERAL HOSPITAL GRAY BIGELOW BASEMENT, RM 005, CLINICAL TR 55 FRUIT STREET BOSTON MA 02114 10/17/2021 10/17/2022 RES III MICHAEL CZECH PAUL UNIVERSITY OF MASS. MEDICAL SCHOOL 373 PLANTATION ST, BIOTECH II, SUITE 100 WORCESTER MA 01605 4/24/2021 4/24/2022 RES III TIANHONG DAI MASSACHUSETTS GENERAL HOSPITAL WELLMAN CENTER FOR PHOTOMEDICINE 40 BLOSSOM STREET, BARTLETT HALL RM 416 BOSTON MA 02114 11/13/2020 11/13/2021 RES II,III,VI ANTHONY DAMICO VICTOR DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY Y537 450 BROOKLINE AVE BOSTON MA 02115 9/8/2021 9/8/2022 RES Ind,VI REZA DANA MASSACHUSETTS EYE AND EAR 7TH FLOOR CLINICAL RESEARCH PHARMACY 243 CHARLES STREET BOSTON MA 02114 3/8/2021 3/8/2022 RES V REZA DANA THE SCHEPENS EYE RESEARCH INSTITUTE 20 STANIFORD STREET BOSTON MA 02114 1/20/2021 1/20/2022 RES II,III,IV,VI KAREN DANIEL TARIS BIOMEDICAL, LLC 113 HARTWELL AVENUE LEXINGTON MA 02421 5/12/2021 5/12/2022 RES Ind,VI DANG DAO QUY ASTELLAS INSTITUTE FOR REGENERATIVE MEDICI RESEARCH DEPARTMENT 9 TECHNOLOGY DRIVE, ROOM 1D10 WESTBOROUGH MA 01581 9/13/2021 9/13/2022 RES II,III,IV,VI JAMES DARGIN LAHEY HOSPITAL& MEDICAL CENTER RESEARCH PHARMACY 41 MALL ROAD BURLINGTON MA 01805 12/16/2020 12/16/2021 RES Ind,VI SAUMYA DAS CARDIOVASCULAR RESEARCH CENTER 185 CAMBRIDGE ST., SIMCHES 3600 BOSTON MA 02114 8/29/2021 8/29/2022 RES III,VI MATTHEW DAVIDS DANA-FARBER CANCER INSTITUTE 450 BROOKLINE AVE RESEARCH PHARMACY, Y537 BOSTON MA 02215 3/15/2021 3/15/2022 RES VI ALINE DAVIS MAE FRAMINGHAM STATE UNIVERSITY BIOLOGY DEPT, HEMENWAY ANNEX, RM 513 100 STATE STREET FRAMINGHAM MA 01701 10/6/2020 10/6/2021 RES II,III JONATHAN DAVIS TUFTS MEDICAL CENTER DEPARTMENT OF PHARMACY 800 WASHINGTON STREET, BOX #420 BOSTON MA 02111 3/12/2021 3/12/2022 RES Ind,II,III,IV,VI ROGER DAVIS UMASS MEDICAL SCHOOL PROGRAM IN MOLECULAR MEDICINE 373 PLANTATION ST, BIOTECH 2, SUITE 309 WORCESTER MA 01605 4/26/2021 4/26/2022 RES III,VI BESS DAWSON-HUGHES TUFTS MEDICAL CENTER DEPARTMENT OF PHARMACY 800 WASHINGTON STREET, BOX #420 BOSTON MA 02111 7/3/2021 7/3/2022 RES Ind DANIEL DEANGELO JOSEPH DANA-FARBER CANCER INSTITUTE 450 BROOKLINE AVE RESEARCH PHARMACY, Y537 BOSTON MA 02215 3/15/2021 3/15/2022 RES VI JENNIFER DEARBORN-TOMAZOS BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY, WEST CAMPUS 1 DEACONESS ROAD, RBB1 BOSTON MA 02215 8/16/2021 8/16/2022 RES Ind TAREK DEEB GEORGE RBNC THERAPEUTICS, INC 65 GROVE STREET, SUITE 102 ROOM 102.13 WATERTOWN MA 02472 1/20/2021 1/20/2022 RES III,IV BARBARA DEGAR A DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDNG Y537 450 BROOKLINE AVE BOSTON MA 02115 6/9/2021 6/9/2022 RES Ind,VI PEDRO DEL NIDO BOSTON CHILDREN'S HOSPITAL CENTRAL PHARMACY 300 LONGWOOD AVE BOSTON MA 02115 10/28/2021 10/28/2022 RES Ind

Page 40 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

GEORGE DEMARCO JOSEPH UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL DEPT OF ANIMAL MEDICINE 55 LAKE AVE. NORTH WORCESTER MA 01655 10/18/2021 10/18/2022 RES II,III,IV,V SHADMEHR DEMEHRI CUTANEUS BIOLOGY RESEARCH CENTER , BUILDIN 3RD FLOOR,ROOM 149 13TH STREET CHARLESTOWN MA 02129 8/24/2021 8/24/2022 RES III,VI GEORGE DEMETRI DANIEL DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDNG Y537 450 BROOKLINE AVE BOSTON MA 02115 6/9/2021 6/9/2022 RES Ind,VI GRAHAM DEMPSEY THOMAS Q-STATE BIOSCIENCES, INC. 179 SIDNEY STREET CAMBRIDGE MA 02139 11/9/2020 11/9/2021 RES II,III,IV,V DAVID DENOFRIO TUFTS MEDICAL CENTER DEPARTMENT OF PHARMACY 800 WASHING STREET, BOX #420 BOSTON MA 02111 3/10/2021 3/10/2022 RES Ind,VI AGNIESZKA DENSLOW ONCORUS, INC. 50 HAMPSHIRE ST., SUITE 401 CAMBRIDGE MA 02139 2/28/2021 2/28/2022 RES VI FRANCOIS-XAVIER DERAMOUDT PPM CORPORATION 175 CROSSING BOULEVARD, SUITE 200 FRAMINGHAM MA 01702 8/31/2021 8/31/2022 RES VI LAXMAN DESAI NEOSOME LIFE SCIENCES, LLC 3 FORBES ROAD LEXINGTON MA 02421 8/24/2021 8/24/2022 RES II,III,IV LAXMAN DESAI S. TOXIKON CORPORATION 15 WIGGINS AVENUE BEDFORD MA 01730 10/23/2022 10/23/2023 RES II,III,IV,V,VI LAXMAN DESAI S. TOXIKON CORPORATION 25 WIGGINS AVENUE BEDFORD MA 01730 11/14/2020 11/14/2021 RES Ind,II,III,IV,V,VI NEELAM DESAI BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS, SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 8/26/2021 8/26/2022 RES Ind VIKAS DESAI CHARLES RIVER MEDICAL ASSOCS 463 WORCESTER ROAD, #104 FRAMINGHAM MA 01701 9/17/2021 9/17/2022 RES IV ABIGAIL DEVLIN HARVARD MEDICAL SCHOOL, DEPT OF BIO CHEM SEELEY G. MUDD BUILDING ROOM 622A BOSTON MA 02115 8/3/2021 8/3/2022 RES III,IV NILAY DEY BOSTON UNIVERSITY 24 CUMMINGTON STREET, R107 BOSTON MA 02118 10/29/2020 10/29/2021 RES I,II NILAY DEY BOSTON UNIVERSITY 24 CUMMINGTON STREET, R107 BOSTON MA 02215 1/9/2021 1/9/2022 RES II,III,IV,VI NILAY DEY BOSTON UNIVERSITY 635 COMMONWEALTH AVE 24 CUMMINGTON MALL, R107 BOSTON MA 02215 11/12/2020 11/12/2021 RES III,VI NILAY DEY BOSTON UNIVERSITY MEDICAL CENTER 85 EAST NEWTON STREET, ROOM #403B BOSTON MA 02118 1/9/2021 1/9/2022 RES II,III,IV,V,VI NILAY DEY BOSTON UNIVERSITY MEDICAL CENTER BIOSQUARE III, BUILDING 670 85 EAST NEWTON ST., ROOM # 403B BOSTON MA 02118 1/9/2021 1/9/2022 RES II,III,IV,VI NILAY DEY BOSTON UNIVERSITY MEDICAL CENTER NEIDL, 620 ALBANY 85 EAST NEWTON ST., ROOM # 403B BOSTON MA 02118 3/28/2021 3/28/2022 RES II,III,IV,VI AJOY DIAS BETH ISRAEL DEACONESS MEDICAL CENTER HOSPITAL- RESEARCH PHARMACY 330 BROOKLINE AVE BOSTON MA 02215 9/9/2021 9/9/2022 RES Ind DAVID DIBENEDETTO J MEDVADIS RESEARCH COPORATION 85 FIRST AVE WALTHAM MA 02451 12/16/2020 12/16/2021 RES Ind,VI JAMES DICARLO JOSEPH MASSACHUSETTS INSTITUTE OF TECHNOLOGY MCGOVERN INSTITUTE FOR BRAIN RESEARCH 43 VASSAR ST., 46-6153 CAMBRIDGE MA 02139 6/28/2021 6/28/2022 RES VI MARIAN DIFIGLIA MGH/DEPT OF NEUROLOGY LABORATORY OF CELLULAR NEUROBIOLOGY 114 16TH ST. ROOM 2101 CHARLESTOWN MA 02129 12/2/2020 12/2/2021 RES III,VI DANIELA DINULESCU M. EUGENE BRAUNWALD RESEARCH CTR (EBRC) BRIGHAM & WOMEN'S HOSPITAL 221 LONGWOOD AVENUE, ROOM 403 BOSTON MA 02115 8/13/2021 8/13/2022 RES III,VI AHMET DIRICAN F BTC OF NEW BEDFORD, LLC 222-230 FIELD STREET NEW BEDFORD MA 02740 3/1/2021 3/1/2022 RES Ind,II,VI GERARD DOHERTY M. BRIGHAM AND WOMEN'S HOSPITAL INVESTIGATIONAL DRUG SERVICE PHARMACY (IDS 75 FRANCIS ST. BOSTON MA 02115 7/26/2021 7/26/2022 RES Ind,VI DYANNA DOMILICI ADAMS CLINICAL 521 MT AUBURN ST., STES 107,109, 203, 209 WATERTOWN MA 02472 4/3/2021 4/3/2022 RES Ind,II,III,IV,V,VI DYANNA DOMILICI COPLEY CLINICAL 160 COMMONWEALTH AVE, SUITE L1D BOSTON MA 02116 11/25/2020 11/25/2021 RES Ind,II,III,IV,V,VI ERICA DOMMASCH D BETH ISRAEL DEACONESS MEDICAL CENTER 330 BROOKLINE AVE FD-OB14 BOSTON MA 02215 10/21/2021 10/21/2022 RES Ind SETH DONAHUE WARNER UNIVERSITY OF MASSACHUSETTS S 660 F LIFE SCIENCES LABORATORY 240 THATCHER WAY AMHERST MA 01003 5/24/2021 5/24/2022 RES III YONGLI DONG BLUEROCK THERAPEUTICS 6 TIDE STREET, ROOM #250 BOSTON MA 02210 5/19/2021 5/19/2022 RES VI MICHAEL DONNINO BETH ISRAEL DEACONESS MEDICAL CENTER WEST CAMPUS RESEARCH PHARMACY-RBB11 ONE DEACONESS ROAD BOSTON MA 02215 2/19/2021 2/19/2022 RES Ind GIAN PAOLO DOTTO MASS GENERAL HOSPITAL CUTANEOUS BIOLOGY RESEARCH CENTER 13TH ST, BLDG 149, 3RD FL,RM 3040 CHARLESTOWN MA 02129 4/1/2021 4/1/2022 RES III,VI JEFFREY DOVER SKINCARE PHYSICIANS 1244 BOYLSTON STREET CHESTNUT HILL MA 02467 11/7/2021 11/7/2022 RES Ind SUSAN DRAPEAU CHARLES RIVER ACCELERATOR AND DEVELOPMENT CRADL 100 BINNEY STREET CAMBRIDGE MA 02142 11/4/2020 11/4/2021 RES III,VI SUSAN DRAPEAU SIGILON THERAPEUTICS, INC. 100 BINNEY STREET, 6TH FLOOR CAMBRIDGE MA 02142 7/27/2021 7/27/2022 RES VI ROSE DU BRIGHAM AND WOMEN'S HOSPITAL 60 FENWOOD ROAD, ROOM 4184 BOSTON MA 02115 2/13/2021 2/13/2022 RES III,VI STEVEN DUBOIS DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDNG Y537 450 BROOKLINE AVE BOSTON MA 02115 6/9/2021 6/9/2022 RES Ind,VI MICHAEL DUGGAN JOSEPH MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET, THIER 612A BOSTON MA 02114 12/8/2020 12/8/2021 RES II,III,IV,VI KAREN DUNPHY A UNIVERSITY OF MASSACHUSETTS 465A INTEGRATED SCIENCE BLDG 661 NORTH PLEASANT STREET AMHERST MA 01003 1/20/2021 1/20/2022 RES III,IV BARBARA DWORETZKY ANN BRIGHAM AND WOMEN'S HOSPITAL INVESTIGATIONAL DRUG SERVICES (IDS) 75 FRANCIS STREET BOSTON MA 02215 11/5/2020 11/5/2021 RES Ind SUSAN DYMECKI M HARVARD MEDICAL SCHOOL NEW RESEARCH BLDG 77 AVE LOUIS PASTEUR, RM 362 BOSTON MA 02215 8/13/2021 8/13/2022 RES II,III,IV,VI KYRIAKOS ECONOMIDES DEMETRIS CODIAK BIOSCIENCES 35 CAMBRIDGE PARK DRIVE, SUITE 500 ROOM 575-VIVARIUM PROCEDURE ROOM CAMBRIDGE MA 02140 2/26/2021 2/26/2022 RES III,VI DALE EDGAR M ALAIRION, INC AVASTUS 44 SPINELLI PLACE, ROOM 130 CAMBRIDGE MA 02138 5/8/2021 5/8/2022 RES II,III,IV,V,VI ANDREA EDLOW GOLDBERG MASSACHUSETTS GENERAL HOSPITAL VINCENT CENTER FOR REPRODUCTIVE BIOLOGY 55 FRUIT ST., THIER 9 BOSTON MA 02114 8/30/2021 8/30/2022 RES III,VI BRIAN EDLOW LEWIS MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET BOSTON MA 02114 12/18/2020 12/18/2021 RES Ind CAMILLE EDWARDS V BOSTON MEDICAL CENTER INVESTIGATIONAL DRUG PHARMACY 840 HARRISON AVE, ME-B378 BOSTON MA 02118 12/23/2020 12/23/2021 RES Ind DAVID EINSTEIN JOHNSON BETH ISRAIL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS, SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 8/16/2021 8/16/2022 RES Ind GEORGES EL FAKHRI GORDON CENTER FOR MEDICAL IMAGING 149 13TH ST,5TH FL,SUITE 5400 RMS 5310A, 5411 & 5405 CHARLESTOWN MA 02129 6/21/2021 6/21/2022 RES II,III,IV,VI GEORGES EL FAKHRI MGH IMAGING NUCLEAR MEDICINE & MOLECULAR IMAGING 55 FRUIT STREET, BULFINCH BASEMENT 056A BOSTON MA 02114 10/1/2021 10/1/2022 RES II,III,IV,VI NAHEL ELIAS MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET BOSTON MA 02114 4/12/2021 4/12/2022 RES Ind

Page 41 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

DEAN ELIOTT MASSACHUSETTS EYE AND EAR RETINA SERVICE 243 CHARLES STREET BOSTON MA 02114 6/29/2021 6/29/2022 RES Ind JACOB ELKON MATT TUFTS MEDICAL CENTER DEPARTMENT OF PHARMACY 800 WASHINGTON STREET, BOX #420 BOSTON MA 02111 7/28/2021 7/28/2022 RES Ind,VI TODD ELLERIN BRADLEY SOUTH SHORE HOSPITAL PHARMACY DEPARTMENT 55 FOGG ROAD WEYMOUTH MA 02190 3/27/2021 3/27/2022 RES Ind PATRICK ELLINOR BROAD INSTITUTE CARDIOVASCULAR DISEASE INITIATIVE 415 MAIN ST. CAMBRIDGE MA 02124 3/13/2021 3/13/2022 RES II,III,VI LEIF ELLISEN MASSACHUSETTS GENERAL HOSPITAL 185 CAMBRIDGE ST., CPZN 4100 BOSTON MA 02114 11/15/2020 11/15/2021 RES III,VI CHARLES EMERSON P JR UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL 55 LAKE AVE N.,S5-144 WORCESTER MA 01655 1/23/2021 1/23/2022 RES III,VI JOERG ERMANN BRIGHAM AND WOMEN'S HOSPITAL DIV OF RHEUMATOLOGY, IMMUNOLOGY & ALLERGY 60 FENWOOD ROAD, BTM ROOM 06022 BOSTON MA 02115 8/31/2021 8/31/2022 RES III MIGUEL ESTEVES S. UNIVERSITY OF MASS. MEDICAL SCHOOL GENE THERAPY CENTER 368 PLANTATION STREET, ASC6-2055 WORCESTER MA 01605 2/7/2021 2/7/2022 RES III,VI MARK ETHERTON RICHARD MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET BOSTON MA 02114 12/23/2020 12/23/2021 RES Ind CONOR EVANS L. MASSACHUSETTS GENERAL HOSPITAL WELLMAN CENTER FOR PHOTOMEDICINE 13TH STREET- CNY 149 - 3108 CHARLESTOWN MA 02129 3/21/2021 3/21/2022 RES III,VI PETER EVERETT C BOSTON MEDICAL CENTER INVESTIGATIONAL PHARMACY SERVICE 840 HARRISON AVE, ME-B378 BOSTON MA 02118 5/7/2021 5/7/2022 RES Ind DANIEL FADEN BOSTON MEDICAL CENTER INVESTIGATIONAL PHARMACY SERVICE 840 HARRISON AVE, ME-B378 BOSTON MA 02118 6/15/2021 6/15/2022 RES Ind GREGORY FAHS BAIN OMPI OF AMERICA 451 D STREET, SUITE 704 ROOM #711 (LAB AND SAMPLE STORAGE) BOSTON MA 02210 7/12/2021 7/12/2022 RES III,VI ARYA FARAHMAND ACTIVMED PRACTICES AND RESEARCH, LLC C/O NEW ENGLAND NEUROLOGICAL ASSOCIATES 10 GEORGE STREET, SUITE 300 LOWELL MA 01852 12/7/2020 12/7/2021 RES Ind ARYA FARAHMAND ACTIVMED PRACTICES & RESEARCH, LLC C/O NEW ENGLAND NEUROLOGICAL ASSOCIATES, P 234 LITTLETON ROAD, SUITE D WESTFORD MA 01886 5/19/2021 5/19/2022 RES Ind HARRISON FARBER TUFTS MEDICAL CENTER DEPARTMENT OF PHARMAC 800 WASHINGTON STREET BOX #420 BOSTON MA 02111 4/17/2021 4/17/2022 RES Ind,VI DENISE FAUSTMAN LOUISE MASSACHUSETTS GENERAL HOSPITAL-EAST BUILDING 149, 13TH STREET, CNY-3503 CHARLESTOWN MA 02129 6/23/2021 6/23/2022 RES Ind MAURIZIO FAVA MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET BOSTON MA 02114 10/14/2021 10/14/2022 RES II,III,IV,V EDWARD FEENER P MISPRO BIOTECH SERVICES 400 TECHNOLOGY PARK, LOWER LEVEL CAMBRIDGE MA 02139 8/10/2021 8/10/2022 RES II,III MARK FEINBERG W. BRIGHAM & WOMEN'S HOSPITAL 77 AVENUE LOUIS PASTEUR, NRB-738 BOSTON MA 02115 8/27/2021 8/27/2022 RES II,III,VI GUOPING FENG MIT, MCGOVERN INSTITUTE 43 VASSAR STREET, BLDG 46 ROOM 3143 CAMBRIDGE MA 02139 8/24/2021 8/24/2022 RES II,III,IV GUOPING FENG STANLEY CENTER AT BROAD INSTITUTE 75 AMES ST., 9TH FLR LAB CAMBRIDGE MA 02142 9/6/2021 9/6/2022 RES II,III CHRISTIANE FERRAN J. BETH ISRAEL DEACONESS MEDICAL CENTER 99 BROOKLINE AVENUE, ROOM 370F/G BOSTON MA 02215 12/12/2020 12/12/2021 RES III,VI ANDREA FERREIRA ZANDONA G TUFTS MEDICAL CENTER DEPARTMENT OF PHARMAC 800 WASHINGTON STREET BOX #420 BOSTON MA 02111 11/23/2020 11/23/2021 RES Ind,VI CRAIG FERRIS F NORTHEASTERN UNIVERSITY DEPT OF PSYCHOLOGY 360 HUNTINGTON AVE, 437 MUGAR BOSTON MA 02115 6/29/2021 6/29/2022 RES I,II,III,IV CRIST FILER NICHOLAS PERKINELMER INC 120 EAST DEDHAM STREET BOSTON MA 02118 6/6/2021 6/6/2022 RES I,II,III,IV ROBERT FINBERG W. UMASS MEMORIAL MEDICAL CENTER DEPT OF MEDICINE 55 LAKE AVE NORTH WORCESTER MA 01655 4/27/2021 4/27/2022 RES Ind SETH FINKLESTEIN NEUROVASC PRECLINICAL SERVICES, INC. 3 FORBES ROAD LEXINGTON MA 02421 6/20/2021 6/20/2022 RES II,III,VI DANIEL FINLEY HARVARD MEDICAL SCHOOL DEPT OF CELL BIOLOGY 240 LONGWOOD AVE BOSTON MA 02115 3/27/2021 3/27/2022 RES III,VI SUDESHNA FISCH BRIGHAM & WOMEN'S HOSPITAL 77 AVENUE LOUIS PASTEUR, HNRB 435F BOSTON MA 02115 7/22/2021 7/22/2022 RES II,III,VI GORDON FISHELL J BROAD INSTITUTE STANLEY CENTER FOR PSYCHIATRIC DISEASE 75 AMES STREET ROOM CAMBRIDGE MA 02142 2/13/2021 2/13/2022 RES II,III,VI DAVID FISHER E 149 13TH STREET ROOM 3.308 CHARLESTOWN MA 02129 10/25/2020 10/25/2021 RES II,III,VI DAVID FISHER E. MASSACHUSETTS GENERAL HOSPITAL DEPT. OF DERMATOLOGY 55 FRUIT STREET BOSTON MA 02114 10/15/2020 10/15/2021 RES VI KATHERINE FITZGERALD A. UMASS MEDICAL SCHOOL, LRB RM 340A-E 364 PLANTATION STREET WORCESTER MA 01605 8/24/2021 8/24/2022 RES III MICHAEL FITZGERALD LEO LIPID METABOLISM UNIT, CCIB SIMCHES RESEARCH BLD, ROOM 7200 , 7TH FL 185 CAMBRIDGE STREET BOSTON MA 02114 3/28/2021 3/28/2022 RES VI JOHN FLANAGAN G. HARVARD MEDICAL SCHOOL DEPT OF CELL BIOLOGY 240 LONGWOOD AVE, RM 523, BLDG C2 BOSTON MA 02115 9/11/2021 9/11/2022 RES III,VI JACLYN FLANIGAN CAPE COD HOSPITAL DAVENPORT-MUGAR CANCER CENTER MEDICAL ONCOLOGY DEPARTMENT, 27 PARK ST HYANNIS MA 02601 9/1/2021 9/1/2022 RES Ind ROBERT FLAUMENHAFT BETH ISRAEL DEACONESS MEDICAL CENTER CENTER FOR LIFE SCIENCE 3 BLACKFAN CIRCLE, ROOM 0925A BOSTON MA 02115 11/13/2020 11/13/2021 RES II,III,VI GARY FLEISHER BOSTON CHILDREN'S HOSPITAL DEPARTMENT OF PEDIATRICS 300 LONGWOOD AVENUE BOSTON MA 02115 8/6/2021 8/6/2022 RES Ind JORGE FLEISHER STEWARD ST. ELIZABETH'S MEDICAL CENTER PHARMACY DEPARTMENT, 1ST FLOOR 736 CAMBRIDGE STREET BRIGHTON MA 02135 5/1/2021 5/1/2022 RES Ind ALISON FLEMING BLAKE COLLEGIUM PHARMACEUTICAL 100 TECHNOLOGY CENTER DRIVE STOUGHTON MA 02072 7/30/2021 7/30/2022 RES II,III,IV,V TERENCE FLOTTE UMASS MEMORIAL MEDICAL CENTER/ONC RESEARCH AMBULATORY CARE CENTER, ROOM AC6-058 362 PLANTATION STREET WORCESTER MA 01605 7/29/2021 7/29/2022 RES Ind TERENCE FLOTTE R. UMMS GENE THERAPY 368 PLANTATION ST AS7-1001A WORCESTER MA 01605 6/24/2021 6/24/2022 RES III,IV,VI ERIK FOLCH EDUARDO MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET, BIGELOW 954 BOSTON MA 02114 5/5/2021 5/5/2022 RES Ind BRENT FORESTER P. MCLEAN HOSPITAL 115 MILL STREET BELMONT MA 02478 11/16/2020 11/16/2021 RES Ind,III RICHARD FORNICOLA SEAN JOHNSON MATTHEY PHARMACEUTICAL MATERIALS DBA JOHNSON MATTHEY PHARMA SERVICES 25 PATTON ROAD DEVENS MA 01432 2/16/2021 2/16/2022 RES I,II,III,IV,V,VI SUZANNE FORREST JAQUETH DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDNG Y537 450 BROOKLINE AVE BOSTON MA 02115 6/9/2021 6/9/2022 RES Ind,VI CHARLES FOSTER STEPHEN MASSACHUSETTS EYE RESEARCH AND SURGERY INSTITUTION 1440 MAIN STREET SUITE 201 WALTHAM MA 02451 1/11/2021 1/11/2022 RES Ind,VI JAMES FOX BOSTON COLLEGE 140 COMMONWEALTH AVE ANIMAL CARE FACILITY-HIGGINS HALL, RM 1900 CHESTNUT HILL MA 02467 10/19/2020 10/19/2021 RES II,III,VI JAMES FOX G. MASS. INSTITUTE OF TECHNOLOGY DIVISION OF COMPARATIVE MEDIC 77 MASSACHUSETTS AVE 16-825C CAMBRIDGE MA 02139 5/20/2021 5/20/2022 RES II,III,IV,VI JEAN FRANCIS BOSTON MEDICAL CENTER INVESTIGATIONAL DRUG PHARMCY 840 HARRISON AVE ME-B378 BOSTON MA 02118 8/25/2021 8/25/2022 RES Ind

Page 42 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

SAMUEL FRANK ARTHUR BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS, SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 8/26/2021 8/26/2022 RES Ind FREDERICK FRANKHAUSER MICHAEL MCPHS UNIVERSITY 179 LONGWOOD AVE, SCHOOL OF PHARMACY PHARMACEUTICAL SCIENCES BOSTON MA 02115 7/23/2021 7/23/2022 RES III,IV,VI RUTH FRANKLIN A HARVARD MEDICAL SCHOOL DEPARTMENT OF IMMUNOLOGY 77 AVENUE LOUIS PASTEUR, 4BC-820 BOSTON MA 02115 10/14/2021 10/14/2022 RES III,VI IVAN FRANTZ D BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS, SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 10/6/2021 10/6/2022 RES Ind JEAN FRAZIER A. THE CHILD & ADOLESCENT NEURODEVELOPMENT INITIATIVE, UMASS MEDICAL SCHOOL S3-301, 55 LAKE AVENUE NORTH WORCESTER MA 01655 6/12/2021 6/12/2022 RES Ind,IV LAURA FREDENBURGH E BRIGHAM & WOMEN'S HOSPITAL DEPARTMENT OF RESPIRATORY CARE 75 FRANCIS STREET BOSTON MA 02115 11/15/2020 11/15/2021 RES Ind ARNOLD FREEDMAN S DANA-FARBER CANCER INSTITUTE 450 BROOKLINE AVE RESEARCH PHARMACY, Y537 BOSTON MA 02215 3/15/2021 3/15/2022 RES VI RACHEL FREEDMAN A DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDG Y537 450 BROOKLINE AVE BOSTON MA 02115 9/8/2021 9/8/2022 RES Ind,VI MARLENE FREEMAN PICUS MGH- SIMCHES RESEARCH BLDG AMMON-PINIZZOTTO CTR FOR WOMEN'S MENTAL HE 185 CAMBRIDGE ST. SUITE 200 BOSTON MA 02114 3/22/2021 3/22/2022 RES Ind MARLENE FREEMAN PICUS JOHNSON COMPOUNDING AND WELLNESS 577 MAIN STREET WALTHAM MA 02452 8/31/2021 8/31/2022 RES Ind ROY FREEMAN BETH ISRAEL DEACONESS MEDICAL CENTER WEST CAMPUS RESEARCH PHARMACY-RBB11 ONE DEACONESS ROAD BOSTON MA 02215 7/1/2021 7/1/2022 RES Ind,VI JULIE FREIMAN MORGAN LAHEY HOSPITAL & MEDICAL CENTER 41 MALL ROAD, RESEARCH PHARMACY BURLINGTON MA 01805 5/7/2021 5/7/2022 RES Ind,VI POLINA FREITAS APIC BIO, PRECLINICAL RESEARCH C/O AVASTUS PRECLINICAL SERVICES 44 SPINELLI PLACE, SUITE 165 CAMBRIDGE MA 02138 7/6/2021 7/6/2022 RES III,VI GYORGY FRENDL BRIGHAM AND WOMEN'S HOSPITAL INVESTIGATIONAL DRUG SERVICE PHARMACY 75 FRANCIS STREET BOSTON MA 02115 11/2/2020 11/2/2021 RES Ind OLIVER FREUDENREICH MASSACHUSETTS GENERAL HOSPITAL DEPT OF PHARMACY, GRB005 55 FRUIT STREET BOSTON MA 02114 10/17/2020 10/17/2021 RES Ind ZACHARY FRICKER PATRICK BETH ISRAEL DEACONESS MEDICAL CENTER WEST CAMPUS RESEARCH PHARMACY, RBB11 ONE DEACONESS ROAD BOSTON MA 02215 8/16/2021 8/16/2022 RES Ind SHELLEY FRIED IRWIN MASSACHUSETTS GENERAL HOSPITAL DEPARTMENT OF NEUROSURGERY ROOM 415, THIER BUILDING, 50 BLOSSOM ST BOSTON MA 02114 8/13/2021 8/13/2022 RES II,III,VI DAVID FRIEDMAN STEVEN MASSACHUSETTS EYE AND EAR - PHARMACY 243 CHARLES STREET BOSTON MA 02114 4/5/2021 4/5/2022 RES Ind JULIE LEANN FU CHENG TUFTS MEDICAL CENTER DEPARMENT OF PHARMACY 800 WASHINGTON STREET BOX #420 BOSTON MA 02111 8/6/2021 8/6/2022 RES Ind,VI HANNA GAGGIN KIM MASSACHUSETTS GENERAL HOSPITAL CLINICAL TRIALS PHARMACY 55 FRUIT STREET BOSTON MA 02114 9/16/2021 9/16/2022 RES Ind JASON GAGLIA LOUIS JOSLIN DIABETES CENTER ONE JOSLIN PLACE 3RD FLOOR CLINICAL RESEARCH CENTER BOSTON MA 02215 8/23/2021 8/23/2022 RES Ind JASON GAGLIA LOUIS BETH ISRAEL DEACONESS MEDICAL CENTER HOSPITAL-RESEARCH PHARMACY 330 BROOKLINE AVE BOSTON MA 02215 1/20/2021 1/20/2022 RES Ind SETH GALE ALAN CENTER FOR ALZHEIMER RESEARCH & TREATMENT 60 FENWOOD ROAD, 1ST FLOOR BOSTON MA 02115 11/4/2020 11/4/2021 RES Ind,IV,VI JENNA GALLOWAY GALLOWAY LAB, CENTER FOR REGENERATIVE MEDICINE, MASSACHUSETTS GENERAL HOSPITAL 185 CAMBRIDGE STREET, CPZN 4400J1 BOSTON MA 02114 4/17/2021 4/17/2022 RES III,VI LEENA GANDHI DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDG Y537 450 BROOKLINE AVE BOSTON MA 02115 6/9/2021 6/9/2022 RES Ind,VI KRISTON GANGULI ALISSA MASSACHUSETTS GENERAL HOSPITAL DEPARTMENT OF PHARMACY, GRB 005 55 FRUIT STREET BOSTON MA 02114 5/1/2021 5/1/2022 RES Ind GUANGPING GAO UMASS MEDICAL SCHOOL, GENE THERAPY CENTER, 368 PLANTATION ST, AS6-2014 WORCESTER MA 01605 6/23/2021 6/23/2022 RES III,VI TEILONG GAO ARMSTRONG PHARMACEUTICALS, INC. CHEMISTRY LAB, ROOM L2116 25 JOHN ROAD CANTON MA 02021 6/23/2021 6/23/2022 RES III,VI JUDY GARBER ELLEN DANA-FARBER CANCER CENTER RESEARCH PHARMACY, YAWKEY BLDG Y537 450 BROOKLINE AVE BOSTON MA 02115 9/8/2021 9/8/2022 RES Ind JACQUELINE GARCIA SUEN DANA-FARBER CANCER INSTITUTE 450 BROOKLINE AVE RESEARCH PHARMACY, Y537 BOSTON MA 02215 3/15/2021 3/15/2022 RES VI BARBARA GARIBALDI A. BETH ISRAEL DEACONESS MED CTR ANIMAL RESEARCH FACILITY 99 BROOKLINE AVENUE, ROOM 150E BOSTON MA 02215 9/11/2021 9/11/2022 RES II,III,IV,VI BARBARA GARIBALDI ANNE TAKEDA PHARMACEUTICALS, INC 35 LANDSDOWNE STREET CAMBRIDGE MA 02139 9/28/2021 9/28/2022 RES II,III,VI BARBARA GARIBALDI ANNE TAKEDA PHARMACEUTICALS, INC 40 LANDSDOWNE STREET CAMBRIDGE MA 02139 9/28/2021 9/28/2022 RES II,III,VI BARBARA GARIBALDI ANNE TAKEDA PHARMACEUTICALS, INC 125 BINNEY STREET CAMBRIDGE MA 02142 8/7/2021 8/7/2022 RES II,III,VI MARY GEHRING A WHITEHEAD INSTITUTE FOR BIOMEDICAL RESEARC 455 MAIN ST. CAMBRIDGE MA 02142 3/1/2021 3/1/2022 RES IV,VI DANIEL GELLER A. OCD & RELATED DISORDERS PROGRAM 185 CAMBRIDGE STREET, SUITE 2200 BOSTON MA 02114 8/27/2021 8/27/2022 RES Ind,VI ROBERT GENSURE TUFTS MEDICAL CENTER DEPARTMENT OF PHARMAC 800 WASHINGTON STREET BOX #420 BOSTON MA 02111 7/26/2021 7/26/2022 RES Ind,VI SUZANNE GEORGE DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDG Y537 450 BROOKLINE AVE BOSTON MA 02115 6/9/2021 6/9/2022 RES Ind,VI JONATHAN GERBER M UMASS MEMORIAL MEDICAL CENTER, IDSP ROOM AC6-058 55 LAKE AVE NORTH WORCESTER MA 01655 7/15/2021 7/15/2022 RES Ind MICHAEL GERMAIN J RENAL AND TRANSPLANT ASSOCIATES OF NE, PC RESEARCH DEPARTMENT 100 WASON AVENUE, SUITE 200 SPRINGFIELD MA 01107 11/19/2020 11/19/2021 RES Ind ROBERT GERSZTEN E. BETH ISRAEL DEACONESS MEDICAL CENTER CENTER FOR LIFE SCIENCES (CLS) ROOM 0920B 3 BLACKFAN CIRCLE BOSTON MA 02115 7/6/2021 7/6/2022 RES III TAL GEVA BOSTON CHILDRENS' HOSPITAL PHARMACY DEPARTMENT 300 LONGWOOD AVENUE BOSTON MA 02067 8/1/2021 8/1/2022 RES Ind BENJAMIN GEWURZ ELISON BRIGHAM AND WOMEN'S HOSPITAL INVESTIGATIONAL DRUG SERVICE (IDS) PHARMAC 75 FRANCIS STREET BOSTON MA 02115 9/27/2021 9/27/2022 RES Ind SHARMIN GHAZNAVI MASSACHUSETTS GENERAL HOSPITAL DEPARTMENT OF PHARMACY, GRB 005 55 FRUIT STREET BOSTON MA 02114 9/8/2021 9/8/2022 RES I IRENE GHOBRIAL M DANA-FARBER CANCER INSTITUTE 450 BROOKLINE AVE RESEARCH PHARMACY, Y537 BOSTON MA 02215 3/15/2021 3/15/2022 RES VI GIORGIO GIATSIDIS UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL GIATSIDIS LABORATORY ROOM S4-740 55 NORTH LAKE AVENUE WORCESTER MA 01655 12/14/2020 12/14/2021 RES VI CHRISTOPHER GIBBONS BETH ISRAEL DEACONESS MEDICAL CENTER 330 BROOKLINE AVE BOSTON MA 02215 10/6/2020 10/6/2021 RES Ind GRETCHEN GIGNAC A BOSTON MEDICAL CENTER INVESTIGATIONAL PHARMACY SERVICE 840 HARRISON AVE, ME-B378 BOSTON MA 02118 3/4/2021 3/4/2022 RES Ind DONALD GILLIES SHIRE HUMAN GENETIC THERAPIES INC 200 SHIRE WAY LEXINGTON MA 02421 3/4/2021 3/4/2022 RES II,IV JACINTHE GINGRAS HOMOLOGY MEDICINES, INC 1 PATRIOTS PARK BEDFORD MA 01730 5/19/2021 5/19/2022 RES II,III,VI LEO GINNS CHARLES MASSACHUSETTS GENERAL HOSPITAL RESEARCH PHARMACY 55 FRUIT STREET BOSTON MA 02114 6/14/2021 6/14/2022 RES Ind

Page 43 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

DAVID GINTY D. THE GINTY LAB - HARVARD MEDICAL SCHOOL DEPARTMENT OF NEUROBIOLOGY AMENISE 437, 210 LONGWOOD BOSTON MA 02115 3/6/2021 3/6/2022 RES III,IV,V,VI ANTONIO GIORDANO DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDNG Y537 450 BROOKLINE AVE BOSTON MA 02115 6/9/2021 6/9/2022 RES Ind,VI LAURIE GLIMCHER H DANA-FARBER CANCER INSTITUTE 450 BROOKLINE AVE RESEARCH PHARMACY, Y537 BOSTON MA 02115 10/27/2021 10/27/2022 RES Ind,VI YOAV GOLAN TUFTS MEDICAL CENTER DEPT OF PHARMACY 800 WASHINGTON STREET, BOX #420 BOSTON MA 02111 4/26/2021 4/26/2022 RES Ind,VI MARY GOLDEN VERTEX PHARMACEUTICALS INCORPORATED 11 FAN PIER BLVD BOSTON M1 02210 9/1/2021 9/1/2022 RES VI ALLAN GOLDSTEIN MOISES MGH/PEDI SURGICAL RESEARCH LABORATORIES PEDI SURGERY, SIMCHES RESEARCH BLDG 185 CAMBRIDGE ST.,CPZ NORTH-6-215 BOSTON MA 02114 3/6/2021 3/6/2022 RES II,III,VI TODD GOLUB R. BROAD INSTITUTE OF MIT & HARVARD. BROAD VIVARIUM, 75 AMES STREET, 12TH FLOOR ROOM 12029 CAMBRIDGE MA 02142 4/17/2021 4/17/2022 RES III CONOR GOMES PION, INC. 10 COOK STREET BILLERICA MA 01821 3/25/2021 3/25/2022 RES Ind,II,III,IV STEPHEN GOMPERTS NEIL MASSACHUSETTS GENERAL HOSPITAL NEUROLOGY, 114 16TH STREET, ROOM 2004 CHARLESTOWN MA 02129 6/14/2021 6/14/2022 RES Ind,II,III,VI DEBRA GOODWIN GAY BRANDEIS UNIVERSITY 415 SOUTH ST., FOSTER 214 WALTHAM MA 02453 3/11/2021 3/11/2022 RES VI CRAIG GORDON E TUFTS MEDICAL CENTER DEPARTMENT OF PHARMACY 800 WASHINGTON STREET, BOX #420 BOSTON MA 02111 7/21/2021 7/21/2022 RES Ind,VI FREDRIC GORDON LAHEY HOSPITAL & MEDICAL CENTER RESEARCH PHARMACY 41 MALL ROAD BURLINGTON MA 01805 4/30/2021 4/30/2022 RES Ind,VI LISA GOULD SOUTH SHORE HEALTH CENTER FOR WOUND HEALIN 90 LIBBEY INDUSTRIAL PARKWAY WEYMOUTH MA 02189 3/22/2021 3/22/2022 RES Ind LISA GOULD SOUTH SHORE HEALTH, MAIN OPERATING ROOM 55 FOGG ROAD WEYMOUTH MA 02189 3/22/2021 3/22/2022 RES Ind MATTHEW GOUNIS J. UNIVERSITY OF MASS. MEDICAL SCHOOL DEPT OF RADIOLOGY, NE CENTER FOR STROKE RESEARCH, ROOM SA-107R, 55 LAKE AVE NORTH WORCESTER MA 01655 6/23/2021 6/23/2022 RES II,III,IV,VI JEREMY GOVERMAN SUMNER REDSTONE BURN CENTER AT MGH 55 FRUIT STREET BOSTON MA 02114 1/17/2021 1/17/2022 RES Ind KATHERINE GRAHAM M JOHN H. PRESCOTT MARINE LABORATORY NEW ENGLAND AQUARIUM 1 CENTRAL WHARF BOSTON MA 02110 1/27/2021 1/27/2022 RES III ADAM GRANGER BROAD INSTITUTE, STANLEY CENTER 75 AMES STREET, 12TH FLOOR VIVARIUM CAMBRIDGE MA 02142 3/31/2021 3/31/2022 RES III AARON GRANT KEITH BETH ISRAEL DEACONESS MEDICAL CENTER DANA BUILDING, ROOM DANA 703-C 330 BROOKLINE AVENUE BOSTON MA 02215 5/2/2021 5/2/2022 RES VI ELLEN GRAVALLESE M BRIGHAM AND WOMEN'S HOSPITAL HALE BUILDING FOR TRANSFORMATIVE MEDICINE 60 FENWOOD RD, 7TH FLOOR, ROOM 7012G BOSTON MA 02115 1/8/2021 1/8/2022 RES III,VI AMANDA GRAVELINE WYSS INSTITUTE FOR BIOLOGICALLY INSPIRED ENGINEERING CLS BLDG 517. 3 BLACKFAN CIRCLE BOSTON MA 02115 10/28/2021 10/28/2022 RES II,III,IV,VI ANN GRAYBIEL MARTIN MASSACHUSETTS INSTITUTE OF TECHNOLOGY MCGOVERN INSTITUTE FOR BRAIN RESEARCH ROOM 46-6133, 43 VASSAR STREET CAMBRIDGE MA 02139 12/16/2020 12/16/2021 RES II,III,IV,V,VI BARBARA GRECO ANN RENAL & TRANSPLANT ASSOCIATES OF N.E., PC RESEARCH DEPT 100 WASON AVENUE, SUITE 200 SPRINGFIELD MA 01107 10/18/2021 10/18/2022 RES Ind DEBORAH GREEN-LAROCHE TUFTS MEDICAL CENTER DEPARTMENT OF PHARMACY 800 WASHINGTON STREE, BOX #420 BOSTON MA 02111 11/12/2020 11/12/2021 RES Ind DAVID GREENSTEIN S. ALLCUTIS RESEARCH INC 138 CONANT STREET BEVERLY MA 01915 11/15/2020 11/15/2021 RES Ind PATRICIA GREENSTEIN BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS, SL-OB-07 33O BROOKLINE AVE BOSTON MA 02215 10/18/2020 10/18/2021 RES Ind DAVID GREER MATTHEW BOSTON UNIVERSITY NEUROLOGY ASSOC. 72 EAST CONCORD ST., C3 BOSTON MA 02118 11/13/2020 11/13/2021 RES Ind FRANCINE GREGOIRE CRADL CHARLES RIVER ACCELERATOR & DEVELOPMENT LA 100 BINNEY STREET, 5TH FLOOR CAMBRIDGE MA 02142 9/28/2021 9/28/2022 RES III,VI DALE GREINER LESLIE UMASS MEDICAL SCHOOL, AS7-2010A 368 PLANTATION STREET WORCESTER MA 01605 8/27/2021 8/27/2022 RES III,VI JACK GREINER V. CHARLES RIVER EYE ASSOCIATES 955 MAIN STREET, SUITE 307 WINCHESTER MA 01890 7/3/2021 7/3/2022 RES Ind,VI ANNA GREKA BRIGHAM & WOMEN'S HOSPITAL, DEPT OF NEPHRO HARVARD INSTITUTE OF MEDICINE 4 BLACKFAN CIRCLE, 534 BOSTON MA 02115 12/16/2020 12/16/2021 RES II,III,VI CHRISTINE GRIENBERGER MARIA BRANDEIS UNIVERSITY, BIOLOGY DEPARTMENT BASSINE BUILDING, ROOM 309G 415 SOUTH STREET WALTHAM MA 02453 9/29/2021 9/29/2022 RES III,VI STEVEN GRINSPOON KYLE MGH RESEARCH PHARMACY 55 FRUIT STREET BOSTON MA 02114 9/4/2021 9/4/2022 RES Ind YULIA GRISHCHUK MGH/CENTER FOR GENOMIC MEDICINE SIMCHES RESEARCH BLDG, 5TH FLR, CPZN 4252 BOSTON MA 02114 8/30/2021 8/30/2022 RES III,VI JEROME GROOPMAN E. BETH ISRAEL DEACONESS MEDICAL CENTER DIVISION OF EXPERIMENTAL MEDICINE 99 BROOKLINE AVENUE, RN 348 BOSTON MA 02215-5491 5/27/2021 5/27/2022 RES I,II STACI GRUBER MCLEAN HOSPITAL IMAGING CENTER ROOM 118 115 MILL STREET BELMONT MA 02478 6/13/2021 6/13/2022 RES Ind,I TINGLEI GU BLUEFIN BIOMEDICINE 3 TRASK LANE DANVERS MA 01923 10/26/2020 10/26/2021 RES II,III,IV,V,VI JENNIFER GUERRIERO LYNN BRIGHAM AND WOMEN'S HOSPITAL DEPARMENT OF SURGERY, THORN 407 20 SHATTUCK STREET BOSTON MA 02115 11/4/2020 11/4/2021 RES VI PATAN GULTAWATVICHAI UMASS MEMORIAL MEDICAL CENTER IDSP, ROOM AC6.058 55 LAKE AVE NORTH WORCESTER MA 01655 1/11/2021 1/11/2022 RES Ind KRISHNA GUNTURU ADDISON GILBERT HOSPITAL 298 WASHINGTON STREET GLOUCESTER MA 01930 9/16/2021 9/16/2022 RES Ind,VI KRISHNA GUNTURU BEVERLY HOSPITAL 85 HERRICK STREET BEVERLY MA 01915 9/16/2021 9/16/2022 RES Ind,VI KRISHNA GUNTURU LAHEY HOSPITAL & MEDICAL CENTER RESEARCH PHARMACY 41 MALL ROAD BURLINGTON MA 01805 4/30/2021 4/30/2022 RES Ind,VI KRISHNA GUNTURU SOUJANYA LAHEY MEDICAL CENTER 1 ESSEX CENTER DRIVE PEABODY MA 01906 4/30/2021 4/30/2022 RES Ind,VI KRISHNA GUNTURU SOUJANYA WINCHESTER HOSPITAL 41 HIGHLAND AVENUE WINCHESTER MA 01809 4/30/2021 4/30/2022 RES Ind,VI LIFEI GUO LAHEY HOSPITAL & MEDICAL CENTER, DEPT OF PLASTIC AND RECONSTRUCTIVE SURGERY 41 MALL ROAD BURLINGTON MA 01805 6/14/2021 6/14/2022 RES II,III,IV,VI RAJAT GUPTA BRIGHAM AND WOMEN'S HOSPITAL NEW RESEARCH BUILDING, ROOM 164 77 AVE LOUIS PASTEUR BOSTON MA 02115 6/7/2021 6/7/2022 RES III,VI EDMARIE GUZMAN-VELEZ MASSACHUSETTS GENERAL BRIGHAM 149 13TH STREET, SUITE 10-012 CLINICAL TRIALS CHARLESTOWN MA 02129 7/22/2021 7/22/2022 RES Ind,I,II,III,IV,V,VI JESSICA GWIN A JOHNSON COMPOUNDING & WELLNESS 577 MAIN STREET WALTHAM MA 02452 8/17/2021 8/17/2022 RES Ind JESSICA GWIN A US ARMY RESEARCH INSTITUTE OF ENVIRONMENTA MEDICINE 10 GENERAL GREENE AVE, BLDG 42 FRAMINGHAM MA 01760 6/17/2021 6/17/2022 RES Ind NIR HACOHEN MASSACHUSETTS GENERAL HOSPITAL 149 13TH STREET, ROOM 7211 CHARLESTOWN MA 02129 4/13/2021 4/13/2022 RES VI ALI HAFEZI-MOGHADAM BRIGHAM AND WOMEN'S HOSPITAL THORN RESEARCH BUILDING TH315 BOSTON MA 02130 10/12/2020 10/12/2021 RES III,VI

Page 44 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

STEPHEN HAGGARTY J CHEMICAL NEUROBIOLOGY LABORATORY MGH/CENTER FOR GENOMIC MEDICINE 185 CAMBRIDGE ST., 5TH FLR CNL LAB BOSTON MA 02114 4/26/2021 4/26/2022 RES VI ROGER HAJJAR J LARONDE INC ANIMAL CARE FACILITY 325 VASSAR STREET, ROOM 152 CAMBRIDGE MA 02139 9/30/2021 9/30/2022 RES III,VI JASON HALL BOSTON MEDICAL CENTER INVESTIGATIONAL DRUG PHARMACY 840 HARRISON AVE, ME-B378 BOSTON MA 022118 8/16/2021 8/16/2022 RES Ind PENELOPE HALLETT J MCLEAN HOSPITAL NEUROREGENERATION RESEARCH INSTITUTE 115 MILL ST. BELMONT MA 02478 9/26/2021 9/26/2022 RES II,III,IV KYLE HALLIGAN UMASS MEMORIAL MEDICAL CENTER IDS ACC BUILDING, AC6-201 55 LAKE AVENUE NORTH WORCESTER MA 01655 2/3/2021 2/3/2022 RES Ind DONG HAN UNIVERSITY OF MASSACHUSETTS BOSTON CENTER FOR PERSONALISED CANCER THERAPY 100 WILLIAM T. MORRISSEY BLVD BOSTON MA 02125 8/17/2021 8/17/2022 RES III,VI HANNE HANSEN DEMANT A.A.MARTINOS CENTER FOR BIOMEDICAL IMAGING 149 THIRTEENTH STREET, ROOM 1306 CHARLESTOWN MA 02129 5/30/2021 5/30/2022 RES I TIMOTHY HARRAH BOSTON SCIENTIFIC 100 BOSTON SCIENTIFIC WAY MARLBOROUGH MA 01752 3/17/2021 3/17/2022 RES VI MARY HARRINGTON E. SMITH COLLEGE DEPT. OF PSYCHOLOGY, CLARK SCIENCE CENTER 44 COLLEGE LANE NORTHAMPTON MA 01063 10/10/2021 10/10/2022 RES II,III,IV,VI JOHN HARRIS E UMASS MEMORIAL MEDICAL CENTER IDS ACC BUILDING, AC6-201 55 LAKE AVENUE NORTH WORCESTER MA 01655 11/19/2020 11/19/2021 RES Ind CHELSEA HARSTAD BOSTON CLINICAL TRIALS 26 CUMMINS HIGHWAY BOSTON MA 02131 5/3/2021 5/3/2022 RES Ind TAYYABA HASAN MASSACHUSETTS GENERAL HOSPITAL WELLMAN CENTER FOR PHOTOMEDICINE 50 BLOSSOM STREET, THIER 201D BOSTON MA 02114 4/28/2021 4/28/2022 RES II,III,IV,VI AARON HATA N MASSACHUSETTS GENERAL HOSPITAL CANCER CENTER 149 13TH STREET, ROOM 7310 CHARLESTOWN MA 02129 8/9/2021 8/9/2022 RES III,VI PHILIP HAYDON G. TUFTS UNIVERSITY DEPARTMENT OF NEUROSCIENCE 209 STEARNS BLDG - 136 HARRISON AVENUE BOSTON MA 02111 7/18/2021 7/18/2022 RES III LAWRENCE HAYWARD JAMES UMASS MEMORIAL MEDICAL CENTER INVESTIGATIONAL DRUG SERVICES ROOM AC6-201 55 LAKE AVE, NORTH WORCESTER MA 01655 9/24/2021 9/24/2022 RES Ind MYRIAM HEIMAN MIT, BRAIN & COGNITIVE SCIENCES 77 MASSACHUSETTS AVENUE, ROOM 46-4285 CAMBRIDGE MA 02139 2/9/2021 2/9/2022 RES I,II CARMEL HEINSOHN R. BOSTON CLINICAL TRIALS 26 CUMMINS HIGHWAY BOSTON MA 02131 7/10/2021 7/10/2022 RES Ind LINDA HEMPHILL C MASSACHUSETTS GENERAL HOSPITAL CLINICAL TRIAL PHARMACY 55 FRUIT STREET, GB-005 BOSTON MA 02114 9/3/2021 9/3/2022 RES Ind PAUL HESKETH LAHEY MEDICAL CENTER 1 ESSEX CENTER DRIVE PEABODY MA 01906 6/1/2021 6/1/2022 RES Ind,VI PAUL HESKETH WINCHESTER HOSPITAL CTR FOR CANCER CARE RESEARCH PHARMACY 620 WASHINGTON ST WINCHESTER MA 01890 11/2/2020 11/2/2021 RES Ind,VI PAUL HESKETH J BEVERLY HOSPITAL 85 HERRICK STREET BEVERLY MA 01915 9/16/2021 9/16/2022 RES Ind,VI PAUL HESKETH J LAHEY HOSPITAL & MEDICAL CENTER RESEARCH PHARMACY 41 MALL ROAD BURLINGTON MA 01805 4/30/2021 4/30/2022 RES Ind,VI PAUL HESKETH J. ADDISON GILBERT HOSPITAL 298 WASHINGTON STREET GLOUCESTER MA 01930 9/16/2021 9/16/2022 RES Ind,VI EMILY HICKEY JANE BIOMERE 55 UNION STREET WORCESTER MA 01608 2/14/2021 2/14/2022 RES II,III,IV EMILY HICKEY JANE BIOMERE 57 UNION STREET WORCESTER MA 01608 2/14/2021 2/14/2022 RES II,III,IV ISMAEL HIDALGO ABSORPTION SYSTEMS BOSTON, LLC 47 HALL ST MEDFORD MA 02155 8/8/2021 8/8/2022 RES II,III,VI JOSEPH HIGGINS JAMES AVASTUS PRECLINICAL SERVICES 44 SPINELLI PLACE, ROOM #137 CAMBRIDGE MA 02138 8/30/2021 8/30/2022 RES III,VI NICHOLAS HILL S TUFTS MEDICAL CENTER, IDS 25 HARVARD STREET BOSTON MA 02111 12/23/2020 12/23/2021 RES Ind,VI BRYAN HO K TUFTS MEDICAL CENTER DEPARTMENT OF PHARMAC 800 WASHINGTON STREET, BOX #420 BOSTON MA 02111 1/6/2021 1/6/2022 RES Ind,VI DOREEN HO LAHEY HOSPITAL & MEDICAL CENTER RESEARCH PHARMACY 41 MALL ROAD BURLINGTON MA 01805 4/30/2021 4/30/2022 RES Ind,VI TONY HO CRISPR THERAPEUTICS, INC 610 MAIN STREET, 5TH-7TH FLOORS CAMBRIDGE MA 02139 8/3/2021 8/3/2022 RES VI TONY HO MISPRO BIOTECH SERVICES 400 TECHNOLOGY SQUARE, PROCEDURE ROOM 042 CAMBRIDGE MA 02139 12/9/2020 12/9/2021 RES III,VI KONRAD HOCHEDLINGER HOCHEDLINGER LAB MGH CENTER FOR REGENERATIVE MEDICINE 185 CAMBRIDGE STREET, ROOM 8682 BOSTON MA 02114 12/31/2020 12/31/2021 RES III,VI FRANK HODI STEPHEN DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDNG Y537 450 BROOKLINE AVE BOSTON MA 02115 6/9/2021 6/9/2022 RES Ind,VI BRYAN HONG KUN VITREO-RETINAL ASSOCIATES, PC 67 BELMONT STREET WORCESTER MA 01605 8/31/2021 8/31/2022 RES Ind JACOB HOOKER M. MASSACHUSETTS GENERAL HOSPITAL RADIOLOGY DEPT 149 13TH ST., ROOM 5020 CHARLESTOWN MA 02129 10/17/2020 10/17/2021 RES II,III,IV,V,VI DAVID HOOPER CRITTENDEN MASSACHUSETTS GENERAL HOSPITAL DIVISION OF INFECTIOUS DISEASES GRAY 512, 55 FRUIT STREET BOSTON MA 02114-2696 6/16/2021 6/16/2022 RES III,VI GARY HOOVER M ENANTA PHARMACEUTICALS VIVARIUM OFFICE, ROOM B202 500 ARSENAL STREET WATERTOWN MA 02472 7/29/2021 7/29/2022 RES II,III,IV,VI MARK HORNSTEIN DONALD BRIGHAM & WOMEN'S HOSPITAL INVESTIGATIONAL DRUG SERVICE PHARMACY (IDS 75 FRANCIS STREET BOSTON MA 02215 3/3/2021 3/3/2022 RES Ind CHARLES HORSBURGH ROBERT BOSTON UNIVERSITY SPH DEPARTMENT OF EPIDEMIOLOGY 715 ALBANY STREET, T3E BOSTON MA 02118 10/5/2020 10/5/2021 RES Ind H. HORVITZ ROBERT MASS. INSTITUTE OF TECHNOLOGY DEPARTMENT OF BIOLOGY 31 AMES STREET CAMBRIDGE MA 02139 2/15/2021 2/15/2022 RES I,II,III,IV GOKHAN HOTAMISLIGIL S. HARVARD SCHOOL OF PUBLIC HEALTH 665 HUNTINGTON AVENUE BUILDING I, ROOM 605 BOSTON MA 02115 4/14/2021 4/14/2022 RES II,III,VI JEANMARIE HOUGHTON UMASS MEMORIAL MEDICAL CENTER, IDP ACC BUILDING ROOM AC6-201 55 LAKE AVE NORTH WORCESTER MA 01655 7/15/2021 7/15/2022 RES Ind GRACE HUANG BRIGHAM AND WOMEN'S HOSPITAL INVESTIGATIONAL DRUG SERVICE (IDS) 75 FRANCIS STREET BOSTON MA 02115 11/29/2020 11/29/2021 RES Ind KATHRYN HUBER E TUFTS MEDICAL CENTER DEPARMENT OF PHARMACY 800 WASHINGTON STREET, BOX #420 BOSTON MA 02111 9/13/2021 9/13/2022 RES Ind,VI RACHEL HUCKFELDT M MASSACHUSETTS EYE AND EAR INFIRMARY RESEARCH PHARMACY 243 CHARLES STREET BOSTON MA 02114 5/7/2021 5/7/2022 RES Ind JUN HUH R. HARVARD MEDICAL SCHOOL 77 AVENUE LOUIS PASTEUR, NRB1054A BOSTON MA 02115 9/16/2021 9/16/2022 RES III,VI SHENG HUI HARVARD SCHOOL OF PUBLIC HEALTH 655 HUNTINGTON AVE, BUILDING 2, ROOM 133 BOSTON MA 02115 2/3/2021 2/3/2022 RES III RENEE HUKKANEN EISAI, INC 35 CAMBRIDGPARD DRIVE, FLOOR 2 CAMBRIDGE MA 02140 6/28/2021 6/28/2022 RES Ind,II,III,IV,VI DEBORAH HUNG TAN MASSACHUSETTS GENERAL HOSPITAL 185 CAMBRIDGE ST CCIB LAB 7106 BOSTON MA 02114 6/20/2021 6/20/2022 RES VI GARY HUNNINGHAKE MATTHEW BRIGHAM AND WOMEN'S HOSPITAL INVESTIGATIONAL DRUG SERVICE (IDS) 75 FRANCIS STREET BOSTON MA 02215 11/22/2020 11/22/2021 RES Ind

Page 45 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

DEEBA HUSAIN MASSACHUSETTS EYE AND EAR RETINA SERVICE 243 CHARLES STREET BOSTON MA 02114 8/17/2021 8/17/2022 RES Ind ERIC HUSEBY SIGURD UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL DEPT OF PATHOLOGY, ASC ROOM AS9-1005A 368 PLANTATION STREET WORCESTER MA 01605 7/25/2021 7/25/2022 RES III,VI FUMITO ICHINOSE MASSACHUSETTS GENERAL HOSPITAL ANESTHESIA CTR FOR CRITICAL CARE RESEARCH 55 FRUIT STREET, THIER 503 BOSTON MA 02114 2/23/2021 2/23/2022 RES II,III,IV,V,VI MICHAEL IEONG HENRY BOSTON MEDICAL CENTER INVESTIGATIONAL DRUG PHARMACY 840 HARRISON AVE, ME-B 378 BOSTON MA 02118 5/18/2021 5/18/2022 RES Ind NICUSOR IFTIMIA PHYSICAL SCIENCES INC. BIOMEDICAL OPTICS TECHNOLOGIES, RM 121A 20 NEW ENGLAND BUSINESS CENTER ANDOVER MA 01810 11/9/2020 11/9/2021 RES VI ELEFTHERIOS ILIOS P MASS EYE AND EAR INFIRMARY 5TH FLOOR RM 544A, OPHTHALMOLOGY 243 CHARLES ST. BOSTON MA 02114 7/27/2021 7/27/2022 RES II,III,IV,V,VI PETR ILYINSKII SELECTA BIOSCIENCES 65 GROVE STREET 1ST FLOOR WATERTOWN MA 02472 2/13/2021 2/13/2022 RES VI LESLEY INKER TUFTS MEDICAL CENTER DEPARTMENT OF PHARMAC 800 WASHINGTON STREET BOX #420 BOSTON MA 02111 6/24/2021 6/24/2022 RES Ind,VI MEGAN INSCO DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDNG Y537 450 BROOKLINE AVE BOSTON MA 02115 6/9/2021 6/9/2022 RES Ind,VI CAROLINA IONETE UMASS MEDICAL CENTER, IDS ACC BUILDING; AC6-201 55 LAKE AVE NORTH WORCESTER MA 01655 12/30/2020 12/30/2021 RES Ind PHILIP IREDALE CEREVEL THERAPEUTICS 222 JACOBS STREET, SUITE 200 2ND FLOOR, ROOM 2024, CHEMISTRY DEPARTMENT CAMBRIDGE MA 02141 11/25/2020 11/25/2021 RES II,III,VI OLE ISACSON MCLEAN HOSPITAL, MRC 130 NEUROREGENERATION LABORATORY 115 MILL STREET BELMONT MA 02478 5/27/2021 5/27/2022 RES II,III,IV,VI NAHIDA ISLAM UMASS MEMORIAL MEDICAL CENTER, IDSP ROOM AC6-058 55 LAKE AVE NORTH WORCESTER MA 01655 7/15/2021 7/15/2022 RES Ind ELLIOT ISRAEL BRIGHAM AND WOMEN'S HOSPITAL INVESTIGATIONAL DRUG SERVICE (IDS) 75 FRANCIS STREET BOSTON MA 02215 9/27/2021 9/27/2022 RES Ind KIYOSHI ITAGAKI BETH ISRAEL DEACONESS MEDICAL CENTER 330 BROOKLINE AVE, DANA 801 BOSTON MA 02115 1/20/2021 1/20/2022 RES II,III,VI JOSEPH ITALIANO EDWARD JR BWH HEMATOLOGY HARVARD INSTITUTES OF MEDICINE 7TH FLR, ROOM 719 BOSTON MA 02115 10/18/2020 10/18/2021 RES III CARL-CHRISTIAN JACKSON TUFTS MEDICAL CENTER DEPARMENT OF PHARMACY 800 WASHINGTON STREET BOX #420 BOSTON MA 02111 8/17/2021 8/17/2022 RES Ind RUAIDHRI JACKSON PEARSE HARVARD MEDICAL SCHOOL, DEPT OF IMMUNOLOGY 8TH FLOOR HIM/4BC JACKSON LAB 77 AVENUE LOUIS PASTERU BOSTON MA 02115 5/3/2021 5/3/2022 RES III,V,VI ERIC JACOBSEN DANA-FARBER CANCER INSTITUTE 450 BROOKLINE AVE RESEARCH PHARMACY, Y537 BOSTON MA 02215 3/15/2021 3/15/2022 RES VI CARON JACOBSON DANA-FARBER CANCER INSTITUTE 450 BROOKLINE AVE RESEARCH PHARMACY, Y537 BOSTON MA 02215 3/15/2021 3/15/2022 RES VI SHANTANU JADHAV BRANDEIS UNIVERSITY, DEPT OF PSYCHOLOGY 415 SOUTH STREET, BASSINE 303 WALTHAM MA 02453 10/14/2021 10/14/2022 RES III,IV,VI RUDOLF JAENISCH WHITEHEAD INSTITUTE FOR BIOMEDICAL RESEARC JAENISCH LABORATORY 455 MAIN STREET CAMBRIDGE MA 02142 10/7/2021 10/7/2022 RES II,III,IV,VI FAROUC JAFFER MASSACHUSETTS GENERAL HOSPITAL 185 CAMBRIDGE ST, SMICHES RESEARCH BLDG, CRP-NORTH 3430 BOSTON MA 02114 4/11/2021 4/11/2022 RES III FAROUC JAFFER MASSACHUSETTS GENERAL HOSPITAL 255 CHARLES ST., EDWARDS 102D BOSTON MA 02114 5/1/2021 5/1/2022 RES III,IV,V,VI ANKUR JAIN WHITEHEAD INSTITUTE FOR BIOMEDICAL RESEARC 455 MAIN STREET CAMBRIDGE MA 02155 8/2/2021 8/2/2022 RES VI RAKESH JAIN K. MASSACHUSETTS GENERAL HOSPITAL DEPT. OF RADIATION ONCOLOGY COX 7, 55 FRUIT STREET BOSTON MA 02114 2/3/2021 2/3/2022 RES II,III,IV,VI RAKESH JAIN KUMAR MASSACHUSETTS GENERAL HOSPITAL DEPT OF RADIATION ONCOLOGY 149 13TH ST., CNY ROOM 3323 CHARLESTOWN MA 02129 9/24/2021 9/24/2022 RES II,III,VI SALVIA JAIN BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 9/3/2021 9/3/2022 RES Ind WAYNE JALENAK A. THERMO SCIENTIFIC PORTABLE ANALYTICAL INSTRUMENTS, INC. 2 RADCLIFF ROAD TEWKSBURY MA 01876 7/19/2021 7/19/2022 RES I,II,III,IV TIMOTHY JAMISON F. MASSACHUSETTS INSTITUTE OF TECHNOLOGY DEPARTMENT OF CHEMISTRY 77 MASSACHUSETTS AVENUE, BLDG. 18-206 CAMBRIDGE MA 02139 5/19/2021 5/19/2022 RES IV,VI KATHERINE JANEWAY ANNE DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDNG Y537 450 BROOKLINE AVE BOSTON MA 02115 6/9/2021 6/9/2022 RES Ind,VI ALAN JASANOFF MASSACHUSETTS INSTITUTE OF TECHNOLOGY 77 MASSACHUSETTS AVENUE, BLDG 56-638 CAMBRIDGE MA 02139 12/27/2020 12/27/2021 RES II,III,IV,VI KATE JEFFREY L. 50 BLOSSOM ST. THIER BLDG, 340 BOSTON MA 02114 10/29/2020 10/29/2021 RES III,VI RINATH JESELSOHN DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDG Y537 450 BROOKLINE AVE BOSTON MA 02115 9/8/2021 9/8/2022 RES Ind,VI SURIYA JEYAPALAN TUFTS MEDICAL CENTER, DEPT OF PHARMACY 800 WASHINTON STREET BOX #450 BOSTON MA 02111 8/7/2021 8/7/2022 RES Ind,VI LI JIA BRIGHAM AND WOMEN'S HOSPITAL DEPARTMENT OF SURGERY 20 SHATTUCK STREET, THORN 1529 BOSTON MA 02115 12/7/2020 12/7/2021 RES III,VI HITESH JINDAL KUMAR BOSTON BIOPRODUCTS, INC 425 FORTUNE BOULEVARD MILTON MA 01757 2/10/2022 2/10/2023 RES IV HADINE JOFFE BRIGHAM AND WOMEN'S HOSPITAL INVESTIGATIONAL DRUG SERVICE (IDS) 75 FRANCIS STREET BOSTON MA 02115 11/22/2020 11/22/2021 RES Ind MARK JOHNSON DAMONE UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL ALBERT SHERMAN CENTER, 6-1001 368 PLANTATION ST. WORCESTER MA 01605 6/18/2021 6/18/2022 RES III,VI MICHAEL JOHNSTONE TREVOR STEWARD ST. ELIZABETH'S MEDICAL CENTER 736 CAMBRIDGE STREET BOSTON MA 02135 1/11/2021 1/11/2022 RES Ind OLIVER JONAS BRIGHAM AND WOMEN'S HOSPITAL BL-429, DEPT OF RADIOLOGY 221 LONGWOOD AVE BOSTON MA 02115 3/19/2021 3/19/2022 RES III OLIVER JONAS BRIGHAM AND WOMEN'S HOSPITAL MCP B53 221 LONGWOOD AVE BOSTON MA 02115 9/16/2021 9/16/2022 RES VI ANDREW JONES MANTA PRODUCT DEVELOPMENT, INC. 43 THORNDIKE STREET, SG-3 CAMBRIDGE MA 02142 7/26/2021 7/26/2022 RES VI DOUGLAS JONES UMASS MEMORIAL MEDICAL CENTER AMBULATORY CARE RESEARCH PHARMACY AC6.058 55 LAKE AVE NORTH WORCESTER MA 01655 6/21/2021 6/21/2022 RES Ind GERALD JONES SANFORD CHEMIC LABORATORIES, LLC 480 NEPONSET STREET, BLDG 7 CANTON MA 02021 9/20/2021 9/20/2022 RES I NATHAN JOWETT T.P. MASSACHUSETTS EYE AND EAR 243 CHARLES ST., RM 367 BOSTON MA 02114 3/21/2021 3/21/2022 RES II,III,VI JOHN JOYAL MODERNA THERAPEUTICS 200 TECHNOLOGY SQUARE, SUITE 300 CAMBRIDGE MA 02139 2/18/2021 2/18/2022 RES II,III,IV,V,VI ROBIN JOYCE BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 9/3/2021 9/3/2022 RES Ind BORIS JUELG DOMINIK BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS, SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 8/26/2021 8/26/2022 RES Ind WOLFGANG JUNGER BIDMC/HARVARD MEDICAL SCHOOL DEPARTMENT OF SURGERY 330 BROOKLINE AVE, DANA BLDNG, ROOM 813 BOSTON MA 02215 7/22/2021 7/22/2022 RES III BARBARA KAHN BETH ISRAEL DEACONESS MED CTR ENDOCRINE DIVISION 330 BROOKLINE AVENUE, E/CLS-747 BOSTON MA 02215 3/3/2021 3/3/2022 RES III,IV

Page 46 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

URSULA KAISER B. BRIGHAM & WOMEN'S HOSPITAL 221 LONGWOOD AVENUE, RF296 BOSTON MA 02115 9/27/2021 9/27/2022 RES III,IV,VI ROSEMARY KANASTY LYNN LYNDRA THERAPEUTICS 65 GROVE STREET, SUITE 301 WATERTOWN MA 02472 6/27/2021 6/27/2022 RES II,III,VI JAMES KANG D BRIGHAM AND WOMEN'S HOSPITAL INVESTIGATIONAL DRUG SERVICES (IDS) PHARMA 75 FRANCIS STREET BOSTON MA 02115 9/16/2021 9/16/2022 RES VI JING KANG X MASSACHUSETTS GENERAL HOSPITAL LABORATORY FOR LIPID MEDICINE & TECHNOLOGY 149 13TH STREET, ROOM 4431 CHARLESTOWN MA 02129 2/27/2021 2/27/2022 RES III,VI JOONSOO KANG UMASS MEDICAL SCHOOL/ALBERT SHERMAN CTR 368 PLANTATION ST KANG LAB, ROOM A59-1008A WORCESTER MA 01605 12/14/2020 12/14/2021 RES III,VI PETER KANG M. BETH ISRAEL DEACONESS MEDICAL CENTER CARDIOVASCULAR DIVISION 330 BROOKLINE AVENUE, SL432 BOSTON MA 02215 8/8/2021 8/8/2022 RES II,III,IV,VI JESS KAPLAN LEVINS MGH FOR CHILDREN PEDI GI-WALTHAM SITE 52 2ND AVE, GREEN BUILDING (40) SUITE 340 WALTHAM MA 02451 3/12/2021 3/12/2022 RES Ind,VI AMEL KARAA MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET BOSTON MA 02114 10/21/2020 10/21/2021 RES Ind ILIA KARATSOREOS NICHOLAS KARATSOREOS LAB, ROOM N216, MORRILL 4-NORT DEPT OF PSYCHOLOGICAL & BRAIN SCIENCES UMASS AMHERST, 639 N. PLEASANT STREETAMHERST MA 01003 12/21/2020 12/21/2021 RES III,VI DENNIS KASPER LEE HARVARD MEDICAL SCHOOL DEPT OF MICROBIOLOGY AND IMMUNOBIOLOGY 77 AVENUE LOUIS PASTEUR NRB 1058 BOSTON MA 02115 3/19/2021 3/19/2022 RES III,VI DONALD KATZ BRANDEIS UNIVERSITY DEPT OF PSYCHOLOGY, BASSINE 343 415 SOUTH STREET WALTHAM MA 02453 10/11/2021 10/11/2022 RES III,VI JOSHUA KATZ DAVID DRAGONFLY RESEARCH, LLC 110 CEDAR ST., SUITE 110 WELLESLEY MA 02481 8/23/2021 8/23/2022 RES III,IV MARC KAUFMAN JOSEPH MCLEAN IMAGING CENTER, ROOM 129 MCLEAN HOSPITAL, MS204 115 MILL ST. BELMONT MA 02478 8/23/2021 8/23/2022 RES II,III,VI JONATHAN KAY UMASS MEMORIAL MEDICAL CENTER PHARMACY/INVESTIGATIONAL DRUG 119 BELMONT STREET WORCESTER MA 01605 1/15/2021 1/15/2022 RES Ind CHRISTOPHER KEARY J MASSACHUSETTS GENERAL HOSPITAL LURIE CENTER FOR AUTISM 1 MAGUIRE ROAD, ROOM 158 LEXINGTON MA 02421 1/8/2021 1/8/2022 RES Ind,VI HEIKE KEILHACK RIBON THERAPEUTICS, INC. 35 CAMBRIDGE PARK DRIVE, 3D FLR CAMBRIDGE MA 02140 2/27/2021 2/27/2022 RES VI DANIEL KENNEDY WESTERN NEW ENGLAND UNIVERSITY COLLEGE OF PHARMACY 1215 WILBRAHAM ROAD SPRINGFIELD MA 01119 7/2/2021 7/2/2022 RES VI DOUGLAS KERR ANTHONY GENERATION BIO 301 BINNEY STREET CAMBRIDGE MA 02142 4/28/2021 4/28/2022 RES III,VI TARUN KEWALRAMANI LAHEY HOSPITAL & MEDICAL CENTER 41 MALL ROAD BURLINGTON MA 01805 4/30/2021 4/30/2022 RES Ind,VI RAOUF KHALIL A. BRIGHAM & WOMEN'S HOSPITAL THORN BUILDING, ROOM 1027 20 SHATTUCK STREET BOSTON MA 02115 5/24/2021 5/24/2022 RES III,VI TAMER KHAYAL IBRAHIM TRANSMEDICS, INC. 30 MINUTEMAN ROAD ANDOVER MA 01810 4/26/2021 4/26/2022 RES II,III,VI FAYEZ KHEIR BETH ISRAEL DEACONESS MEDICAL CENTER WEST CAMPUS RESEARCH PHARMACY-RBB11 ONE DEACONESS ROAD BOSTON MA 02215 10/5/2021 10/5/2022 RES Ind JOHN KHEIR NAGI BOSTON CHILDREN'S HOSPITAL 300 LONGWOOD AVE, ENDERS BUILDING 12TH FLOOR, ROOM 1206 BOSTON MA 02115 12/19/2020 12/19/2021 RES Ind ANASTASIA KHVOROVA UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL RNA THERAPEUTICS INSTITUTE 368 PLANTATION STREET WORCESTER MA 01605 3/9/2021 3/9/2022 RES II,III,IV,VI ADAM KIBEL DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDG Y537 450 BROOKLINE AVE BOSTON MA 02115 9/8/2021 9/8/2022 RES Ind,VI MARIE KIJEWSKI FOLEY BRIGHAM AND WOMEN'S HOSPITAL THORN BUILDING, ROOM 206 75 FRANCIS STREET BOSTON MA 02115 8/28/2021 8/28/2022 RES VI BRIAN KILE NITTO AVECIA 155 FORTUNE BOULEVARD MILFORD MA 01757 12/30/2020 12/30/2021 RES IV ARTHUR KIM YU-SHIN MASSACHUSETTS GENERAL HOSPITAL DEPARTMENT OF PHARMACY 55 FRUIT STREET; GRBOO5 BOSTON MA 02114 12/14/2020 12/14/2021 RES Ind DONG KIM WOOK BOSTON MEDICAL CENTER INVESTIGATIONAL DRUG PHARMACY 840 HARRISON AVE ME-B378 BOSTON MA 02118 8/23/2021 8/23/2022 RES Ind EDY KIM YONG BRIGHAM AND WOMEN'S HOSPITAL DIV. OF RHEUMATOLOGY, IMMUNOLOGY & ALLERGY 60 FENWOOD ROAD, ROOM 06006 BOSTON MA 02115 10/17/2021 10/17/2022 RES III,VI IVANA KIM K MASSACHUSETTS EYE AND EAR RETINA SERVICE 243 CHARLES STREET BOSTON MA 02114 7/22/2021 7/22/2022 RES Ind JASON KIM K. UNIVERSITY OF MASS. MEDICAL SCHOOL DEPT OF MEDICINE, 368 PLANTATION STREET SHERMAN CENTER, 9TH FLOOR, ROOM 1015 WORCESTER MA 01605 4/12/2021 4/12/2022 RES II,III,IV,VI JUNGJIN KIM SQUARE MEDICAL CENTER 124 WATERTOWN STREET, SUITE 2D WATERTOWN MA 02472 11/25/2020 11/25/2021 RES Ind,III KEVIN KIM SAREPTA THERAPEUTICS 215 FIRST STREET, 2ND FLOOR, ROOM 228 BIOLOGY DEPARTMENT CAMBRIDGE MA 02142 2/10/2021 2/10/2022 RES II,III,VI KWANG-SOO KIM MCLEAN HOSPITAL MOLECULAR BIOLOGY LAB MS149 MAILMAN RESEARCH CTR, 115 MILL STREET BELMONT MA 02478 5/3/2021 5/3/2022 RES II,III,IV LEO KIM A MASSACHUSETTS EYE AND EAR RETINA SERVICE 243 CHARLES STREET BOSTON MA 02114 8/6/2021 8/6/2022 RES Ind YOUNG BAE KIM TUFTS MEDICAL CENTER DEPARTMENT OF PHARMAC 800 WASHINGTON STREET BOX #420 BOSTON MA 02111 7/20/2021 7/20/2022 RES Ind YOUNG-BUM KIM BETH ISRAEL DEACONESS MEDICAL CENTER 330 BROOKLINE AVENUE, CLS-736 BOSTON MA 02215 8/28/2021 8/28/2022 RES III,VI ALEXANDRA KIMBALL BOER BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS, SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 10/1/2021 10/1/2022 RES Ind WILLIAM KIMBERLY TAYLOR 185 CAMBRIDGE STREET, ROOM 6700 BOSTON MA 02114 11/9/2020 11/9/2021 RES III GEORGE KING LIANG JOSLIN DIABETES CENTER ONE JOSLIN PLACE BOSTON MA 02215 12/15/2020 12/15/2021 RES Ind,II,III,IV,V,VI MARTIN KING DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDG Y537 450 BROOKLINE AVE BOSTON MA 02115 9/8/2021 9/8/2022 RES Ind,VI MARCY KINGSBURY ANNE MASSACHUSETTS GENERAL HOSPITAL DEPT OF PEDIATRICS, CHARLESTOWN NAVY YARD 114 16TH STREET, BLDNG 114, (MAIL STOP 114 CHARLESTOWN MA 02129 2/3/2021 2/3/2022 RES III,VI ROBERT KINGSTON EDWARD MASSACHUSETTS GENERAL HOSPITAL DEPT OF MOLECULAR BIOLOGY 185 CAMBRIDGE ST., 7TH FLR BOSTON MA 02114 2/4/2021 2/4/2022 RES VI MEG KIRKPATRICK EMILY WHEATON COLLEGE, RM 1138J, SCIENCE CENTER PSYCHOLOGY DEPARTMENT 26 E. MAIN STREET NORTON MA 02766 12/26/2020 12/26/2021 RES II,III,IV JOSHUA KISH BEDDINGFIELD PRECISION FOR MEDICINE 800 SOUTH STREE,T, # 302 MANSFIELD MA 02048 9/29/2021 9/29/2022 RES VI DAVID KLEIMAN LAHEY HOSPITAL & MEDICAL CENTER 41 MALL ROAD, RESEARCH PHARMACY BURLINGTON MA 01805 9/21/2021 9/21/2022 RES Ind,VI ANDREAS KLEIN K TUFTS MEDICAL CENTER DEPT OF PHARMACY 800 WASHINGTON STREET BOX #420 BOSTON MA 02111 8/5/2021 8/5/2022 RES Ind,VI RONALD KLEINMAN ELLIS MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET BOSTON MA 02114 9/9/2021 9/9/2022 RES Ind,VI ELIZABETH KLINGS S BOSTON MEDICAL CENTER INVESTIGATIONAL PHARMACY SERVICE 840 HARRISON AVE, ME-B378 BOSTON MA 02118 5/7/2021 5/7/2022 RES Ind DAVID KNIPE M HARVARD MEDICAL SCHOOL, KNIPE LAB DEPT OF MICROBIOLOGY 77 AVENUE LOUIS PASTEUR, NRB 954 BOSTON MA 02115 3/23/2021 3/23/2022 RES III,VI

Page 47 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

KRISTIN KNOUSE WHITEHEAD INSTITUTE FOR BIOMEDICAL RESEARC 455 MAIN STREET CAMBRIDGE MA 02142 6/7/2021 6/7/2022 RES III,VI NAOMI KO BOSTON MEDICAL CENTER INVESTIGATIONAL DRUG SERVICE 840 HARRISON AVE, ME-B378 BOSTON MA 02118 5/7/2021 5/7/2022 RES Ind BERNAT KOCSIS BETH ISRAEL DEACONESS MEDICAL CENTER LAB NEUROPHYSIOLOGY, DEPT OF PSYCHIATRY 3 BLACKFAN CIRCLE BOSTON MA 02215 11/20/2020 11/20/2021 RES II,III,IV,V STEVEN KOEVARY B. NEW ENGLAND COLLEGE OF OPTOMETRY 424 BEACON STREET BOSTON MA 02115 7/20/2021 7/20/2022 RES II,III,IV DANIEL KOHANE SOLOMON BOSTON CHILDRENS HOSPITAL ANESTHESIOLOGY, CRITICAL CARE & PAIN MED 300 LONGWOOD AVE BOSTON MA 02115 1/4/2022 1/4/2023 RES II MARVIN KONSTAM TUFTS MEDICAL CENTER DEPARTMENT OF PHARMACY 800 WASHINGTON STREET BOX #420 BOSTON MA 02111 6/15/2021 6/15/2022 RES Ind PANAGIOTIS KONSTANTINOPOULOS DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDNG Y537 450 BROOKLINE AVE BOSTON MA 021154 6/9/2021 6/9/2022 RES Ind,VI SOPHIA KOO BRIGHAM AND WOMEN'S HOSPITAL DIVISION OF INFECTIOUS DISEASES 181 LONGWOOD AVENUE, MCP630 BOSTON MA 02115 9/24/2021 9/24/2022 RES II,III,VI JAMES KOOMEY MATTHEW JORDAN CLUB CANCER CENTER PHARMACY BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH 275 SANDWICH STREET PLYMOUTH MA 02360 12/3/2020 12/3/2021 RES VI SOWMYA KORAPATI UMASS MEMORIAL MEDICAL CENTER INVESTIGATIONAL DRUG SERVICE PHARMACY 55 LAKE AVE, NORTH, ROOM AC6,058 WORCESTER MA 01655 10/26/2020 10/26/2021 RES Ind JOSHUA KORNBLUTH TUFTS MEDICAL CENTER DEPARTMENT OF PHARMAC 800 WASHINGTON STREET BOX #420 BOSTON MA 02111 10/26/2021 10/26/2022 RES Ind,VI NORA KORY HARVARD T.H. CHAN SCHOOL OF PUBLIC HEALTH ROOM 512 665 HUNTINGTON AVE BOSTON MA 02115 1/20/2021 1/20/2022 RES II,VI KATHRYN KOSUDA VAXESS TECHNOLOGIES, INC. 790 MEMORIAL DRIVE, SUITE 200 CAMBRIDGE MA 02139 12/5/2020 12/5/2021 RES VI NICHOLAS KOURIS ARTHUR ASTELLAS INSTITUTE FOR REGENERATIVE MEDICI 9 TECHNOLOGY DRIVE LOADING DOCK C WESTBOROUGH MA 01581 2/24/2021 2/24/2022 RES VI TED KREMER UMASS MEMORIAL MEDICAL CENTER, ONC/RESEARC AMBULATORY CARE CENTER, ROOM AC6-058 362 PLANTATION STREET WORCESTER MA 01605 8/20/2021 8/20/2022 RES Ind ANNA KRICHEVSKY M. BRIGHAM & WOMEN'S HOSPITAL, INC. ANN ROMNEY CENTER FOR NEUROLOGIC DISEASES 60 FENWOOD ROAD, 9TH FLR BOSTON MA 02115-6110 3/25/2021 3/25/2022 RES III,VI IAN KROP ELLIOTT DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDG Y537 450 BROOKLINE AVE BOSTON MA 02115 9/8/2021 9/8/2022 RES Ind,VI VIJAY KUCHROO K. BRIGHAM & WOMEN'S HOSPITAL ANN ROMNEY CENTER FOR NEUROLOGIC DISEASES 60 FENWOOD ROAD, BTM 10022.1 BOSTON MA 02115 1/19/2021 1/19/2022 RES III,VI GERARD KUGEL TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE 1 KNEELAND STREET, DHS 1513 BOSTON MA 02111 3/8/2021 3/8/2022 RES Ind,VI VILLE KUJALA J EMULATE, INC 27 DRYDOCK AVENUE, 5TH FLOOR BOSTON MA 02210 1/30/2021 1/30/2022 RES III,IV,VI MATTHEW KULKE H BOSTON MEDICAL CENTER INVESTIGATIONAL PHARMACY SERVICE 840 HARRISON AVE, ME-B378 BOSTON MA 02118 3/4/2021 3/4/2022 RES Ind,VI SANDEEP KUMAR BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS, SL-OB-07 33O BROOKLINE AVE BOSTON MA 02215 9/13/2021 9/13/2022 RES Ind VICTORIA KUOHUNG BEACON CLINICAL RESEARCH, LLC 1250 HANCOCK STREET, SUITE 503S QUINCY MA 02169 5/8/2021 5/8/2022 RES Ind THOMAS KUPPER SETH BRIGHAM AND WOMEN'S HOSPITAL INVESTIGATIONAL DRUG SERVICE (IDS) PHARMAC 75 FRANCIS ST BOSTON MA 02115 11/2/2020 11/2/2021 RES Ind,VI THOMAS KUPPER SETH HARVARD INSTITUTE OF MEDICINE BWH DERMATOLOGY 77 AVENUE LOUIS PASTEUR, ROOM 660 BOSTON MA 02115 11/8/2020 11/8/2021 RES III,VI DAVID KWIATKOWSKI JOSEPH BRIGHAM AND WOMEN'S HOSPITAL DEPARTMENT OF MEDICINE, THORN 821 20 SHATTUCK STREET BOSTON MA 02115 9/15/2021 9/15/2022 RES III,VI DOUGLAS KWON S THE RAGON INSTITUTE OF MGH, MIT AND HARVAR 400 TECHNOLOGY SQUARE CAMBRIDGE MA 02139 6/6/2021 6/6/2022 RES III,VI VASILEIOS KYTTARIS C BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS, SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 9/23/2021 9/23/2022 RES Ind VASILEIOS KYTTARIS CHRISTOS BETH ISRAEL DEACONESS MEDICAL CENTER WEST CAMPUS RESEARCH PHARMACY-RBB11 ONE DEACONESS ROAD BOSTON MA 02215 9/28/2021 9/28/2022 RES Ind SIDAHMED LABED INDUS PHARMA, EVODENOVO 25 K OLYMPIA AVE, #300 WOBURN MA 01801 10/14/2020 10/14/2021 RES II TIMOTHY LABRANCHE BLUEPRINT MEDICINES 45 SIDNEY STREET, ROOM 124 CAMBRIDGE MA 02139 12/7/2020 12/7/2021 RES III,VI GREGORY LABUN SQUARE MEDICAL GROUP 124 WATERTOWN STREET SUITE 2D WATERTOWN MA 02472 1/20/2021 1/20/2022 RES Ind,III,VI PETER LACAMERA STEWARD ST. ELIZABETH'S MEDICAL CENTER PHARMACY - 736 CAMBRIDGE STREET BOSTON MA 02135 4/2/2021 4/2/2022 RES Ind ANN LACASCE STEWARD DANA-FARBER CANCER INSTITUTE 450 BROOKLINE AVE RESEARCH PHARMACY, Y537 BOSTON MA 02215 3/15/2021 3/15/2022 RES Ind,I,II,III,IV,V,VI JENNIFER LACHEY KEROS THERAPEUTICS 99 HAYDEN AVENUE LEXINGTON MA 02421 5/4/2021 5/4/2022 RES II,III,IV,V,VI SIMON LAGANIERE BETH ISRAEL DEACONESS MEDICAL CENTER HOSPITAL-RESEARCH PHARMACY 330 BROOKLINE AVE BOSTON MA 02215 6/15/2021 6/15/2022 RES Ind DAVID LAGARES DIVISION OF PULMONARY MEDICINE MGH-HARVARD MEDICAL SCHOOL CNY149, 13TH STREET, FLOOR #8.139 CHARLESTOWN MA 02129 1/11/2021 1/11/2022 RES III,VI MICHELLE LAI J.S. BETH ISRAEL DEACONESS MEDICAL CENTER WEST CAMPUS RESEARCH PHARMACY-RBB11 ONE DEACONESS ROAD BOSTON MA 02215 2/25/2021 2/25/2022 RES Ind,VI MELISA LAI-BECKER JOHNSON COMPOUNDING AND WELLNESS 577 MAIN STREET WALTHAM MA 02452 3/15/2021 3/15/2022 RES VI NEAL LAKDAWALA K BRIGHAM AND WOMEN'S HOSPITAL 75 FRANCIS STREET BOSTON MA 02115 4/11/2021 4/11/2022 RES Ind MATHIEU LALONDE PASCAL HARVARD DEPARMENT OF CHEMISTRY AND CHEMICAL BIOLOGY 12 OXFORD STREET CAMBRIDGE MA 02138 2/22/2021 2/22/2022 RES II,III MATHIEU LALONDE PASCAL HARVARD DEPT OF CHEMISTRY & CHEMICAL BIOLO 12 OXFORD STREET CAMBRIDGE MA 02138 2/22/2021 2/22/2022 RES I CARLA LAMB LAHEY HOSPITAL AND MEDICAL CENTER 41 MALL ROAD, RESEARCH PHARMACY BURLINGTON MA 01805 6/15/2021 6/15/2022 RES Ind,VI ANDREW LANE DANA-FARBER CANCER INSTITUTE 450 BROOKLINE AVE RESEARCH PHARMACY, Y537 BOSTON MA 02215 3/15/2021 3/15/2022 RES None DAVID LANGENAU M MASSACHUSETTS GENERAL HOSPITAL MOLECULAR PATHOLOGY UNIT 149 13TH ST., ROOM 7350 CHARLESTOWN MA 02129 1/24/2021 1/24/2022 RES VI KELLY LANNUTTI SOUTH SHORE HOSPITAL 55 FOGG ROAD WEYMOUTH MA 02190 1/20/2021 1/20/2022 RES Ind MICHAEL LANUTI MASSACHUSETTS GENERAL HOSPITAL THORACIC SURGERY, 401 WARREN BLDG BOSTON MA 02114 10/17/2021 10/17/2022 RES III ALLEN LAPEY MASSACHUSETTS GENERAL HOSPITAL DEPARTMENT OF PHARMACY 55 FRUIT STREET, GB-005 BOSTON MA 02114 8/30/2022 8/30/2023 RES Ind CECILIA LAROCCA ALEJANDRA DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY Y537 450 BROOKLINE AVE BOSTON MA 02115 9/8/2021 9/8/2022 RES Ind,VI ANDREW LASSAR BRUCE HARVARD MEDICAL SCHOOL DEPT OF BIOLOGICAL& MOLECULAR PHARMACOLOGY 240 LONGWOOD AVE, BLDG C-ROOM 305A BOSTON MA 02115 5/19/2021 5/19/2022 RES III,VI ELLEN LATHI S. DRAGONFLY RESEARCH 110 CEDAR ST., SUITE 110 WELLESLEY MA 02481 3/15/2021 3/15/2022 RES III,IV

Page 48 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

JACOB LAUBACH P DANA-FARBER CANCER INSTITUTE 450 BROOKLINE AVE RESEARCH PHARMACY, Y537 BOSTON MA 02215 3/15/2021 3/15/2022 RES VI ALEXIS LAUX-BIEHLMANN PIERRE DESIRE BRIGHAM AND WOMEN'S HOSPITAL PULMONARY DRUG DISCOVERY LABORATORY 20 SHATTUCK ST., THORN BDNG, ROOM 1428A BOSTON MA 02115 8/12/2021 8/12/2022 RES III,VI JASON LAW TUFTS MEDICAL CENTERDEPT OF PHARMACY 800 WASHINGTON STREET BOX #420 BOSTON MA 02111 8/2/2021 8/2/2022 RES Ind,VI JOEL LAWITTS ARTHUR BETH ISRAEL DEACONESS MEDICAL CENTER TRANSGENIC CARE FACILITY, ROOM 194 RESEARCH NORTH, 99 BROOKLINE AVENUE BOSTON MA 02115 1/13/2021 1/13/2022 RES III ELIZABETH LAWSON MASSACHUSETTS GENERAL HOSPITAL, RESEARCH P 55 FRUIT STREET BOSTON MA 02114 7/29/2021 7/29/2022 RES Ind ELIZABETH LAWSON AUSTEN MASSACHUSETTS GENERAL HOSPITAL NEUROENDOCRINE UNIT ZERO EMERSON PLACE, 2ND FLOOR, SUITE 2G/2H BOSTON MA 02114 4/26/2021 4/26/2022 RES Ind TIMOTHY LAX BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS, SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 10/18/2020 10/18/2021 RES VI RICHARD LAYER THOMAS RENASCENT BIOSCIENCES, INC 99 HAYDEN AVE, SUITE D100 LEXINGTON MA 02421 10/14/2020 10/14/2021 RES II,III DOUGLAS LAZARUS DAVID AVASTUS PRECLINICAL SERVICES 44 SPINELLI PLACE CAMBRIDGE MA 01238 10/6/2021 10/6/2022 RES II,III,IV,VI PIOTR LAZOWSKI 47 OBERY STREET, SUITE 1A PLYMOUTH MA 02360 7/19/2021 7/19/2022 RES Ind,VI NICOLE LEBOEUF R DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDG Y537 450 BROOKLINE AVE BOSTON MA 02115 9/8/2021 9/8/2022 RES Ind,VI RONALD LECHAN M TUFTS MEDICAL CENTER DEPARTMENT OF PHARMACY 800 WASHINGTON STREET, BOX #420 BOSTON MA 02111 1/20/2021 1/20/2022 RES Ind BENJAMIN LEDER ZEV MASSACHUSETTS GENERAL HOSPITAL CLINICAL TRIALS PHARMACY 55 FRUIT STREET BOSTON MA 02114 6/9/2021 6/9/2022 RES VI JAMES LEDERER A. BRIGHAM & WOMEN'S HOSPITAL SURGERY - RESEARCH, THORN BLDG 75 FRANCIS STREET, ROOM 429 BOSTON MA 02115 7/22/2021 7/22/2022 RES III,VI BERNARD LEE TRAVIS BETH ISREAL DEACONESS MEDICAL CENTER PLASTIC SURGERY LABORATORY 330 BROOKLINE AVE, SL-0B10 BOSTON MA 02215 3/14/2021 3/14/2022 RES II,III,VI ELIZABETH LEE DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDNG Y537 450 BROOKLINE AVE BOSTON MA 02115 6/9/2021 6/9/2022 RES Ind,VI HYUN JOON LEE AXONIS THERAPEUTICS TUFTS UNIVERSITY, CMS STEARNS 4, ROOM A465 136 HARRISON AVE BOSTON MA 02111 6/30/2021 6/30/2022 RES III,IV HYUNJOO LEE JEAN BOSTON MEDICAL CENTER INVESTIGATIONAL DRUG PHARMACY 840 HARRISON AVE ME-B378 BOSTON MA 02118 10/5/2020 10/5/2021 RES Ind JEANNIE LEE T DEPARTMENT OF MOLECULAR BIOLOGY SIMCHES RESEARCH CENTER, MGH 185 CAMBRIDGE STREET BOSTON MA 02114 11/26/2020 11/26/2021 RES VI JONG-MIN LEE 185 CAMBRIDGE STREET BOSTON MA 02114 3/26/2021 3/26/2022 RES VI KICHANG LEE MASSACHUSETTS GENERAL HOSPITAL EDWARDS #319A 70 BLOSSOM ST. BOSTON MA 02114 10/23/2021 10/23/2022 RES II,III,IV,VI DAVID LEE-PARRITZ E. TUFTS CUMMING SCHOOL OF VETERINARY MED LAB ANIMAL MEDICINE SVC/ ENV & POP HEALTH 200 WESTBORO RD, BLDG 22, RM 117 NORTH GRAFTON MA 01536 1/23/2021 1/23/2022 RES II,III,IV RUTH LEHMANN WHITEHEAD INSTITUTE FOR BIOMEDICAL RESEARC 455 MAIN STREET LEHMANN LAB CAMBRIDGE MA 02142 3/31/2021 3/31/2022 RES VI JESSICA LEHOCZKY AUGUSTA BRIGHAM AND WOMEN'S HOSPITAL BLDG FOR TRANSFORMATIVE MEDICINE 60 FENWOOD RD, ROOM 5022 BOSTON MA 02115 11/7/2020 11/7/2021 RES III,VI ANTHONY LEMBO JOSEPH BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS, SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 11/4/2020 11/4/2021 RES Ind CYNTHIA LEMERE ANN BRIGHAM & WOMEN'S HOSPITAL 60 FENWOOD ROAD, BTM 9002S BOSTON MA 02115 9/20/2021 9/20/2022 RES III NATALIE LENDER SQUARE MEDICAL GROUP 124 WATERTOWN STREET SUITE 2D WATERTOWN MA 02472 2/17/2021 2/17/2022 RES Ind,III,VI JOSE LEONE PABLO DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDG Y537 450 BROOKLINE AVE BOSTON MA 02115 9/8/2021 9/8/2022 RES Ind,VI JANE LEOPOLD ANNE BRIGHAM AND WOMEN'S HOSPITAL DIVISION OF CARDIOVASCULAR MEDICINE 77 AVE LOUIS PASTEUR, NEW RESEARCH BLDG 06 BOSTON MA 02115 7/15/2021 7/15/2022 RES III,IV,VI ADAM LERNER BOSTON MEDICAL CENTER INVESTIGATIONAL PHARMACY SERVICE 840 HARRISON AVE, ME-B378 BOSTON MA 02118 5/7/2021 5/7/2022 RES Ind ETHAN LERNER ARTHUR MGH/DEPT OF DERMATOLOGY CUTANEOUS BIOLOGY RESEARCH CENTER ROOM 3503, 3RD FLR CHARLESTOWN MA 02129 10/24/2020 10/24/2021 RES II,III,VI THABELE LESLIE-MAZWI MBUSO MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET BOSTON MA 02114 2/19/2021 2/19/2022 RES Ind JOHN LEUNG TUFTS MEDICAL CENTER DEPT OF PHARMACY 800 WASHINGTON STREET BOX #420 BOSTON MA 02111 8/12/2021 8/12/2022 RES Ind,VI MICHAEL LEVIN TUFTS UNIVERSITY, ALLEN DISCOVERY CENTER SCIENCE & ENGINEERING RESEARCH EAST RM 331 200 COLLEGE AVE MEDFORD MA 02155 2/25/2021 2/25/2022 RES V ROBERT LEVINE A MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT ST., 101 EDWARDS BUILDING BOSTON MA 02114 4/24/2021 4/24/2022 RES II,III,IV,VI BRUCE LEVY DAVID BWH/DIV OF PULMONARY & CRITICAL CARE MEDIC 60 FENWOOD RD, LEVY LAB (3022E) BLDG FOR TRANSFORMATIVE MED BOSTON MA 02115 6/10/2021 6/10/2022 RES II,III FENG LI CORNING LIFE SCIENCES DISCOVERY LABWARE 2 OAK PARK DRIVE BEDFORD MA 01730 8/29/2021 8/29/2022 RES III LILY LI BIOANALYTIX LAB 790 MEMORIAL DRIVE, SUITE 303 CAMBRIDGE MA 02139 6/29/2021 6/29/2022 RES II,IV,VI PULIN LI WHITEHEAD INSTITUTE FOR BIOMEDICAL RESEARC 455 MAIN STREET CAMBRIDGE MA 02142 9/10/2021 9/10/2022 RES VI ZHE LI BRIGHAM & WOMEN'S HOSPITAL DIVISION OF GENETICS 77 AVENUE LOUIS PASTEUR, ROOM 466 BOSTON MA 02115 5/11/2021 5/11/2022 RES III HUAN LIANG MASSACHUSETTS GENERAL HOSPITAL DEPARTMENT OF RADIOLOGY, HARVARD MED SCHOO 60 BLOSSOM ST., EDWARDS RES, RM MEDRBA013BOSTON MA 02114 1/27/2021 1/27/2022 RES III,VI MICHELLE LIANG TUFTS MEDICAL CENTER DEPARTMENT OF OPHTHALMOLOGY 800 WAHSINGTON STREET BOX #450 BOSTON MA 02111q 3/22/2021 3/22/2022 RES Ind,VI PETER LIBBY BRIGHAM & WOMEN'S HOSPITAL CARDIOVASCULAR MEDICINE 77 AVE LOUIS PASTEUR, NRB-738 BOSTON MA 02115 4/20/2021 4/20/2022 RES II,III,VI STEPHEN LIBERLES D. HARVARD MEDICAL SCHOOL CELL BIOLOGY DEPT 45 SHATTUCK ST., LHRRB - 605 BOSTON MA 02115 8/15/2021 8/15/2022 RES III,VI M. LIBERMAN CHARLES MASS. EYE & EAR INFIRMARY EATON-PEABODY LAB 243 CHARLES STREET BOSTON MA 02114 9/15/2021 9/15/2022 RES II,III,IV,VI JESSICA LIEGEL JAYNE BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS, SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 1/31/2021 1/31/2022 RES Ind TIMOTHY LIESCHING LAHEY HOSPITAL & MEDICAL CENTER PULMONARY DEPT 41 MALL ROAD BURLINGTON MA 01805 2/3/2021 2/3/2022 RES Ind,VI RUTH LIM MASSACHUSETTS GENERAL HOSPITAL - GORDON PE 55 FRUIT STREET - EDWARDS 012 BOSTON MA 02114 2/16/2021 2/16/2022 RES Ind,II,VI CHARLES LIN P MASSACHUSETTS GENERAL HOSPITAL WELLMAN CENTER FOR PHOTOMEDICINE 185 CAMBRIDGE STREET, CPZN 8144 BOSTON MA 02114 3/22/2021 3/22/2022 RES III,VI NANCY LIN UAN-TSIN DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDG Y537 450 BROOKLINE AVE BOSTON MA 02115 9/8/2021 9/8/2022 RES Ind,VI NINA LIN BOSTON MEDICAL CENTER INVESTIGATIONAL DRUG PHARMACY 840 HARRISON AVE, ME-B378 BOSTON MA 02118 12/30/2020 12/30/2021 RES Ind

Page 49 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

QING CONG LIN BIOCYTOGEN BOSTON DEPT AT BIOCYTOGEN 50-C AUDUBON ROAD WAKEFIELD MA 01880 5/18/2021 5/18/2022 RES III,VI DANIEL LINGWOOD DALE KENNETH MASSACHUSETTS GENERAL HOSPITAL THE RAGON INSTITUTE OF MGH, MIT AND HARVAR 400 TECHNOLOGY SQUARE CAMBRIDGE MA 02139 9/1/2021 9/1/2022 RES VI MARGARET LIPPINCOTT FLYNN MASSACHUSETTS GENERAL HOSPITAL, CLINICAL T GRAY BIGELOW BASEMENT ROOM 005 55 FRUIT STREET BOSTON MA 02114 4/29/2021 4/29/2022 RES Ind,VI EVA LIU S BRIGHAM AND WOMEN'S HOSPITAL 77 AVE LOUIS PASTEUR HIM 632 BOSTON MA 02115 5/10/2021 5/10/2022 RES III,VI HENG-JIA LIU BRIGHAM AND WOMEN'S HOSPITAL 20 SHATTUCK STREET THORN BUILDING, ROOM 830 BOSTON MA 02115 2/17/2021 2/17/2022 RES VI JOYCE LIU FU DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDNG Y537 450 BROOKLINE AVE BOSTON MA 02115 6/9/2021 6/9/2022 RES Ind,VI TONGYAO LIU SANOFI/BIOVERATIV 225 SECOND AVENUE WALTHAM MA 02451 7/8/2021 7/8/2022 RES VI YUGUAN LIU SCIEX 500 OLD CONNECTICUT PATH FRAMINGHAM MA 01701 3/2/2021 3/2/2022 RES I,II,III,IV,V MARGARET LIVINGSTONE S. HARVARD MEDICAL SCHOOL DEPARTMENT OF NEUROBIOLOGY 200 LONGWOOD AVENUE BOSTON MA 02115 7/29/2021 7/29/2022 RES II,III,IV,V,VI CHRISTOPHER LOCHER PHILLIP VERSATOPE THERAPEUTICS 110 CANAL STREET, 4TH FLOOR LOWELL MA 01852 7/19/2021 7/19/2022 RES Ind JOSEPH LOSCALZO BRIGHAM & WOMEN'S HOSPITAL INVESTIGATIONAL DRUG SERVICE (IDS) PHARMAC 75 FRANCIS STREET BOSTON MA 02115 12/2/2020 12/2/2021 RES Ind,II,IV,VI FEIRAN LOU UMASS MEMORIAL MEDICAL CENTER 119 BELMONT ST, IDS PHARMACY LOWER LEVEL 1 ROOM SWL1.054 WORCESTER MA 01605 11/30/2020 11/30/2021 RES Ind,I,II,III,IV,V,VI SEBASTIAN LOURIDO WHITEHEAD INSTITUTE FOR BIOMEDICAL RESEAR 455 MAIN ST. CAMBRIDGE MA 02142 5/22/2021 5/22/2022 RES VI STEFANIE LOWAS ROSE UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL IDS, ACC BUILDING, AC6-201 55 LAKE AVE, NORTH WORCESTER MA 01655 3/19/2021 3/19/2022 RES Ind BRADFORD LOWELL B BETH ISRAEL DEACONESS MEDICAL CENTER DEPARTMENT OF MEDICINE 3 BLACKFAN CIRCLE, CLS 0717 BOSTON MA 02215 3/9/2021 3/9/2022 RES III,IV,VI QUAN LU HARVARD T.H. CHAN SCHOOL OF PUBLIC HEALTH DEPT OF ENVIROMENT HEALTH BLDG 2 ROOM 204; BLDG 1 ROOM 302 BOSTON MA 02115 4/5/2021 4/5/2022 RES II,III,IV,VI SHAN LU UMASS MEDICAL SCHOOL, DEPT OF MEDICINE LAZARE MEDICAL RESEARCH BLDING, LRB270N 364 PLANTATION STREET WORCESTER MA 01605 10/16/2020 10/16/2021 RES II,III YI LU BRIGHAM AND WOMEN'S HOSPITAL BUILDING FOR TRANSFORMATIVE MEDICINE 60 FENWOOD ROAD, 8TH FLOOR, 8012 BOSTON MA 02115 1/23/2021 1/23/2022 RES III,VI SCOTT LUKAS E. MCLEAN HOSPITAL, B.P.R.L. 115 MILL STREET NEUROIMAGING CENTER, 116 BELMONT MA 02478 6/5/2021 6/5/2022 RES Ind,I,II,III,IV ELIZABETH LUNA J. UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL SCHOOL BUILDING, ROOM S7-137 55 LAKE AVENUE NORTH WORCESTER MA 01655 2/3/2021 2/3/2022 RES III,VI LAN LUO BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY - EAST CAMPUS, SL-OB-07 330 BROOKLINE AVENUE BOSTON MA 02215 4/27/2021 4/27/2022 RES Ind,VI ZHONGHUI LUO MASSACHUSETTS EYE & EAR LONGWOOD RESEARCH PHARMACY 800 HUNTINGTON AVE BOSTON MA 02115 3/3/2021 3/3/2022 RES Ind FRANCIS LUSCINSKAS W. BRIGHAM AND WOMEN'S HOSPITAL DEPARTMENT OF PATHOLOGY 77 AVENUE LOUIS PASTEUR, NRB RM 752P BOSTON MA 02115 3/2/2021 3/2/2022 RES III,VI MARLISE LUSKIN RACHAEL DANA FARBER CANCER INSTITUTE 450 BROOKLINE AVE RESEARCH PHARMACY, Y537 BOSTON MA 02215 3/10/2021 3/10/2022 RES VI ANDREW LUSTER D. MASSACHUSETTS GENERAL HOSPITAL BLDG 149-13TH ST, DEPT OF MEDICINE, DIV OF RHEUMATOLOGY, CIID UNIT 8-8317 CHARLESTOWN MA 02129 8/27/2021 8/27/2022 RES III,VI LYDIA LYNCH BRIGHAM AND WOMEN'S HOSPITAL, DIVISION OF ENDOCRINOLOGY, HIM 643 77 AVE LOUIS PASTEUR BOSTON MA 02115 6/28/2021 6/28/2022 RES III,VI GREGORY LYNG D BIOMODELS 360 2ND AVE, SUITE #1 WALTHAM MA 02451 1/31/2021 1/31/2022 RES II,III,IV,VI BERTHA MADRAS KALIFON MCLEAN HOSPITAL 115 MILL ST., OAKS BUILDING BELMONT MA 02478 12/10/2020 12/10/2021 RES I JOREN MADSEN C. MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET, THIER 6, ROOM 631 BOSTON MA 02114 8/1/2021 8/1/2022 RES II,III,VI JOREN MADSEN CHRISTIAN MASSACHUSETTS GENERAL HOSPITAL-EAST BLDG 149 13TH STREET, ROOM 9022 CHARLESTOWN MA 02129 7/22/2021 7/22/2022 RES II,III,IV,V,VI TIMOTHY MAHER J. MCPHS UNIVERSITY 179 LONGWOOD AVENUE BOSTON MA 02115 3/7/2021 3/7/2022 RES I,II,III,IV,VI SHYAMALA MAHESWARAN MGH - CANCER CENTER 149 13TH STREET CHARLESTOWN MA 02129 1/6/2021 1/6/2022 RES III,VI UMAR MAHMOOD MASSACHUSETTS GENERAL HOSPITAL MARTINOS CENTER FOR BIOMEDICAL ENGINEERING 149 13TH STREET, ROOM 5307 CHARLESTOWN MA 02129 6/12/2021 6/12/2022 RES III,VI KIMBERLEY MAK S BOSTON MEDICAL CENTER INVESTIGATIONAL DRUG PHARMACY 840 HARRISON AVE, ME-B378 BOSTON MA 02118 3/8/2021 3/8/2022 RES Ind ALEXANDROS MAKRIYANNIS NORTHEASTERN UNIVERSITY CENTER FOR DRUG DISCOVERY 360 HUNTINGTON AVE 116 MUGAR HALL BOSTON MA 02115 3/7/2021 3/7/2022 RES I,II,III,IV,V RAZA MALIK TUFTS MEDICAL CENTER DEPARTMENT OF PHARMACY 800 WASHINGTON ST., BOX #420 BOSTON MA 02111 12/9/2020 12/9/2021 RES Ind,VI HARI MALLIDI BRIGHAM AND WOMEN'S HOSPITAL DEPT OF SURGERY 20 SHATTUCK ST., THORN BLDG, RM 1133 BOSTON MA 02115 12/26/2020 12/26/2021 RES VI DANIEL MANDELL J. GRO BIOSCIENCES C/O LAB CENTRAL 700 MAIN STREET NORTH CAMBRIDGE MA 02139 9/13/2021 9/13/2022 RES VI EMIRI MANDEVILLE TEJIMA MGH/DEPT OF RADIOLOGY & NEUROLOGY NEUROPROTECTION RESEARCH LAB, RM 2411E 149 13TH STREET CHARLESTOWN MA 02129 3/6/2021 3/6/2022 RES II,III,VI JOSEPH MANDEVILLE BERNARD MASSACHUSETTS GENERAL HOSPITAL, DEPT OF RADIOLOGY, MARTINOS CTR FOR BIOMED IMAGING ROOM 1-026, BLDG 149, 13TH STREETCHARLESTOWN MA 02129 12/5/2020 12/5/2021 RES II,III,IV,VI ANNA MANDINOVA I MASSACHUSETTS GENERAL HOSPITAL DEPARTMENT OF DERMATOLOGY-CBRC 149 13TH STREET CHARLESTOWN MA 02129 10/14/2020 10/14/2021 RES III,VI GREGORY MANIERO D. STONEHILL COLLEGE BIOLOGY DEPARTMENT 320 WASHINGTON STREET EASTON MA 02357 10/13/2020 10/13/2021 RES IV JENNIFER MANNE-GOEHLER M BRIGHAM AND WOMEN'S HOSPITAL 75 FRANCIS STREET (4C) BOSTON MA 02115 5/19/2021 5/19/2022 RES Ind WARREN MANNING J BETH ISRAEL DEACONESS MEDICAL CENTER 330 BROOKLINE AVE, BOSTON MA 02215 8/9/2021 8/9/2022 RES VI DIETER MANSTEIN MASSACHUSETTS GENERAL HOSPITAL 149 13TH STREET, 3RD FLR, ROOM 3.233A CHARLESTOWN MA 02129 4/25/2021 4/25/2022 RES III,IV,VI CHARLENE MANTIA DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDG Y537 450 BROOKLINE AVE BOSTON MA 02115 9/8/2021 9/8/2022 RES Ind,VI JIANREN MAO MASSACHUSETTS GENERAL HOSPITAL 149 13TH STREET, MGH EAST CHARLESTOWN MA 02129 9/13/2021 9/13/2022 RES II,III,VI RICHARD MARASA ANTHONY PHARMACY AMANECER, INC 95 FRANK B. MURRAY STREET SPRINGFIELD MA 01103 6/16/2021 6/16/2022 RES II LEE MARGOLIS US ARMY RESEARCH INSTITUTE OF ENVIRONMENTA MEDICINE 10 GENERAL GREENE AVE, BLDG 42 NATICK MA 01760 6/24/2021 6/24/2022 RES Ind LEE MARGOLIS M JOHNSON COMPOUNDING & WELLNESS 577 MAIN STREET WALTHAM MA 02452 8/17/2021 8/17/2022 RES Ind DAVID MARK WELCH B MARINE BIOLOGICAL LABORATORY 7 MBL STREET WOODS HOLE MA 02543 1/24/2021 1/24/2022 RES II,III,IV

Page 50 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

HERBERT MARKLEY G NEW ENGLAND REGIONAL HEADACHE CENTER , INC 85 PRESCOTT STREET SUITE 101 WORCESTER MA 01605 1/14/2021 1/14/2022 RES Ind JAMES MARKMANN F MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT ST., THIER 630 BOSTON MA 02114 8/27/2021 8/27/2022 RES II,III,VI DONALD MARKS SCOTT BETH ISREAL DEACONESS HOSPITAL PLYMOUTH HOSPITAL PHARMACY 275 SANDWICH STREET PLYMOUTH MA 02360 12/1/2020 12/1/2021 RES Ind MARTIN MARON S TUFTS MEDICAL CENTER DEPARMENT OF PHARMACY 800 WASHINGTON STREET, BOX #420 BOSTON MA 02111 9/21/2021 9/21/2022 RES Ind GAD MARSHALL BRIGHAM AND WOMEN'S HOSPITAL CENTER FOR ALZHEIMER RESEARCH & TREATMENT 60 FENWOOD ROAD BOSTON MA 02115 10/14/2021 10/14/2022 RES Ind,IV,VI GILLES MARTIN E. UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL DEPT OF NEUROBIOLOGY, ROOM 670Z 364 PLANTATION STREET WORCESTER MA 01604 5/3/2021 5/3/2022 RES III SCOTT MARTIN DAVID MASSACHUSETTS GENERAL BRIGHAM 175 CAMBRIDGE STREET, SUITE 400 BOSTON MA 02114 7/22/2021 7/22/2022 RES Ind,I,II,III,IV,V,VI CLAUDIA MARTORELL THE ID RESEARCH INSTITUTE 57 MULBERRY STREET SPRINGFIELD MA 01105 11/18/2020 11/18/2021 RES Ind,VI JOSEPH MARTYN JEEVENDRA MASSACHUSETTS GENERAL HOSPITAL 149 13TH STREET CHARLESTOWN MA 02129 10/15/2020 10/15/2021 RES II,III,IV,VI JOSEPH MARTYN JEEVENDRA SHRINERS HOSPITAL FOR CHILDREN 51 BLOSSOM STREET, ROOM 210 BOSTON MA 02114 9/8/2021 9/8/2022 RES II,III,IV,V,VI SUZANA MARUSIC HOOKE LABORATORIES 439 SOUTH UNION STREET LAWRENCE MA 01843 4/25/2021 4/25/2022 RES II,III,IV,VI DEIRA MASON P BOSTON CHILDREN'S HOSPITAL 300 LONGWOOD AVE BOSTON MA 02115 7/7/2021 7/7/2022 RES Ind KEIRA MASON P BOSTON CHILDREN'S HOSPITAL 300 LONGWOOD AVE BOSTON MA 02115 7/7/2021 7/7/2022 RES Ind BRYAN MASTIS ROBERT AFFINIA THERAPEUTICS, PRECLINICAL & IMMUNO 43 FOUNDRY AVE, SUITE 120, ROOM #009-010 WALTHAM MA 02453 2/22/2021 2/22/2022 RES III,VI PAUL MATHEW TUFTS MEDICAL CENTER, DEPT OF PHARMACY 800 WASHINGTON STREET BOX #450 BOSTON MA 02111 8/7/2021 8/7/2022 RES Ind,VI DIANE MATHIS HARVARD MEDICAL AREA, DIV OF IMMUNOLOGY DEPT OF MICROBIOLOGY & IMMUNOBIOLOGY NRB 850 - 77 AVENUE LOUIS PASTEUR BOSTON MA 02115 12/16/2020 12/16/2021 RES III,VI SHIGEO MATSUDA ALNYLAM PHARMACEUTICALS 675 WEST KENDALL STREET CAMBRIDGE MA 02142 7/1/2021 7/1/2022 RES I URSULA MATULONIS ANNE DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDNG Y537 450 BROOKLINE AVE BOSTON MA 02115 6/9/2021 6/9/2022 RES Ind,VI RANDALL MAULDIN VERNON RUBIUS THERAPEUTICS INC 399 BINNEY STREET, SUITE 300 CAMBRIDGE MA 02139 7/21/2021 7/21/2022 RES VI MARCELA MAUS V MASSACHUSETTS GENERAL HOSPITAL CENTER FOR CANCER RESEARCH 149 13TH ST, ROOM 6620 CHARLESTOWN MA 02129 9/5/2021 9/5/2022 RES III,VI TANYA MAYADAS BRIGHAM & WOMEN'S HOSPITAL/HMS DEPARTMENT OF PATHOLOGY 77 AVENUE LOUIS PASTEUR, ROOM 752 BOSTON MA 02115 11/5/2020 11/5/2021 RES III,VI ERICA MAYER DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDG Y537 450 BROOKLINE AVE BOSTON MA 02115 9/8/2021 9/8/2022 RES Ind,VI KENNETH MAYER H THE FENWAY INSTITIUTE FENWAY HEALTH 1340 BOYLSTON STREET BOSTON MA 02215 8/12/2021 8/12/2022 RES Ind,VI JUSTIN MAYKEL UMASS MEMORIAL MEDICAL CENTER MULTI-SPECIALTIES BUILDING 67 BELMONT STREET, SUITE 201 WORCESTER MA 01605 3/3/2021 3/3/2022 RES Ind,I,II,III,IV,V,VI TIMOTHY MCALINDON E TUFTS MEDICAL CENTER DEPARMENT OF PHARMACY 800 WASHINGTON STREE, BOX #420 BOSTON MA 02111 7/26/2021 7/26/2022 RES Ind,VI FRANK MCCABE JOSEPH VITREO-RETINAL ASSOCIATES, PC 67 BELMONT STREET, SUITE 302 WORCESTER MA 01605 8/12/2021 8/12/2022 RES Ind MICHAEL MCCARTNEY ACTIVMED PRACTICES AND RESEARCH 421 MERRIMACK STREET, SUITE 203 METHUEN MA 01844 10/10/2021 10/10/2022 RES Ind,VI MICHAEL MCDANNALD A. BOSTON COLLEGE, DEPT OF PSYCHOLOGY HIGGINS HALL, ANIMAL CARE SERVICES 140 COMMONWEALTH AVE, ROOM 1907C CHESTNUT HILL MA 02467 7/10/2021 7/10/2022 RES II,VI NATHAN MCDANNOLD JUDSON BRIGHAM AND WOMEN'S HOSPITAL DEPARTMENT OF RADIOLOGY 221 LONGWOOD AVENUE, ROOM 515A BOSTON MA 02115 10/11/2021 10/11/2022 RES II,III,VI DAVID MCDERMOTT F BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS, SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 9/23/2021 9/23/2022 RES Ind CHRISTOPHER MCDOUGLE JOHN MASSACHUSETTS GENERAL HOSPITAL LURIE CENTER FOR AUTISM 1 MAGUIRE ROAD, ROOM 158 LEXINGTON MA 02421 11/5/2020 11/5/2021 RES Ind,VI BRADLEY MCGREGOR A DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDG Y537 450 BROOKLINE AVE BOSTON MA 02115 9/8/2021 9/8/2022 RES Ind,VI JOSEPH MEDENDORP VERTEX PHARMACEUTICALS INC 11 FAN PIER BLVD BOSTON MA 02210 7/27/2021 7/27/2022 RES VI BENJAMIN MEDOFF D. MASSACHUSETTS GENERAL HOSPITAL 149 13TH STREET, CNY 8127 CHARLESTOWN MA 02129 11/7/2020 11/7/2021 RES III,VI HALEY MELIKIAN E. UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL LRB770/BAY L, 364 PLANTATION ST WORCESTER MA 01604 3/6/2021 3/6/2022 RES II,III,IV CURTIS MELLO J. INFINITY MEDICAL RESEARCH, INC. 370 FAUNCE CORNER ROAD, 2ND FLOOR NORTH DARTMOUTH MA 02747 6/15/2021 6/15/2022 RES Ind,VI THORSTEN MEMPEL ROMAN MASSACHUSETTS GENERAL HOSPITAL MGH EAST, 149 13TH ST, ROOM 6219 DIV OF RHEUMATOLOGY,ALLERGY & IMMUNOLOGY BOSTON MA 02129 1/14/2021 1/14/2022 RES III,VI LUKASZ MENDECKI KRZYSZTOF ALLERGY AMULET 600 SUFFOLK STREET M2D2 SUITE 250, ROOM 268 LOWELL MA 01854 8/2/2021 8/2/2022 RES II ANTONIO MENDES BOSTON CLINICAL TRIALS 26 CUMMINS HIGHWAY BOSTON MA 02131 8/26/2021 8/26/2022 RES Ind APRIL MENDOZA MASSACHUSETTS GENERAL HOSPITAL CLINICAL TRIALS PHARMACY 55 FRUIT STREET, BOSTON MA 02114 12/28/2020 12/28/2021 RES Ind STEVEN MENTZER JAMES BRIGHAM & WOMEN'S HOSPITAL THORN BLDG. ROOM 1130 20 SHATTUCK STREET BOSTON MA 02115 10/23/2021 10/23/2022 RES III,VI JOSEPH MEROLA FRANK BRIGHAM AND WOMEN'S HOSPITAL INVESTIGATIONAL DRUG SERVICE (IDS) 75 FRANCIS STREET BOSTON MA 02215 2/7/2021 2/7/2022 RES Ind DAVID MERRILL A. DAVINCI BIOMEDICAL RESEARCH PRODUCTS P.O. BOX 1125, 40 MAPLE AVENUE SOUTH LANCASTER MA 01561 4/11/2021 4/11/2022 RES II,III,IV EVANGELOS MESSARIS BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY 330 BROOKLINE AVE BOSTON MA 02215 2/17/2021 2/17/2022 RES Ind LOUIS MESSINA M. UMASS MEDICAL SCHOOL, CENTER FOR EXCELLENCE IN DIABETES RESEARCH ASC7-2004, 368 PLANTATION STREET WORCESTER MA 01605 7/17/2021 7/17/2022 RES III,VI OTTO METZGER DDANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDG Y537 450 BROOKLINE AVE BOSTON MA 02115 9/8/2021 9/8/2022 RES Ind,VI IRINA MEZHEBOVSKY BOSTON CLINICAL TRIALS 26 CUMMINS HIGHWAY BOSTON MA 02131 12/17/2020 12/17/2021 RES Ind KLAUS MICZEK A. TUFTS UNIVERSITY DEPT. OF PSYCHOLOGY 530 BOSTON AVENUE MEDFORD MA 02155 8/27/2021 8/27/2022 RES I,II,III,IV,VI JAMES MIER W BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS, SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 10/7/2020 10/7/2021 RES Ind EARL MILLER MASSACHUSETTS INSTITUTE OF TECHNOLOGY PICOWER INSTITUTE OF LEARNING & MEMORY 43 VASSAR ST., BUILDING 46, RM 6266 CAMBRIDGE MA 02139 7/30/2021 7/30/2022 RES I KAREN MILLER K MASSACHUSETTS GENERAL HOSPITAL RESEARCH PHARMACY 55 FRUIT STREET BOSTON MA 02114 8/29/2021 8/29/2022 RES Ind,VI

Page 51 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

KEITH MILLER W. MASSACHUSETTS GENERAL HOSPITAL DEPARTMENT OF ANESTHESIA EDR 514 55 FRUIT STREET BOSTON MA 02114 5/10/2021 5/10/2022 RES II,III,IV,VI S. MILLER DAVID NORTHEAST MEDICAL RESEARCH ASSOCS INC 49 STATE ROAD, WATUPPA BLDG. SUITE 202 NORTH DARTMOUTH MA 02747 4/6/2021 4/6/2022 RES Ind,VI DAVID MISCHOULON MASSACHUSETTS GENERAL HOSPITAL CLINICAL TRIALS PHARMACY 55 FRUIT ST. GRAY BIGELOW BASEMENT ROOM 00 BOSTON MA 02114 10/18/2021 10/18/2022 RES Ind,VI MADHUSMITA MISRA MASSACHUSETTS GENERAL HOSPITAL RESEARCH PHARMACY 55 FRUIT STREET BOSTON MA 02114 3/3/2021 3/3/2022 RES Ind,VI HENRY MITCHESON DAVID BAYSTATE CLINICAL TRIALS, INC 521 MOUNT AUBURN STREET, SUITE 200 WATERTOWN MA 02472 12/17/2020 12/17/2021 RES Ind,VI TIMOTHY MITCHISON J HARVARD MEDICAL SCHOOL, DPMT OF SYSTEMS BI 200 LONGWOOD AVE WARREN ALPERT BUILDING ROOM 555 BOSTON MA 02115 5/3/2021 5/3/2022 RES III,VI KRITI MITTAL UMASS MEMORIAL MEDICAL CENTER, IDSP ROOM AC6-058 55 LAKE AVE NORTH WORCESTER MA 01655 7/15/2021 7/15/2022 RES Ind ELIZABETH MITTENDORF DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDG Y537 450 BROOKLINE AVE BOSTON MA 02115 9/8/2021 9/8/2022 RES Ind,VI CLIFTON MO CRAIG DANA-FARBER CANCER INSTITUTE 450 BROOKLINE AVE RESEARCH PHARMACY, Y537 BOSTON MA 02215 3/15/2021 3/15/2022 RES VI DENISE MOLK MICHELLE MASSACHUSETTS GENERAL HOSPITAL, CENTER FOR COMPARATIVE MEDICINE, EDWARDS RESEARCH BLD 70 BLOSSOM STREET, 6TH FLOOR, BOSTONRM 627 MA 02114 4/10/2021 4/10/2022 RES II,III,VI JAMES MOON J MASSACHUSETTS GENERAL HOSPITAL 149 13TH STREET, CNY 149-9 ANIMAL FACILITIES CHARLESTOWN MA 02129 4/5/2021 4/5/2022 RES VI VAMSI MOOTHA K MGH SIMCHES RESEARCH CENTER DEPARTMENT OF MOLECULAR BIOLOGY 185 CAMBRIDGE STREET BOSTON MA 02114 1/15/2021 1/15/2022 RES VI PATRICK MORAN MASSACHUSETTS ENVIRONMENTAL POLICE 183 MILK STREET WESTBOROUGH MA 01581 11/15/2020 11/15/2021 RES III,VI ABRAHAM MORGENTALER MEN'S HEALTH BOSTON 200 BOYLSTON STREET, SUITE A309 CHESTNUT HILL MA 02467 12/2/2020 12/2/2021 RES III,VI DAVID MORRISSEY VAIL CHARLES RIVER ACCELERATOR & DEVELOPMENT LA 100 BINNEY STREET, 5TH FLOOR CAMBRIDGE MA 02142 2/10/2021 2/10/2022 RES III,VI CYNTHIA MORTON CASSON BRIGHAM & WOMEN'S HOSPITAL 77 AVENUE LOUIS PASTEUR, NRB 160 BOSTON MA 02115 12/30/2020 12/30/2021 RES III,VI MUNIR MOSAHEB SENDA BIOSCIENCES INC TRANS-BIO GROUP 44 SPINELLI PLACE CAMBRIDGE MA 02138 6/2/2021 6/2/2022 RES VI STEPHEN MOSS JAMES TUFTS UNIVERSITY DEPARTMENT OF NEUROSCIENCE 136 HARRISON AVENUE, SOUTH COVE 6 BOSTON MA 02111 1/30/2021 1/30/2022 RES II,III,IV ARASH MOSTAGHIMI BRIGHAM AND WOMEN'S HOSPITAL INVESTIGATIONAL DRUG SERVICE PHARMACY (IDS 75 FRANCIS STREET BOSTON MA 02215 11/26/2020 11/26/2021 RES Ind RAUL MOSTOSLAVSKY MASSACHUSETTS GENERAL HOSPITAL ANIMAL FACILITY-SIMCHES RESEARCH BLDG 185 CAMBRIDGE ST BOSTON MA 02114 6/22/2021 6/22/2022 RES VI KENT MOUW DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDG Y537 450 BROOKLINE AVE BOSTON MA 02115 9/8/2021 9/8/2022 RES Ind,VI JEFFREY MULHERN G KIDNEY CARE & TRANSPLANT SERVICES OF N.E. 2150 MAIN STREET SPRINGFIELD MA 01104 11/15/2020 11/15/2021 RES Ind ANN MULLALLY BRIGHAM AND WOMEN'S HOSPITAL ANIMAL FACILITY BLDG FOR TRANSFORMATIVE ME 60 FENWOOD ROAD BOSTON MA 02115 10/14/2021 10/14/2022 RES VI GIOVANNI MUNCIPINTO JNANA THERAPEUTICS 6 TIDE STREET, SUITE 301 3RD FLOOR, ROMM 355 BOSTON MA 02210 7/22/2021 7/22/2022 RES III,IV,VI NIKHIL MUNSHI CHANDRAVADAN DANA-FARBER CANCER INSTITUTE 450 BROOKLINE AVE RESEARCH PHARMACY, Y537 BOSTON MA 02215 3/15/2021 3/15/2022 RES VI NAOKA MURAKAMI BRIGHAM AND WOMEN'S HOSPITAL 221 LONGWOOD AVE, EBRC ROOM312 TRANSPLANT RESEARCH CENTER BOSTON MA 02115 9/27/2021 9/27/2022 RES III,IV SHAUN MURPHY PATRICK ABPRO 15 A ST. BURLINGTON MA 01803 7/25/2021 7/25/2022 RES III,VI KATHLEEN MURRAY A CHARLES RIVER LABORATORIES MASSACHUSETTS 334 SOUTH STREET SHREWSBURY MA 01545 5/10/2021 5/10/2022 RES II,III,IV,V,VI STEPHEN MURRAY WILLIAM COVIDIEN LP, DIALYSIS R&D LAB 15 HAMPSHIRE STREET, BLDNG 3 MANSFIELD MA 02048 6/1/2021 6/1/2022 RES VI PATRICIA MUSOLINO LEONOR MASSACHUSETTS GENERAL HOSPITAL 185 CAMBRIDGE ST., 5TH FLR BOSTON MA 02114 12/6/2020 12/6/2021 RES III,VI SENTHIL MUTHUSWAMY BETH ISRAEL DEACONESS MEDICAL CENTER CENTER FOR LIFE SCIENCE BUILDING 3 BLACKFAN CIRCLE-RM 417-B3 & CLS ANIMAL F BOSTON MA 02115 7/25/2021 7/25/2022 RES III OMAR NADEEM DANA-FARBER CANCER INSTITUTE 450 BROOKLINE AVE RESEARCH PHARMACY, Y537 BOSTON MA 02215 3/15/2021 3/15/2022 RES VI PRASHANT NAMBIAR BLUEBIRD BIO PRE-CLINICAL & TRANSLATION DE 2ND FLOOR, ASSAY/IVIS, ROOM 246 60 BINNEY STREET CAMBRIDGE MA 02142 6/7/2021 6/7/2022 RES III,VI SALVATORE NAPOLI Q. NEUROLOGY CENTER OF NEW ENGLAND PC RESEARCH DEPARTMENT 9 PAYSON RD, SUITE 100 FOXBORO MA 02035 8/13/2021 8/13/2022 RES Ind PUSHPA NARAYANASWAMI BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS, SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 8/19/2021 8/19/2022 RES Ind VIVIANE NASR BOSTON CHILDREN'S HOSPITAL DEPT OF ANESTHESIOLOGY CRITICAL CARE AND PAIN MEDICINE BOSTON MA 02115 11/5/2020 11/5/2021 RES II,IV DILIP NATARAJ SOUTH SHORE HOSPITAL BLOOD BANK 85 COLUMBIAN STREET WEYMOUTH MA 02190 5/14/2021 5/14/2022 RES Ind DILIP NATARAJ SOUTH SHORE HOSPITAL PHARMACY BROOKS 3 55 FOGG ROAD WEYMOUTH WE 02190 3/15/2021 3/15/2022 RES Ind RUVANDHI NATHAVITHARANA BETH ISRAEL DEACONESS MEDICAL CENTER WEST CAMPUS RESEARCH PHARMACY-RBB11 ONE DEACONESS ROAD BOSTON MA 02215 1/15/2021 1/15/2022 RES Ind ARA NAZARIAN CENTER FOR ADVANCED ORTHOPAEDIC STUDIES 99 BROOKLINE AVE, RN 123A BOSTON MA 02215 3/26/2021 3/26/2022 RES I,III,IV,VI JUDY NEE W BETH ISRAEL DEACONESS MEDICAL CENTER HOSPITAL-RESEARCH PHARMACY 330 BROOKLINE AVE BOSTON MA 02215 11/30/2020 11/30/2021 RES Ind,II LEIGH NEEDLEMAN ANNE HARVARD UNIVERSITY, SCIENCE & ENGINEERING ROOM 1.305 150 WESTERN AVE BOSTON MA 02134 2/14/2021 2/14/2022 RES II,III,IV,VI MATTHEW NEHS BRIGHAM AND WOMEN'S HOSPITAL DEPT OF SURGERY 20 SHATTUCK ST., THORN BLDG, RM 1523 BOSTON MA 02115 7/18/2021 7/18/2022 RES III,VI SACHA NELSON BRANDEIS UNIVERSITY DEPT OF BIOLOGY, SHAPIRO SCIENCE CTR 1-36 415 SOUTH STREET WALTHAM MA 02454 10/11/2021 10/11/2022 RES III,VI DMITRY NEPOMNAYSHY LAHEY HOSPITAL & MEDICAL CENTER 41 MALL ROAD, RESEARCH PHARMACY BURLINGTON MA 01805 12/23/2020 12/23/2021 RES II,III,IV,VI RONALD NEPPL L JR BRIGHAM AND WOMEN'S HOSPITAL DEPT. OF ORTHOPAEDIC SURGERY 60 FENWOOD RD, BTM 05022 BOSTON MA 02115 2/13/2021 2/13/2022 RES III,VI STEVEN NESS BOSTON MEDICAL CENTER INVESTIGATIONAL DRUG PHARMACY 840 HARRISON AVE, ME-B378 BOSTON MA 02118 9/22/2021 9/22/2022 RES Ind ANN NEUMEYER MARTHA MASSACHUSETTS GENERAL HOSPITAL LURIE CENTER FOR AUTISM 1 MAGUIRE ROAD, ROOM 158 LEXINGTON MA 02421 12/7/2020 12/7/2021 RES Ind,VI ANN NEUMEYER MARTHA MASSACHUSETTS GENERAL HOSPITAL LURIE CENTER FOR AUTISM 1 MAGUIRE ROAD, ROOM 158 LEXINGTON MA 02421 9/8/2021 9/8/2022 RES Ind,VI ISABEL NEURINGER MGH DEPARTMENT OF PHARMACY 55 FRUIT STREET, GB005 BOSTON MA 02114 9/24/2021 9/24/2022 RES Ind CHRISTOPHER NGUYEN MASSACHUSETTS GENERAL HOSPITAL ROOM 4.133 149 13TH STREET CHARLESTOWN MA 02129 6/26/2021 6/26/2022 RES II,III,IV,VI

Page 52 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

TRANG NGUYEN FRONTERA THERAPEUTICS INVIVO PHARMACOLOGY DEPARTMENT 44 SPINELLI PLACE CAMBRIDGE MA 02138 12/16/2020 12/16/2021 RES III,VI KATHARINE NICHOLSON A MASSACHUSETTS GENERAL HOSPITAL CTP 55 FRUIT ST., GRAY BIGELOW BASEMENT ROOM 0 BOSTON MA 02114 12/9/2020 12/9/2021 RES Ind ANDREW NIERENBERG A MASSACHUSETTS GENERAL HOSPITAL 50 STANIFORD STREET, SUITE 580 BOSTON MA 02114 2/14/2021 2/14/2022 RES Ind PETER NIGROVIC A BRIGHAM & WOMEN'S HOSPITAL HALE BUILDING OF TRANSFORMATIVE MEDICINE 60 FENWOOD ROAD, LEVEL 6, ROOM 6032 BOSTON MA 02115 3/4/2021 3/4/2022 RES III,IV,VI PAULA NIKSA L CHARLES RIVER LABORATORIES INC, IN VIVO BIOSAFETY 299 BALLARDVALE ROAD WILMINGTON MA 01887 8/23/2021 8/23/2022 RES III JOHN NILES L MASSACHUSETTS GENERAL HOSPITAL 101 MERRIMAC ST. 1ST FLR, SUITE R7 BOSTON MA 02114-4179 3/7/2021 3/7/2022 RES Ind ASHOK NIMGADE BOSTON CLINICAL TRIALS 26 CUMMINS HIGHWAY BOSTON MA 02131 11/8/2020 11/8/2021 RES Ind CAROLINE NITSCHMANN LAHEY HOSPITAL & MEDICAL CENTER 41 MALL ROAD, RESEARCH PHARMACY BURLINGTON MA 01805 9/21/2021 9/21/2022 RES Ind,VI CAROLINE NITSCHMANN LAHEY MEDICAL CENTER 1 ESSEX CENTER DRIVE PEABODY MA 01906 9/21/2021 9/21/2022 RES Ind,VI CAROLINE NITSCHMANN WINCHESTER HOSPITAL 41 HIGHLAND AVE WINCHESTER MA 01809 9/21/2021 9/21/2022 RES Ind,VI NAWAL NOUR BRIGHAM AND WOMEN'S HOSPITAL INVESTIGATIONAL DRUG SERVICE (IDS) PHARMAC 75 FRANCIS STREET BOSTON MA 02115 3/22/2021 3/22/2022 RES II,IV,VI RONI NOWARSKI BRIGHAM & WOMEN'S HOSPITAL BLDG FOR TRANSFORMATIVE MEDICINE 60 FENWOOD RD, ROOM 9016 AA BOSTON MA 02115 6/15/2021 6/15/2022 RES III,VI FRANCIS NUGENT W LAHEY HOSPITAL & MEDICAL CENTER RESEARCH PHARMACY 41 MALL ROAD BURLINGTON MA 01805 4/30/2021 4/30/2022 RES Ind,VI KATIE O'CALLAGHAN IKENA ONCOLOGY 645 SUMMER STREET BOSTON MA 02210 3/10/2021 3/10/2022 RES VI GEORGE O'CONNOR BOSTON MEDICAL CENTER IDS 840 HARRISON AVE ME-B378 BOSTON MA 02118 11/25/2020 11/25/2021 RES Ind,VI PIERCEN OLIVER MICHAEL CLEAR SCIENTIFIC, INC 737 CONCORD AVENUE CAMBRIDGE MA 02138 11/18/2020 11/18/2021 RES I,II BJORN OLSEN HARVARD SCHOOL OF DENTAL MEDICINE DEPARTMENT OF RESEARCH 188 LONGWOOD AVE REB ROOM 408A BOSTON MA 02115 4/27/2021 4/27/2022 RES III,IV,VI LISA OLSON MAGENTA THERAPEUTICS 100 TECHNOLOGY SQUARE, 6TH FLOOR CAMBRIDGE MA 02139 9/22/2021 9/22/2022 RES VI WINNIE OOI LAHEY HOSPITAL & MEDICAL CENTER 41 MALL ROAD RESEARCH PHARMACY BURLINGTON MA 01805 5/23/2021 5/23/2022 RES Ind,VI THOMAS OPENSHAW H CAPE COD HOSPITAL DAVENPORT-MUGAR CANCER CENTER MEDICAL ONCOLOGY PHARMACY 27 PARK STREET HYANNIS MA 02601 9/1/2021 9/1/2022 RES Ind EBRU ORAL MASSACHUSETTS GENERAL HOSPITAL HARRIS ORTHOPAEDIC LABORATORY 55 FRUIT ST., GRJ 1231 BOSTON MA 02114 9/5/2021 9/5/2022 RES III,VI LAUREN OREFICE LYNN MASSACHUSETTES GENERAL HOSPITAL 185 CAMBRIDGE STREET, SIMCHES RESEARCH CEN DEPT OF MOLECULAR BIOLOGY, 6TH FL, BAY L2 BOSTON MA 02114 3/29/2021 3/29/2022 RES VI DENNIS ORGILL P. BRIGHAM & WOMEN'S HOSPITAL, TISSUE ENGINEERING & WOUND HEALING LABORATORY THORN BUILDING, 20 SHATTUCK ST., RM 15-34 BOSTON MA 02115 8/27/2021 8/27/2022 RES III,VI LAUREN OSHRY JEAN BOSTON MEDICAL CENTER INVESTIGATIONAL PHARMACY SERVICE 840 HARRISON AVE, ME-B378 BOSTON MA 02118 3/4/2021 3/4/2022 RES Ind PATRICK OTT ALEXANDER DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDNG Y537 450 BROOKLINE AVE BOSTON MA 02115 6/9/2021 6/9/2022 RES Ind,VI LEO OTTERBEIN EDMOND BETH ISRAEL DEACONESS MEDICAL CENTER CENTER FOR LIFE SCIENCES, SUITE 0603 3 BLACKFAN CIRCLE BOSTON MA 02215 11/13/2020 11/13/2021 RES III,VI MICHAEL OTTO B U CENTER FOR ANXIETY & RELATED DISORDERS 900 COMMONWEALTH AVE, 2ND FLR BOSTON MA 02215 10/30/2021 10/30/2022 RES VI MARGARET OWEGI A UMASS MEMORIAL MEDICAL CENTER IDS ACC BUILDING, AC6-201 55 LAKE AVE NORTH WORCESTER MA 01655 3/18/2021 3/18/2022 RES Ind CHARLES OZAKI K BRIGHAM AND WOMEN'S HOSPITAL DEPARMENT OF SURGERY, THORN BLDG, RM 1031 20 SHATTUCK STREET BOSTON MA 02115 6/14/2021 6/14/2022 RES Ind CHARLES OZAKI KEITH BRIGHAM & WOMEN'S HOSPITAL, SURGERY DEPT THORN BIOMEDICAL RESEARCH BLDG ROOM 1031, 20 SHATTUCK ST BOSTON MA 02115 3/26/2021 3/26/2022 RES II,III,IV,VI SABRINA PAGANONI MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET BOSTON MA 02114 12/16/2020 12/16/2021 RES Ind DAVID PAGE C. WHITEHEAD INSTITUTE FOR BIOMEDICAL RESEARCH 455 MAIN ST. CAMBRIDGE MA 02142 3/17/2021 3/17/2022 RES VI SHEREE PAGSUYOIN ANN PERRY HALL ROOM 202A UMASS LOWELL 1 UNIVERSITY AVE LOWELL MA 01854 3/15/2021 3/15/2022 RES I,II,III,IV LORI PAI TUFTS MEDICAL CENTER DEPARTMENT OF PHARMAC 800 WASHINGTON STREET BOX #420 BOSTON MA 02111 7/26/2021 7/26/2022 RES Ind,VI SARA PAI ISABEL MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET, GRJ-9-904G BOSTON MA 02114 12/17/2020 12/17/2021 RES VI SANGEETHA PALAKURTHI CHARLES RIVER CRADL FACILITY 100 BINNEY STREET, ROOM #5017 CAMBRIDGE MA 02142 4/25/2021 4/25/2022 RES III,VI SARAH PALLAS LYNN UNIVERSITY OF MASSACHUSETTS-AMHERST 418B MORRILL SCIENCE CENTER II, BIOLOGY DE 611 N. PLEASANT STREET AMHERST MA 01003 8/12/2021 8/12/2022 RES III,IV,VI MICHELLE PALUMBO L LURIE CENTER FOR AUTISM MASSACHUSETTS GENERAL HOSPITAL 1 MAGUIRE ROADM ROOM 158 LEXINGTON MA 02421 8/10/2021 8/10/2022 RES Ind,VI MICHELLE PALUMBO L MASSACHUSETTS GENERAL HOSPITAL LURIE CENTER FOR AUTISM 1 MAGUIRE ROAD, ROOM 158 LEXINGTON MA 02421 9/21/2021 9/21/2022 RES Ind,VI PRASAD PAMIDI V.A. INSTRUMENTATION LABORATORY RESEARCH AND DEVELOPMENT LABORATORY 180 HARTWELL ROAD BEDFORD MA 01730 6/25/2021 6/25/2022 RES II,III,IV NING PAN DECIBEL THERAPEUTICS 1325 BOYLSTON STREET, SUITE 500 BOSTON MA 02215 12/16/2020 12/16/2021 RES II,III,IV,VI ALEXANDER PANDA TUFTS MEDICAL CENTER DEPARTMENT OF PHARMA 800 WASHINGTON STREET, BOX #420 BOSTON MA 02111 4/12/2021 4/12/2022 RES Ind,VI ATHENA PAPAS TUFTS MEDICAL CENTER DEPARTMENT OF PHARMAC 800 WASHINGTON STREET BOX #420 BOSTON MA 02111 3/18/2021 3/18/2022 RES Ind,VI SUZANNE PARADIS BRANDEIS UNIVERSITY DEPT OF BIOLOGY, SHAPIRO SCIENCE CTR, 1-08 415 SOUTH STREET WALTHAM MA 02453 10/11/2021 10/11/2022 RES III,IV,VI SAREH PARANGI MASSACHUSETTS GENERAL HOSPITAL DEPARTMENT OF SURGERY, THIER 603 PARANGI L BOSTON MA 02114 3/18/2021 3/18/2022 RES III,VI LEELA PARIS VERTEX PHARMACEUTICALS 100 TECHNOLOGY SQUARE, 3RD FLOOR CAMBRIDGE MA 02139 10/14/2021 10/14/2022 RES VI JIN MO PARK CUTANEOUS BIOLOGY RESEARCH CENTER MASSACHUSETTS GENERAL HOSPITAL 149 THIRTEENTH ST. CHARLESTOWN MA 02129 6/26/2021 6/26/2022 RES III,VI JIN-AH PARK HARVARD T.H. CHAN SCHOOL OF PUBLIC HEALTH 665 HUNTINGTON AVE ROOM 306, BUILDING 1 BOSTON MA 02115 10/14/2020 10/14/2021 RES II,VI JONATHAN PARKS J MASSACHUSETTS GENERAL HOSPITAL CLINICAL TRIALS PHARMACY 55 FRUIT STREET BOSTON MA 02114 2/8/2021 2/8/2022 RES Ind CAROL PARONIS A. MCLEAN HOSPITAL, OAKS BUILDING ROOM 212, 115 MILL STREET BELMONT MA 02478 3/5/2021 3/5/2022 RES I,II,III,IV,V SILVIA PASINI VIVARIUM AT SMART LABS 301 BINNEY STREET CAMBRIDGE MA 02142 9/15/2021 9/15/2022 RES II,VI

Page 53 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

JAYMIN PATEL BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS, SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 8/30/2021 8/30/2022 RES Ind RANDALL PELLISH LAHEY HOSPITAL & MEDICAL CENTER 41 MALL ROAD, RESEARCH PHARMACY BURLINGTON MA 01805 6/15/2021 6/15/2022 RES Ind,VI MARIANA PEREIRA ARBOLEYA UMASS AMHERST DEPT OF PSYCOLOGICAL & BRAIN SCIENCES 639 N. PLEASANT ST, N214 MORRILL SCIENCE C AMHERST MA 01003 6/15/2021 6/15/2022 RES II,III MYLENE PERREAULT SYNLOGIC, R & D 301 BINNEY ST., SUITE 402 CAMBRIDGE MA 02142 5/3/2021 5/3/2022 RES III,VI MARK PERRELLA A. BRIGHAM & WOMEN'S HOSPITAL PULMONARY & CRITICAL CARE MEDICINE 75 FRANCIS ST THORN BLDG 10TH FL BOSTON MA 02115 6/15/2021 6/15/2022 RES II,III,VI STEVEN PERRIN N. ALS THERAPY DEVELOPMENT INSTITUTE 480 ARSENAL STREET, SUITE 201 WATERTOWN MA 02472 5/2/2021 5/2/2022 RES Ind,III,VI RONALD PERRONE TUFTS MEDICAL CENTER DEPT OF PHARMACY 800 WASHINGTON STREET BOX #420 BOSTON MA 02111 6/24/2021 6/24/2022 RES Ind PIERPAOLO PERUZZI MASS GENERAL BRIGHAM 60 FENWOOD ROAD, 8012 BOSTON MA 02115 9/20/2021 9/20/2022 RES Ind,I,II,III,IV,V,VI MARY LINTON PETERS BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS, SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 8/25/2021 8/25/2022 RES Ind GORICA PETROVICH D. BOSTON COLLEGE, PSYCHOLOGY DEPT 1911 HIGGINS HALL 140 COMMONWEALTH AVENUE CHESTNUT HILL MA 02467-3807 7/24/2021 7/24/2022 RES II,III,VI JOHN PEZARIS S. MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET THIER BUILDING ROOM 425 BOSTON MA 02114 3/21/2021 3/21/2022 RES II,III,IV,VI HAU PHAM BOSTON MEDICAL CENTER INVESTIGATIONAL DRUG PHARMACY 840 HARRISON AVE, ME-B378 BOSTON MA 02118 8/9/2021 8/9/2022 RES II,III,IV,V,VI QUYNH PHAM ARSENAL MEDICAL, INC 100 BEAVER STREET WALTHAM MA 02472 12/9/2020 12/9/2021 RES VI HYUNJAE PI BRANDEIS UNIVERSITY, BIOLOGY DEPT VOLEN BLDG, ROOM 350 415 SOUTH STREET WALTHAM MA 02453 3/11/2021 3/11/2022 RES III,VI GREGORY PIAZZA BRIGHAM AND WOMEN'S HOSPITAL INVESTIGATIONAL DRUG SERVICE (IDS) PHARMAC 75 FRANCIS STREET BOSTON MA 02115 3/3/2021 3/3/2022 RES Ind GERALD PIER BRYAN BRIGHAM & WOMEN'S HOSPITAL DIVISION OF INFECTIOUS DISEASES 181 LONGWOOD AVENUE BOSTON MA 02115 11/14/2020 11/14/2021 RES II,III,IV,VI ERIC PIERCE ADAM MASSACHUSETTS EYE AND EAR 243 CHARLES STREET BOSTON MA 02114 8/12/2021 8/12/2022 RES Ind,II,III,VI SHIV PILLAI SUBRAMANIAM THE RAGON INSTITUTE OF MGH, MIT AND HARVAR 400 TECHNOLOGY SQU,, ROOM 830 CAMBRIDGE MA 02139 11/30/2020 11/30/2021 RES III,VI JAN PINKAS MAGENTA THERAPEUTICS 100 TECHNOLOGY SQUARE, 6TH FLOOR CAMBRIDGE MA 02139 7/29/2021 7/29/2022 RES VI DUANE PINTO SIDNEY BETH ISRAEL DEACONESS MEDICAL CENTER WEST CAMPUS RESEARCH PHARMACY-RBB11 ONE DEACONESS ROAD BOSTON MA 02215 2/26/2021 2/26/2022 RES Ind PAUL PIRRAGLIA A BAYSTATE MEDICAL CENTER INVESTIGATIONAL DRUG PHARMACY ROOM HS4541 759 CHESTNUT STREET SPRINGFIELD MA 01199 3/22/2021 3/22/2022 RES VI ANDREW PLACE E DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDNG Y537 450 BROOKLINE AVE BOSTON MA 02115 6/9/2021 6/9/2022 RES Ind,VI BENJAMIN PLESS CUMMINGS SCHOOL OF VETERINARY MEDICINE TUFTS UNIVERSITY 200 WESTBORO RD, BLDG 22, ROOM 122B NORTH GRAFTON MA 01536 1/8/2021 1/8/2022 RES II JOSEPH POCHER N. MCLEAN HOSPITAL 115 MILL STREET BELMONT MA 02478 12/27/2020 12/27/2021 RES II,III,IV,VI YEH-CHUIN POH BEAM THERAPEUTICS 26 LANDSDOWNE STREET, 2ND FLOOR CAMBRIDGE MA 02139 5/7/2021 5/7/2022 RES VI LUMINITA POJOGA BRIGHAM AND WOMEN'S HOSPITAL ENDOCRINE DIVISION 221 LONGWOOD AVENUE BOSTON MA 02115 1/2/2021 1/2/2022 RES III,VI JESSICA POLLARD DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDNG Y537 450 BROOKLINE AVE BOSTON MA 02115 6/9/2021 6/9/2022 RES Ind,VI RICHARD POLLARD JOHN BETH ISRAEL DEACONESS MEDICAL CENTER WEST CAMPUS RESEARCH PHARMACY-RBB11 ONE DEACONESS ROAD BOSTON MA 02215 3/3/2021 3/3/2022 RES VI SCOTT POMEROY L. CHILDREN'S HOSPITAL DEPARTMENT OF NEUROLOGY 300 LONGWOOD AVE, LO 450 BOSTON MA 02115 4/18/2021 4/18/2022 RES Ind VELJKO POPOV LAHEY HOSPITAL AND MEDICAL CENTER 41 MALL ROAD BURLINGTON MA 01805 2/14/2021 2/14/2022 RES II,III,IV,VI YURY POPOV BETH ISRAEL DEACONESS MEDICAL CENTER DEPT OF GASTROENTEROLOGY, DANA 613 330 BROOKLINE AVENUE BOSTON MA 02215 2/12/2021 2/12/2022 RES III,VI MARTINA PORTER JL BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS, SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 2/8/2021 2/8/2022 RES Ind REBECCA PORTER LYNN DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDNG Y537 450 BROOKLINE AVE BOSTON MA 02115 6/9/2021 6/9/2022 RES Ind,VI MICHELLE POTTER CATHRIONA SANOFI US IVRC 640 MEMORIAL DRIVE CAMBRIDGE MA 02139 1/20/2021 1/20/2022 RES II,III,IV,V,VI MICHELLE POTTER CATHRIONA SANOFI US IVRC 78 NEW YORK AVE FRAMINGHAM MA 01701 1/20/2021 1/20/2022 RES II,III,IV,V,VI OLIVIER POURQUIE BRIGHAM AND WOMEN'S HOSPITAL POURQUIE LAB - DEPARTMENT OF PATHOLOGY 60 FENWOOD ROADBTM-8-8032 BOSTON MA 02115 3/14/2021 3/14/2022 RES III,VI MARK POZNANSKY COLEMAN MASSACHUSETTS GENERAL HOSPITAL (EAST) BLDG 149, 13TH STREET CHARLESTOWN MA 02129 7/14/2021 7/14/2022 RES III,VI DANIEL PRESS ZVI BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS, SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 12/30/2020 12/30/2021 RES Ind IOANA PRESTON R TUFTS MEDICAL CENTER DEPARTMENT OF PHARMAC 800 WASHINGTON STREET BOX #420 BOSTON MA 02111 6/24/2021 6/24/2022 RES Ind,VI MARK PRESTON ARTHUR DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDG Y537 450 BROOKLINE AVE BOSTON MA 02115 9/8/2021 9/8/2022 RES Ind,VI CARMEN PRIOLO BRIGHAM AND WOMEN'S HOSPITAL 20 SHATTUCK STREET BOSTON MA 02115 4/26/2021 4/26/2022 RES VI KATHLEEN PRITCHETT-CORNING R HARVARD UNIVERSITY DIVISION OF SCIENCE 52 OXFORD STREET CAMBRIDGE MA 02138 10/27/2020 10/27/2021 RES II,III,IV,V,VI CLAUDIO PUNZO UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL 55 N. LAKE AVE, 53-215 WORCESTER MA 01655 2/24/2021 2/24/2022 RES III,VI ANTHONY PUOPOLO D 488 BOSTON POST ROAD (EAST) MARLBOROUGH MA 01752 6/6/2021 6/6/2022 RES Ind CHARLES PURDUE NOVARTIS INSTITUTES FOR BIOMEDICAL RESEARC 100 TECHNOLOGY SQUARE, ROOM 8214 CAMBRIDGE MA 02139 8/3/2021 8/3/2022 RES II,III,IV,V,VI CHARLES PURDUE NOVARTIS INSTITUTES FOR BIOMEDICAL RESEARC 22 WINDSOR STREET CAMBRIDGE MA 02139 9/16/2021 9/16/2022 RES II,III,IV,V,VI CHARLES PURDUE NOVARTIS INSTITUTES FOR BIOMEDICAL RESEARC 250 MASSACHUSETTS AVE CAMBRIDGE MA 02139 8/3/2021 8/3/2022 RES II,III,IV,V,VI CHARLES JOHN PURDUE NOVARTIS INSTITUTES FOR BIOMEDICAL RESEARC 181 MASSACHUSETTS AVE, ROOM ID-405 CAMBRIDGE MA 02139 11/25/2020 11/25/2021 RES II,III,IV,V,VI CHARLES JOHN PURDUE NOVARTIS INSTITUTES FOR BIOMEDICAL RESEARC 700 MAIN STREET, ROOM 125A CAMBRIDGE MA 02139 11/25/2020 11/25/2021 RES II,III,IV,V,VI AJIT PURI SINGH UMASS MEMORIAL MEDICAL CENTER DEPT. RADIOLOGY-NEUROINTERVENTIONAL ANGIOS 55 LAKE AVENUE NORTH WORCESTER MA 01655 5/19/2021 5/19/2022 RES Ind FRANCISCO QUINTANA JAVIER ANN ROMNEY CENTER FOR NEUROLOGIC DISEASES BRIGHAM AND WOMEN'S HOSPITAL 60 FENWOOD ROAD, 10TH FLR, RM 10032 BOSTON MA 02115 2/2/2021 2/2/2022 RES III,VI

Page 54 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

SADEQ QURAISHI TUFTS MEDICAL CENTER DEPARTMENT OF PHARMACY 800 WASHINGTON STREET, BOX #420 BOSTON MA 02111 8/23/2021 8/23/2022 RES Ind,II,III,IV,VI ARKADIUZ RACZYNSKI VERTEX PHARMACEUTICALS INCORPORATED 50 NORTHERN AVENUE BOSTON MA 02210 1/11/2021 1/11/2022 RES VI JEFFREY RADE JAMES UMASS MEMORIAL MEDICAL CENTER, UNIVERSITY IDS, AMBULATORY CARE CENTER, ROOM AC6-201 55 LAKE AVENUE NORTH WORCESTER MA 01655 10/7/2021 10/7/2022 RES Ind OSAMA RAHMA DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDNG Y537 450 BROOKLINE AVE BOSTON MA 02115 6/9/2021 6/9/2022 RES Ind,VI LAURENCE RAHME G. MASSACHUSETTS GENERAL HOSPITAL 340 THIER RESEARCH BUILDING 50 BLOSSOM STREET BOSTON MA 02114 5/8/2021 5/8/2022 RES III,VI JAYARAJ RAJAGOPAL MASS. GENERAL HOSPITAL, RAJAGOPAL LAB CENTER FOR REGENERATIVE MEDICINE 185 CAMBRIDGE STREET, CPZN 4500 BOSTON MA 02114 4/27/2021 4/27/2022 RES III SB RAJUR CREAGEN BIOSCIENCES INC 299 WASHINGTON STREET UNIT A WOBURN MA 01801 7/19/2021 7/19/2022 RES II,III,IV VETRIVELAN RAMALINGAM BETH ISRAEL DEACONESS MEDICAL CENTER DEPT OF NEUROLOGY, 3 BLACKFAN CIRCLE CENTER FOR LIFE SCIENCE #717 BOSTON MA 02215 2/28/2021 2/28/2022 RES II,III,IV,VI MUTHALAGU RAMANATHAN UMASS MEMORIAL MEDICAL CENTER, IDSP ROOM AC6-058 55 LAKE AVE NORTH WORCESTER MA 01655 7/15/2021 7/15/2022 RES Ind CHARLES RAMSBURG ANDREW TUFTS UNIVERSITY, DEPARTMENT OF CIVIL & ENVIRONMENTAL ENGINEERING ANDERSON HALL, 200 COLLEGE AVENUE MEDFORD MA 02155 2/27/2021 2/27/2022 RES IV,VI CHONGZHAO RAN MASSACHUSETTS GENERAL HOSPITAL DEPARTMENT OF RADIOLOGY, BLDG #75, RM #142 13TH STREET CHARLESTOWN MA 02129 4/26/2021 4/26/2022 RES III,VI DEEPA RANGACHARI BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 9/3/2021 9/3/2022 RES Ind ANN RANGER MARIE SOTIO, LLC 200 CAMBRIDGE PARK DRIVE CAMBRIDGE MA 02140 12/28/2020 12/28/2021 RES Ind,VI SUDHIR RANJAN EAGLE PHARMACEUTICALS, INC 47 MOULTON STREET CAMBRIDGE MA 02139 12/11/2020 12/11/2021 RES VI SIYUAN RAO LIFE SCIENCE LABORATORIES ROOM S660L, 240 THATCHER ROAD AMHERST MA 01003 2/17/2021 2/17/2022 RES II,III ANN RASMUSSON M BOSTON MEDICAL CENTER INVESTIGATIONAL DRUG PHARMACY 840 HARRISON AVE, ME-B378 BOSTON MA 02118 1/27/2021 1/27/2022 RES Ind JAMES RATHMELL P BWH, ANESTHESIOLOGY PERIOPERATIVE & PAIN MED (IDS) PHARMACY 75 FRANCIS STREET BOSTON MA 02115 11/17/2020 11/17/2021 RES Ind,II,III,VI DANIEL RAUCH TUFTS MEDICAL CENTER DEPARTMENT OF PHARMACY 800 WASHINGTON STREET, BOX #420 BOSTON MA 02111 3/10/2021 3/10/2022 RES Ind,VI CHANDRAJIT RAUT PREMANAND BRIGHAM AND WOMEN'S HOSPITAL DEPT OF SURGERY, THORN BLDG, ROOM 1133 20 SHATTUCK ST. BOSTON MA 02115 3/6/2021 3/6/2022 RES II,III,VI DAVID REIF ASTRAZENECA PHARMACEUTICALS 35 GATEHOUSE DRIVE WALTHAM MA 02451 5/5/2021 5/5/2022 RES II,III,IV,V,VI WILLIAM RENTHAL BRIGHAM AND WOMEN'S HOSPITAL NEUROLOGY DEPARTMENT 60 FENWOOD ROAD, #7006 BOSTON MA 02115 7/6/2021 7/6/2022 RES III,IV BARBARA RESSLER GRACE HAMER MUSTANG BIO, INC PROCESS DEVELOPMENT 377 PLANTATION STREET WORCESTER MA 01605 4/28/2021 4/28/2022 RES Ind,VI LAWRENCE RHEIN UMASS MEMORIAL MEDICAL CENTER RESEARCH DEPARTMENT 55 LAKE AVE NORTH WORCESTER MA 06105 12/30/2020 12/30/2021 RES Ind SCOTT RIBICH ANTON ACCENT THERAPEUTICS 3RD FLOOR, MAIN LAB (ROOM #65S-3634/3649) 65 HAYDEN AVE LEXINGTON MA 02421 12/7/2020 12/7/2021 RES VI HEATHER RICHARDSON N. UNIVERSITY OF MASS AMHERST DEPT OF PSYCHOLOGY & BRAIN SCIENCES TOBIN HALL 449, 135 HICKS WAY AMHERST MA 01003 10/1/2020 10/1/2021 RES II,III PAUL RICHARDSON G DANA-FARBER CANCER INSTITUTE 450 BROOKLINE AVE RESEARCH PHARMACY, Y537 BOSTON MA 02215 3/15/2021 3/15/2022 RES VI ROBERT RICHMOND IAN UMASS MEMORIAL MEDICAL CENTER IDS ACC BUILDING, AC6-201 55 LAKE AVENUE NORTH WORCESTER MA 01655 2/3/2021 2/3/2022 RES Ind LEONARDO RIELLA MASSACHUSETTS GENERAL HOSPITAL CENTER FOR TRANSPLANTATION SCIENCES 149 13TH STREET, ROOM 5101 CHARLESTOWN MA 02129 8/22/2021 8/22/2022 RES III,VI STEVEN RIESINGER WAYNE MEDCHEM PARTNERS LLC 99 HAYDEN AVENUE, SUITE 210 LEXINGTON MA 02180 3/5/2021 3/5/2022 RES II SUSAN RITTLING FORSYTH INSTITUTE 245 FIRST STREET CAMBRIDGE MA 02142 11/23/2020 11/23/2021 RES II,III,VI JAIME RIVERA-PEREZ ANTONIO UNIVERSITY OF MASS. MEDICAL SCHOOL 55 LAKE AVENUE NORTH, ROOM S6-138 WORCESTER MA 01655 2/15/2021 2/15/2022 RES III,VI PAUL RIZZOLI BRIGHAM AND WOMEN'S/FAULKNER HOSPITAL 1153 CENTRE STREET, SUITE 4H BOSTON MA 02130 10/14/2020 10/14/2021 RES Ind JESSE ROBERTS DAVID JR MASS GENERAL HOSPITAL - EAST CARDIOVASCULAR RESEARCH CENTER 149 13TH ST. CHARLESTOWN MA 02129 4/13/2021 4/13/2022 RES II SHIVON ROBINSON APRIL WILLIAMS COLLEGE MORLEY SCIENCE CENTER 31 MORLEY DR., ROOM 056-B WILLIAMSTOWN MA 01267 8/30/2021 8/30/2022 RES II,III,IV,VI SIMON ROBSON C PURINOMIA BIOTECH 2 GILL STREET, SUITE E WOBURN MA 01801 4/9/2021 4/9/2022 RES III,VI SIMON ROBSON C. BETH ISRAEL DEACONESS MEDICAL CENTER 3 BLACKFAN CIRCLE CLS 612 BOSTON MA 02215 8/20/2021 8/20/2022 RES II,III,IV,V,VI KENNETH ROCK L. UMASS MEDICAL SCHOOL 368 PLANTATION STREET WORCESTER MA 01605 5/28/2021 5/28/2022 RES II,III MARIANELI RODRIGUEZ VITREO-RETINAL ASSOCIATES 67 BELMONT STREET WORCESTER MA 01605 3/15/2021 3/15/2022 RES Ind JOSANNA RODRIGUEZ-LOPEZ MGH CLINICAL TRIALS PHARMACY 55 FRUIT STREET BOSTON MA 02114 5/19/2021 5/19/2022 RES Ind WALTER ROK J PEDIATRIC ASSOCIATES OF FALL RIVER 851 MIDDLE ST FALL RIVER MA 02721-1735 2/27/2021 2/27/2022 RES Ind HERMINIA ROSAS MASSACHUSETTS GENERAL HOSPITAL CLINICAL TRIALS PHARMACY 55 FRUIT STREET BOSTON MA 02114 2/10/2022 2/10/2023 RES Ind SYLVIA ROSAS JOSLIN DIABETES CENTER 1 JOSLIN PLACE BOSTON MA 02115 2/3/2021 2/3/2022 RES Ind EVAN ROSEN DAVID BETH ISRAEL DEACONESS MEDICAL CENTER DIVISION OF ENDOCRINOLOGY CLS 728 3 BLACKFAN CIRCLE BOSTON MA 02215 5/23/2021 5/23/2022 RES III,VI ERIC ROSENTHAL SCOTT MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET RESEARCH PHARMACY BOSTON MA 02114 7/21/2021 7/21/2022 RES Ind ANTHONY ROSENZWEIG MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET SIMCHES RESEARCH BUILDING-3 BOSTON MA 02114 12/30/2020 12/30/2021 RES III,VI DAVID ROSMARIN TUFTS MEDICAL CENTER DEPT OF PHARMACY 800 WASHINGTON STREET BOX #420 BOSTON MA 02111 8/2/2021 8/2/2022 RES Ind ANTHONY ROTHSCHILD JOSEPH UMASS MEMORIAL MEDICAL CENTER UMASS MEDICAL SCHOOL 55 LAKE AVE WORCESTER MA 01655 6/18/2021 6/18/2022 RES Ind ROBERT ROTHSTEIN BAYSTATE MEDICAL CENTER BAYSTATE INPATIENT PHARMACY 759 CHESTNUT STREET SPRINGFIELD MA 01199 3/18/2021 3/18/2022 RES III ETHAN ROWIN TUFTS MEDICAL CENTER DEPARTMENT OF PHARMACY 800 WASHINGTON STREET, BOX #420 BOSTON MA 02111 7/21/2021 7/21/2022 RES Ind,VI JOHN ROYER C. DSM NUTRITIONAL PRODUCTS 60 WESTVIEW STREET LEXINGTON MA 02421 1/12/2021 1/12/2022 RES VI WANIDA RUANGSIRILUK TAKEDA PHARMACEUTICAL COMPANY LIMITED 125 BINNEY STREET CAMBRIDGE MA 02142 6/21/2021 6/21/2022 RES IV

Page 55 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

FREDERICK RUBERG LIEF BOSTON MEDICAL CENTER MENINO/RADIOLOGY/NUCLEAR MEDICINE/ME1732 840 HARRISON AVE BOSTON MA 02118 3/15/2021 3/15/2022 RES Ind ERIC RUBIN JOSEPH HARVARD TH CHAN SCHOOL OF PUBLIC HEALTH 665 HUNTINGTON AVE, SPH1-903 BOSTON MA 02115 9/29/2021 9/29/2022 RES II,III,VI CHRISTINA RUDZINSKI MARIE MIT LINCOLN LABORATORY 244 WOOD ST., ROOM L-020 LEXINGTON MA 02420 2/10/2021 2/10/2022 RES II EMILY RUIZ STAMELL DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDG Y537 450 BROOKLINE AVE BOSTON MA 02115 9/8/2021 9/8/2022 RES Ind,I,II,III,IV,V,VI KATHERINE RUIZ DE LUZURIAGA UMASS MEMORIAL MEDICAL CENTER IDS ACC BUILDING, AC5-201 55 LAKE AVENUE NORTH WORCESTER MA 01655 7/12/2021 7/12/2022 RES Ind COURTNEY RUSSELL MARIE RAPID MICRO BIOSYSTEMS 1001 PAWTUCKET BLVE LOWELL MA 01854 6/30/2021 6/30/2022 RES VI STEVEN RUSSELL JON MGH DIABETES RESEARCH CENTER 50 STANIFORD STREET, 3RD FLOOR, SUITE 301 BOSTON MA 02114 7/29/2021 7/29/2022 RES VI SEWARD RUTKOVE B BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY 330 BROOKLINE AVE, SL-OB07 BOSTON MA 02215 12/16/2021 12/16/2022 RES Ind DANIEL RUTRICK ADAMS CLINICAL 521 MOUNT AUBURN STREET SUITES 107, 109, 203, 209 WATERTOWN MA 02472 7/2/2021 7/2/2022 RES Ind,II,III,IV,V,VI DANIEL RUTRICK COPLEY CLINICAL 160 COMMONWEALTH AVE, SUITE L1D BOSTON MA 02116 11/25/2020 11/25/2021 RES Ind,II,III,IV,V,VI DAVID RYAN K UNIVERISTY OF MASSACHUSETTS LOWELL DEPT OF CHEMISTRY 256 RIVERSIDE ST., OLNEY HALL 313 LOWELL MA 01854 10/29/2021 10/29/2022 RES I,II DAVID RYAN P. MASSACHUSETTS GENERAL HOSPITAL HEMATOLOGY/ONCOLOGY UNIT 32 & 55 FRUIT STREET BOSTON MA 02114 12/11/2020 12/11/2021 RES Ind EDWARD RYAN THOMAS MASSACHUSETTS GENERAL HOSPITAL DIVISION OF INFECTIOUS DISEASES JACKSON 511, 55 FRUIT STREET BOSTON MA 02114 8/27/2021 8/27/2022 RES II,III,VI DAVID SABATINI M WHITEHEAD INSTITUTE FOR BIOMEDICAL RESEARC 455 MAIN ST., SABATINI LAB CAMBRIDGE MA 02142-1479 1/11/2021 1/11/2022 RES III,VI MARWA SABE A BETH ISRAEL DEACONESS MEDICAL CENTER WEST CAMPUS RESEARCH PHARMACY-RBB11 ONE DEACONESS ROAD BOSTON MA 02215 8/10/2021 8/10/2022 RES Ind VISHAKHA SABHARWAL BOSTON MEDICAL CENTER INVESTIGATIONAL PHARMACY SERVICE 840 HARRISON AVE, ME-B378 BOSTON MA 02118 3/18/2021 3/18/2022 RES Ind HAJIRAH SAEED JOHNSON COMPOUNDING AND WELLNESS 577 MAIN STREET WALTHAM MA 02452 2/17/2021 2/17/2022 RES VI HAJIRAH SAEED MASSACHUSETTS EYE AND EAR INFIRMARY CORNEA DIVISION 243 CHARLES STREET BOSTON MA 02114 2/17/2021 2/17/2022 RES VI NIMA SAEIDI SHRINERS HOSPITAL 51 BLOSSOM STREET- ROOM 207 BOSTON MA 02114 3/1/2021 3/1/2022 RES III,VI JEFFREY SAFFITZ E DBA BETH ISRAEL DEACONESS MEDICAL CENTER HOSPITAL - RESEARCH PHARMACY 330 BROOKLINE AVE BOSTON MA 02215 10/22/2020 10/22/2021 RES Ind,IV,V,VI PETER SAGE T BRIGHAM AND WOMEN'S HOSPITAL 221 LONGWOOD AVE, EBRC 318 BOSTON MA 02115 9/23/2021 9/23/2022 RES VI ZACHARY SAGER DANA FARBER CANCER INSTITUTE 125 WINTER STREET LINCOLN MA 01773 7/12/2021 7/12/2022 RES Ind,I AMAR SAHAY MASS. GENERAL HOSPITAL, SAHAY LAB CENTER FOR REGENERATIVE MEDICINE 185 CAMBRIDGE STREET, CPZN 4400 BOSTON MA 02114 5/16/2021 5/16/2022 RES III,VI SAVA SAKADZIC MARTINOS CENTER BLDG 149, 13TH STREET, 2ND FLOOR,ROOM 2253 CHARLESTOWN MA 02129 8/28/2021 8/28/2022 RES III,VI JOCHEN SALFELD G ABBVIE BIORESEARCH CENTER, INC. 100 RESEARCH DRIVE WORCESTER MA 01605 7/11/2021 7/11/2022 RES II,III,IV,V,VI KAREN SALOMON-ESCOTO UMASS MEMORIAL MEDICAL CENTER PHARMACY/INVESTIGATIONAL DRUG 119 BELMONT STREET WORCESTER, MA 01605 10/18/2020 10/18/2021 RES Ind CONNIE SANCHEZ MORILLO ALKERMES INC 852 WINTER STREET WALTHAM MA 02451 1/30/2021 1/30/2022 RES I,II,III,IV,V,VI VAISHALI SANCHORAWALA BOSTON MEDICAL CENTER INVESTIGATIONAL PHARMACY SERVICE 840 HARRISON AVE, ME-B378 BOSTON MA 02118 3/4/2021 3/4/2022 RES Ind,VI ALFRED SANDROCK W BIOGEN 115 BROADWAY STREET ROOM B41A CAMBRIDGE MA 02142 1/15/2021 1/15/2022 RES II,III,IV,V,VI ALFRED SANDROCK W BIOGEN, 125 BROADWAY STREET ROOM BN20 CAMBRIDGE MA 02142 1/15/2021 1/15/2022 RES II,III,IV,V,VI GINA SAVASTANO MARIE MERCK SHARP & DOHME, CORP 33 AVENUE LOUIS PASTEUR BOSTON MA 02115 11/8/2020 11/8/2021 RES II,III,IV,V,VI AMARPREET SAWHNEY INSTYLLA INC 201 BURLINGTON ROAD, NORTH BUILDING BEDFORD MA 01730 4/26/2021 4/26/2022 RES VI DAVID SCADDEN THOMAS MASSACHUSETTS GENERAL HOSPITAL CENTER FOR REGENERATIVE MEDICINE 185 CAMBRIDGE STREET, SUITE 4400 BOSTON MA 02114 12/30/2020 12/30/2021 RES III,VI THOMAS SCAMMELL EMERY BETH ISRAEL DEACONESS MEDICAL CENTER CENTER FOR LIFE SCIENCE 3 BLACKFAN CIRCLE, ROOM 717 BOSTON MA 02215 12/19/2020 12/19/2021 RES III,VI DAVIDA SCHIFF M MASSACHUSETTS GENERAL HOSPITAL CLINICAL TRIALS PHARMACY 55 FRUIT STREET, GRAY BIGELOW BASEMENT BOSTON MA 02114 4/28/2021 4/28/2022 RES Ind,III DANIEL SCHMIDT KOCH INSTITUTE/MIT 500 MAIN ST., BLDG 76 ROOM 511 CAMBRIDGE MA 02142 10/18/2021 10/18/2022 RES III MICHAELA SCHMULL HARVARD UNIVERSITY HERBARIA 22 DIVINITY AVENUE, ROOM B1 IN HUH BLDG CAMBRIDGE MA 02138 3/21/2021 3/21/2022 RES I,II,IV CHRYSALYNE SCHMULTS DELLING DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDG Y537 450 BROOKLINE AVE BOSTON MA 02115 9/8/2021 9/8/2022 RES Ind,VI JOHN SCHORGE O TUFTS MEDICAL CENTER DEPARTMENT OF PHARMAC 800 WASHINGTON STREET BOX #420 BOSTON MA 02111 3/18/2021 3/18/2022 RES Ind,VI HARRY SCHRAGER MARK NEWTON WELLESLEY HOSPITAL 2014 WASHINGTON MAIN PHARMACY NEWTON MA 025462 5/14/2021 5/14/2022 RES Ind,VI WILLIAM SCHROEDER GINKO BIOWORKS 27 DRYDOCK AVE, 8TH FLOOR BOSTON MA 02210 2/10/2021 2/10/2022 RES I,II JAN SCHUEMANN PATRICK OSCAR MASSACHUSETTS GENERAL HOSPITAL COX 7 RESEARCH, RM.708 100 BLOSSOM ST. BOSTON MA 02114 3/18/2021 3/18/2022 RES II,III,VI SOL SCHULMAN BETH ISRAEL DEACONESS MEDICAL CENTER DEPT OF MEDICINE, CTR FOR LIFE SCIENCES, 3 BLACKFAN CIRCLE, ROOM 925A BOSTON MA 02215 9/9/2021 9/9/2022 RES II,III,VI JARED SCHWARTZER MOUNT HOLYOKE COLLEGE PSYCHOLOGY AND EDUCATION DEPARTMENT 50 COLLEGE STREET SOUTH HADLEY MA 01075 10/17/2021 10/17/2022 RES II,III,VI BRIAN SEED SARSFIELD MASSACHUSETTS GENERAL HOSPITAL CTR FOR COMPUTATIONAL & INTEGRATIVE BIOLOG 185 CAMBRIDGE ST. CPZN 7106 BOSTON MA 02114 4/28/2021 4/28/2022 RES VI CHRISTINE SEIDMAN BRIGHAM & WOMEN'S HOSPITAL AT HARVARD MEDICAL SCHOOL DEPT OF GENETICS & MEDICINE 77 AVE. LOUIS PASTEUR, NRB RM 256 BOSTON MA 02115 11/5/2020 11/5/2021 RES II,III,IV HARRY SELKER P TUFTS MEDICAL CENTER DEPARTMENT OF PHARMAC 800 WASHINGTON STREET, BOX #420 BOSTON MA 02111 9/21/2021 9/21/2022 RES Ind,VI DENNIS SELKOE J. ANN ROMNEY CENTER FOR NEUROLOGICAL DISEASE 60 FENWOOD RD 10TH FLOOR BOSTON MA 02115 9/13/2021 9/13/2022 RES II,III,VI MARCUS SEMEL E BRIGHAM AND WOMEN'S HOSPITAL INVESTIGATIONAL DRUG SERVICE (IDS) PHARMAC 75 FRANCIS STREET BOSTON MA 02115 6/14/2021 6/14/2022 RES Ind STEPHANIE SEMINARA BETH MASSACHUSETTS GENERAL HOSPITAL, CLINICAL T GRAY BIGALOW BASEMENT ROOM 005 55 FRUIT STREET BOSTON MA 02114 3/21/2021 3/21/2022 RES Ind,III,VI MARCUS SEMONES WAVEGUIDE CORPORATION 135 BEAVER STREET, SUITE 310 WALTHAM MA 02452 4/9/2021 4/9/2022 RES I,VI

Page 56 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

SONIA SENG M SOUTHCOAST HOSPITAL GROUP SOUTHCOAST CENTERS FOR CANCER CARE 206 MILL ROAD-ONCOLOGY CENTER FAIRHAVEN MA 02719 1/11/2021 1/11/2022 RES Ind,VI SONIA SENG M SOUTHCOAST HOSPITAL GROUP SOUTHCOAST CENTERS FOR CANCER CARE 363 HIGHLAND AVE - ONCOLOGY CENTER FALL RIVER MA 02720 1/11/2021 1/11/2022 RES Ind,VI CHARLES SERHAN N. BRIGHAM & WOMEN'S HOSPITAL, ANESTHESIA CTR FOR EXPERIMENTAL & THERAPEUTICS & REPE 60 FENWOOD ROAD, ROOM 3012 BOSTON MA 02115 8/10/2021 8/10/2022 RES II,III,VI SHAHZAD SHAEFI BETH ISRAEL DEACONESS MEDICAL CENTER CLS 617 3 BLACKFAN CIRCLE BOSTON MA 02215 11/9/2020 11/9/2021 RES III,VI MOUHSIN SHAFI BETH ISRAEL RESEARCH PHARMACY, SLB-07 330 BROOKLINE AVE BOSTON MA 02215 4/8/2021 4/8/2022 RES VI MOUHSIN SHAFI JOHNSON COMPOUNDING AND WELLNESS 577 MAIN STREET WALTHAM MA 02452 8/26/2021 8/26/2022 RES VI KHALID SHAH BRIGHAM AND WOMEN'S HOSPITAL 60 FENWOOD ROAD, HBTM, 8TH FLR, ROOM 8022 BOSTON MA 02115 12/27/2020 12/27/2021 RES III,VI SACHIN SHAH LAHEY HOSPITAL & MEDICAL CENTER 41 MALL ROAD RESEARCH PHARMACY BURLINGTON MA 01805 11/25/2020 11/25/2021 RES Ind,VI TISHI SHAH TUFTS MEDICAL CENTER DEPARTMENT OF PHARMAC 800 WASHINGTON STREET BOX #420 BOSTON MA 02111 7/20/2021 7/20/2022 RES Ind GEOFFREY SHAPIRO I DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDNG Y537 450 BROOKLINE AVE BOSTON MA 02115 6/9/2021 6/9/2022 RES Ind,VI ARLENE SHARPE H. HARVARD MEDICAL SCHOOL DEPARTMENT OF IMMUNOLOGY 77 AVENUE LOUIS PASTEUR, NRB 0003PR BOSTON MA 02115 8/1/2021 8/1/2022 RES III,VI MARC SHAY A ACTIVMED PRACTICES & RESEARCH, INC. C/O NEW ENGLAND NEUROLOGICAL ASSOC, P.C. 354 MERRIMACK STREET, RIVERWALK LAWRENCE MA 01843 10/10/2021 10/10/2022 RES Ind,V MEGHAN SHEA BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS, SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 8/30/2021 8/30/2022 RES Ind VOLNEY SHEEN BETH ISRAEL DEACONESS MEDICAL CENTER DEPARTMENT OF NEUROLOGY CLS 6TH FLOOR, ROOM 864C, 3 BLACKFAN CIRCL BOSTON MA 02115 5/2/2021 5/2/2022 RES III,VI AMJAD SHEHADAH BETH ISRAEL DEACONESS MEDICAL CENTER DEPT OF NEUROLOGY 330 BROOKLINE AVE, CLS-630A BOSTON MA 02115 6/20/2021 6/20/2022 RES III JIE SHEN BRIGHAM & WOMEN'S HOSPITAL DEPARTMENT OF NEUROLOGY 77 AVENUE LOUIS PASTEUR BOSTON MA 02115 5/14/2021 5/14/2022 RES III,VI LISA SHEN YAO BOSTON MEDICAL CENTER IDP 840 HARRISON AVE ME-B378 BOSTON MA 02118 11/25/2020 11/25/2021 RES Ind SHIQIAN SHEN MASSACHUSETTS GENERAL HOSPITAL 149 13TH STREET, ROOM CHARLESTOWN MA 02129 11/16/2020 11/16/2021 RES II,III,IV,V,VI ROBERT SHERIDAN LEO SHRINERS HOSPITAL FOR CHILDREN-BOSTON 51 BLOSSOM STREET BOSTON MA 02114 4/1/2021 4/1/2022 RES Ind AMY SHERMAN CARYN BRIGHAM AND WOMEN'S HOSPITAL 75 FRANCIS STREET BOSTON MA 02115 4/7/2021 4/7/2022 RES Ind MICHELLE SHERO R WOODS HOLE OCEANOGRAPHIC INSTITUTION MARINE RESEARCH FACILITY, ROOM MRF222 360 WOODS HOLE ROAD WOODS HOLE MA 02543 3/18/2021 3/18/2022 RES III,IV,VI ERIC SHEU GARLAND BRIGHAM AND WOMENS' HOSPITAL DEPT OF SURGERY 20 SHATTUCK ST., THORN BLDG, RM 1503 BOSTON MA 02115 12/19/2020 12/19/2021 RES III,VI FUXIN SHI FREQUENCY THERAPEUTICS 75 HAYDEN AVENUE, SUITE 300 LEXINGTON MA 02421 3/3/2021 3/3/2022 RES III GUO-PING SHI BRIGHAM & WOMEN'S HOSPITAL CARDIOVASCULAR MEDICINE NRB-738, 77 AVENUE LOUIS PASTEUR BOSTON MA 02115 3/12/2021 3/12/2022 RES III,VI SU RYON SHIN 60 FENWOOD ROAD BUILDING FOR TRANSFORMATIVE MEDICINE FLOOR 11, PROCEDURE RM 60, CABINET #3 BOSTON MA 02115 5/9/2021 5/9/2022 RES III,VI WAYNE SHREFFLER GLENN MASSACHUSETTS GENERAL HOSPITAL FOOD ALLERGY CENTER 55 FRUIT STREET BOSTON MA 02114 4/30/2021 4/30/2022 RES Ind SUNIL SHROFF D TUFTS MEDICAL CENTER DEPARTMENT OF PHARMAC 800 WASHINGTON STREET, BOX #420 BOSTON MA 02111 9/28/2021 9/28/2022 RES Ind,VI DAVID SHULMAN STEPHEN DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDNG Y537 450 BROOKLINE AVE BOSTON MA 02115 6/9/2021 6/9/2022 RES Ind,VI SUZANNE SHUSTERMAN DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDNG Y537 450 BROOKLINE AVE BOSTON MA 02115 6/9/2021 6/9/2022 RES Ind,VI ANDREW SIEDLECKI BRIGHAM AND WOMEN'S HOSPITAL 77 AVENUE LOUIS PASTEUR HIM 568B BOSTON MA 02115 6/2/2021 6/2/2022 RES III ANDREW SIESENNOP TUFTS MEDICAL CENTER DEPARMENT OF PHARMACY 800 WASHINGTON STREET, BOX #420 BOSTON MA 02111 3/12/2021 3/12/2022 RES Ind ANN SILK W DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDG Y537 450 BROOKLINE AVE BOSTON MA 02115 9/8/2021 9/8/2022 RES Ind,VI EDWIN SILVERMAN KEPNER BRIGHAM AND WOMEN'S HOSPITAL PULMONARY RESEARCH/THORN BUILDING ROOM 217 75 FRANCIS STREET BOSTON MA 02115 11/29/2020 11/29/2021 RES VI LEWIS SILVERMAN B DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDNG Y537 450 BROOKLINE AVE BOSTON MA 02115 6/9/2021 6/9/2022 RES Ind,VI DAVID SIMON K BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS, SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 6/1/2021 6/1/2022 RES Ind DAVID SIMON K. BETH ISRAEL DEACONESS MEDICAL CENTER 3 BLACKFAN CIRCLE, ROOM CLS-864 BOSTON MA 02215 5/15/2021 5/15/2022 RES II,III,VI KRISTINA SIMONYAN MASSACHUSETTS EYE AND EAR INFIRMARY DEPARTMENT OF OTOLARYNGOLOGY-HEAD & NECK 243 CHARLES STREET BOSTON MA 02114 10/19/2020 10/19/2021 RES Ind KRISTINA SIMONYAN MASSACHUSETTS EYE AND EAR INFIRMARY DEPT OF OTOLARYNGOLOGY-HEAD & NECK SURGERY 243 CHARLES STREET BOSTON MA 02114 9/9/2021 9/9/2022 RES Ind DAVID SINCLAIR ANDREW HARVARD MEDICAL SCHOOL, GENETICS DEPT. 77 AVENUE LOUIS PASTEUR NRB931C BOSTON MA 02115 2/4/2021 2/4/2022 RES II,III RACHANA SINGH TUFTS MEDICAL CENTER DEPARMENT OF PHARMACY 800 WASHINGTON STREET, BOX #420 BOSTON MA 02111 10/5/2021 10/5/2022 RES Ind,VI ROHIT SINGHANIA BAYSTATE INPATIENT PHARMACY 759 CHESTNUT STREET SPRINGFIELD MA 01199 1/27/2021 1/27/2022 RES Ind,II ROHIT SINGHANIA BAYSTATE MEDICAL 3350 MAIN STREET DAMOUR CENTER FOR CANCER CARE PHARMACY SPRINGFIELD MA 01199 1/27/2021 1/27/2022 RES Ind,III ROHIT SINGHANIA CLINICAL TRIALS UNIT 80 WASON AVE SPRINGFIELD MA 01199 1/27/2021 1/27/2022 RES Ind,III INDRANIL SINHA BRIGHAM AND WOMEN'S HOSPITAL THORN BUILDING, ROOM 1504 20 SHATTUCK STREET BOSTON MA 02115 9/30/2021 9/30/2022 RES III,VI MEGHAN SISE ELIZABETH MASSACHUSETTS GENERAL HOSPITAL DEPARTMENT OF PHARMACY 55 FRUIT STREET, GRB005 BOSTON MA 02114 10/1/2020 10/1/2021 RES Ind DANIEL SKIEST J BAYSTATE MEDICAL CENTER CLINICAL TRIALS UNIT, 80 WASON AVE SPRINGFIELD MA 01199 8/16/2021 8/16/2022 RES Ind BRIAN SKOTKO GARY MASSACHUSETTS GENERAL HOSPITAL PHARMACY 15 PARKMAN STREET BOSTON MA 02114 3/2/2021 3/2/2022 RES Ind JOHN SLOAN M BOSTON MEDICAL CENTER INVESTIGATIONAL PHARMACY SERVICE 840 HARRISON AVE, ME-B378 BOSTON MA 02118 2/10/2021 2/10/2022 RES Ind,VI STELIOS SMIRNAKIS M BRIGHAM AND WOMEN'S HOSPITAL BTM BLDG, 11TH FLR RM11122 60 FENWOOD ROAD BOSTON MA 02115 1/23/2021 1/23/2022 RES II,III,VI BARBARA SMITH LYNN DANA-FARBER CANCER INSTITUTE 360 LONGWOOD AVE, ROOM LC9055 BOSTON MA 02215 12/21/2020 12/21/2021 RES II,III,IV BARBARA SMITH LYNN DANA-FARBER CANCER INSTITUTE LURIE FAMILY IMAGING CENTER 27 DRY DOCK AVENUE BOSTON MA 02210 1/13/2021 1/13/2022 RES II,III,IV

Page 57 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

DONALD SMITH E. U.S.D.A./TUFTS UNIVERSITY HUMAN NUTRITION CTR ON AGING 711 WASHINGTON STREET BOSTON MA 02111 9/15/2021 9/15/2022 RES II,III,IV,VI GIDEON SMITH P MASSACHUSETTS GENERAL HOSPITAL CLINICAL UNIT FOR RESEARCH TRIALS IN SKIN 50 STANIFORD STREET, SUITE 240 BOSTON MA 02114 10/18/2020 10/18/2021 RES Ind,VI ROGER SMITH T2 BIOSYSTEMS, DIAGNOSTICS 4 HARTWELL AVE LEXINGTON, MA 02421 1/20/2021 1/20/2022 RES VI ROGER SMITH JAY T2 BIOSYSTEMS, DIAGNOSTICS 101 HARTWELL AVE LEXINGTON MA 02421 1/29/2021 1/29/2022 RES VI TAMMY SMITH DELLOVADE ABBVIE FOUNDATIONAL NEUROSCIENCE CENTER 200 SIDNEY STREET CAMBRIDGE MA 02139 9/27/2021 9/27/2022 RES II,III,VI GROMOSLAW SMOLEN CELSIUS THERAPEUTICS ANIMAL CARE FACILITY 399 BINNEY STREET BASEMENT CAMBRIDGE MA 02141 3/18/2021 3/18/2022 RES III,VI RITA SNEERINGER M. BOSTON IVF 130 SECOND AVENUE WALTHAM MA 02451 11/19/2020 11/19/2021 RES Ind,VI SAMUEL SNIDER BASS BRIGHAM AND WOMEN'S HOSPITAL 75 FRANCIS STREET, TOWER L2 BOSTON MA 02115 11/9/2020 11/9/2021 RES Ind MATT SOARS G BMS 100 BINNEY STREET, ROOM 471 CAMBRIDGE MA 02142 12/3/2020 12/3/2021 RES II,III,IV,VI JEFFREY SOBELL M. ORA, INC. 300 BRICKSTONE SQUARE, 3RD FLOOR ANDOVER MA 01810 9/11/2021 9/11/2022 RES Ind,VI PAUL SOLOMON R BOSTON CENTER FOR MEMORY 180 WELLS AVE, SUITE 304` NEWTON MA 02459 6/10/2021 6/10/2022 RES Ind KEN SOLT MASSACHUSETTS GENERAL HOSPITAL DEPT OF ANESTHESIA 149 13TH STREET, CNY 149-4411 CHARLESTOWN MA 02129 10/23/2021 10/23/2022 RES II,III,IV,VI JIE SONG UNIVERSITY OF MASS. MEDICAL SCHOOL DEPARTMENT OF ORTHOPEDICS 55 LAKE AVE NORTH, S4-853 WORCESTER MA 01655 12/31/2020 12/31/2021 RES II,III SAMEER SONKUSALE TUFTS UNIVERSITY NANO LAB 200 BOSTON AVE, SUITE 2600 MEDFORD MA 02155 5/19/2021 5/19/2022 RES III GURU SONPAVDE P DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDG Y537 450 BROOKLINE AVE BOSTON MA 02115 9/8/2021 9/8/2022 RES Ind,VI PETER SORGER K. HARVARD MEDICAL SCHOOL, DEPT OF SYSTEMS BIOLOGY, 200 LONGWOOD AVENUE WARREN ALPERT BUILDING, ROOM 444 BOSTON MA 02115 8/13/2021 8/13/2022 RES II,III,VI EHAB SORIAL NECCR PRIMACARE RESEARCH, LLC 277 PLEASANT STREET, BLDG 1, SUITE 204 FALL RIVER MA 02721 4/7/2021 4/7/2022 RES Ind EHAB SORIAL N. N & N RESEARCH AND MANAGEMENT CORP. 277 PLEASANT STREET, SUITE 209 FALL RIVER MA 02721 4/17/2021 4/17/2022 RES III ANA SOTO M. TUFTS UNIVERSITY DEPT OF IMMUNOLOGY 136 HARRISON AVE, JAHARIS BLDG 309B BOSTON MA 02111 2/16/2021 2/16/2022 RES III ALEXANDER SOUKAS MASSACHUSETTS GENERAL HOSPITAL SIMCHES RESEARCH BLDG, RM 6500 185 CAMBRIDGE ST.,CTR FOR GENOMIC MEDICINE BOSTON MA 02114 7/10/2021 7/10/2022 RES II,III,VI SARKIS SOUKIASIAN LAHEY MEDICAL CENTER 1 ESSEX CENTER DRIVE PEABODY MA 01906 4/30/2021 4/30/2022 RES Ind,VI SARKIS SOUKIASIAN H LAHEY HOSPITAL & MEDICAL CENTER RESEARCH PHARMACY 41 MALL ROAD BURLINGTON MA 01805 4/30/2021 4/30/2022 RES Ind,VI LESLIE SOYKA ANN UMASS MEMORIAL MEDICAL CENTER IDS, ACC BUILDING, AC6-201 55 LAKE AVENUE, NORTH WORCESTER MA 01655 10/18/2021 10/18/2022 RES Ind JEFFREY SPARKS BRIGHAM AND WOMEN'S HOSPITAL INVESTIGATIONAL DRUG SERVICE PHARMACY 75 FRANCIS STREET BOSTON MA 02115 8/25/2021 8/25/2022 RES Ind ADAM SPERLING DANA-FARBER CANCER INSTITUTE 450 BROOKLINE AVE RESEARCH PHARMACY, Y537 BOSTON MA 02215 3/15/2021 3/15/2022 RES VI ADAM SPERLING SAMUEL BRIGHAM AND WOMEN'S HOSPITAL DIVISION OF HEMATOLOGY HARVARD INSTITUTES OF MEDICINE(HIM) 733 BOSTON MA 02115 8/16/2021 8/16/2022 RES VI BRUCE SPIEGELMAN M. DANA-FARBER CANCER INSTITUTE LONGWOOD CENTER, LC-6200C 360 LONGWOOD AVE BOSTON MA 02115 9/13/2021 9/13/2022 RES III MATTHEW SPITE R. BRIGHAM & WOMEN'S HOSPITAL DEPT OF ANESTHESIA 60 FENWOOD ROAD, ROOM 03006 BOSTON MA 02115 10/28/2021 10/28/2022 RES II,III,VI JAYASHRI SRINIVASAN LAHEY HOSPITAL AND MEDICAL CENTER 41 MALL ROAD DEPT OF NEUROLOGY BURLINGTON MA 01805 12/16/2020 12/16/2021 RES Ind,VI PATCHAREE SRISWASDI BOSTON CHILDREN HOSPITAL 300 LONGWOOD AVE PHARMACY (MAIN-3) MA-369 BOSTON MA 02115 9/4/2021 9/4/2022 RES II SUNNY SRIVASTAVA PENTUCKET MEDICAL ASSOCIATES ONE PARKWAY, 4TH FLOOR HAVERHILL MA 01830 5/5/2021 5/5/2022 RES Ind ANNA SROMEK W MCLEAN HOSPITAL, BASIC NEUROSCIENC DIVISIO MEDICINAL CHEMISTRY PROGRAM, OAKS BUILDING 115 MILL STREET BELMONT MA 02478 12/21/2020 12/21/2021 RES II ANDRE ST PHILIP WHITE O'NEIL MOUNT HOLYOKE COLLEGE DEPT OF BIOLOGICAL SCIENCE, CARR RES BLDG 50 COLLEGE STREET SOUTH HADLEY MA 01075 2/20/2021 2/20/2022 RES II,III,VI KEVIN STALEY MGH, CNY, B114, ROOM 2600 CHARLESTOWN MA 02129 4/20/2021 4/20/2022 RES III,IV,VI TAKARA STANLEY L MGH RESEARCH PHARMACY 55 FRUIT ST. BOSTON MA 02114 3/1/2021 3/1/2022 RES Ind CHRISTOPHER STAPLETON JAMES MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET BOSTON MA 02114 7/12/2021 7/12/2022 RES Ind DAVID STASKIN R. BOSTON CLINICAL TRIALS 26 CUMMINS HIGHWAY BOSTON MA 02131 5/8/2021 5/8/2022 RES Ind DEVIN STEENKAMP W BOSTON MEDICAL CENTER INVESTIGATIONAL DRUG PHARMACY 840 HARRISON AVE ME-B378 BOSTON MA 02118 3/19/2021 3/19/2022 RES Ind THEODORE STEINMAN I BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS, SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 11/12/2020 11/12/2021 RES Ind,II,III KATHRYN STEPHENSON E BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS, SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 10/20/2020 10/20/2021 RES Ind KATHRYN STEPHENSON E BETH ISRAEL DEACONESS MEDICAL CENTER WEST CAMPUS RESEARCH PHARMACY-RBB11 ONE DEACONESS ROAD BOSTON MA 02215 3/23/2021 3/23/2022 RES Ind ROBERT STERN ANDREW BOSTON MEDICAL CENTER INVESTIGATIONAL DRUG PHARMACY 840 HARRISON AVE, ME-B378 BOSTON MA 02118 9/22/2021 9/22/2022 RES Ind SAMUEL STEWART DAVID ETHOS COMPOUNDING PHARMACY 20 CABOT ROAD WOBURN MA 01801 4/5/2021 4/5/2022 RES VI SAMUEL STEWART DAVID JOHNSON COMPOUNDING AND WELLNESS 577 MAIN STREET WALTHAM MA 02452 10/14/2020 10/14/2021 RES VI SAMUEL STEWART DAVID JOHNSON COMPOUNDING AND WELLNESS 577 MAIN STREET WALTHAM MA 02452 4/5/2021 4/5/2022 RES VI SAMUEL STEWART DAVID MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT ROAD RESEARCHER COPY WOBURN MA 01801 11/8/2020 11/8/2021 RES VI ELIZABETH STIER BOSTON MEDICAL CENTER INVESTIGATIONAL DRUG PHARMACY 840 HARRISON AVE, ME-B378 BOSTON MA 02118 7/22/2021 7/22/2022 RES Ind ARKADIY STOLYAR BOSTON CLINICAL TRIALS 26 CUMMINS HIGHWAY BOSTON MA 02131 12/17/2020 12/17/2021 RES Ind JOHN STONE HENRY MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET YAWKEY BUILDING 2ND FLOOR BOSTON MA 02114 7/5/2021 7/5/2022 RES Ind RICHARD STONE MAURY DANA-FARBER CANCER INSTITUTE 450 BROOKLINE AVE RESEARCH PHARMACY, Y537 BOSTON MA 02215 3/15/2021 3/15/2022 RES VI ANDREW STRAND MICHAEL TUFTS MEDICAL CENTER DEPT OF PHARMACY 800 WASHINGTON STREET, BOX #420 BOSTON MA 02111 11/2/2020 11/2/2021 RES Ind,VI

Page 58 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

KEITH STUART BEVERLY HOSPITAL 85 HERRICK STREET BEVERLY MA 01915 9/16/2021 9/16/2022 RES Ind,VI KEITH STUART E. ADDISON GILBERT HOSPITAL 298 WASHINGTON STREET GLOUCESTER MA 01930 9/16/2021 9/16/2022 RES Ind,VI KEITH STUART ELLIS LAHEY HOSPITAL & MEDICAL CENTER RESEARCH PHARMACY 41 MALL ROAD BURLINGTON MA 01805 4/30/2021 4/30/2022 RES Ind,VI KEITH STUART ELLIS LAHEY MEDICAL CENTER 1 ESSEX CENTER DRIVE PEABODY MA 01906 4/30/2021 4/30/2022 RES Ind,VI SIVAN SUBBURAJU MCLEAN HOSPITAL, BASIC NEUROSCIENCE OAKS BLDG, ROOM 479, MEDICINAL CHEMISTRY 115 MILL STREET BELMONT MA 02478 4/26/2021 4/26/2022 RES II,III,VI BALACHUNDHAR SUBRAMANIAM BETH ISRAEL DEACONESS MEDICAL CENTER WEST CAMPUS RESEARCH PHARMACY-RBB11 ONE DEACONESS ROAD BOSTON MA 02215 1/20/2021 1/20/2022 RES Ind MANJU SUBRAMANIAN BOSTON MEDICAL CENTER INVESTIGATIONAL DRUG PHARMACY 840 HARRISON AVE, ME-B378 BOSTON MA 02118 12/23/2020 12/23/2021 RES Ind KUSHAK SUCHDEV BOSTON MEDICAL CENTER INVESTIGATIONAL DRUG PHARMACY 840 HARRISON AVE, ME-B378 BOSTON MA 02118 3/31/2021 3/31/2022 RES Ind SEAN SULLIVAN M. NORTHEASTERN UNIVERSITY 012 MUGAR LIFE SCIENCE BUILDING 360 HUNTINGTON AVENUE BOSTON MA 02115 4/13/2021 4/13/2022 RES II,III,IV,VI YONGKAI SUN VERTEX PHARMACEUTICALS INCORPORATED DRUG METABOLISM & PHARMACOKINETICS 50 NORTHERN AVENUE BOSTON MA 02210 3/9/2021 3/9/2022 RES II,III,IV,VI ANISH SURI CUE BIOPHARMA 21 ERIE ST. CAMBRIDGE MA 02139 10/17/2020 10/17/2021 RES VI JAMES SUTTON ADAMS CLINICAL 521 MOUNT AUBURN STREET SUITES 107, 109, 203, 209 WATERTOWN MA 02472 5/10/2021 5/10/2022 RES Ind,II,III,IV,V,VI MARIO SUVA MASSACHUSETTS GENERAL HOSPITAL MOLECULAR PATHOLOGY 149 13TH STREET, ROOM 6010 CHARLESTOWN MA 02129 6/7/2021 6/7/2022 RES VI SUSAN SWAIN L UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL DEPT OF PATHOLOGY,SHERMAN CTR,RM AS9-1012A 368 PLANTATION ST. WORCESTER MA 01605 2/28/2021 2/28/2022 RES III,VI CHRISTOPHER SWEENEY JOHN DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDG Y537 450 BROOKLINE AVE BOSTON MA 02115 9/8/2021 9/8/2022 RES Ind,VI DAVID SYSTROM M BRIGHAM AND WOMEN'S HOSPITAL INVESTIGATIONAL DRUG SERVICE (IDS) PHARMAC 75 FRANCIS STREET BOSTON MA 02115 6/23/2021 6/23/2022 RES Ind GYONGYI SZABO BETH ISRAEL DEACONESS MEDICAL CENTER DEPARTMENT OF MEDICINE, 3 BLACKFAN CIRCLE CLS BLDG 635, CLS 6 LAB BOSTON MA 02215 9/4/2021 9/4/2022 RES VI GYONGYI SZABO BETH ISRAEL DEACONESS MEDICAL CENTER WEST CAMPUS RESEARCH PHARMACY-RBB11 ONE DEACONESS ROAD BOSTON MA 02215 2/3/2021 2/3/2022 RES IV,VI GYONGYI SZABO BETH ISRAEL DEACONESS MEDICAL CENTER WEST CAMPUS RESEARCH PHARMACY-RBB11 ONE DEACONESS ROAD BOSTON MA 02215 3/25/2021 3/25/2022 RES Ind FRANK TAGLIAFERRI PACE ANALYTICAL LIFE SCIENCES.LLC 19 PRESIDENTIAL WAY, SUITE 102 WOBURN MA 01801 3/5/2021 3/5/2022 RES Ind,II,III,IV,V,VI LAURA TALAMO E CAPE COD HOSPITAL, DAVENPORT-MUGAR CANCER MEDICAL ONCOLOGY PHARMACY 27 PARK STREET HYANNIS MA 02601 9/1/2021 9/1/2022 RES Ind JOSHUA TAM THIER 2, MASSACHUSETTS GENERAL HOSPITAL 50 BLOSSOM ST BOSTON MA 02114 8/14/2021 8/14/2022 RES II,III,VI CHEN TAN S BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS, SL-PB-07 330 BROOKLINE AVE BOSTON MA 02215 8/30/2021 8/30/2022 RES Ind BAKHOS TANNOUS MASSACHUSETTS GENERAL HOSPITAL 149 13TH STREET, ROOM 6309 CHARLESTOWN MA 02129 4/28/2021 4/28/2022 RES III,VI RUDOLPH TANZI EMILE MASS. GENERAL HOSPITAL, NEUROLOGY DEPT. GENETICS & AGING RESEARCH UNIT 114 16TH STREET, ROOM 3801 CHARLESTOWN MA 02129 3/19/2021 3/19/2022 RES III,VI UMIT TAPAN BOSTON MEDICAL CENTER INVESTIGATIONAL PHARMACY SERVICE 840 HARRISON AVENUE, ME-B378 BOSTON MA 02118 9/30/2021 9/30/2022 RES Ind,VI MARY-ELLEN TAPLIN DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDG Y537 450 BROOKLINE AVE BOSTON MA 02115 9/8/2021 9/8/2022 RES Ind,VI ANDREW TAPPER R. LAZARUS RESEARCH BUILDING, RM 740C 364 PLANTATION ST. WORCESTER MA 01604 5/30/2021 5/30/2022 RES II,III,VI MARK TAWA DAVID ALKERMES, INC 900 WINTER STREET WALTHAM MA 02451 8/2/2021 8/2/2022 RES II,III,IV,VI ANDREW TAYLOR C NEUROLOGY CENTER OF NEW ENGLAND, PC RESEARCH DEPARTMENT 9 PAYSON ROAD, SUITE 100 FOXBORO MA 02035 8/16/2021 8/16/2022 RES Ind J TAYLOR ANDREW JOHNSON COMPOUNDING AND WELLNESS 577 MAIN STREET WALTHAM MA 02452 11/2/2020 11/2/2021 RES VI J. TAYLOR ANDREW SPAULDING HOSPITAL CAMBRIDGE PHARMACY - 1575 CAMBRIDGE STREET CAMBRIDGE MA 02138 11/20/2020 11/20/2021 RES VI GUILLERMO TEARNEY J. MASSACHUSETTS GENERAL HOSPITAL WELLMAN CENTER FOR PHOTOMEDICINE 55 FRUIT STREET, DHX BOSTON MA 02114 11/13/2020 11/13/2021 RES II,III SAM TELFORD ROUNTREE III TUFTS UNIVERSITY DIVISION OF INFECTIOUS DISEASES 200 WESTBORO ROAD NORTH GRAFTON MA 01536-1828 3/21/2021 3/21/2022 RES II,III,IV,VI YANG TENG D SPAULDING REHABILITATION HOSPITAL 13TH STREET ROOM-125, BLDNG-79/96 CHARLESTOWN MA 02129 1/27/2021 1/27/2022 RES III,VI JAN TER MEULEN HENRIK OBSIDIAN THERAPEUTICS 1030 MASSACHUSETTS AVENUE, STE 400 CAMBRIDGE MA 02138 7/12/2021 7/12/2022 RES VI SHERALEE TERSHNER A. WESTERN NEW ENGLAND UNIVERSITY, DEPT OF NEUROSCIENCE, THE CTR FOR SCIENCE AND PHARMACY RM 105 1215 WILBRAHAM ROAD SPRINGFIELD MA 01119 3/1/2021 3/1/2022 RES II,III,IV,VI RACHEL TESTER DEVENEY SQUARE MEDICAL 124 WATERTOWN STREET WATERTOWN MA 02472 9/29/2021 9/29/2022 RES III,VI NICOLE THEODOROPOULOS M UMASS MEMORIAL MEDICAL CENTER/IDS ROOM AC6.058 55 LAKE AVE NORTH WORCESTER MA 01655 5/7/2021 5/7/2022 RES Ind AJITH THOMAS BETH ISRAEL DEACONESS MEDICAL CENTER WEST CAMPUS RESEARCH PHARMACY-RBB11 ONE DEACONESS ROAD BOSTON MA 02215 1/14/2021 1/14/2022 RES Ind LAWRENCE THOMAS JAMES CELLDEX THERAPEUTICS, INC. 151 MARTINE STREET FALL RIVER MA 02723 7/15/2021 7/15/2022 RES Ind,VI LAWRENCE THOMAS JAMES PINE ACRES RESEARCH FACILITY (PARF) 299 EAST MAIN STREET NORTON MA 02766 8/10/2021 8/10/2022 RES Ind,II,III,IV,VI THOMAS THORNLEY BRENT MISPRO BIOTECH SERVICES 400 TECHNOLOGY SQUARE CAMBRIDGE MA 02139 11/29/2020 11/29/2021 RES VI STEVEN THRELKELD WAKELY REGIS COLLEGE, SCHOOL OF HEALTH SCIENCES NEUROSCIENCE DEPT,SCIENCE BLDG, RM 314A 235 WELLESLEY ST. WESTON MA 02493 12/7/2020 12/7/2021 RES II YU TIAN ROCHE MOLECULAR SYSTEMS 80 GUEST ST., SUITE 600 BRIGHTON MA 02135 11/13/2020 11/13/2021 RES VI MICHAEL TIMMONS DOUGLAS PERKIN ELMER 940 WINTER ST . WALTHAM MA 02451 5/30/2021 5/30/2022 RES I,II,III,IV,V,VI DAVID TISI ALDO SENOPSYS 800 WEST CUMMINGS PARK, SUITE 1500 WOBURN MA 01801 3/14/2021 3/14/2022 RES Ind,IV,V,VI ONI TOBILOBA WHITEHEAD INSTITUTE FOR BIOMEDICAL RESEARC 455 MAIN STREET CAMBRIDGE MA 02142 2/17/2021 2/17/2022 RES VI MADHAVI TOKE UMASS MEMORIAL MEDICAL CENTER, IDSP ROOM AC6-058 55 LAKE AVE NORTH WORCESTER MA 01655 7/15/2021 7/15/2022 RES Ind SARA TOLANEY M DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDG Y537 450 BROOKLINE AVE BOSTON MA 02115 9/8/2021 9/8/2022 RES Ind,VI JAMES TOLTON VERTEX PHARMACEUTICALS INCORPORATED 1 HARBOR STREET BOSTON MA 02210 5/1/2021 5/1/2022 RES Ind

Page 59 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

SUSUMU TONEGAWA MASS. INSTITUTE OF TECHNOLOGY, 46-5285 PICOWER INSTITUTE FOR LEARNING & MEMORY 77 MASSACHUSETTS AVENUE CAMBRIDGE MA 02139 12/9/2020 12/9/2021 RES II,IV MELINDA TONELLI BOSTON MEDICAL CENTER IDP 840 HARRISON AVE ME-B378 BOSTON MA 02118 4/26/2021 4/26/2022 RES Ind,VI KSENIA TONYUSHKINA N BAYSTATE PEDIATRIC ENDOCRINOLOGY & DIABETE 80 WASON AVE SPRINGFIELD MA 01199 3/18/2021 3/18/2022 RES Ind STEVEN TREON PETER DANA-FARBER CANCER INSTITUTE 450 BROOKLINE AVE RESEARCH PHARMACY, Y537 BOSTON MA 02215 3/15/2021 3/15/2022 RES VI MARCIN TROJANOWSKI A BOSTON MEDICAL CENTER INVESTIGATION PHARMACY SERVICES 840 HARRISON AVE, ME-B378 (ME-B368B) BOSTON MA 02118 2/7/2021 2/7/2022 RES Ind,I LEO TSAI LEE BETH ISRAEL DEACONESS MEDICAL CENTER 330 BROOKLINE AVENUE; DANA-708 BOSTON MA 02215 2/9/2021 2/9/2022 RES Ind,III HENSIN TSAO MASSACHUSETTS GENERAL HOSPITAL WELLMAN CENTER FOR PHOTOMEDICINE 50 BLOSSOM ST., EDR 211 BOSTON MA 02114 3/6/2021 3/6/2022 RES III,VI JENNIFER TSENG FAN-YU BOSTON MEDICAL CENTER INVESTIGATIONAL PHARMACY SERVICE (ME-B378) 840 HARRISON AVENUE BOSTON MA 02118 8/23/2021 8/23/2022 RES Ind GEORGE TSOKOS C BETH ISRAEL DEACONESS MEDICAL CENTER CENTER FOR LIFE SCIENCES 3 BLACKFAN CIRCLE 928C BOSTON MA 02215 8/23/2021 8/23/2022 RES II,III,VI STEFAN TULLIUS GUNTHER BRIGHAM & WOMEN'S HOSPITAL EBRC 309 221 LONGWOOD AVENUE BOSTON MA 02115 8/26/2021 8/26/2022 RES III,VI NADINE TUNG BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS, SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 8/30/2021 8/30/2022 RES Ind,VI PATRICIA TUNG BETH ISRAEL DEACONESS MEDICAL CENTERQ WEST CAMPUS RESEARCH PHARMACY-RBB11 ONE DEACONESS ROAD BOSTON MA 02215 8/31/2021 8/31/2022 RES Ind SARAH TURGEON M. AMHERST COLLEGE DEPARTMENT OF PSYCHOLOGY LIFE SCIENCES BUILDING AMHERST MA 01002 4/11/2021 4/11/2022 RES II,III JERROLD TURNER R BRIGHAM AND WOMEN'S HOSPITAL 77 LOUIS PASTEUR AVE, RMS 752D & 731A BOSTON MA 02115 9/21/2021 9/21/2022 RES III,VI GINA TURRIGIANO BRANDEIS UNIVERSITY DEPT OF BIOLOGY, SHAPIRO SCIENCE CTR 1-36 415 SOUTH STREET WALTHAM MA 02453 10/11/2021 10/11/2022 RES III,VI ANDREY UGOLKOV CURIS INC 128 SPRING STREET BUILDING C, LEVEL 500 LEXINGTON MA 02421 4/24/2021 4/24/2022 RES Ind,VI NICOLE ULLRICH DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDNG Y537 450 BROOKLINE AVE BOSTON MA 02115 6/9/2021 6/9/2022 RES Ind,VI MARK UMBARGER SENDA BIOSCIENCES INC CAMBRIDGE MA 6/2/2021 6/2/2022 RES II,III,IV,V HISASHI UMEMORI BOSTON CHILDREN'S HOSPITAL, F.M. KIRBY NEUROBIOLOGY CENTER, CENTER FOR LIFE SCIENCES, 3 BLACKFAN CIRCLE, RM 13047 BOSTON MA 02115 11/18/2020 11/18/2021 RES II,V SEBASTIAN UNIZONY MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET GRB 005 BOSTON MA 02114 6/24/2021 6/24/2022 RES Ind KORKUT UYGUN MASSACHUSETTS GENERAL HOSPITAL SHRINERS CHILDRENS HOSPITAL 51 BLOSSOM ST., RM 262, BAY 15 BOSTON MA 02114 12/17/2020 12/17/2021 RES II,III,IV,VI JOSEPH VACANTI PHILIP 3D BIOLABS, LLC 100 BINNEY ST., ROOM 5037C CAMBRIDGE MA 02142 2/21/2021 2/21/2022 RES III MICHELLE VALERO DENISE AKOUOS, INC. ANATOMY AND PHYSIOLOGY 645 SUMMER STREET BOSTON MA 02210 10/18/2021 10/18/2022 RES III,VI BESSEL VAN DER KOLK ANTON 84 SAINT PAUL ST., T-1 BROOKLINE MA 02446 4/24/2021 4/24/2022 RES I THOMAS VAN DYKE E. THE FORSYTH INSTITUTE, CLINICAL AND TRANSLATIONAL RESEARCH 245 FIRST STREET, 17TH FLOOR CAMBRIDGE MA 02142 5/2/2021 5/2/2022 RES VI STEPHEN VAN HOOSER BRANDEIS UNIVERSITY DEPT OF BIOLOGY, BASSINE 330A 415 SOUTH STREET WALTHAM MA 02453 10/11/2021 10/11/2022 RES III,IV,VI VERONICA VANDERHORST GERARDA BETH ISRAEL DEACONESS MEDICAL CENTER CENTER FOR LIFE SCIENCES CLS 717, 3 BLACKFAN CIRCLE BOSTON MA 02115 4/23/2021 4/23/2022 RES II,III,IV,VI VANGESSEL ANN EISAI, INC. 35 CAMBRIDGE PARK DR, SUITE 200 CAMBRIDGE MA 02140 6/3/2021 6/3/2022 RES II,III,IV,VI VIJAY VANGURI KRISHNA UMASS DEPT OF PATHOLOGY THREE BIOTECH ONE INNOVATION DRIVE WORCESTER MA 01605 12/17/2020 12/17/2021 RES IV CINDY VARGA TUFTS MEDICAL CENTER DEPARTMENT OF PHARMAC 800 WASHINGTON STREET BOX #420 BOSTON MA 02111 7/20/2021 7/20/2022 RES Ind,VI DEMETRIOS VAVVAS G MASSACHUSETTS EYE AND EAR INFIRMARY ANGIOGENESIS LABORATORY 325 CAMBRIDGE STREET BOSTON MA 02114 4/2/2021 4/2/2022 RES II,III,VI ELENA VAZEY MARIA UNIVERSITY OF MASSACHUSETTS DEPT OF BIOLOGY, MORRILL SCIENCE CENTER 611 NORTH PLEASANT ST AMHERST MA 01003 3/14/2021 3/14/2022 RES II,III,IV,VI GEORGE VELMAHOS MASSACHUSETTS GENERAL HOSPITAL CLINICAL TRIALS PHARMACY 55 FRUIT STREET BOSTON MA 02114 3/11/2021 3/11/2022 RES Ind HUMSA VENKATESH BRIGHAM AND WOMEN'S HOSPITAL HALE BUILDING, VENKATESH LAB, ROOM 7006 60 FENWOOD ROAD BOSTON MA 02115 9/15/2021 9/15/2022 RES III,VI FUENSANTA VERA-DIAZ ASCENSION JOHNSON COMPOUNDING AND WELLNESS 577 MAIN STREET WALTHAM MA 02452 6/28/2021 6/28/2022 RES VI FUENSANTA VERA-DIAZ ASCENSION NEW ENGLAND COLLEGE OF OPTOMETRY 424 BEACON STREET BOSTON MA 02115 6/28/2021 6/28/2022 RES VI ANNE VERSTEGEN BETH ISRAEL DEACONESS MEDICAL CENTER CENTER FOR LIFE SCIENCE, DEPT OF MEDICINE 3 BLACKFAN CIRCLE, LAB 728 BAY C BOSTON MA 02215 7/29/2021 7/29/2022 RES III,IV,VI ARISTIDIS VEVES BETH ISRAEL DEACONESS MEDICAL CENTER 330 BROOKLINE AVENUE, DA-0817 BOSTON MA 02215 6/29/2021 6/29/2022 RES II,III ROBERTO VIAU COLINDRES A TUFTS MEDICAL CENTER DEPARTMENT OF PHARMAC 800 WASHINGTON STREET BOX #420 BOSTON MA 02111 11/4/2020 11/4/2021 RES Ind,VI MARCOS VIDAL MELO FRANCISCO MASSACHUSETTS GENERAL HOSPITAL DEPT OF ANESTHESIA, CRITICAL CARE & PAIN M 55 FRUIT STREET, EDWARDS BUILDING BOSTON MA 02114 3/10/2021 3/10/2022 RES Ind,II,III,IV STEVEN VLAD CLIFTON TUFTS MEDICAL CENTER DEPARTMENT OF PHARMAC 800 WASHINGTON STREET BOX #420 BOSTON MA 02111 7/20/2021 7/20/2022 RES Ind ULRICH VON ANDRIAN H HARVARD MEDICAL SCHOOL DIVISION OF IMMUNOLOGY 77 AVENUE LOUIS PASTEUR NRB 836 BOSTON MA 02115 1/7/2021 1/7/2022 RES III,VI VLADIMIR VRBANAC MASSACHUSETTS GENERAL HOSPITAL/RAGON INSTI 400 TECHNOLOGY SQUARE CAMBRIDGE MA 02139 1/24/2021 1/24/2022 RES III,VI MITHILA VULLAGANTI TUFTS MEDICAL CENTER DEPARTMENT OF PHARMAC 800 WASHINGTON STREET, BOX #420 BOSTON MA 02111 1/29/2021 1/29/2022 RES Ind MICHAL VYTOPIL LAHEY HOSPITAL & MEDICAL CENTER 41 MALL ROAD, RESEARCH PHARMACY BURLINGTON MA 01805 9/21/2021 9/21/2022 RES Ind ELISHA WACHMAN M BOSTON MEDICAL CENTER ONE BOSTON MEDICAL CENTER PLACE MEMINO BUILDING BASEMENT BOSTON MA 02118 11/22/2020 11/22/2021 RES Ind MARTHA WADLEIGH DANA-FARBER CANCER INSTITUTE 450 BROOKLINE AVE RESEARCH PHARMACY, Y537 BOSTON MA 02215 3/15/2021 3/15/2022 RES VI YEHIA WAFA ASTELLAS 9 TECHNOLOGY DRIVE WESTBOROUGH MA 01581 8/18/2021 8/18/2022 RES II,III,IV,VI ANDREW WAGNER DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDNG Y537 450 BROOKLINE AVE BOSTON MA 02115 6/9/2021 6/9/2022 RES Ind,VI SUSHRUT WAIKAR S BOSTON MEDICAL CENTER INVESTIGATIONAL DRUG PHARMACY 840 HARRISON AVE, ME-B378 BOSTON MA 02118 1/11/2021 1/11/2022 RES Ind HIROAKI WAKIMOTO MASSACHUSETTS GENERAL HOSPITAL BRAIN TUMOR RESEARCH CENTER, ROOM 3702 185 CAMBRIDGE STREET BOSTON MA 02114 8/18/2021 8/18/2022 RES II,III,VI

Page 60 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

ADRIENNE WAKS GROPPER DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDG Y537 450 BROOKLINE AVE BOSTON MA 02115 9/8/2022 9/8/2023 RES Ind,VI ZACHARY WALLACE S MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET GRB 005 BOSTON MA 02114 8/9/2021 8/9/2022 RES Ind CHRISTOPHER WALSH A. WALSH LAB, 15TH FLOOR, CLS 15060 3 BLACKFAN CIRCLE BOSTON MA 02115 6/12/2021 6/12/2022 RES III JESSICA WALSH RX BANDZ 101 ACCORD PARK DRIVE, SUITE 206E NORWELL MA 02061 9/2/2021 9/2/2022 RES II,III KATHRYN WALSH ROSE INTELLIA THERAPEUTICS ANIMAL CARE FACILITY, RM1421 40 ERIE STREET CAMBRIDGE MA 02139 10/2/2020 10/2/2021 RES II,III,VI STEPHEN WALSH ROBERTS BRIGHAM AND WOMEN'S HOSPITAL INVESTIGATIONAL DRUG SERVICE 75 FRANCIS STREET BOSTON MA 02115 4/2/2021 4/2/2022 RES Ind WILLIAM WALSH V UMASS MEMORIAL MEDICAL CENTER, IDSP ROOM AC6-058 55 LAKE AVE NORTH WORCESTER MA 01655 7/15/2021 7/15/2022 RES Ind AIJIN WANG 1GLOBE HEALTH INSTITUTE 333 PROVIDENCE HIGHWAY NORWOOD MA 02062 5/30/2021 5/30/2022 RES III FAN WANG MASSACHUSETTS INSTITUTE OF TECHNOLOGY MCGOVERN INSTITUTE FOR BRAIN RESEARCH 43 VASSAR STREET, ROOM 46-4154 CAMBRIDGE MA 02139 4/5/2021 4/5/2022 RES II,IV JENNIFER WANG PO-WEN UMASS MEMORIAL MEDICAL CENTER IDS ACC BUILDING, AC6-201 55 LAKE AVENUE NORTH WORCESTER MA 01655 9/15/2021 9/15/2022 RES Ind XIN WANG BRIGHAM & WOMEN'S HOSPITAL BUILDING FOR THE FUTURE 60 FENWOOD RD, 8TH FLOOR, ROOM 214D BOSTON MA 02115 1/12/2021 1/12/2022 RES II,III XINHUI WANG MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET, JACKSON 910 BOSTON MA 02114 8/30/2021 8/30/2022 RES III,VI PETER WARD R CAPE COD HOSPTIAL, DAVENPORT-MUGAR CANCER MEDICAL ONCOLOGY PHARMACY 27 PARK STREET HYANNIS MA 02601 9/1/2021 9/1/2022 RES I,II,III,IV,V,VI MORGAN WARING ELIZABETH OEXNER CHARLES RIVER LABORATORIES INC 55 UNION STREET WORCESTER MA 01605 5/22/2021 5/22/2022 RES III,IV KATHERINE WARREN DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDNG Y537 450 BROOKLINE AVE BOSTON MA 02115 6/9/2021 6/9/2022 RES Ind,VI LAURA WARREN E DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDG Y537 450 BROOKLINE AVE BOSTON MA 02115 9/8/2021 9/8/2022 RES Ind,VI BRYNMOR WATKINS A. PHARMA MODELS, LLC 257 SIMARANO DRIVE, ANNEX 2 MARLBOROUGH MA 01752 4/18/2021 4/18/2022 RES III,VI JONATHAN WATTS KENNETH UNIVERISTY OF MASS MEDICAL SCHOOL ALBERT SHERMAN CENTER 368 PLANTATION STREET WORCESTER MA 01605 3/30/2021 3/30/2022 RES II,III,IV,VI DAVID WEAVER R. UNIVERSITY OF MASS. MEDICAL SCHOOL DEPT OF NEUROBIOLOGY, LAZARE RESEARCH BLDG 364 PLANTATION STREET, ROOM 723 WORCESTER MA 01605 1/13/2021 1/13/2022 RES II,III,IV,VI BARBARA WEGIEL BETH ISRAEL DEACONESS MEDICAL CENTER DEPT OF SURGERY, CENTER FOR LIFE SCIENCES CLS-617, 3 BLACKFAN CIRCLE BOSTON MA 02215 6/9/2021 6/9/2022 RES III,VI WENYI WEI BETH ISRAEL DEACONESS MEDICAL CENTER HARVARD MEDICAL SCHOOL, E/CLS 628A 3 BLACKFAN CIRCLE BOSTON MA 02115 11/25/2020 11/25/2021 RES III XIAO WEI XIAO DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDG Y537 450 BROOKLINE AVE BOSTON MA 02115 9/8/2021 9/8/2022 RES Ind,VI DAVID WEINBERG H ST. ELIZABETH'S MEDICAL CENTER PHARMACY 736 CAMBRIDGE STREET BOSTON MA 02135 9/20/2021 9/20/2022 RES Ind ROBERT WEINBERG A. WHITEHEAD INSTITUTE FOR BIOMEDICAL RESEARC 455 MAIN ST. CAMBRIDGE MA 02142 12/22/2020 12/22/2021 RES VI DANIEL WEINER TUFTS MEDICAL CENTER; DEPT OF PHARMACY 800 WASHINGTON STREET BOX #450 BOSTON MA 02111 8/5/2021 8/5/2022 RES Ind HOWARD WEINER L. 60 FENWOOD RD 10TH FLOOR, 10032A BOSTON MA 02115 10/30/2020 10/30/2021 RES III,VI ZOE WEINSTEIN M BOSTON MEDICQAL CENTER INVESTIGATIONAL DRUG PHARMACY 840 HARRISON AVE, ME-B378 BOSTON MA 02118 7/7/2021 7/7/2022 RES Ind KIPP WEISKOPF A WHITEHEAD INSTITUTE FOR BIOMEDICAL RESEARC 455 MAIN STREET CAMBRIDGE MA 02142 10/6/2020 10/6/2021 RES VI RALPH WEISSLEDER CENTER FOR SYSTEMS BIOLOGY,MGH 185 CAMBRIDGE ST. BOSTON MA 02114 6/1/2021 6/1/2022 RES III JONATHAN WEISSMAN A WHITEHEAD INSTITUTE FOR BIOMEDICAL RESEARC 455 MAIN STREET, ROOM 639 CAMBRIDGE MA 02142 7/28/2021 7/28/2022 RES VI PETER WELLER FAHEY BITH ISRAEL DEACONESS MEDICAL CENTER WEST CAMPUS RESEARCH PHARMACY-RBB11 ONE DEACONESS ROAD BOSTON MA 02215 3/11/2021 3/11/2022 RES Ind DUANE WELLING BRADLEY MASSACHUSETTS EYE AND EAR INFIRMARY 243 CHARLES STREET BOSTON MA 02114 9/9/2021 9/9/2022 RES Ind,II,III,IV,V,VI JING-KE WENG WHITEHEAD INSTITUTE FOR BIOMEDICAL RESEARC 455 MAIN ST., RM 323 CAMBRIDGE MA 02142 3/21/2021 3/21/2022 RES I,II,III,IV HSIAO-YING WEY MASSACHUSETTS GENERAL HOSPITAL DEPARTMENT OF RADIOLOGY 149 13TH STREET, ROOM 10.110 CHARLESTOWN MA 02129 10/14/2020 10/14/2021 RES II,III GILES WHALEN FRANCIS UMASS MEMORIAL MEDICAL CENTER, IDSP ROOM AC6.058 55 LAKE AVE NORTH WORCESTER MA 01955 7/17/2021 7/17/2022 RES Ind MICHAEL WHALEN JEROME MASSACHUSETTS GENERAL HOSPITAL 149 13TH STREET, ROOM 6303 CHARLESTOWN MA 02129 6/8/2021 6/8/2022 RES VI VANESSA WHEELER CHANTAL MASSACHUSETTS GENERAL HOSPITAL CTR FOR GENOMIC MEDICINE, SIMCHES RESEARCH 185 CAMBRIDGE STREET BOSTON MA 02114 9/9/2021 9/9/2022 RES VI KATHARINE WHITE O'CONNELL BOSTON MEDICAL CENTER IDS 840 HARRISON AVE ME-B378 BOSTON MA 02118 8/30/2021 8/30/2022 RES Ind,I,II,III,IV,V,VI KATHARINE WHITE O'CONNELL BOSTON MEDICAL CENTER INVESTIGATIONAL DRUG 840 HARRISON AVE, ME -B378 BOSTON MA 02118 8/30/2021 8/30/2022 RES Ind MARK WILKINSON ALAN BOSTON TECHNOLOGY CONSULTANTS GROUP, INC 100 JACKSON ROAD DEVENS MA 01434 10/13/2020 10/13/2021 RES IV GORDON WILLIAMS HAROLD BRIGHAM AND WOMEN'S HOSPITAL IDS PHARMACY 75 FRANCIS STREET BOSTON MA 02115 10/28/2020 10/28/2021 RES Ind ZIV WILLIAMS MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET, THIER 414 BOSTON MA 02114 3/31/2021 3/31/2022 RES III,VI MATTHEW WILSON A MASSACHUSETTS INSTITUTE OF TECHNOLOGY DEPT OF BRAIN & COG SCIENCE 43 VASSAR ATL 46-5233 CAMBRIDGE MA 6174524107 8/25/2021 8/25/2022 RES III,IV,VI FLORIAN WINAU ERICH BOSTON CHILDREN'S HOSP/HARVARD MEDICAL SCH WARREN ALPERT BLDG 200 LONGWOOD AVE BOSTON MA 02115 10/19/2021 10/19/2022 RES III,VI ERIC WINER DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDG Y537 450 BROOKLINE AVE BOSTON MA 02115 9/8/2021 9/8/2022 RES Ind,VI ERIC WINER S DANA-FARBER CANCER INSTITUTE 450 BROOKLINE AVE RESEARCH PHARMACY, Y537 BOSTON MA 02215 3/15/2021 3/15/2022 RES VI DYANN WIRTH F. HARVARD SCHOOL OF PUBLIC HEALTH DEPT OF IMMUNO & INFECTIOUS DISEASE 665 HUNTINGTON AVE, BLDG 1, ROOM 108 BOSTON MA 02115 4/18/2021 4/18/2022 RES III KAREN WISS UMASS MEMORIAL MEDICAL CENTER-IDS ACC BLDG, AC6-101 55 LAKE AVENUE NORTH WORCESTER MA 01655 6/15/2021 6/15/2022 RES Ind ANDRE WITKIN TUFTS MEDICAL CENTER DEPT OF OPHTHALMAOLOG 800 WASHINGTON STREET BOX #450 BOSTON MA 02111 8/5/2021 8/5/2022 RES Ind YVON WOAPPI BRIGHAM AND WOMEN'S HOSPITAL DEPARTMENT OF DERMATOLOGY 4 BLACKFAN STREET, SUITE 660 BOSTON MA 02115 5/12/2021 5/12/2022 RES Ind,I,II,III,IV,V,VI BRENDA WONG LAIYING UMASS MEMORIAL MEDICAL CENTER INVESTIGATIONAL DRUG SERVICES (IDS PHARMAC 55 LAKE AVE, NORTH WORCESTER MA 01655 6/10/2021 6/10/2022 RES Ind

Page 61 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

ERIC WONG TAI-LEE BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS, SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 8/20/2021 8/20/2022 RES Ind JOHN WONG TUFTS MEDICAL CENTER DEPARTMENT OF PHARMACY 800 WASHINGTON STREET, BOX #420 BOSTON MA 02111 5/19/2021 5/19/2022 RES VI KEITH WONG CATAMARAN BIO 610 MAIN STREET 3RD FLOOR CAMBRIDGE MA 02139 11/30/2020 11/30/2021 RES VI JANET WOZNIAK R MASSACHUSETTS GENERAL HOSPITAL DEPT OF PHARMACY, GRAY BASEMENT, ROOM 005 55 FRUIT STREET BOSTON MA 02114 10/27/2020 10/27/2021 RES Ind CHRISTIANE WRANN MASSACHUSETTS GENERAL HOSPITAL CARDIOVASCULAR RESEARCH CENTER 149 13TH STREET, 4TH FLOOR CHARLESTOWN MA 02129 2/5/2021 2/5/2022 RES III,VI KAREN WRIGHT DENISE DANA-FARBER CANCER INSTITUTE RESEARCH PHARMACY, YAWKEY BLDNG Y537 450 BROOKLINE AVE BOSTON MA 02115 6/9/2021 6/9/2022 RES Ind,VI BIN WU D'AMBROSIO EYE CARE 479 OLD UNION TURNPIKE LANCASTER MA 01523 4/8/2021 4/8/2022 RES Ind DAVID WU SCHEPENS EYE RESEARCH INSTITUTE 20 STANIFORD STREET BOSTON MA 02114 7/10/2021 7/10/2022 RES III,VI JULIAN WU TUFTS MEDICAL CENTER DEPT OF PHARMACY 800 WASHINGTON STREET BOX #420 BOSTON MA 02111 6/24/2021 6/24/2022 RES Ind,VI MEI WU X MASSACHUSETTS GENERAL HOSPITAL WELLMAN CENTER FOR PHOTOMEDICINE 50 BLOSSOM STREET, EDR 211 BOSTON MA 02114 2/9/2021 2/9/2022 RES II,III,VI GERBURG WULF BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS, SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 8/26/2021 8/26/2022 RES Ind ALYSSE WURCEL TUFTS MEDICAL CENTER DEPARTMENT OF PHARMACY 800 WASHINGTON STREET, BOX #420 BOSTON MA 02111 3/22/2021 3/22/2022 RES Ind EDWARD WYLUDA J CAPE COD HOSPITAL, DAVENPORT-MUGAR CANCER MEDICAL ONCOLOGY PHAMRACY 27 PARK STREET HYANNIS MA 02601 9/1/2021 9/1/2022 RES Ind RAMNIK XAVIER J MASSACHUSETTS GENERAL HOSPITAL SIMCHES BLDG ROOM 7218 165 CAMBRIDGE ST BOSTON MA 02114 1/24/2021 1/24/2022 RES III,VI FAN XIAODUO UMASS MEDICAL SCHOOL 26 QUEEN STREET WORCESTER MA 01610 5/14/2021 5/14/2022 RES Ind ZHONGCONG XIE MASSACHUSETTS GENERAL HOSPITAL ANESTHESIA, CRITICAL CARE & PAIN MEDICINE 149 13TH STREET, ROOM 4309 CHARLESTOWN MA 02129 1/31/2021 1/31/2022 RES II,III,VI BING XU BRANDEIS UNIVERSITY DEPT OF CHEMISTRY, EDISON-LECKS 320 415 SOUTH STREET WALTHAM MA 02453 10/11/2021 10/11/2022 RES III,VI DAIGEN XU EMD SORENO RESEARCH & DEVELOPMENT INSTITUT 45A MIDDLESEX TURNPIKE BILLERICA MA 01821 9/29/2021 9/29/2022 RES III,VI YUKIKO YAMASHITA WHITEHEAD INSTITUTE FOR BIOMEDICAL RESEARC 455 MAIN STREET YAMASHITA LAB CAMBRIDGE MA 02142 3/31/2021 3/31/2022 RES VI BRUCE YANKNER ALBERT HARVARD MEDICAL SCHOOL GENETICS DEPT, NRB 858 77 AVENUE LOUIS PASTEUR BOSTON MA 02115 5/22/2021 5/22/2022 RES III,VI HIDEAKI YANO 140 THE FENWAY ROOM 263 BOSTON MA 02115 12/30/2020 12/30/2021 RES I,II,IV FENG YAO BRIGHAM & WOMEN'S HOSPITAL DEPARTMENT OF SURGERY TH1528, 20 SHATTUCK STREET BOSTON MA 02115 8/13/2021 8/13/2022 RES II,III,VI DEFINE YARAR OMEGA THERAPEUTICS, INC. 20 ACORN PARK DRIVE, 4TH FLOOR CAMBRIDGE MA 02140 5/5/2021 5/5/2022 RES VI JIA YIN MASS EYE AND EAR INFIRMARY 243 CHARLES STREET BOSTON MA 02114 8/25/2021 8/25/2022 RES Ind LAEL YONKER M MGH DEPARTMENT OF PHARMACY 55 FRUIT STREET, GB005 BOSTON MA 02114 10/9/2020 10/9/2021 RES I HEATHER YONUTAS MARIE VOYAGER THERAPEUTICS 64 SIDNEY STREET CAMBRIDGE MA 02139 8/23/2021 8/23/2022 RES III,VI JAMES YOO BRIGHAM AND WOMEN'S HOSPITAL DEPT OF SURGERY, THORN BLDNG, ROOM 1516 20 SHATTUCK STREET BOSTON MA 02115 12/16/2020 12/16/2021 RES VI SEUNG YOO SCHIK BRIGHAM & WOMEN'S HOSPITAL DEPARTMENT OF RADIOLOGY 221 LONGWOOD AVENUE ROOM #515A/519 BOSTON MA 02115 6/23/2021 6/23/2022 RES II,III,VI CHANGCHENG YOU LYRA THERAPEUTICS, INC 480 ARSENAL WAY WATERTOWN MA 02472 8/7/2021 8/7/2022 RES VI JAE YOUNG YOU BETH ISRAEL DEACONESS MEDICAL CENTER HOSPTAL-RESEARCH PHARMACY 330 BROOKLINE AVENUE BOSTON MA 02215 11/16/2020 11/16/2021 RES Ind BINGLAN YU MASSACHUSETTS GENERAL HOSPITAL ANESTHESIA CTR FOR CRITICAL CARE RES THIER RESEARCH BLDG ROOM 505 BOSTON MA 02114 11/26/2020 11/26/2021 RES II,III,IV,V,VI ELAINE YU MASSACHUSETTS GENERAL HOSPITAL DEPARTMENT OF PHARMACY, GB05 55 FRUIT STREET BOSTON MA 02114 1/14/2021 1/14/2022 RES Ind WEIQUN YU BETH ISRAEL DEACONESS MEDICAL CENTER DEPARTMENT OF MEDICINE RN 390, 99 BROOKLINE AVENUE BOSTON MA 02215 8/19/2021 8/19/2022 RES III,VI XIN YU MASSACHUSETTS GENERAL HOSPITAL 3RD AVE BUILDING 75, ROOM1-203 CHARLESTOWN MA 02128 1/27/2021 1/27/2022 RES II,III,VI ZHI-MIN YUAN HARVARD T.H.CHAN SCHOOL OF PUBLIC HEALTH 651 HUNTINGTON AVE FXB ROOM 101D BOSTON MA 02115 12/19/2020 12/19/2021 RES III SEOK-HYUN YUN 65 LANDSDOWNE STREET, SUITE 500 CAMBRIDGE MA 02139 4/13/2021 4/13/2022 RES II,III,VI SEOK-HYUN YUN MASS. GENERAL HOSPITAL/HARVARD MEDICAL SCH WELLMAN CTR FOR PHOTOMEDICINE 40 BLOSSOM ST., LAB 612 BOSTON MA 02114 11/15/2020 11/15/2021 RES II,III,VI SAHAR ZAFAR FATIMA MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET BOSTON MA 02114 12/30/2020 12/30/2021 RES Ind ROSS ZAFONTE DENNIS 79/96 13TH STREET, ROOM 145 CHARLESTOWN MA 02129 6/18/2021 6/18/2022 RES Ind WARREN ZAPOL M. ANESTHESIA CENTER FOR CRITICAL CARE RESEAR MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT ST., THIER 505 BOSTON MA 02114 10/11/2021 10/11/2022 RES II,III,IV,VI HATIM ZARIWALA ABBOS ALI VOYAGER THERAPEUTICS 64 SIDNEY STREET 5TH FLOOR CAMBRIDGE MA 02139 11/22/2020 11/22/2021 RES III,VI CORRINE ZARWAN ADDISON GILBERT HOSPITAL 298 WASHINGTON STREET GLOUCESTER MA 01930 9/16/2021 9/16/2022 RES Ind,VI CORRINE ZARWAN BEVERLY HOSPITAL 85 HERRICK STREET BEVERLY MA 01915 9/16/2021 9/16/2022 RES Ind,VI CORRINE ZARWAN LAHEY HOSPITAL & MEDICAL CENTER 41 MALL ROAD LCID#2018-026CIRB BURLINGTON MA 01805 3/2/2021 3/2/2022 RES Ind,VI CORRINE ZARWAN LAHEY MEDICAL CENTER 1 ESSEX CENTER DRIVE LCID#: 2018-026CIRB PEABODY MA 01906 3/2/2021 3/2/2022 RES Ind,VI CORRINE ZARWAN WINCHESTER HOSPITAL 41 HIGHLAND AVENUE WINCHESTER MA 01809 4/30/2021 4/30/2022 RES Ind,VI GARRETT ZELLA TUFTS MEDICAL CENTER DEPARTMENT OF PHARMAC 800 WASHINGTON STREET, BOX #420 BOSTON MA 02111 7/26/2021 7/26/2022 RES Ind,VI JESSICA ZERILLO BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY- EAST CAMPUS, SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 8/25/2021 8/25/2022 RES Ind JIN-GANG ZHANG DISCOVERY LABWARE INC. 6 HENSHAW ST. WOBURN MA 01801 1/31/2021 1/31/2022 RES Ind,II,III,IV YI ZHANG BOSTON CHILDREN'S HOSPITAL PROGRAM IN CELLULAR AND MOLECULAR MEDICINE 200 LONGWOOD AVE,WARREN ALPERT BLDG, RM174BOSTON MA 02115 11/24/2020 11/24/2021 RES II,III YUJUAN ZHANG TUFTS MEDICAL CENTER DEPARTMENT OF PHARMAC 800 WASHINGTON STREET, BOX #420 BOSTON MA 02111 8/26/2021 8/26/2022 RES Ind,VI

Page 62 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

XIAOGUANG ZHEN NOCION THERAPEUTICS 100 BEAVER STREET 3RD FLOOR, SUITE 308 WALTHAM MA 02453 7/26/2021 7/26/2022 RES VI ANNY ZHOU XIAOBO EBRC 617 221 LONGWOOD AVE BOSTON MA 02115 2/8/2021 2/8/2022 RES VI YUNLI ZHOU MASSACHUSETTS GENERAL HOSPITAL NEUROENDOCRINE UNIT 55 FRUIT STREET, BUL450 BOSTON MA 02114 2/17/2021 2/17/2022 RES VI ZHENG ZHOU LAHEY HOSPITAL & MEDICAL CENTER 41 MALL ROAD, RESEARCH PHARMACY BURLINGTON MA 01805 10/1/2020 10/1/2021 RES Ind,VI RONGHUA ZHUGE UNIVERSITY OF MASS. MEDICAL SCHOOL DEPT OF MICROBIOLOGY & PHYSIO SYSTEMS SHERMAN CTR, 368 PLANTATION ST,RM AS8-1041 WORCESTER MA 01605 3/3/2021 3/3/2022 RES II,III,VI JOSEPH ZIBRAK BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH PHARMACY-EAST CAMPUS, SL-OB-07 330 BROOKLINE AVE BOSTON MA 02215 11/4/2020 11/4/2021 RES Ind PETER ZIMETBAUM BETH ISRAEL DEACONESS MEDICAL CENTER WEST CAMPUS RESEARCH PHARMACY-RBB11 ONE DEACONESS ROAD BOSTON MA 02215 9/1/2021 9/1/2022 RES Ind ANDREA ZUCKERMAN TUFTS MEDICAL CENTER DEPARTMENT OF PHARMACY 800 WASHINGTON STREET BOX #420 BOSTON MA 02111 7/15/2021 7/15/2022 RES Ind,VI SUSAN ZUP L. UNIVERSITY OF MASSACHUSETTS, BOSTON 100 MORRISSEY BOULEVARD BOSTON MA 02125 9/30/2021 9/30/2022 RES II,III SUSAN ZWEIZIG L UMASS MEMORIAL MEDICAL CENTER IDS AMBULATORY CARE CTR BLDG (ACC),AC6-201 55 LAKE AVENUE NORTH WORCESTER MA 01655 7/5/2021 7/5/2022 RES Ind

As of 10/01/21

Page 63 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

Active MCSR's for VETERINARIANS

First Name Last name Middle Name Suffix Address City State Zip Issued Expires Class Drug_Schedules LAUREN BLUME MELISSA 230 CABOT RD WOBURN MA 01801 8/16/2018 / / BVE II,III,IV,V,VI BRUNA KAWAI WESTSIDE ANIMAL CLINIC 262 MILL ST. WORCESTER MA 01602 3/6/2019 / / BVE II,III,IV,V,VI MANJU GAURI KUNCHUR RANGA CAPE COD VETERINARY SPECIALISTS 11 BOURNE BRIDGE APPROACH BUZZARDS BAY MA 02532 9/7/2018 / / BVE II,III,IV,V,VI MARGEEN MORIKONE FUMIKO MSPCA-ANGELL WEST 293 SECOND AVE WALTHAM MA 02451 8/3/2018 / / BVE II,III,IV,V,VI CHRISTINA OLSON HOLDEN VETERINARY CLINIC 11 INDUSTRIAL DR WESTMINISTER MA 01520 8/16/2018 / / BVE II,III,IV,V,VI KRISTIAN SORBO BACK BAY VETERINARY CLINIC 288 NEWBURY ST. SUITE 2 BOSTON MA 02115 9/10/2021 / / BVE II NICOLE STAMM BANFIELD HOSPITAL 271 UNIVERSITY AVE WESTWOOD MA 02090 10/1/2021 / / BVE II,III,IV,V,VI ALEXANDRA BARRETT KLUG BANFIELD PET HOSPITAL 271 UNIVERSITY AVENUE WESTWOOD MA 02090 12/6/2019 / / DVM II,III,IV,V,VI ANDREW ABBO H VETERINARY CANCER SPECIALISTS OF NE 50 COHASSETT AVENUE BUZZARDS BAY MA 02532 5/8/2020 / / DVM II,III,IV,V,VI LISA ABBO A MARINE BIOLOGICAL LABORATORY 7 MBL ST. WOODS HOLE MA 02543 11/20/2020 / / DVM II,III,IV,V,VI KATRINA ABELL M VETERINARY EMERGENCY GROUP-BOSTON 312 STUART ST. BOSTON MA 02116 4/10/2021 / / DVM II,III,IV,V,VI ERIN ABRAHAMS V ANGELL ANIMAL MEDICAL CENTER 350 S.HUNTINGTON AVENUE BOSTON MA 02130 9/26/2017 / / DVM II,III,IV,V,VI KENNETH ABRAMS LAWRENCE ANGELL ANIMAL MEDICAL CENTER 350 S HUNTINGTON AVE BOSTON MA 02130 5/22/2017 / / DVM II,III,IV,V,VI YASSINE ABSAR BANFIELD PET HOSPITAL 114 A COMMERCE WAY WOBURN MA 01801 1/31/2021 / / DVM II,III,IV,V,VI MICHAELLA ABUGOV ROSE MSPCA-ANGELL 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 6/20/2019 / / DVM II,III,IV,V,VI KATIE ACHILLES IRENE 50 LEWIS STREET MARION MA 02738 9/24/2020 / / DVM II,III,IV,V,VI KIMBERLY ACKERMAN L INC 17 LAURELWOOD RD STERLING MA 01564 5/18/2017 / / DVM II,III,IV,V,VI DANIELA ACKLEY VRABELOVA MSPCA ANGELL WEST 293 SECOND AVE WALTHAM MA 02451 11/24/2020 / / DVM II,III,IV,V,VI APRIL ADAMS WALTER VCA ROBERTS ANIMAL HOSPITAL 516 WASHINGTON STREET HANOVER MA 02339 5/8/2020 / / DVM II,III,IV,V,VI SAMANTHA ADAMS COUNTRYSIDE ANIMAL HOSPITAL 164 WEST STATE STREET GRANBY MA 01033 9/14/2021 / / DVM II,III,IV,V,VI SUSAN ADAMS-CONLEY M. 112 MENDON ROAD BELLINGHAM MA 02019 4/6/2020 / / DVM II,III,IV,V,VI ROBERT ADAMSKI EDWARD JR. NEW ENGLAND WILDLIFE CENTER 500 COLUMBIAN STREET SOUTH WEYMOUTH MA 02190 3/7/2017 / / DVM II,III,IV,V,VI CHRISTINE ADREANI MARIE SANOFI 640 MEMORIAL DR CAMBRIDGE MA 02139 12/7/2018 / / DVM VI CARL AGNELLO F BOSTON WEST VETERINARY EMERGENCY SPECIALIT 5 STRATHMORE RD NATICK MA 01760 5/24/2021 / / DVM II,III,IV,V,VI EMILIA AGRAFOJO LINWOOD ANIMAL HOSPITAL 1500 GORHAM STREET LOWELL MA 01852 4/19/2020 / / DVM II SUZANNE AHMAD J VCA ROTHERWOOD ANIMAL HOSPITAL 78 WINCHESTER ST. NEWTON MA 02461 6/18/2021 / / DVM II,III,IV,V,VI CHARINE AHMED TABBAH HEALTHY PAWS VET CTR 6 OLD FLANDERS ROAD WESTBOROUGH MA 01581 5/11/2018 / / DVM II,III,IV,V,VI PRITTI AKARE JOHNSON VETERINARY HOSPITAL 160 WINTHROP AVENUE LAWRENCE MA 01886 9/21/2018 / / DVM II,III,IV,V,VI SAMANTHA ALDRICH VCA SOUTH SHORE WEYMOUTH ANIMAL HOSPITAL 595 COLUMBIAN STREET SOUTH WEYMOUTH MA 02190 7/7/2021 / / DVM II,III,IV,V,VI WAYNE ALDRICH ROBERTS 23 JOHNSON STREET ASHLAND MA 01721 6/8/2020 / / DVM II,III,IV,V,VI CALEB ALEXANDER K NEW ENGLAND VETERINARY ONCOLOGY GROUP 180 BEAR HILL RD STE C WALTHAM MA 02451 7/29/2018 / / DVM II,III,IV,V,VI JOANNA ALEXANDER L SUDBURY ANIMAL HOSPITAL 662 BOSTON POST ROAD SUDBURY MA 01776 2/21/2019 / / DVM II,III,IV,V,VI FRANK ALFANO JAMES DEER RUN VETERINARY SERVICE, INC. 168 TEATICKET HIGHWAY EAST FALMOUTH MA 02536 11/17/2019 / / DVM II,III,IV,V,VI RACHID ALIZIANE BANFIELD PET HOSPITAL 160 ALEWIFE BROOK PKWY CAMBRIDGE MA 02138 10/29/2020 / / DVM II,III,IV,V,VI MARVELYN ALLAN-MOTAMED ABINGTON ANIMAL HOSPITAL 19 RANDOLPH ST ABINGTON MA 02351 6/15/2021 / / DVM II,III,IV,V,VI ELIZABETH ALLEGRETTO ANNE 7 WHITNEY STREET NORTH GRAFTON MA 01536 2/10/2019 / / DVM II,III,IV,V,VI JOYCE ALLEMAN E SPRUCE HILL VET CLINIC 4 PLUMTREE RD SPRINGFIELD MA 01118 3/27/2021 / / DVM II,III,IV,V,VI AMY ALLEN ELIZABETH RIVER VALLEY HOUSE CALL VET 286 RIVER DRIVE HADLEY MA 01035 11/16/2019 / / DVM II,III,IV,V,VI EMILY ALLEN S WESTOVER ANIMAL CLINIC 1361 MEMORIAL DRIVE CHICOPEE MA 01020 4/29/2021 / / DVM II,III,IV,V,VI SARAH ALLEN E MASS VETERINARY REFERRAL HOSPITAL 20 CABOT ROAD WOBURN MA 01801 4/1/2019 / / DVM II,III,IV,V,VI WHITNEY ALLEN ALEXANDRA VCA ROTHERWOOD ANIMAL HOSPITAL 78 WINCHESTER ST NEWTON MA 02461 6/13/2020 / / DVM II,III,IV,V,VI ALISON ALLUKIAN RUTH ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 4/13/2021 / / DVM II,III,IV,V,VI NANCY ALPERSON BOREN 81 HOLDEN ST SHREWSBURY MA 01545 12/12/2017 / / DVM II,III,IV,V,VI JOEL ALSUP CHRISTOPHER BOSTON WEST VETERINARY EMERGENCY & SPECIAL 5 STRATHMORE ROAD NATICK MA 01760 4/2/2019 / / DVM II,III,IV,V,VI

Page 64 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

KATRINA ALTMAIER R 7 GEORGE HILL ROAD GRAFTON MA 01519 7/5/2020 / / DVM II,III,IV,V,VI ANNA ALTOBELLI MARIA PAWSTEPS VETERINARY CENTER 18 GRANITE STREET WHITINSVILLE MA 01588 4/21/2020 / / DVM II,III,IV,V,VI AMY ALWOOD JO 112 ELLINGTON ST. LONGMEADOW MA 01106 12/3/2018 / / DVM II,III,IV,V,VI NICOLE AMATO-HANELT STACIA 20 CABOT ROAD WOBURN MA 01801 7/13/2020 / / DVM II,III,IV,V,VI RICHARD AMSTER AAA VETERINARY HOUSE CALLS 150 STANIFORD STREET SUITE 511 BOSTON MA 02114 5/30/2019 / / DVM II,III,IV,V,VI CHARLES AMUGUMI MAMBEI WESTFORD VETERINARY EMERGENCY AND REFERRAL CENTER 11 CORNERSTONE WQ WESTFORD MA 01886 2/23/2021 / / DVM II,III,IV,V,VI ALBERT ANDERSEN G 56 BROOK ST MEDFIELD MA 02052 3/23/2020 / / DVM II,III,IV,V,VI CHELSEA ANDERSON ELLIS THE PET'S VET- NORTH END 225 FRIEND STREET BOSTON MA 02114 9/24/2021 / / DVM II,III,IV,V,VI JUSTINE ANDERSON CATHERINE ELICE BANFIELD PET HOSPITAL 250 GROSSMAN DRIVE BRAINTREE MA 02184 8/5/2020 / / DVM II,III,IV,V,VI KAITLIN ANDERSON MICHELLE RIVERSIDE VETERINARY CLINIC 664 RIVERSIDE DR HAVERHILL MA 01830 6/25/2021 / / DVM II,III,IV,V,VI KARIN ANDERSON A 300 BROADWAY SAUGUS MA 01906 8/16/2019 / / DVM II,III,IV,V,VI KIRSTIN ANDERSON SARAH DANVERS ANIMAL HOSPITAL 367 MAPLE ST DANVERS MA 01923 5/12/2019 / / DVM II,III,IV,V,VI WILLIAM ANDERSON D EAST SPRINGFIELD VETERINARY HOSPITAL 525 PAGE BLVD SPRINGFIELD MA 01104 12/21/2018 / / DVM II,III,IV,V,VI WILLIAM ANDERSON D WILBRAHAM ANIMAL HOSPITAL 2424 BOSTON RD WILBRAHAM MA 01095 5/31/2017 / / DVM II,III,IV,V,VI PAOLO ANDREANI-FABRONI S CANTON VETERINARY HOSPITAL 190 TURNPIKE ST. CANTON MA 02021 5/21/2019 / / DVM II,III,IV,V,VI MEGAN ANDREASSI CURRAN HEALTHY PAWS VETERINARY CENTER 6 OLD FLANDERS RD WESTBOROUGH MA 02618 6/25/2021 / / DVM II,III,IV,V,VI KATHARINE ANDRES MARIE BAYSTATE VETERINARY EMERGENCY SERVICES 76 BAPTIST ST. SWANSEA MA 02777 1/16/2021 / / DVM II,III,IV,V,VI STEPHANIE ANDRUSKEVICH MONNIER AMESBURY ANIMAL HOSPITAL 277 ELM ST AMSEBURY MA 01913 12/26/2019 / / DVM II,III,IV,V,VI MICHELLE ANGELL SHARI SOUTH HINGHAM VETERINARY SERVICES 60 SHARP ST. HINGHAM MA 02043 1/18/2019 / / DVM II,III,IV,V,VI GABRIELLE ANGELO L NEW ENGLAND VETERINARY ONCOLOGY GROUP 180 BEAR HILL ROAD, SUITE C WALTHAM MA 02451 6/16/2017 / / DVM II,III,IV,V,VI CARLA ANGEVINE NORTH MAIN STREET VETERINARY CLINIC 1116 NORTH MAIN STREET BROCKTON MA 02401 12/18/2018 / / DVM II,III,IV,V,VI EMILY ANGIULO P. VCA ABBOTT ANIMAL HOSPITAL 21 E. MOUNTAIN STREET WORCESTER MA 01606 4/25/2020 / / DVM II,III,IV,V,VI DANA ANHOLZER J BUZZARDS BAY VETERINARY ASSOCIATES 230 MAIN ST, BUZZARDS BAY MA 02532 10/15/2019 / / DVM II,III,IV,V,VI ONYINYE ANIEMEKE FRANCES NEW ENGLAND ANIMAL MEDICAL CENTER 595 W CENTER W BRIDGEWATER MA 02399 6/25/2021 / / DVM II,III,IV,V,VI CONA ANWER C VETERINARY NEUROLOGY AND PAIN MANAGEMENT CLINIC OF NEW ENGLAND 2250 PROVIDENCE HWY WALPOLE MA 02081 6/30/2021 / / DVM II,III,IV,V,VI CATHERINE APPLEGATE C LEXINGTON VETERINARY ASSOCIATES 511 WALTHAM STREET LEXINGTON MA 02421 6/14/2021 / / DVM II,III,IV,V,VI NIMROD ARAD RAAM INNOVATIVE VETERINARY SOLUTIONS 118 SOUTH ROAD PEPPERELL MA 01463 4/14/2020 / / DVM II,III,IV,V,VI LOREN ARENA MARIE CHASE FARM VETERINARY HOSPITAL 35 VENTURA DRIVE 02747DARTMOUTH MA 02747 6/18/2019 / / DVM II,III,IV,V,VI LINDA ARONSON P 117 LYMAN ROAD BERLIN MA 01503 6/14/2019 / / DVM II,III,IV,V,VI KERRY ARSENAULT COUNTRYSIDE VETERINARY HOSPITAL 289 LITTLETON ROAD CHELMSFORD MA 01824 7/22/2021 / / DVM II,III,IV,V,VI LYNNE ARTHUR ANNE SOUTH BOSTON ANIMAL HOSPITAL 9 W. BROADWAY BOSTON MA 02127 10/28/2019 / / DVM II,III,IV,V,VI SARAH ASADORIAN R NEW ENGLAND ANIMAL MEDICAL CENTER 595 W CENTER ST W BRIDGEWATER MA 02379 9/27/2018 / / DVM II,III,IV,V,VI RACHEL ASHLEY E WRENTHAM ANIMAL HOSPITAL 5 LEDGEVIEW WAY WRENTHAM MA 02093 8/17/2021 / / DVM II,III,IV,V,VI KEITH ASTROFSKY M MISPRO BIOTECH 400 TECHNOLOGY SQUARE CAMBRIDGE MA 02139 12/4/2017 / / DVM II,III,IV,V,VI ELIZABETH ATKINS L. 3 HAWTHORNE LANE HOLYOKE MA 01040 4/20/2020 / / DVM II,III,IV,V,VI KATHERINE AUBERT ANN MIDDLESEX COUNTY ANIMAL HOSPITAL 330 BOSTON ROAD NORTH BILLERICA MA 01862 3/28/2021 / / DVM II,III,IV,V,VI NAOMI AUERBACH DEBORAH DEHAM VETERINARY ASSOCIATES 326 BRIDGE STREET DEDHAM MA 02026 5/6/2019 / / DVM II,III,IV,V,VI JONATHAN AUGUSTO D MILFORD ANIMAL HOSPITAL 329 UPPER WEST STREET MILFORD MA 01757 3/2/2019 / / DVM II,III,IV,V,VI ELIZABETH AUSTIN CAPE COD VETERINARY SPECIALISTS 11 BOURNE BRIDGE APPROACH BUZZARDS BAY MA 02532 8/12/2021 / / DVM II,III,IV,V,VI ELIZABETH AUSTIN CARUSO VCA SOUTH SHORE WEYMOUTH ANIMAL HOSPITAL 595 COLUMBIAN STREET WEYMOUTH MA 02190 7/31/2019 / / DVM II,III,IV,V,VI ASHLEY AYOOB LYNN BLUEPEARL- CHARLESTOWN 56 ROLAND ST. STE. 107 BOSTON MA 02129 7/3/2020 / / DVM II,III,IV,V,VI SANDRA AYRES L TUFTS CUMMINGS SCHOOL OF VETERINARY MED PEABODY PAVILLION 200 WESTBORO ROAD NORTH GRAFTON MA 01536 3/13/2021 / / DVM II,III,IV,V,VI ANNA BABCOCK COOPER 30 HIGH ST. HUDSON MA 01749 7/19/2021 / / DVM II,III,IV,V,VI JONATHAN BABYAK M WESTFORD VETERINARY EMERGENCY 11 CORNERSTONE SQUARE SUITE 100 WESTFORD MA 01886 10/8/2019 / / DVM II,III,IV,V,VI STEPHANIE BACON LUDLOW ANIMAL CLINIC P.C. 200 CENTER STREET, SUITE 13 LUDLOW MA 01056 10/29/2020 / / DVM II,III,IV,V,VI DONNA BADNER 13 STRATTON ROAD GRAFTON MA 01519 12/27/2019 / / DVM II,III,IV,V,VI JISEON BAE SUDBURY ANIMAL HOSPITAL 662 BOSTON POST RD SUDBURY MA 01776 4/20/2019 / / DVM II,III,IV,V,VI

Page 65 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

MICHAEL BAER DAVID CARING HEARTS ANIMAL HOSPITAL 7 NORTH MARKET STREET MASHPEE MA 02649 6/15/2019 / / DVM II,III,IV,V,VI DWIGHT BAGHDOYAN V 14 GOSHEN ROAD BOX #777 WILLIAMSBURG MA 01096 4/23/2021 / / DVM II,III,IV,V,VI EVELYN BAILEY SUE DANVERS ANIMAL HOSPITAL 367 MAPLE ST DANVERS MA 01923 6/25/2018 / / DVM II,III,IV,V,VI INGA BAILEY J. HUDSON ANIMAL HOSPITAL 30 HIGH ST HUDSON MA 01749 1/19/2019 / / DVM II,III,IV,V,VI JULIE BAILEY A BULGER VETERINARY HOSPITAL 141 WINTHROP AVE. LAWRENCE MA 01843 5/28/2021 / / DVM II,III,IV,V,VI ZOE BAILEY ELIZABETH MASSACHUSETTS VETERINARY REFERRAL HOSPITAL NEUROLOGY DEPARTMENT 20 CABOT ROAD WOBURN MA 01801 8/5/2020 / / DVM II,III,IV,V,VI ERIC BAITCHMAN J. ZOO NEW ENGLAND VETERINARY SERVICES 1 FRANKLIN PARK ROAD BOSTON MA 02121 10/11/2020 / / DVM II,III,IV,V,VI BARRY BAKER JOSEPH NEW ENGLAND ANIMAL MEDICAL CENTER 595 WEST CENTER STREET WEST BRIDGEWATER MA 12/16/2019 / / DVM II,III,IV,V,VI LAUREN BAKER C 14 HOSMER ST. #1 WATERTOWN MA 02472 5/18/2020 / / DVM II,III,IV,V,VI STEPHEN BAKER CHESSON VCA PLEASANT BAY ANIMAL HOSPITAL 9 ROUTE 137 EAST HARWICH MA 02645 4/2/2021 / / DVM II,III,IV,V,VI TERRA BALDARELLI A TWIN CITY ANIMAL HOSPITAL 869 SOUTH STREET FITCHBURG MA 01420 8/3/2020 / / DVM II,III,IV,V,VI SARAH BALIK EMILY ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVENUE JAMAICA PLAIN MA 02130 6/20/2019 / / DVM II,III,IV,V,VI CAROLINE BALINT M DANVERS ANIMAL HOSPITAL 367 MAPLE STREET DANVERS MA 01923 10/9/2021 / / DVM II,III,IV,V,VI EILEEN BALZ M NORTH SHORE ANIMAL HOSPITAL 1 NEPTUNE BLVD LYNN MA 01902 6/18/2021 / / DVM II,III,IV,V,VI GREGORY BARAN P. 716 LOWELL ROAD GROTON MA 01450 2/9/2019 / / DVM II,III,IV,V,VI ALLISON BARBOUR ANGELL ANIMAL MEDICAL CENTER 350 S HUNTINGTON AVE BOSTON MA 02130 7/22/2021 / / DVM II,III,IV,V,VI ADRIENNE BARCHARD COUTS MARIE WESTFORD VETERINARY EMERGENCY & REFERRAL C 11 CORNERSTONE SQUARE WESTFORD MA 01886 2/28/2020 / / DVM II,III,IV,V,VI REBECCA BARCLAY LYNN PITTSFIELD VETERINARY HOSPITAL 1634 W HOUSATONIC ST PITTSFIELD MA 01201 7/25/2017 / / DVM II,III,IV,V,VI MARGARET BARLOW A WATERS EDGE VETERINARY HOSPITAL 909 SALEM ST GROVELAND MA 01834 8/4/2020 / / DVM II,III,IV,V,VI BRANDY BARNES L DOUGLAS ANIMAL HOSPITAL 28A RIEDELLE ROAD DOUGLAS MA 01516 8/3/2020 / / DVM II,III,IV,V,VI BRIDGET BARNES MARI NORTHAMPTON VETERINARY CLINIC 190 NONOTUCK ST. STE. 105 NORTHAMPTON MA 01062 12/21/2019 / / DVM II,III,IV,V,VI BRIANNA BARNET N BULGER VETERINARY HOSPITAL SURGERY DEPARTMENT 141 WINTHROP AVENUE LAWRENCE MA 01843 11/5/2020 / / DVM II,III,IV,V,VI NICOLE BARNEY CAROL FRAMINGHAM ANIMAL HOSPITAL 1415 EDGELL RD. FRAMINGHAM MA 01701 6/2/2020 / / DVM II,III,IV,V,VI CAROLINE BARR EMMONS PAWSTEPS VETERINARY CENTER 18 GRANITE ST. WHITINSVILLE MA 01588 6/8/2019 / / DVM II,III,IV,V,VI MARYANNE BARR CAPE COD CAT HOSPITAL 337 COTUIT RD FORESTDALE MA 02644 2/3/2020 / / DVM II,III,IV,V,VI JEFFREY BARROW M. MARSHFIELD ANIMAL HOSPITAL, INC. 490 PLAIN STREET MARSHFIELD MA 02050 3/17/2021 / / DVM II,III,IV,V,VI CAROLINE BARSTOW AVIS HESS MCWILLIAMS VETENNARY SERVICES 143 NORTH EAST STREET AMHERST MA 01002 12/19/2019 / / DVM II,III,IV,V,VI ANN BARTLETT MASS VETERINARY HOSPITAL 20 CABOT ROAD WOBURN MA 01801 9/22/2021 / / DVM II,III,IV,V,VI LUCY BARTLETT W SOUTH CAPE VETERINARY CLINIC, INC. 435 WAQUOIT HIGHWAY WAQUOIT MA 02536 3/17/2019 / / DVM II,III,IV,V,VI MELISSA BARTLETT MARY JANE BEST 2600 MAIN ST. TEWKSBURY MA 01876 4/20/2020 / / DVM II,III,IV,V,VI JUSTINA BARTLING ROSE ANGELL ANIMAL MEDICAL CENTER 350 S HUNTINGTON AVE JAMAICA PLAIN MA 02130 8/8/2018 / / DVM II,III,IV,V,VI KARA BASSIGNANI A HOLBROOK ANIMAL HOSPITAL 390 PLYMOUTH STREET HOLBROOK MA 02343 6/18/2021 / / DVM II,III,IV,V,VI HEIDI BASSLER A BASSLER VETERINARY HOSPITAL LLC 1 MERRILL STREET SALISBURY MA 01952 11/21/2019 / / DVM II,III,IV,V,VI JACQUELINE BASTIEN L. AMESBURY ANIMAL HOSPITAL 277 ELM STREET AMESBURY MA 01913 11/14/2019 / / DVM II,III,IV,V,VI NICOLE BATCHELDER M CHASE VETERINARY CLINIC 66 E GROVE ST MIDDLEBORO MA 02346 7/14/2019 / / DVM II,III,IV,V,VI KATHERINE BATTEY BOSTON ROAD ANIMAL CLINIC 239 BOSTON ROAD SUTTON MA 015190 5/9/2019 / / DVM II,III,IV,V LORENE BAUERNSCHMIDT NEED VCA NORTH MAIN ST 1116 NORTH MAIN ST BROCKTON MA 02301 7/11/2019 / / DVM II,III,IV,V,VI JANA BAXTER 955 MASSACHUSETTS AVE APT# 141 CAMBRIDGE MA 02139 1/21/2021 / / DVM II,III,IV,V,VI PAMELA BAY LAUREN BOSTON WEST VETERINARY EMERGENCY AND SPECIALTY 5 STRATHMORE ROAD NATICK MA 01760 8/14/2019 / / DVM II,III,IV,V,VI ALISON BAYERLE KATHLEEN ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE. BOSTON MA 02130 7/8/2020 / / DVM II,III,IV,V,VI CORINNA BEALE NASH TUFTS UNIVERSITY 25 HARVARD STREET ZISKIND BUILDING, 3RD FLOOR BOSTON MA 02111 6/25/2021 / / DVM II,III,IV,V,VI DEBORAH BEAN C 49 BEACON ST. BOSTON MA 02108 7/15/2021 / / DVM II,III,IV,V,VI PHILIP BEAUDOIN A 1695 CANTON AVENUE MILTON MA 02186-2313 12/21/2019 / / DVM II,III,IV,V,VI DANIEL BEAVER P CAPE COD VETERINARY SPECIALISTS 11 BOURNE BRIDGE APPROACH BUZZARDS BAY MA 02532 2/1/2019 / / DVM II,III,IV,V,VI BREANNA BEBERMAN 29 BELLOWS CIRCLE MARLBOROUGH MA 02190 12/3/2020 / / DVM II,III,IV,V,VI BREANNA BEBERMAN VCA SOUTH SHORE WEYMOUTH ANIMAL HOSPITAL 595 COLUMBIAN STREET SOUTH WEYMOUTH MA 02190 9/22/2020 / / DVM II,III,IV,V,VI NICOLE BECKEL F. NEW ENGLAND ANIMAL MEDICAL CENTER 595 WEST CENTER STREET WEST BRIDGEWATER MA 02379 7/13/2021 / / DVM II,III,IV,V,VI

Page 66 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

JAMI BECKER RACHEL ANGELL ANIMAL MEDICAL CENTER 305 SOUTH HUNTINGTON AVE JAMAICA PLAIN MA 02130 7/26/2019 / / DVM II,III,IV,V,VI ALEX BECKET GILES CAPE ANN 4 PAWS LN GLOUCESTER MA 01930 7/17/2021 / / DVM II,III,IV,V,VI DIANA BECKWITH WINSLOW NEW ENGLAND VETERINARY CLINIC & PET RESORT 204 HIGHLAND AVE SALEM MA 01970 7/17/2019 / / DVM II,III,IV,V,VI JOHN BEDNARZ WACHUSETT ANIMAL HOSPITAL AND PET RETREAT 29 THEODORE DRIVE WESTMINSTER MA 01423 1/28/2019 / / DVM II,III,IV,V,VI KEITH BEEBE FRANK 249 MAPLE STREET P. O. BOX 370 HINSDALE MA 01235 8/16/2020 / / DVM II,III,IV,V,VI MICHELLE BEEHLER KATHERINE ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVENUE BOSTON MA 02130 6/3/2019 / / DVM II,III,IV,V,VI KRISTEN BEHRENS ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 9/22/2021 / / DVM II,III,IV,V,VI RUDOLPH BEILER JACOB BOSTON UNIVERSITY ANIMAL SCIENCE CENTER 590 COMMONWEALTH AVE BOSTON MA 02215 6/24/2019 / / DVM II,III,IV,V,VI RUDOLPH BEILER JACOB BOSTON UNIVERSITY MEDICAL CENTER 700 ALBANY STREET W707 BOSTON MA 02118 6/24/2019 / / DVM II,III,IV,V,VI JAMES BELANGER A ON THE GO MOBILE VETERINARY SERVICES 21 BEAVER BROOK CIRCLE AMHERST NH 03031 3/24/2017 / / DVM II,III,IV,V,VI HANNAH BELCHER-TIMME FACEY EAST SPRINGFIELD VETERINARY HOSPITAL INC 525 PAGE BLVD SPRINGFIELD MA 01104 8/14/2019 / / DVM II,III,IV,V,VI HANNAH BELCHER-TIMME FACEY WILBRAHAM ANIMAL HOSPITAL 2424 BOSTON RD WILBRAHAM MA 01095 6/16/2020 / / DVM II,III,IV,V,VI KAREN BELDEN ANNA BULGER VETERINARY HOSPITAL 141 WINTHROP AVE. LAWRENCE MA 01843 12/27/2019 / / DVM II,III,IV,V,VI TAYLOR BELK TREEN ANGELL ANIMAL MEDICAL CENTER 350 S HUNTINGTON AVE BOSTON MA 02130 6/18/2018 / / DVM II,III,IV,V,VI JANICE BELMONTE A. 193 LONG HILL BOLTON MA 01740 12/1/2017 / / DVM II,III,IV,V,VI KATHERINE BELTAIRE ANN UNIVERSITY OF MASSACHUSETTS HADLEY FARM 111 NORTH MAPLE STREET HADLEY MA 01035 7/1/2019 / / DVM II,III,IV,V,VI MICHELLE BELVIN 17 LAUREWOOD ROAD STERLING MA 01564 8/14/2019 / / DVM II,III,IV,V,VI ALEXANDRA BEMIS MAE BOSTON ROAD ANIMAL CLINIC 239 BOSTON RD SUTTON MA 01590 8/14/2018 / / DVM II,III,IV,V,VI NIR BEN-ARI PETMEDIC 347 MAIN STREET #B WATERTOWN MA 02472 6/23/2020 / / DVM II,III,IV,V,VI ASHLEY BENDLIN VCA SOUTH SHORE AMIMAL HOSPITAL (WEYMOUTH) 595 COLUMBIAN ST SOUTH WEYMOUTH MA 02190 9/7/2017 / / DVM II,III,IV,V,VI ADEL BENEDEK KINGA BANFIELD PET HOSPITAL 70 WORCESTER PROVIDENCE TURNPIKE MILLBURY MA 01527 1/23/2018 / / DVM II,III,IV,V,VI AYSEM BENGE LAUREL MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT ROAD WOBURN MA 01801 9/14/2021 / / DVM II,III,IV,V,VI ELYSE BENHAM CLARIE BEST PETS VETERINARY HOSPITAL 2600 MAIN STREET TEWSBURY MA 01876 12/19/2019 / / DVM II,III,IV,V,VI WILLIAM BENNER L 511 NEWTON STREET SOUTH HADLEY MA 01075 2/10/2019 / / DVM II,III,IV,V,VI JULIA BENNETT WALLACE 99 MILL LANE NORWELL MA 02061 8/14/2020 / / DVM II,III,IV,V,VI LISA BENNETT GAYLE 1157 CANE MILL LN BRADENTON FL 34212 8/17/2018 / / DVM II,III,IV,V,VI SHEILA BENNETT BULGER ANIMAL HOSPITAL 141 WINTHROP AVE LAWRENCE MA 01843 7/2/2021 / / DVM II,III,IV,V,VI JOHN BENSON ARTHUR VETERINARY EMERGENCY AND SPECIALTY HOSPITA SURGERY DEPT. 141 GREENFIELD ROAD SOUTH DEERFIELD MA 01373 6/15/2021 / / DVM II,III,IV,V,VI KELLY BENTLEY S WESTON VETERINARY CLINIC 152 BOSTON POST ROAD WESTON MA 02493 9/4/2019 / / DVM II,III,IV,V,VI RICHELLE BERARD J VCA EVERETT ANIMAL HOSPITAL 251 CHELSEA ST. EVERETT MA 02149 3/7/2020 / / DVM II,III,IV,V,VI PATRICIA BERCHTOLD A CHELMSFORD ANIMAL HOSPITAL 11 FLETCHER STREET CHELMSFORD MA 01824 7/20/2020 / / DVM II,III,IV,V,VI KYRA BERG VCA SOUTH SHORE 595 COLUMBIAN STREET S WEYMOUTH MA 02190 9/16/2021 / / DVM II,III,IV,V,VI ROBERT BERGANTINO A. 206 WEST ST. NEW SALEM MA 01355 8/17/2021 / / DVM II,III,IV,V,VI AMANDA BERGERON S.D. ASHLAND ANIMAL HOSPITIAL 10 FOUNTAIN STREET ASHLAND MA 01721 4/27/2021 / / DVM II,III,IV,V,VI JULIE BERGERON R. 204 HIGHLAND AVENUE SALEM MA 01970 12/14/2019 / / DVM II,III,IV,V,VI MAXWELL BERGMANN MSPCA-ANGELL WEST 293 2RD AVE WALTHAM MA 02451 9/4/2021 / / DVM II,III,IV,V,VI KEL BERGSTEN A SAUGUS ANIMAL HOSPITAL 300 BROADWAY SAUGUS MA 01906 10/26/2021 / / DVM II,III,IV,V,VI LAURA BERKOWITZ S. PEPPERELL VETERINARY HOSPITAL 110 RIVER ROAD PEPPERELL MA 01463 12/12/2019 / / DVM II,III,IV,V,VI ALISON BERLENT D HANCOCK ANIMAL HOSPITAL 55 HANCOCK STREET QUINCY MA 02171 10/8/2019 / / DVM II,III,IV,V,VI EDWARD BERMAN B SOUTH RIVER VETERINARY HOSPITAL 1537 OCEAN STREET MARSHFIELD MA 02050 3/5/2020 / / DVM II,III,IV,V,VI SILVIA BERNAL HELENA MASS VETERINARY REFERRAL HOSPITAL ER DEPT 20 CABOT RD WOBURN MA 01801 1/7/2020 / / DVM II,III,IV,V,VI MICHAEL BERNSTEIN VCA BOSTON ROAD ANIMAL HOSPITAL 1235 BOSTON RD SPRINGFIELD MA 01119 2/5/2018 / / DVM II,III,IV,V,VI MICHAEL BERNSTEIN VCA SOUTH SHORE ANIMAL HOSPITAL 595 COLUMBIAN STREET SOUTH WEYMOUTH MA 02190 4/10/2021 / / DVM II,III,IV,V,VI DEVIN BERTHIAUME RYAN VCA SOUTH SHORE (WEYMOUTH) AMIMAL HOSPITAL 595 COLUMBIAN ST SOUTH WEYMOUTH MA 02190 7/29/2021 / / DVM II,III,IV,V,VI ALLA BEZHENTSEVA ANGELL ANIMAL MEDICAL CENTER 350 S HUNTINGTON AVE BOSTON MA 02130 6/12/2017 / / DVM II,III,IV,V,VI MICHELLE BIANCO A. MID-STATE MOBILE VETERINARY CLINIC INC 78 ROCKINGSTONE ROAD BARRE MA 01005 12/14/2019 / / DVM II,III,IV,V,VI KAITLIN BICKFORD KELLY MASSACHUSETTS ANIMAL MEDICAL CENTER 380 PLEASANT ST. WATERTOWN MA 02472 6/6/2017 / / DVM II,III,IV,V,VI

Page 67 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

TONY BIESER ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 6/15/2020 / / DVM II,III,IV,V,VI LAUREL BIFANO ANNE GREYLOCK ANIMAL HOSPITAL 1028 STATE ROAD NORTH ADAMS MA 01247 7/22/2019 / / DVM II,III,IV,V,VI MELANIE BIKIS L. MARION ANIMAL HOSPITAL 303 WAREHAM ROAQD MARION MA 02738 8/3/2021 / / DVM II,III,IV,V,VI ELIZABETH BILLINGHAM A HAMILTON-WENHAM VETERINARY HOSPITAL 31 RAILROAD AVENUE SOUTH HAMILTON MA 01982 2/23/2019 / / DVM II,III,IV,V,VI MEAGAN BILOTTA VETERINARY EMERGENCY GROUP 165 NEEDHAM STREET NEWTON MA 02464 7/15/2019 / / DVM II,III,IV,V,VI ROBERT BINDER STEVEN SAUGUS ANIMAL HOSPITAL 300 BROADWAY SAUGUS MA 01906 11/17/2019 / / DVM II,III,IV,V,VI ELAINE BIRD M DANVERS ANIMAL HOSPITAL 367 MAPLE STREET DANVERS MA 01923 8/2/2021 / / DVM II,III,IV,V,VI CALEB BIRDWELL MATTHEW HALIFAX VETERINARY SERVICES 259 PLYMOUTH ST HALIFAX MA 02338 11/15/2018 / / DVM II,III,IV,V,VI CAROLINE BIRKENHEAD DUNN COURT STREET ANIMAL HOSPITAL 136 COURT STREET PLYMOUTH MA 02190 6/11/2019 / / DVM II,III,IV,V,VI DANIEL BIROS J. ANGELL ANIMAL MEDICAL CENTER STAFF OPHTHALMOLOGIST 350 SOUTH HUNTINGTON JAMAICA PLAIN MA 02130 1/6/2020 / / DVM II,III,IV,V,VI MELISSA BISESI ANNE ASHLAND ANIMAL HOSPITAL 10 FOUNTAIN ST ASHLAND MA 01721 10/5/2021 / / DVM II,III,IV,V,VI JESSICA BISHOP LEE VETERINARY EMERGENCY GROUP 165 NEEDHAM ST NEWTON MA 02464 9/4/2019 / / DVM II,III,IV,V,VI CHRISTOPHER BLACK DAVID MSPCA-ANGELL AMINAL MEDICAL CENTER 350 S HUNTINGTON AVE BOSTON MA 02130 5/31/2018 / / DVM II,III,IV,V,VI LAUREN BLAESER L BULGER VETERINARY HOSPITAL 247 CHICKERING ROAD NORTH ANDOVER MA 01845 2/2/2021 / / DVM II,III,IV,V,VI ELIZABETH BLAIR ANNE PUTNAM VETERINARY CLINIC 274 WALNUT ST. UNIT 2 SHREWSBURY MA 01545 8/2/2021 / / DVM II,III,IV,V,VI PHILIPPE BLAIS JULES VCA-STERLING ANIMAL HOSPITAL 4 CLINTON ROAD STERLING MA 01564 12/16/2019 / / DVM II,III,IV,V,VI COREY BLAKE A WEATHERVANE VETERINAY SERVICES DBA OCEANSIDE ANIMAL HOSPITAL 95 ROUTE 6A SANDWICH MA 02563 7/14/2020 / / DVM II,III,IV,V,VI HEATHER BLAKE J. GREYLOCK ANIMAL HOSPITAL 1028 STATE ROAD NORTH ADAMS MA 01247 11/23/2019 / / DVM II,III,IV,V,VI KATHERINE BLAKELEY HANNAH 8 PINECREST DRIVE WESTBOROUGH MA 01581 6/20/2020 / / DVM II,III,IV,V,VI HARRIET BLANTON M 148 SANTOS ROAD PO BOX 772 WEST WARREN MA 01092 4/11/2019 / / DVM II,III,IV,V,VI STUART BLECK H FAMILY FRIENDS VETERINARY HOSPITAL 864 MASSACHUSETTS AVENUE BOXBORO MA 01719 6/25/2021 / / DVM II,III,IV,V,VI GARY BLOCK I 76 BAPTIST ST SWANSEA MA 02777 6/13/2020 / / DVM II,III,IV,V,VI SHAYDA BLOOM SAMANI SAUGUS ANIMAL HOSPITAL 300 BROADWAY SAUGUS MA 01906 4/19/2020 / / DVM II,III,IV,V,VI KRISTEN BLUMENSTOCK L VCA LLOYD ANIMAL HOSPITAL 1995 WASHINGTON STREET STOUGHTON MA 02072 9/16/2019 / / DVM II,III,IV,V,VI EMALEE BLUMHAGEN MARIE ANGELL ANIMAL MEDICAL CENTER 350 S HUNTINGTON AVE JAMAICA PLAIN MA 02130 7/8/2019 / / DVM II,III,IV,V,VI ADAM BOARDMAN IAN MASS ANIMAL MEDICAL CENTER 380 PLEASANT ST. WATERTOWN MA 02472 2/28/2019 / / DVM II,III,IV,V,VI KATIA BOBADILLA NICOLE VCA NORTHBORO ANIMAL HOSPITAL 286 W. MAIN ST. NORTHBOROUGH MA 01532 2/13/2019 / / DVM II,III,IV,V,VI EMILY BOCHES C SOMERVILLE VETERINARY CENTER 314 HIGHLAND AVE. SOMERVILLE MA 02143 6/23/2020 / / DVM II,III,IV,V,VI ALAN BODENMUELLER PIERRE CUSHING SQUARE VETERINARY CLINIC 133 TRAPELO ROAD BELMONT MA 02478 7/28/2021 / / DVM II,III,IV,V,VI JULIE BODKIN ANNE BECKER COLLEGE 955 MAIN ST. LEICESTER MA 01524 6/16/2019 / / DVM II,III,IV,V,VI BRIANNA BODLEY-GOMES K VCA ADAMS ANIMAL HOSPITAL 1287 SOUTH MAIN ST. ATHOL MA 01331 7/3/2020 / / DVM II,III,IV,V,VI ELLIZABETH BOHART BONAVENTURE ELIZABETH BOHART DVM 114 KNOTTY PINE LN PLYMOUTH MA 02360 8/22/2018 / / DVM VI KAREN BOHON R ANIMAL HOSPITAL OF ORLEANS 65 FINLAY ROAD ORLEANS MA 02653 3/12/2021 / / DVM II,III,IV,V,VI MEGAN BOLDUC T DEDHAM VETERINARY ASSOCIATES 326 BRIDGE STREET DEDHAM MA 02026 9/22/2021 / / DVM II,III,IV,V,VI PATRICIA BOLDUC G. HEALTHY PAWS VETERINARY CENTER 6 OLD FLANDERS ROAD WESTBOROUGH MA 01581 7/31/2021 / / DVM II,III,IV,V,VI JAMES BOLGER V CLINTON VETERINARY HOSPITAL 220 BROOK STREET CLINTON MA 01510 8/10/2020 / / DVM II,III,IV,V,VI TANYA BOLLEN Y. ACORN ANIMAL HOSPITAL 20 EARLS WAY FRANKLIN MA 02038 9/28/2018 / / DVM VI EVICE BOLTON SRH VETERINARY SERVICES 295 HIGH STREET IPSWICH MA 01938 8/6/2021 / / DVM II,III,IV,V,VI CARRIE BONACORSI L. MELROSE ANIMAL CLINIC 26 ESSEX ST. MELROSE MA 02176 7/18/2019 / / DVM II,III,IV,V,VI CHRISTOPHER BONAR ZOO NEW ENGLAND HOSPITAL 1 FRANKLIN PARK ROAD BOSTON MA 02121 4/8/2021 / / DVM II,III,IV,V,VI RYAN BOOKSTAFF ROBERT CAMBRIDGE MEDICAL ASSOCIATES 625 MOUNT AUBURN ST. SUITE 104 CAMBRIDGE MA 02138 6/19/2018 / / DVM II,III,IV,V,VI EARL BORASH MYLES BORASH VETERINARY CLINIC 79 PROSPECT STREET PEABODY MA 01960 1/4/2020 / / DVM II,III,IV,V,VI CONCETTA BOSCHETTO M VCA WICKABOAG ANIMAL HOSPITAL 138 W. MAIN STREET, P.O. BOX 392 WEST BROOKFIELD MA 7/8/2019 / / DVM II,III,IV,V,VI RACHEL BOSS A NORTH SHORE ANIMAL HOSPITAL 1 NEPTUNE BLVD LYNN MA 01902 2/18/2020 / / DVM II,III,IV,V,VI ROSEMARY BOTELHO E BRIDGEWATER VETERINARY CLINIC 481 BEDFORD STREET BRIDGEWATER MA 02324 1/25/2021 / / DVM II,III,IV,V,VI HILARY BOUCHER LOU VALLEY VETERINARY SERVICE 920 PLEASANT ST LEE MA 01238 6/4/2021 / / DVM II,III,IV,V,VI KAITLYN BOUCHER M VETERINARY EMERGENCY & SPECIALTY HOSPITAL 141 GREENFIELD ROAD S. DEERFIELD MA 01373 4/13/2021 / / DVM II,III,IV,V,VI

Page 68 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

BARBARA BOUDREAU ANN SOUSA VCA PALMER ANIMAL HOSPITAL 1028 THORNDIKE ST. PALMER MA 01069 8/2/2021 / / DVM II,III,IV,V,VI BRENDA BOUFFARD SUE ANIMAL HOSPITAL OF LYNNFIELD 1 BAYSTATE ROAD LYNNFIELD MA 01940 3/9/2021 / / DVM II,III,IV,V,VI MEREDITH BOULAY IRENE YATES MIDDLESEX EQUINE, LLC 249 SPRING STREET SHREWSBURY MA 01545 7/23/2019 / / DVM II,III,IV,V,VI CONRAD BOULTON HAL SUFFOLK DOWNS 525 MC CLELLAN HIGHWAY EAST BOSTON MA 02128 5/17/2017 / / DVM II,III,IV,V,VI COLLEEN BOURQUE 595 WEST CENTER ST. WEST BRIDGEWATER MA 02379 7/10/2017 / / DVM II,III,IV,V,VI MICHELLE BOURQUE VERA VITALITY VETERINARY SERVICES 573 GAR HWY SUITE 5 SWANSEA MA 02777 1/12/2021 / / DVM II,III,IV,V,VI BRIAN BOURQUIN J BOSTON VETERINARY CLINIC /SEAPORT 505 CONGRESS STREET BOSTON MA 02210 11/5/2020 / / DVM II,III,IV,V,VI BRIAN BOURQUIN J BOSTON VETERINARY CLINIC 310 HARVARD ST BROOKLINE MA 02446 9/22/2021 / / DVM II,III,IV,V,VI BRIAN BOURQUIN J BOSTON VETERINARY CLINIC 363 TREMONT STREET BOSTON MA 02116 8/3/2020 / / DVM II,III,IV,V,VI SAMUEL BOUTIN RAYMOND VITALITY VETERINARY SERVICES ATTLEBORO 228 WASHINGTON STREET, SUITE 230B ATTLEBORO MA 02703 10/3/2019 / / DVM II,III,IV,V,VI CAROLINE BOWLIN BETHANY 595 WEST CENTER STREET WEST BRIDGEWATER MA 02379 8/28/2018 / / DVM II,III,IV,V,VI ELLEN BOWRON 7 CLINTON STREET HOPKINTON MA 01748 12/12/2019 / / DVM II,III,IV,V,VI JULIA BOYCE RUTH PEPPERELL VETERINARY HOSPITAL 110 RIVER RD PEPPERELL MA 01463 7/9/2018 / / DVM II,III,IV,V,VI KIKO BRACKER E. ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVENUE BOSTON MA 02130 11/23/2019 / / DVM II,III,IV,V,VI CHARLES BRADLEY H DOMINO VETERINARY HOSPITAL 29 DOMINO DRIVE CONCORD MA 01742 11/21/2019 / / DVM II,III,IV,V,VI KELLY BRADLEY A BANFIELD PET HOSPITAL 5 MYSTIC VIEW RD EVERETT MA 02149 7/24/2021 / / DVM II,III,IV,V,VI MARY BRADLEY ALLEN 4 ETTA'S WAY ORLEANS MA 02653 12/12/2019 / / DVM II,III,IV,V,VI PAULA BRADLEY KATHLEEN DOMINO VETERINARY HOSPITAL 29 DOMINO DRIVE CONCORD MA 01742 4/2/2019 / / DVM II,III,IV,V,VI ELIZABETH BRADT S ALL CREATURES VETERINARY HOSPITAL 20 COMMERCIAL ST. SALEM MA 01970 11/14/2019 / / DVM II,III,IV,V,VI DEBORAH BRADY A FERAL ADVOCATES & CAT TRAPPERS 24 WATER STREET-- UNIT-319 HOLLISTON MA 01746 8/26/2021 / / DVM II,III,IV,V,VI DEBORAH BRADY A MERRIMACK RIVER FELINE RESCUE SOCIETY 63 ELM STREET SALISBURY MA 01952 4/5/2021 / / DVM II,III,IV,V,VI ELLEN BRADY WRIGHT FRAMINGHAM ANIMAL HOSPITAL 1415 EDGELL ROAD FRAMINGHAM MA 01701 1/21/2019 / / DVM II,III,IV,V,VI KRISTIN BRAGA 2477 EAST MAIN ROAD P.O. BOX 748 PORTSMOUTH RI 02871 11/9/2019 / / DVM II,III,IV,V,VI MARIA BRANDIFINO NICOLE ANGELL ANIMAL MEDICAL CENTER 350 S HUNTINGTON AVE BOSTON MA 02130 3/11/2021 / / DVM II,III,IV,V,VI ANNA BRANDIN C. CAPE COD VETERINARY SPECIALISTS 11 BOURNE BRIDGE APPROACH BUZZARDS BAY MA 02532 6/20/2019 / / DVM II,III,IV,V,VI ARMANDEEP BRAR K REVERE PET CLINIC 10 PLEASANT ST REVERE MA 02151 5/16/2018 / / DVM II,III,IV,V,VI ARMANDEEP BRAR KAUR VCA NORTH MAIN STREET VETERINARY CLINIC 1116 N MAIN ST BROCKTON MA 02301 3/28/2019 / / DVM II,III,IV,V,VI HANIA BRASALI MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT ROAD WOBURN MA 01801 8/6/2021 / / DVM II,III,IV,V,VI HANNAH BRAUGHT 98 MORTON STREET APT# 55 JAMAICA PLAIN MA 02130 9/10/2019 / / DVM II,III,IV,V,VI BENJAMIN BRAULT DAVID ACORN ANIMAL HOSPITAL 20 EARL'S WAY FRANKLIN MA 02038 11/14/2019 / / DVM II,III,IV,V,VI NICOLE BREDA L. ANIMAL RESCUE LEAGUE OF BOSTON 10 CHANDLER STREET BOSTON MA 02116 9/15/2019 / / DVM II,III,IV,V,VI KATE BREEN ELIZABETH WOODLAND ANIMAL CLINIC 6 MIDDLEBORO ROAD E. FREETOWN MA 02717 10/20/2019 / / DVM II,III,IV,V,VI ROBERT BREEN EMMETT II WOODLAND ANIMAL CLINIC SIX MIDDLEBORO ROAD EAST FREETOWN MA 02717 11/18/2019 / / DVM II,III,IV,V,VI CONSTANCE BREESE E. SEA BREEZE VETERINARY SERVICE 480 STATE ROAD VINEYARD HAVEN MA 02568 3/18/2019 / / DVM II,III,IV,V,VI MEGAN BREIDING MAHAR ACOAXET VETRINARY CLINIC 965 SANFORD ROAD WESTPORT MA 02790 5/30/2021 / / DVM II,III,IV,V,VI LINDA BREITMAN S. 8 GABLE RIDGE ROAD WESTBORO MA 01581 3/21/2017 / / DVM II,III,IV,V,VI CECILIE BRENNAN WESTRING MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT ROAD WOBURN MA 01801 11/6/2019 / / DVM II,III,IV,V,VI JENNA BRESLIN A PARKWAY VETERINARY HOSPITAL 18 SPRING ST. WEST ROXBURY MA 02132 5/27/2020 / / DVM II,III,IV,V,VI PETER BREWER J. 2 SOUTHWICK STREET MENDON MA 01756 11/9/2019 / / DVM II,III,IV,V,VI SARAH BRIEN ELIZABETH BRAINTREE VETERINARY CARE 494 QUINCY AVE. BRAINTREE MA 02184 7/16/2020 / / DVM II,III,IV,V,VI CATHERINE BRIERE BOSTON VETERINARY SPECIALISTS 326 BRIDGE STREET DEDHAM MA 02026 7/28/2020 / / DVM II,III,IV,V,VI COURTENAY BRINES MICHAELA ANIMAL EYE CARE OF NEW ENGLAND 14 SANDY LANE WHATELY MA 01093 10/8/2019 / / DVM II,III,IV,V,VI SANDRA BRINKER TAM 37 THURSTON ROAD NEWTON MA 02464 2/21/2021 / / DVM II,III,IV,V,VI ABBY BRISBOIS WEBSTER LAKE VETERINARY HOSPITAL 244 THOMPSON ROAD WEBSTER MA 01570 7/13/2021 / / DVM II,III,IV,V,VI JENNIFER BRISSON O'SULLIVAN MASSACHUSETTS VETERINARY REFERRAL HOSPITAL RADIOLOGY DEPT 20 CABOT RD WOBURN MA 01801 2/25/2019 / / DVM II,III,IV,V,VI JACQUELINE BRITO A 193 POPES ISLAND NEW BEDFORD MA 02740 9/14/2021 / / DVM II,III,IV,V,VI MARK BROADY EVAN SHELBURNE FALLS VET. HOSPITAL 3 MOHAWK TRAIL SHELBURNE FALLS MA 01370 4/13/2019 / / DVM II,III,IV,V,VI

Page 69 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

CHERYL BROCKI ANN BANFIELD PET HOSPITAL 98 PROVIDENCE HWY EAST WALPOLE MA 02032-1511 8/8/2019 / / DVM II,III,IV,V,VI DAWN BROOKS T LITTLETON ANIMAL HOSPITAL 29 KING ST, LITTLETON MA 01460 3/11/2019 / / DVM II,III,IV,V,VI DAWN BROOKS T LITTLETON ANIMAL HOSPITAL 29 KING STREET LITTLETON MA 01460-1528 2/11/2019 / / DVM II,III,IV,V,VI MARISA BROOKS ANNE VILLATA NEW ENGLAND ANIMAL MEDICAL CENTER 595 W CENTER ST WEST BRIDGEWATER MA 02379 7/13/2018 / / DVM II,III,IV,V,VI HOLLY BROWN SUSAN MENDON ANIMAL CLINIC 128 UXBRIDGE RD MENDON MA 01756 3/14/2018 / / DVM II,III,IV,V,VI KELLYANN BROWN MEREDITH NEW BEDFORD VETERINARY HOSPITAL 1227 ASHLEY BLVD NEW BEDFORD MA 02745 5/9/2019 / / DVM II,III,IV,V,VI LAURALYN BROWN JEAN 196 MILLERS FALLS ROAD TURNERS FALLS MA 01376 12/27/2019 / / DVM II,III,IV,V,VI LAUREN BROWN ANNE CHASE VET CLINIC 66 E. GROVE STREET MIDDLEBORO MA 02346 12/21/2020 / / DVM II,III,IV,V,VI MARGARITA BROWN HAMPDEN VETERINARY CLINIC 28 SOMERS ROAD HAMPDEN MA 01036 7/7/2021 / / DVM II,III,IV,V,VI MICHELLE BROWN A 1014 PEARL ST. BROCKTON MA 02301 4/13/2021 / / DVM II,III,IV,V,VI SHELBY BROWN MSPCA AT NEVINS FARM 400 BROADWAY METHUEN MA 01844 9/24/2021 / / DVM II,III,IV,V,VI LORINDA BRUINSMA VCA SOUTH SHORE WEYMOUTH 595 COLUMBIAN ST. SOUTH WEYMOUTH MA 02190 8/17/2020 / / DVM II,III,IV,V,VI DOUGLAS BRUM ANGELL MEMORIAL ANIMAL HOSPITAL 350 S. HUNTINGTON AVENUE BOSTON MA 02130 10/16/2020 / / DVM II,III,IV,V,VI ALAN BRUS WILLIAM VETCO MEDFORD 3850 MYSTIC VALLEY PKWY MEDFORD MA 02155 7/5/2020 / / DVM II,III,IV,V,VI MICHAEL BRUZZI D 2424 WINTHROP STREET NORTH DIGHTON MA 02764 10/19/2021 / / DVM II,III,IV,V,VI ALYSSA BRYCE ROBYN ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 5/30/2018 / / DVM II,III,IV,V,VI ERIN BRYCE RUBIN BANFIELD PET HOSPITIAL 215 NEEDHAM STREET NEWTON MA 02464 2/10/2020 / / DVM II,III,IV,V,VI LAURIE BUCHE ANN RAYNHAM VETERINARY HOSPITAL, INC. 402 SOUTH STREET EAST RAYNHAM MA 02767 5/11/2021 / / DVM II,III,IV,V,VI ELIZABETH BUCHHOLZ A. DUXBURY ANIMAL HOSPITAL 103 DEPOT STREET DUXBURY MA 02332 10/1/2018 / / DVM II,III,IV,V,VI CHRISTINA BUCHTER GAYANEH CALLANAN VETERINARY GROUP 380 PLEASANT ST WATERTOWN MA 02472 5/18/2021 / / DVM II,III,IV,V,VI FAITH BUCKLEY IVY ETHOS/IVG BULGER VETERINARY HOSPITAL 247 CHICKERING RD NORTH ANDOVER MA 01845 11/5/2018 / / DVM II,III,IV,V,VI SARA BUCKLEY M THE PET'S VET NORTH END LLC 225 FRIEND STREET -SUITE- 101 BOSTON MA 02114 7/12/2020 / / DVM II,III,IV,V,VI RONALD BUFFMAN W LLOYD ANIMAL MEDICAL CENTER, INC. 1995 WASHINGTON STREET STOUGHTON MA 02072 7/24/2018 / / DVM II,III,IV,V,VI JOHN BUJALSKI GERARD 360 SUMMER STREET SOMERVILLE MA 02144 11/14/2019 / / DVM II,III,IV,V,VI BARRET BULMER J. TUFTS VETERINARY EMERG. TREATMENT'S SPEC. 525 SOUTH STREET WALPOLE MA 02081 12/28/2020 / / DVM II,III,IV,V,VI DEBORAH BURBA M. NEWBURYPORT VETERINARY CLINIC 177 STOREY AVENUE NEWBURYPORT MA 01950 6/15/2021 / / DVM II,III,IV,V,VI STACEY BURDICK MARIE BANFIELD PET HOSPITAL 10 TRADERS WAY SALEM MA 01970 2/24/2019 / / DVM II,III,IV,V,VI TIMOTHY BURDSALL E BULGER VETERINARY HOSPITAL 141 WINTHROP AVENUE LAWRENCE MA 01843 9/30/2020 / / DVM II,III,IV,V,VI KRISTINE BURGESS ELAINE MSPCA/ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 5/26/2021 / / DVM II,III,IV,V,VI MARGARET BURGESS E RIVERBEND ANIMAL HOSPITAL 43 RUSSELL ST HADLEY MA 01035 6/25/2019 / / DVM II,III,IV,V,VI KASEY BURGOS ELIZABETH NEWBURY ANIMAL HOSPITAL 96 HANOVER STREET NEWBURY MA 01951 5/12/2021 / / DVM II,III,IV,V,VI JESSICA BURKETT H WEST STREET VETERINARY CLINIC 45 WEST ST. MEDFIELD MA 02052 1/14/2019 / / DVM II,III,IV,V,VI AMBER BURNS LYNN BULGER ANIMAL HOSPITAL 141 WINTHROP AVE LAWRENCE MA 01843 6/22/2021 / / DVM II,III,IV,V,VI THOMAS BURNS M VETERINARY ASSOC. OF CAPE COD, INC. SIXTEEN COMMONWEALTH AVENUE SOUTH YARMOUTH MA 02664 4/27/2021 / / DVM II,III,IV,V,VI CHRISTOPHER BURWELL P MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT RD WOBURN MA 01801 3/29/2018 / / DVM II,III,IV,V,VI ANNEMARIE BUTLER M NORTH SHORE EQUINE, PC 3 UPLAND ROAD NEWBURYPORT MA 01950 7/13/2021 / / DVM II,III,IV,V,VI MASON BUTLER W OLD DERBY ANIMAL HOSPITAL 40 RECREATION PARK DRIVE HINGHAM MA 02043 6/28/2020 / / DVM II,III,IV,V,VI KELLY BUTTERWORTH A AMESBURY ANIMAL HOSPITAL, PC 277 ELM ST AMESBURY MA 01913 5/9/2019 / / DVM II,III,IV,V,VI KALEENA BYSKO ANN WOBURN ANIMAL HOSPITAL 373 OLD RUSSELL STREET WOBURN MA 01801-5859 2/8/2021 / / DVM II,III,IV,V,VI TROY CABRAL A VETERINARY EMERGENCY GROUP 312 STUART STREET BOSTON MA 02116 2/17/2021 / / DVM II,III,IV,V,VI KERIANN CABRAL-DIAZ EILEEN TUFTS VETS 525 SOUTH ST. WALPOLE MA 02081 10/1/2020 / / DVM II,III,IV,V,VI CATHERINE CAFFARELLA M. CHASE VETERINARY CLINIC 66 EAST GROVE STREET MIDDLEBORO MA 02346 9/25/2021 / / DVM II,III,IV,V,VI RAY CAHILL SEAPORT VETERINARY HOSPITAL 100 EASTERN AVENUE GLOUCESTER MA 01930 12/9/2019 / / DVM II,III,IV,V MACKENZIE CAIL ELIZABETH WACHUSETT ANIMAL HOSPITAL AND PET PETREAT 29 THEODORE DRIVE WESTMINSTER MA 01473 6/15/2000 / / DVM II,III,IV,V,VI PATRICIA CAIRNS NORWELL VETERINARY HOSPITAL 295R WASHINGTON STREET NORWELL MA 02061 11/15/2020 / / DVM II,III,IV,V,VI COURTNEY CALABRIA LEE PAWS TO REST 258 OLDHAM STREET PEMBROKE MA 02359 4/24/2020 / / DVM II,III,IV,V,VI VALERIE CALABRIA-MAHER E LUNENBURG VETERINARY HOSPITAL 109 MASSACHUSETTS AVE LUNENBURG MA 01462 7/15/2019 / / DVM II,III,IV,V,VI

Page 70 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

PATTI CALARESE ANN 180 WARE ROAD BELCHERTOWN MA 01007 8/15/2020 / / DVM II,III,IV,V,VI STEPHEN CALDWELD C TLC VETERINARY HOSPITAL 896 HATHAWAY ROAD NEW BEDFORD MA 02740 6/3/2020 / / DVM II,III,IV,V,VI LISA CALIGIURI MSPCA ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 7/22/2021 / / DVM II,III,IV,V,VI JULIE CALLAHAN ERIN 525 SOUTH ST. WALPOLE MA 02081 8/19/2019 / / DVM II,III,IV,V,VI MARY CALLAHAN REYNOLDS ROBERTS ANIMAL HOSPITAL 516 WASHINGTON STREET HANOVER MA 02339 1/24/2020 / / DVM II,III,IV,V,VI MATTHEW CALLAHAN G IPSWICH ANIMAL HOSPITAL 108 NEWBURYPORT TURNPIKE ROWLEY MA 01969 10/1/2018 / / DVM II,III,IV,V,VI JON CALLANAN BROOKLINE VETERINARY CENTER 1663 BEACON STREET BROOKLINE MA 02445 9/28/2020 / / DVM II,III,IV,V,VI JON CALLANAN SHEA MASS. ANIMAL MEDICAL CENTER 380 PLEASANT STREET WATERTOWN MA 02472 4/10/2021 / / DVM II,III,IV,V,VI JON CALLANAN SHEA NEPONSET ANIMAL HOSPITAL 961 MORRISSEY BLVD. BOSTON MA 02122 12/28/2018 / / DVM II,III,IV,V,VI TANIA CAMES A. INTOWN VETERINARY GROUP 247 CHICKERING ROAD NORTH ANDOVER MA 01845 9/28/2018 / / DVM II,III,IV,V,VI FARRELL CAMPBELL BACK BAY VETERINARY CLINIC 288 NEWBURY STREET BOSTON MA 02115 2/25/2021 / / DVM II,III,IV,V,VI JASON CAMPBELL ROBERT HILLSIDE VETERINARY CLINIC INC. 9 HOWE ST AUBURN MA 01501 6/25/2021 / / DVM II,III,IV,V,VI JASON CAMPBELL ROBERT RIVERLIN ANIMAL HOSPITAL 287 RIVERLIN ST. MILLBURY MA 01527 5/30/2017 / / DVM II,III,IV,V,VI LAURIE CAMPBELL J 192 WARREN AVENUE PLYMOUTH MA 02360 8/31/2021 / / DVM II,III,IV,V,VI HEATHER CAMPITELL ROSE ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE JAMAICA PLAIN MA 02130 6/18/2019 / / DVM II,III,IV,V,VI THOMAS CANDEE CLARK 277 ELM STREET AMESBURY MA 01913 1/19/2019 / / DVM II,III,IV,V,VI DEBRA CAPORIZZO J 1 SPRINGS RD, FLR 2 BILLERICA MA 01821 2/28/2019 / / DVM II,III,IV,V,VI ALYSSA CAPUANO OCEANSIDE ANIMAL HOSPITAL 95 ROUTE 6A SANDWICH MA 02563 7/8/2019 / / DVM II,III,IV,V,VI ERIN CAREY R BACK BAY VETERINARY CLINIC 288 NEWBURY ST. BOSTON MA 02215 7/15/2021 / / DVM II,III,IV,V,VI DIANE CARLE STELLA VETERINARY DENTAL SERVICES LLC 530 MASSACHUSETTS AVE BOXBOROUGH MA 01219 8/15/2017 / / DVM II,III,IV,V,VI KENNETH CARLSON ARTHUR 261 TOPSFIELD RD. IPSWICH MA 01938 12/12/2017 / / DVM II,III,IV,V,VI LINDSEY CARLSON FOXBORO ANIMAL HOSPITAL 200 MECHANIC ST FOXBORO MA 02035 12/11/2018 / / DVM II,III,IV,V,VI ROBERT CARLSON WALTER 200 GREAT ROAD SUITE 9 BEDFORD MA 01730 5/17/2019 / / DVM II,III,IV,V,VI VICTORIA CARMELLA M FOXBORO ANIMAL HOSPITAL 200 MECHANIC ST. FOXBOROUGH MA 02035 7/27/2020 / / DVM II,III,IV,V,VI MECHELA CARNEVALE ROSE ANDOVER ANIMAL HOSPITAL 233 LOWELL STREET ANDOVER MA 01810 6/3/2019 / / DVM II,III,IV,V,VI MAURA CARNEY F WESTFORD VETERINARY EMERGENCY 11 CORNERSTONE SQ WESTFORD MA 01886 8/10/2020 / / DVM II,III,IV,V,VI MARIANNE CARON MSPCA- ANGELL WEST 293 2ND AVE. WALTHAM MA 02453 6/23/2020 / / DVM II,III,IV,V,VI TYLER CARON JOHN BROAD INSTITUTE COMPARATIVE MEDICINE 415 MAIN ST CAMBRIDGE MA 02142 7/13/2020 / / DVM II,III,IV,V,VI ANN CARPENTER VCA WHITMAN ANIMAL HOSPITAL 795 BEDFORD STREET WHITMAN MA 02382 7/29/2019 / / DVM II,III,IV,V,VI JEFFREY CARPENTER G. 13 SUMMIT ST MAYNARD MA 01754 11/13/2019 / / DVM II,III,IV,V,VI KATHRYN CARPENTER PYNE REILLY CONCORD ANIMAL HOSPITAL 245 BAKER AVENUE CONCORD MA 01742 7/14/2020 / / DVM II,III,IV,V,VI LEE CARPENTER M AYER ANIMAL MEDICAL CENTER 196 MAIN ST AYER MA 01432 9/20/2018 / / DVM II,III,IV,V,VI TRISTRAM CARPENTER C 120 SEEKONK STREET NORFOLK MA 02056 8/27/2020 / / DVM II,III,IV,V,VI NUNO CARREIRO VETERINARY & ANIMAL SCIENCES INTEGRATED SCIENCES BUILDING 427Y 661 NORTH PLEASANT STREET AMHERST MA 01003 8/19/2019 / / DVM II,III,IV,V,VI CALVIN CARRINGTON P VETERINARY EMERGENCY & SPECIALTY HOSPITAL EMERGENCY DEPARTMENT 141 GREENFIELD ROAD SOUTH DEERFIELD MA 01373 6/3/2021 / / DVM II,III,IV,V,VI JOHN CARROLL PATRICK VCA SOUTH SHORE WEYMOUTH ANIMAL HOSPITAL 595 COLUMBIAN ST. SOUTH WEYMOUTH MA 02190 8/12/2020 / / DVM II,III,IV,V,VI MAUREEN CARROLL C ANGELL MEMORIAL ANIMAL HOSPITAL 350 S. HUNTINGTON AVENUE BOSTON MA 02130 10/15/2021 / / DVM II,III,IV,V,VI REBECCA CARROLL M DAKIN 171 UNION ST. SPRINGFIELD MA 01105 10/16/2021 / / DVM II,III,IV,V,VI SARAH CARTER BETH J.P. ANIMAL CLINIC 10A GREEN ST. JAMAICA PLAIN, BOSTON MA 02130 9/4/2019 / / DVM II,III,IV,V,VI MICHELE CARUSO ANN 1415 MAIN STREET TEWKSBURY MA 01876 9/29/2020 / / DVM II,III,IV,V,VI SUE CASALE A ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVENUE SURGERY DEPT. JAMAICA PLAIN MA 02130 3/28/2020 / / DVM II,III,IV,V,VI ERIN CASEY KELLY SECOND CHANCE ANIMAL SERVICES INC. 831 MAIN STREET WORCHESTER MA 01610 6/26/2019 / / DVM II,III,IV,V,VI MELISSA CASO A. BRIDGEWATER VETERINARY CLINIC 481 BEDFORD ST BRIDGEWATER MA 02324 7/17/2021 / / DVM II,III,IV,V,VI KAREN CASPERSEN BIOMERE 55 UNION STREET WORCESTER MA 01608 9/3/2019 / / DVM II,III,IV,V,VI KAREN CASPERSEN R MASH 72 WEST MAIN STREET HOPKINTON MA 01748 9/8/2020 / / DVM II,III,IV,V,VI KAREN CASPERSEN R BIOMERE 500 WESTBOYLSTON STREET WORCESTER MA 01606 9/3/2019 / / DVM II,III,IV,V,VI KAREN CASPERSEN R BIOMERE 57 UNION STREET WORCESTER MA 01608 9/3/2019 / / DVM II,III,IV,V,VI

Page 71 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

CASEY CASSIDY MORA BANFIELD PET HOSPITAL 6106 SHOPS WAY NORTHBORO MA 01532 2/16/2021 / / DVM II,III,IV,V,VI NICHOLAS CASSOTIS JAMES MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT RD WOBURN MA 01801 7/14/2017 / / DVM II,III,IV,V,VI CHRISTIAN CATALANO ANTHONY VCA SOUTH SHORE 595 COLUMBIAN ST. SOUTH WEYMOUTH MA 02190 5/14/2020 / / DVM II,III,IV,V,VI VICTOR CAUDAL MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT ROAD WOBURN MA 01801 10/22/2019 / / DVM II,III,IV,V,VI MELISSA CAVARETTA ALLEEN CAPRON PARK ZOO 201 COUNTY STREET ATTLEBORO MA 02703 5/8/2020 / / DVM II,III,IV,V,VI DEREK CAVATORTA JOHN BLACK BROOK VETERINARY SERVICES 290 CUTLER ROAD SOUTH HAMILTON MA 01982 12/2/2019 / / DVM II,III,IV,V ALAN CAVINESS RANDOLPH 556 MAIN STREET BOLTON MA 01740 6/29/2021 / / DVM II,III,IV,V,VI SARAH CAZABON J BOSTON VETERINARY CLINIC 363 TREMONT ST BOSTON MA 02116 4/8/2021 / / DVM II,III,IV,V,VI CALLIE CAZLAN ELIZABETH MSPCA-ANGELL, ECC DEPT. 350 S. HUNTINGTON AVE BOSTON MA 02130 7/14/2020 / / DVM II,III,IV,V,VI JACQULINE CELMER MARIE SECOND CHANCE ANIMAL SERVICES WELLNESS CTR 372 NORTH MAIN ST NORTH BROOKFIELD MA 01535 2/22/2021 / / DVM II,III,IV,V,VI LINDSAY CERMAK MARIE NORTH COUNTY VETERINARY HOSPITAL 838 CURRAN MEMORIAL HIGHWAY NORTH ADAMS MA 01247 7/26/2021 / / DVM II,III,IV,V,VI ERIKA CERVASIO L VETERINARY URGENT CARE CENTER 291 QUINCY AVE QUINCY MA 02169 11/30/2021 / / DVM II,III,IV,V,VI CINDY CESAR WESTFORD VETERINARY EMERGENCY & REFERRAL C 11 CORNERSTONE SQUARE WESTFORD MA 01886 4/8/2021 / / DVM II,III,IV,V,VI MARINA CESAR W 48 LOMBARD AVE W. BARNSTABLE MA 02668 2/25/2021 / / DVM II,III,IV,V,VI ELTON CHAN KIN ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVENUE JAMAICA PLAIN MA 02130 6/20/2019 / / DVM II,III,IV,V,VI ASHLEY CHANDLER DANIELLE VCA NORTHBORO ANIMAL HOSPITAL 286 W. MAIN STREET NORTHBORO MA 01532 7/8/2019 / / DVM II,III,IV,V,VI VIRENDER CHANDNA K BIOMEDICAL RESEARCH MODELS, DBA BIOMERE 57 UNION ST. WORCESTER MA 01608 4/2/2021 / / DVM II,III,IV,V,VI VIRENDER CHANDNA K BIOMERE, INC. 500 WEST BOYLSTON STREET WORCESTER MA 01608 2/3/2020 / / DVM II,III,IV,V,VI VIRENDER CHANDNA K BIOMERE, INC. 55 UNION STREET WORCESTER MA 01608 2/3/2020 / / DVM II,III,IV,V,VI FON CHANG 43 GILSON RD LITTLETON MA 01460 8/7/2021 / / DVM II,III,IV,V,VI ROBIN CHAPMAN A RUTLAND VETERINARY CLINIC 203 MAIN STREET RUTLAND MA 01543 9/10/2018 / / DVM II,III,IV,V,VI MARIE CHARTIER ANNETTE BLUE PEARL CHARLESTOWN 56 ROLAND ST. BOSTON MA 02129 5/4/2019 / / DVM II,III,IV,V,VI BRUCE CHASE E 40 THOMAS ST MIDDLEBORO MA 02346 6/22/2021 / / DVM II,III,IV,V,VI GABRIELE CHASE SARAH WINCHESTER VETERINARY GROUP 95 CROSS STREET WINCHESTER MA 01890 8/15/2019 / / DVM II,III,IV,V,VI CAROLYN CHEN ANGELL ANIMAL MEDICAL CENTER 350 S HUNTINGTON AVE JAMAICA PLAIN MA 02130 6/18/2018 / / DVM II,III,IV,V,VI BUCK CHENEY ADRIEVINE MASSACHUSERRS VETERINARY REFERRAL HOSPITAL 20 CABOT ROAD WOBURN MA 01801 9/7/2021 / / DVM II,III,IV,V,VI RUBY CHENG MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT RD WOBURN MA 01801 7/21/2017 / / DVM II,III,IV,V YVETTE CHETIEN ROSE WACHUSETT ANIMAL HOSPITAL AND PET RETREAT 29 THEODORE DR WESTMINSTER MA 01473 5/22/2017 / / DVM II,III,IV,V,VI CHERYL CHEUNG E SOUTH BOSTON ANIMAL HOSPITAL 9 W BROADWAY BOSTON MA 02127 8/1/2019 / / DVM II,III,IV,V,VI RAMASWAMY CHIDAMBARAM BAYSTATE MEDICAL CENTER ATTN: CAROLANNE LOVEWELL 3601 MAIN STREET, 2ND FLOOR SPRINGFIELD MA 01199 7/26/2019 7/26/2020 DVM II,III,IV,V,VI DENISE CHIMINIELLO A EAST SPRINGFIELD VETERINARY CLINIC 525 PAGE BLVD SPRINGFIELD MA 01104 10/2/2020 / / DVM II,III,IV,V,VI SOPHIE CHO E BANFIELD PET HOSPITAL CAMBRIDGE 160 ALEWIFE BROOK PKWY CAMBRIDGE MA 02138 8/30/2017 / / DVM II,III,IV,V,VI CAROLINE CHOI ANGELL ANIMAL MEDICAL CENTER SURGERY DEPARTMENT 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 6/30/2021 / / DVM II,III,IV,V,VI ANNA CHOJNACKI-DURGIN T BANFIELD PET HOSPITAL 70 WORCESTER PROVIDENCE TURNPIKE SUITE 240 MILLBURY MA 01527 7/31/2019 / / DVM II,III,IV,V,VI RAMAN CHOPRA EAST BOSTON ANIMAL HOSPITAL 1007 SARATOGA ST EAST BOSTON MA 02128 4/2/2019 / / DVM II,III,IV,V,VI JENNIFER CHOW A 21 E. MOUNTAIN ST. WORCESTER MA 01606 6/8/2021 / / DVM II,III,IV,V,VI STEPHANIE CHUBB MARIE ANGELL ANIMAL MEDICAL CENTER 350 S HUNTINGTON AVE JAMAICA PLAIN MA 02130 7/16/2021 / / DVM II,III,IV,V,VI LINDA CIMETTI J SOUTH SHORE EQUINE CLINIC 151 PALMER ROAD PLYMPTON MA 02367 7/16/2020 / / DVM II,III,IV,V,VI DIANA CIMINELLO E VCA ABBOTT ANIMAL HOSPITAL 21 E. MOUNTAIN ST. WORCESTER MA 01606 8/18/2020 / / DVM II,III,IV,V,VI LISA CIMINO DANIELLE CROSSROADS MOBILE VET 3 AUSTIN KELLY LANE P.O. BOX 605 SOUTHBOROUGH MA 01772 2/9/2021 / / DVM II,III,IV,V,VI JESSICA CIOFFI MARIE BULGER VETERINARY HOSPITAL 141 WINTHROP AVENUE LAWRENCE MA 01843 2/11/2019 / / DVM II,III,IV,V,VI ALY CISSE SOUTH BELLINGHAM VETERINARY HOSPITAL 435 PULASKI BOULEVARD BELLINGHAM MA 02019 2/10/2019 / / DVM II,III,IV,V,VI EMILY CLAIR S KINGSTON ANIMAL HOSPITAL 192 MAIN STREET KINGSTON MA 02364 12/28/2020 / / DVM II,III,IV,V,VI JOYCE CLARK A LLOYD ANIMAL MEDICAL CENTER 1995 WASHINGTON STREET STOUGHTON MA 02072 7/21/2021 / / DVM II,III,IV,V,VI CATHERINE CLAUNCH C HOLDEN VETERINARY CLINIC 11 INDUSTRIAL DR. HOLDEN MA 01520 5/4/2020 / / DVM II,III,IV,V,VI JESSICA CLAY A ANDOVER ANIMAL HOSPITAL., INC. 233 LOWELL ROAD ANDOVER MA 01810 9/17/2018 / / DVM II,III,IV,V,VI SAMANTHA CLAY CAMPBELL SOUTH DEERFIELD VETERINARY CLINIC 30 ELM STREET SOUTH DEERFIELD MA 01373 2/10/2020 / / DVM II,III,IV,V,VI

Page 72 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

DANIEL CLAYTON J 22 SMALLWOOD CIR BOYLSTON MA 01505 8/24/2021 / / DVM II,III,IV,V SUSAN CLEARY B BELCHERTOWN VETERINARY HOSPITAL 211 STATE STREET BELCHERTOWN MA 01007 7/26/2019 / / DVM II,III,IV,V,VI CAROLYN CLEGG A BOXFORD ANIMAL HOSPITAL 200 WASHINGTON ST. BOXFORD MA 01921 12/2/2017 / / DVM II,III,IV,V,VI CATHRYN CLEVELAND JOAN ACORN ANIMAL HOSPITAL 20 EARL'S WAY FRANKLIN MA 02038 8/29/2019 / / DVM II,III,IV,V,VI MATTHEW CLEVELAND JAMES BLUE PEARL PET HOSPITAL 56 ROLAND ST. BOSTON MA 02129 11/24/2020 / / DVM II,III,IV,V,VI MARIA-ELENA CLOHERTY HARVARD ACRES MOBILE VET 153 KIRKLAND DRIVE STOW MA 01775 1/30/2021 / / DVM II,III,IV,V,VI STEVEN CLOUTMAN R MANOMET ANIMAL HOSPITAL 38 MANOMET POINT ROAD MANOMET MA 02345 7/23/2021 / / DVM II,III,IV,V,VI HEATHER COCHRAN D. HOUSECALL VETERINARIAN 12 LAKEWOOD DRIVE MEDFIELD MA 02052 3/23/2019 / / DVM II,III,IV,V,VI COURTNEY CODD LORETTA FAMILY PET HOSPITAL 300 ELIOT STREET #4 ASHLAND MA 01721 10/20/2020 / / DVM II,III,IV,V,VI CALLI COFFEE A TUFTS VETS 525 SOUTH STREET WALPOLE MA 02081 12/28/2020 / / DVM II,III,IV,V,VI HOWARD COFFMAN M 441 LAKESIDE AVENUE MARLBORO MA 01750 3/5/2019 / / DVM II,III,IV,V,VI HOWARD COFFMAN M BERLIN ANIMAL HOSPITAL 240 CENTRAL ST BERLIN MA 01503 3/28/2019 / / DVM II,III,IV,V,VI CYNTHIA COHEN 21 ADAM TAYLOR ROAD STERLING MA 01564 7/27/2021 / / DVM II,III,IV,V,VI ANDREW COHN RUSSELL WESTFORD VETERINARY EMERGENCY AND REFERRAL 11 CORNERSTONE SQUARE #100 WESTFORD MA 01886 4/2/2019 / / DVM II,III,IV,V,VI REBECCA COLDWELL J APPLE COUNTRY ANIMAL HOSPITAL 35 GREAT ROAD STOW MA 01775 5/17/2021 / / DVM II,III,IV,V,VI ANDRAYA COLE SOUTH DEERFIELD VETERINARY CLINIC 30 ELM STREET SOUTH DEERFIELD MA 01373 8/26/2021 / / DVM II,III,IV,V,VI CATHERINE COLE HENDEE ARLINGTON ANIMAL CLINIC 191 BROADWAY ARLINGTON MA 02474 8/5/2021 / / DVM II,III,IV,V,VI ACELYN COLELLA DOROTHY WIGNALL ANIMAL HOSPITAL 1837 BRIDGE STREET DRACUT MA 01826 3/16/2019 / / DVM II,III,IV,V,VI JAMES COLEMAN M. PLEASANT BAY ANIMAL HOSPITAL ROUTE 137 & QUEEN ANNE ROAD EAST HARWICH MA 02645 4/25/2021 / / DVM II,III,IV,V,VI REBECCA COLEMAN MANDEVILE VETERINARY ASSOCIATES OF CAPE COD 16 COMMONWEALTH AVE SOUTH YARMOUTH MA 02664 8/12/2021 / / DVM II,III,IV,V,VI RACHEL COLEY J MSPCA ANGELL WEST 293 2ND AVE WALTHAM MA 02451 9/7/2021 / / DVM II,III,IV,V,VI CHRISTINE COLICA EKNESS ELIZABETH VETERINARY EMERGENCY & SPECIALTY HOSPITAL 141 GREENFIELD RD SOUTH DEERFIELD MA 01373 4/8/2021 / / DVM II,III,IV,V,VI DEBORAH COLLEY J SOUTH BAY VETERINARY GROUP 587 TREMONT STREET BOSTON MA 02118 12/2/2019 / / DVM II,III,IV,V,VI MARTHA COMPTON VCA LLOYD ANIMAL HOSPITAL 1995 WASHINGTON ST. STOUGHTON MA 02072 7/5/2020 / / DVM II,III,IV,V,VI CYNTHIA COMSTOCK DIANE CHASE FARM VETERINARY HOSPITAL 35 VENTURA DRIVE NORTH DARTMOUTH MA 02747 12/29/2017 / / DVM II,III,IV,V,VI MARY-KATE CONE E. BANFIELD BRAINTREE #0790 250 GROSSMAN DR BRAINTREE MA 02184 6/11/2021 / / DVM II,III,IV,V,VI MARGARET CONNELLY 176 WILLARD STREET QUINCY MA 02169 9/26/2020 / / DVM II,III,IV,V,VI ELIZABETH CONNOLLY K RIVERLIN ANIMAL HOSPITAL 287 RIVERLIN ST. MILLBURY MA 01527 1/17/2020 / / DVM II,III,IV,V,VI ELIZABETH CONNOLLY KATHRYN HILLSIDE VETERINARY CLINIC 9 HOWE ST AUBURN MA 01501 6/25/2021 / / DVM II,III,IV,V,VI MEGAN CONNOLLY ELIZABETH LEXINGTON-BEDFORD VETERINARY HOSPITAL 476 BEDFORD STREET LEXINGTON MA 02420 3/26/2021 / / DVM II,III,IV,V,VI MELISSA CONNOLLY G. C. THE VISITING VETERINARIAN 9 THOROUGHBRED LANE SHERBORN MA 01770 8/16/2021 / / DVM II,III,IV,V,VI KATHERINE CONNOR HAMLIN FINK 19 EVERGREEN ST. CHELMSFORD MA 01824 7/23/2021 / / DVM II,III,IV,V,VI MINA CONNOR M 25 CROSBY LANE LONDONDERRY NH 03053 12/29/2017 / / DVM II,III,IV,V,VI STEPHEN CONSTANT BRUCE 109 MT WARNER RD HADLEY MA 01035 11/21/2019 / / DVM II,III,IV,V,VI LAURA CONSTANTINESCU CATHERINE WACHUSETT ANIMAL HOSPITAL PET RETREAT 29 THEODORE DRIVE WESTMINSTER MA 01473 5/12/2021 / / DVM II,III,IV,V,VI SARA COOK EMILIA MASSACHUSETTS VETERINARY REFERAL HOSPITAL 20 CABOT ROAD WOBURN MA 01801 6/18/2019 / / DVM II,III,IV,V,VI MEGAN COOKE E ANIMAL CARE 261 TOPSFIELD ROAD IPSWICH MA 01938 7/11/2019 / / DVM II,III,IV,V,VI CAROL COOKINGHAM A. LINWOOD ANIMAL HOSPITAL 1500 GORHAM ST. LOWELL MA 01852 6/21/2021 / / DVM II,III,IV,V,VI RYAN COOLEY WILLIAM BANFIELD PET HOSPITAL 5 MYSTIC VIEW RD. EVERETT MA 02149 6/12/2020 / / DVM II,III,IV,V,VI AMANDA CORBISIERO L. HYANNIS ANIMAL HOSPITAL 102 ANSEL HALLET ROAD WEST YARMOUTH MA 02673 1/9/2020 / / DVM II,III,IV,V,VI DANIEL CORCORAN MICHAEL 141 WINTHROP AVE LAWRENCE MA 01843 8/3/2020 / / DVM II,III,IV,V,VI AMY CORDNER PATRICIA 21 CLAREMONT PARK BOSTON MA 02118 5/31/2021 / / DVM II,III,IV,V,VI JOHNNA CORIN-LOWELL MARY 224 SOUTH STREET DOUGLAS MA 01516 10/16/2021 / / DVM II,III,IV,V,VI KRISTEN CORMIER T SECOND CHANCE ANIMAL SHELTER 372 N. MAIN ST. NORTH BROOKFIELD MA 01535 8/2/2021 / / DVM II,III,IV,V,VI ANGELYN CORNETTA M VCA SOUTH SHORE ANIMAL 595 COLUMBIAN STREET SOUTH WEYMOUTH MA 021901131 1/10/2020 / / DVM II,III,IV,V,VI BRIAN CORNING F. HARVARD MEDICAL SCHOOL CENTER FOR COMPARATIVE MEDICINE 665 HUNTINGTON AVENUE BOSTON MA 02115 11/16/2019 / / DVM II,III,IV,V,VI KATIA CORREA-CHAVES M ANIMALS FIRST VETERINARY CARE 21 ROCK GLEN ROAD MEDFORD MA 02155 8/7/2021 / / DVM II,III,IV,V,VI

Page 73 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

LISA CORTI BARBARA NORTH SHORE VETERINARY SURGERY 90 CHANDLER RD ANDOVER MA 01810 5/16/2019 / / DVM II,III,IV,V,VI ANTHONY COSIMINI 459 WORCESTER STREET, RT. 9 WELLESLEY MA 02481 1/20/2020 / / DVM II,III,IV,V,VI JOSEPH COSMAN F. 57 TREMONT STREET BRAINTREE MA 02184 9/16/2019 / / DVM II,III,IV,V,VI ELISA COSTA VCA LYNNFIELD 1 BAY STATE ROAD LYNNFIELD MA 01940 8/6/2021 / / DVM II,III,IV,V,VI MARTIN COSTER EDWARD MSPCA -ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVENUE BOSTON MA 02130 8/24/2021 / / DVM II,III,IV,V,VI PATRICK COTTER M 53 MUNNS FERRY ROAD GILL MA 01354 9/20/2020 / / DVM II,III,IV,V,VI NANCY COTTRILL B MASS VETERINARY REFERRAL HOSPITAL 20 CABOT ROAD WOBURN MA 01801 4/28/2021 / / DVM II,III,IV,V,VI PETER COURNOYER M EAST BAY ANIMAL HOSPITAL 643 FALL RIVER AVENUE SEEKONK MA 02772 11/17/2019 / / DVM II,III,IV,V,VI OLIVIA COURT ASHLAND ANIMAL HOSPITAL 10 FOUNTAIN STREET ASHLAND MA 01721 6/18/2021 / / DVM II,III,IV,V,VI BRENT COUTS IAN VCA WAKEFIELD 60A AUDUBON RD WAKEFIELD MA 01880 7/14/2020 / / DVM II,III,IV,V,VI CERIE COUTURE LYNN MARLBORO ANIMAL HOSPITAL 441 LAKESIDE AVENUE MARLBORO MA 01752 10/29/2020 / / DVM II,III,IV,V,VI PAUL COVIELLO 33 LANCASTER ROAD SHIRLEY MA 01464 8/11/2020 / / DVM II,III,IV,V,VI JOCELYN COWAN B UXBRIDGE ANIMAL HOSPITAL 510 HARTFORD AVE WEST UXBRIDGE MA 01569 12/21/2018 / / DVM II,III,IV,V,VI KATHI-JEAN COWE 65 CHESHIRE DRIVE EAST TAUNTON MA 02718 5/8/2017 / / DVM II,III,IV,V,VI CHRISTY COX HANDWERK LITTLETON ANIMAL HOSPITAL 29 KING ST LITTLETON MA 01460 6/4/2021 / / DVM II,III,IV,V,VI CRAIG COX S NORTH READING VETERINARY CLINIC 212 MAIN STREET NORTH READING MA 01864 7/13/2020 / / DVM II,III,IV,V,VI CYNTHIA COX BARKER MSPCA CAPE COD ADOPTION CENTER 1577 FALMOUTH RD CENTERVILLE MA 02632-0000 12/13/2017 / / DVM II,III,IV,V,VI CYNTHIA COX C. BARKER MSPCA, BOSTON ANIMAL CARE & ADOPTION CT 350 SOUTH HUNTINGTON AVENUE BOSTON MA 02130 5/9/2017 / / DVM II,III,IV,V,VI ELENA COX CHIRSTINE VCA SOUTH SHORE ANIMAL HOSPITAL 595 COLUMBIAN ST SOUTH WEYMOUTH MA 02190 6/12/2018 / / DVM II,III,IV,V,VI ANN CRAIG CHARLES 800 MAIN STREET WEST NEWBURY MA 01985 9/27/2020 / / DVM II,III,IV,V,VI SCOTT CRAWFORD WILLIAM VITALITY VETERINARY SERVICES SWANSEA, LLC 02777581-1 GAR HIGHWAY SWANSEA MA 02777 5/22/2017 / / DVM II,III,IV,V,VI SCOTT CRAWFORD WILLIAM VITALITY VETERINARY SVCS ATTLEBORO 228 WASHINGTON ST ATTLEBORO MA 02703 1/14/2019 / / DVM II,III,IV,V,VI MEGAN CRAY THERESA 350 S. HUNTINGTON AVE BOSTON MA 02130 5/30/2021 / / DVM II,III,IV,V,VI CHERYL CRECELIUS S. 270 SOUTHEAST MAIN STREET EAST DOUGLAS MA 01516 2/4/2018 / / DVM II,III,IV,V,VI HEATHER CRINGAN BELVIDERE VETERINARY HOSPITAL 215 MANSUR STREET LOWELL MA 01852 1/8/2020 / / DVM II,III,IV,V,VI AMANDA CRONIN O. VCA BLACKSTONE VALLEY VETERINARY HOSPITAL 615 DOUGLAS STREET UXBRIDGE MA 01569 10/27/2019 / / DVM II,III,IV,V,VI KATHRYN CRONIN E ATLANTIC VETERINARY HOSPITAL 10 OCEAN AVE MARBLEHEAD MA 01945 9/16/2019 / / DVM II,III,IV,V KIM CRONIN LORELL MASSACHUSETTS VETERINARY REFERRED HOSPITAL 20 CABOT RD WOBURN MA 01801 11/8/2019 / / DVM II,III,IV,V,VI BROOKE CROSIER M FOXBORO ANIMAL HOSPITAL 200 MECHANIC STREET FOXBORO MA 02035 5/13/2019 / / DVM II,III,IV,V,VI THOMAS CROSSON J. FOUR PLUMTREE RD. SPRINGFIELD MA 01118 10/20/2020 / / DVM II,III,IV,V,VI ZACHARY CROUSE JOSEPH ANGELL ANIMAL MEDICAL CENTER INTERNAL MEDICINE 350 S. HUNTINGTON AVENUE BOSTON MA 02130 8/18/2020 / / DVM II,III,IV,V,VI RICHARD CROWELL CHARLES MEDFIELD VETERINARY CLINIC 51 PETER KRISTOF WAY MEDFIELD MA 02052 9/4/2019 / / DVM II,III,IV,V,VI RICHARD CHARLES CROWELL WESTWOOD VETERINARY CARE 1451 HIGH ST. WESTWOOD MA 02090 11/9/2019 / / DVM II,III,IV,V,VI KATHERINE CROWLEY MARIE MARION ANIMAL HOSPITAL 303 WAREHAM RD MARION MA 02738 5/18/2021 / / DVM II,III,IV,V,VI NANCY CROWLEY V. BEVERLY ANIMAL NATURAL HEALTH CTR 950 CUMMINGS CENTER SUITE 99X BEVERLY MA 01915 1/24/2020 / / DVM II,III,IV,V,VI ELIZABETH CROWLING VETERINARY EMERGENCY GROUP 165 NEEDHAM STREET NEWTON MA 02464 7/13/2021 / / DVM II,III,IV,V,VI AMBER CULL-FOURNIER GRACE BLANDFORD ANIMAL HOSPITAL 46 WORONOCO ROAD BLANDFORD MA 01008 4/8/2019 / / DVM II,III,IV,V,VI KATHERINE CUMMINGS A ANGELL ANIMAL MEDICAL CENTER 350 HUNTINGTON AVE BOSTON MA 02130 9/8/2019 / / DVM II,III,IV,V,VI LAURA CUMMINGS W SOUTH BOROUGH VETERINARY HOSPITAL 78 DEARFOOT RD SOUTHBOROUGH MA 01772 8/17/2020 / / DVM II,III,IV,V,VI CATHY CURLEY S MARLBORO ANIMAL HOSPITAL 441 LAKESIDE AVE. MARLBORO MA 01752 1/20/2020 / / DVM II,III,IV,V,VI JOHN CURTIN L. ABINGTON ANIMAL HOSPITAL CORP. 19 RANDOLPH STREET ABINGTON MA 02351 1/23/2021 / / DVM II,III,IV,V,VI MAIJA CURTIS MIKKOLA HARBOR VETERINARY HOUSE CALLS 106 SUNNYSIDE AVE WINTHROP MA 02152 4/26/2020 / / DVM II,III,IV,V,VI JENNIFER CUSHING ELLEN CHELMSFORD ANIMAL HOSPITAL 11 FLETCHER STREET. CHELMSFORD MA 01824 5/11/2017 / / DVM II,III,IV,V,VI JENNIFER CUSHING ELLEN PEACEFUL PET HOME ENTHANASIA AND HOSPICE, 39 VAN NORDEN RD READING MA 01867 4/6/2019 / / DVM II,III,IV,V,VI THOMAS CUSICK JAMES WATERTOWN ANIMAL HOSPITAL 404 MAIN STREET WATERTOWN MA 02172 11/30/2020 / / DVM II,III,IV,V,VI LOU CUSTER ANN HUBBARDSTON VETERINARY CLINIC 48 GARDNER ROAD HUBBARDSTON MA 01452 4/13/2020 / / DVM VI LAURA CYRAN MICHELLE FEEDING HILL VETERINARY CLINIC 1194 SPRINGFIELD STREET FEEDING MA 01030 7/15/2019 / / DVM II,III,IV,V,VI

Page 74 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

ELIZABETH CZAPLICKI M SOUTH COASTAL ANIMAL HEALTH 1389 MAIN STREET WEYMOUTH MA 02190 3/20/2019 / / DVM II,III,IV,V,VI CHRISTIE D'ANDREA LEE VETERINARY URGENT CARE CENTER OF EASTON 25 WASHINGTON STREET UNIT A NORTH EASTON MA 02356 9/7/2021 / / DVM II,III,IV,V,VI CHRISTIE D'ANDREA LEE VETERINARY URGENT CARE CENTER OF PLYMOUTH 34 LONG POND ROAD PLYMOUTH MA 02359 5/12/2021 / / DVM II,III,IV,V,VI CHRISTIE D'ANDREA LEE VETERNINARY URGENT CARE CENTER, LLC 291 QUINCY AVE QUINCY MA 02169 5/11/2021 / / DVM II,III,IV,V,VI GINA D'ERAMO M ANIMAL HOSPITAL OF WEBSTER 34 THOMPSON ROAD WEBSTER MA 01570 7/8/2019 / / DVM II,III,IV,V,VI JOHN D'ESOPO F 249 MILTON ST DEDHAM MA 02026 7/12/2020 / / DVM II,III,IV,V,VI BRIDGET D'ONOFRIO MARY HOLDEN VETERINARY CLINIC 11 INDUSTRAIL DRIVE HOLDEN MA 01520 4/11/2021 / / DVM II,III,IV,V,VI CHRISTIAN D'ORAZIO J WESTFORD VETERINARY EMERGENCY & REFERRAL CENTER 11 CORNERSTONE DRIVE, SUITE 100 WESTFORD MA 01886 6/14/2020 / / DVM II,III,IV,V,VI SEEMA DABAS NORFOLK COUNTY VETERINARY SERVICE 1342 MAIN STREET WALPOLE MA 02081 4/11/2020 / / DVM II,III,IV,V,VI POONAM DADHWAL BANFIELD HOSPITAL 215 NEEDHAM ST. NEWTON MA 02464 4/17/2019 / / DVM II,III,IV,V,VI POONAM DADHWAL BANFIELD HOSPITAL NO. 2415 271 UNIVERSITY AVENUE WESTWOOD MA 02090 5/9/2019 / / DVM II,III,IV,V,VI POONAM DADHWAL VITALITY VETERINARY SERVICES ATTLEBORO 228 WASHINGTON ST STE 230B ATTLEBORO MA 02703 9/28/2018 / / DVM II,III,IV,V,VI NICHOLAS DAGENAIS 66 HUTTLESTON AVENUE FAIRHAVEN MA 02719 7/25/2020 / / DVM II,III,IV,V,VI SARA DALAMANGAS ELIZABETH 6 STONEBRIDGE CIRCLE NATICK MA 01760 11/21/2019 / / DVM II,III,IV,V,VI SARA DALAMANGAS ELIZABETH BECKER COLLEGE 955 MAIN ST. LEICESTER MA 01524 1/28/2019 / / DVM II,III,IV,V,VI JENNA DALE FRANCES BRISTOL COUNTY ANIMAL CLINIC 900 BROADWAY RAYNHAM MA 02767 7/2/2021 / / DVM II,III,IV,V,VI JOSEPH DALMEIDA VINCENT 309 SUMMER STREET REHOBOTH MA 02769 7/21/2020 / / DVM II,III,IV,V,VI AIMEE DALRYMPLE M 21 VIRGINIA ROAD NATICK MA 01760 6/25/2019 / / DVM II,III,IV,V,VI BRENNA DALY GAIL VCA ABBOTT ANIMAL HOSPITAL 21 EAST MOUNTAIN STREET WORCESTER MA 01606 3/18/2021 / / DVM II,III,IV,V,VI LINDSAY DALY ELIZABETH ANGELL ANIMAL MEDICAL CENTER 350 S. HUNTINGTON AVE BOSTON MA 02130 7/5/2017 7/5/2018 DVM II,III,IV,V,VI GEORGE DANIEL B VCA BOSTON ROAD ANIMAL HOSPITAL 1235 BOSTON ROAD SPRINGFIELD MA 01119 8/16/2019 / / DVM II,III,IV,V,VI ROBBIE DANIEL J ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVENUE BOSTON MA 02130 9/29/2020 / / DVM II,III,IV,V,VI NICHOLAS DANNEMILLER GERALD MSPCA ANGELL ANIMAL MEDICAL CENTER 350 HUNTINGTON AVENUE BOSTON MA 02130 10/5/2020 / / DVM II,III,IV,V,VI ADRIAN DANNIS KATHLEEN ANGELL ANIMAL MEDICAL CENTER 350 S. HUNTINGTON JAMAICA PLAIN MA 02130 7/21/2020 / / DVM II,III,IV,V,VI SONIA DANTAS NATALIE VCA NORTHBORO ANIMAL HOSPITAL 286 WEST MAIN STREET NORTHBOROUGH MA 01532 7/1/2019 / / DVM II,III,IV,V,VI MARGARET DARCY L SOUTH STREET VETERINARY SERVICES, INC. 864 SOUTH STREET PITTSFIELD MA 01201 10/19/2021 / / DVM II,III,IV,V,VI LISA DAUTEN HELEN 342 GOSHEN RD LITCHFIELD CT 06759 9/21/2018 / / DVM II,III,IV,V,VI AMBER DAVIDSON MICHELLE 141 GREENFIELD RD SOUTH DEERFIELD MA 01373 3/7/2018 / / DVM II,III,IV,V,VI REBECCA DAVIES KRISTEN MA VETERINARY REFERRAL HOSPITAL 20 CABOT RD WOBURN MA 01801 8/20/2021 / / DVM II,III,IV,V,VI JANET DAVIS MARIE BANFIELD PET HOSPITAL 215 HARTFORD AVE BELLINGHAM MA 02019 8/27/2021 / / DVM II,III,IV,V,VI KECHIA DAVIS M VCA SOUTH SHORE (WEYMOUTH) 595 COLUMBIA STREET SOUTH WEYMOUTH MA 02190 6/15/2020 / / DVM II,III,IV,V,VI KERRI DAVIS LEE BOSTON ROAD ANIMAL CLINIC 239 BOSTON RD SUTTON MA 01590 4/19/2018 / / DVM II,III,IV,V,VI ROBERT DAVIS M 54 SCRAGGY NECK ROAD PO BOX 421 CATAUMET MA 02534 6/19/2021 / / DVM II,III,IV,V,VI SHARON DAVIS L KINGSTON ANIMAL HOSPITAL, INC. 192 MAIN STREET KINGSTON MA 02364 10/9/2021 / / DVM II,III,IV,V,VI CHRISTA DECKER RAE VCA BOSTON ROAD ANIMAL HOSPITAL 1235 BOSTON ROAD SPRINGFIELD MA 01119 4/11/2019 / / DVM II,III,IV,V,VI JOHN DEFANTI R RIVERSIDE VETERINARY CLINIC 664 RIVERSIDE AVE HAVERHILL MA 01830 3/5/2019 / / DVM II,III,IV,V,VI JOHN DEJONG HENRY 94 SUMMER ST. WESTON MA 02493 6/18/2019 / / DVM II,III,IV,V,VI MARGARET DELANO L LAB ANIMAL CARE CONSULTANT 604 HILL ROAD BOXBOROUGH MA 01719-1007 1/4/2020 / / DVM II,III,IV,V,VI MICHELLE DELBECQ ANNE MENDON ANIMAL CLINIC 128 UXBRIDGE ROAD MENDON MA 01756 6/29/2021 / / DVM II,III,IV,V,VI ROSARIO DELGADO-LECAROZ COUNTRY VETERINARY SERVICES 166 MECHANIC STREET UPTON MA 01568 3/18/2021 / / DVM II,III,IV,V,VI ROSARIO DELGADO-LECAROZ SHELTER SURGERY-MEDFIELD ANIMAL SHELTER 101 OLD BRIDGE ROAD MEDFIELD MA 02052 1/11/2019 / / DVM II,III,IV,V,VI ROSARIO DELGADO-LECARUZ MEDFIELD ANIMAL SHELTER 101 OLD BRIDGE ST. MEDFIELD MA 02052 2/5/2019 / / DVM II,III,IV,V,VI KATHRYN DELISLE E NORTHAMPTON VETERINARY CLINIC LLC 190 NONOTUCK ST SUITE 105 NORTHAMPTON MA 01062 4/25/2020 / / DVM II,III,IV,V,VI AGATA DEMARCO Z KINGSTON ANIMAL HOSPITAL 192 MAIN ST. KINGSTON MA 02364 11/14/2019 / / DVM II,III,IV,V,VI GEORGE DEMARCO JOSEPH UMASS MEDICAL SCHOLL DEPT ANIMAL MEDICINE 55 LAKE AVE NORTH WORCESTER MA 01655 8/28/2017 / / DVM II,III,IV,V,VI REBECCA DEMARCO LEIGH WIGNALL ANIMAL HOSPITAL 1837 BRIDGE STREET DRACUT MA 01826 9/15/2020 / / DVM II,III,IV,V,VI ERIKA DEPAPP D MSPCA ANGELL AMC 350 S. HUNTINGTON AVE BOSTON MA 02130 8/17/2018 / / DVM II,III,IV,V,VI

Page 75 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

KRISTINA DEPAULA MARIE 180 BEAR HILL RD WALTHAM MA 02451 8/26/2021 / / DVM II,III,IV,V,VI DOUGLAS DEPIERO K 29 LOWELL STREET PEABODY MA 01960 12/21/2018 / / DVM II,III,IV,V,VI MEAGHAN DESMOND E MARSHFIELD ANIMAL HOSPITAL 490 PLAIN STREET MARSHFIELD MA 02050 7/23/2019 / / DVM II,III,IV,V,VI DANEE DESROCHERS MICHELLE BAY STATE VETERINARY EMERGENCY & SPECIALTY 76 BAPTIST STREET SWANSEA MA 02777 3/25/2021 / / DVM II,III,IV,V,VI LEAH DETOLLA ACTON ANIMAL HOSPITAL 363 MAIN STREET, UNIT R ACTON MA 01720 6/18/2021 / / DVM II,III,IV,V,VI KENNETH DETORA C 5 JACOBS WAY AUBURN MA 01501 12/6/2019 / / DVM II,III,IV,V,VI PATRICIA DETTLINGER ELLEN 4 CLINTON ROAD STERLING MA 01564 8/16/2020 / / DVM II,III,IV,V,VI JOSEPH DEVEREAUX PITTSFIELD VETERINARY HOSPITAL 1634 W HOUSATONIC ST. PITTSFIELD MA 01201 8/12/2020 / / DVM II,III,IV,V,VI SUPRABHA DEVI P BANFIELD PET HOSPITAL 160 ALEWIFE BROOK PKWY CAMBRIDGE MA 02138 1/24/2021 / / DVM II,III,IV,V,VI STEPHEN DEVINCENT JOHN HERRINGTON COVE ANIMAL HOSPITAL 83 SHANK PAINTER RD PROVINCETOWN MA 02657 4/13/2018 / / DVM II,III,IV,V,VI ELIZABETH DEVITT ANN VCA PLYMOUTH ANIMAL HOSPITAL 100 INDUSTRIAL PARK ROAD PLYMOUTH MA 02360 9/7/2021 / / DVM II,III,IV,V,VI MARY DEVLIN AILEEN 17 ORLANDO AVE ARLINGTON MA 02474 9/23/2019 / / DVM II,III,IV,V,VI AMANDA DEWEY IRENE VCA SOUTH SHORE ANIMAL HOSPITAL 595 COLUMBIAN ST SOUTH WEYMOUTH MA 02190 9/18/2017 / / DVM II,III,IV,V,VI CHERYL DEWITT WILSON 38 SUMNER CIRCLE PO BOX 591 VINEYARD HAVEN MA 02568 10/15/2021 / / DVM II,III,IV,V,VI LYNN DGETLUCK WILBRAHAM ANIMAL HOSPITAL 2424 BOSTON ROAD WILBRAHAM MA 01095 7/22/2021 / / DVM II,III,IV,V,VI TED DIAMOND A VALLEY VETERINARY HOSPITAL 320 RUSSELL STREET HADLEY MA 01035 1/28/2019 / / DVM II,III,IV,V,VI JESSICA DIAS A NORTHAMPTON VETERINARY CLINIC LLC 190 NONOTUCK ST SUITE 105 NORTHAMPTON MA 01062 12/19/2019 / / DVM II,III,IV,V,VI RACHEL DIAZ ANN FAETH VCA LANCASTER ANIMAL HOSPITAL 456 HIGH ST EXTENSION LANCASTER MA 01523 8/14/2021 / / DVM II,III,IV,V,VI DANIELLE DIBOOT ELIZABETH DIBOOT VETERINARY SERVICES, PC ROWLEY ANIMAL HOSPITAL 46 LESLIE ROAD ROWLEY MA 01969 8/5/2019 / / DVM II,III,IV,V,VI MERANDA DICKEY MARIE VCA PLYMOUTH ANIMAL HOSPITAL 100 INDUSTRIAL PARK ROAD PLYMOUTH MA 02360 7/2/2021 / / DVM II,III,IV,V,VI ROSE DICOVITSKY HELEN ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 6/15/2020 / / DVM II,III,IV,V,VI LEANNE DIESE ELIZABETH PARKWAY VETERINARY HOSPITAL 18 SPRING STREET WEST ROXBURY MA 02132 7/29/2019 / / DVM II,III,IV,V,VI JESSICA DIFILLIPPO MARY NORTH EAST VETERINARY HOSPITAL 29 LOWELL STREET PEABODY MA 01960 6/24/2019 / / DVM II,III,IV,V,VI LAUREN DIMARZIO ROSE 125 BOX TURTLE DRIVE ROCHESTER MA 02770 11/18/2019 / / DVM II,III,IV,V,VI GINA DINALLO KATHRYN CAPE COD VETRINARY SPECIALISTS DENNIS 79 THEOPHILIS SMITH RD SOUTH DENNIS MA 02660 1/4/2019 / / DVM II,III,IV,V,VI KIMBERLY DINAN MARIE 781 VCA LLOYD ANIMAL HOSPITAL 1995 WASHINGTON STREET STOUGHTON MA 02072 11/27/2020 / / DVM II,III,IV,V,VI YUANJI DING TOWNSEND VETERINARY HOSPITAL 354 MAIN STREET TOWNSEND MA 01469 7/23/2019 / / DVM II,III,IV,V,VI JENNIFER DINSMORE ANN WAYLAND ANIMAL CLINIC 6 WINTER ST. WAYLAND MA 01778 5/7/2021 / / DVM II,III,IV,V,VI RORY DION LINWOOD ANIMAL HOSPITAL 1500 GORHAM STREET LOWELL MA 01852 9/1/2020 / / DVM II,III,IV,V,VI SARAH DIXON JESSAMINE ALL CREATURES VETERINARY HOSPITAL 20 COMMERCIAL ST SALEM MA 01970 7/5/2019 / / DVM II,III,IV,V,VI AMY DOBECKI K. VCA NORTHBORO 286 W. MAIN ST. NORTHBOROUGH MA 01532 9/2/2020 / / DVM II,III,IV,V,VI EMILY DODGE ANNE VCA SOUTH SHORE 295 COLUMBIAN ST SOUTH WEYMOUTH MA 02190 8/30/2018 / / DVM II,III,IV,V,VI SARA DOGGETT MARIE 127 WASHINGTON STREET WEYMOUTH MA 02188 4/2/2021 / / DVM II,III,IV,V,VI SARA DOGGETT MARIE BOSTON CAT HOSPITAL 3840 WASHINGTON STREET JAMAICA PLAIN MA 02130 2/26/2020 / / DVM II,III,IV,V,VI TRACY DOHERTY A LONGH ISLAND VETERINARY SPECIALIST 163 S. SERVICE ROAD PLAINVIEW NY 11803 7/14/2017 / / DVM II,III,IV,V,VI THEA DOIDGE SIMONE LEXINGTON-BEDFORD VETERINARY HOSPITAL 476 BEDFORD ST LEXINGTON MA 02420 7/26/2021 / / DVM II,III,IV,V,VI CARISSA DOMINGUEZ J RANDOLPH ANIMAL HOSPITAL 400 SOUTH MAIN ST RANDOLPH MA 02368 8/9/2021 / / DVM II,III,IV,V,VI ANNE DOMIT ELIZABETH WOBURN ANIMAL HOSPITAL 373 OLD RUSSEL ST. WOBURN MA 01801 8/24/2020 / / DVM II,III,IV,V,VI HANNAH DONNELLY ROSE ANIMAL RESCUE LEAGUE OF BOSTON 55 ANNA'S PLACE DEDHAM MA 02026 8/12/2020 / / DVM II,III,IV,V,VI DENNIS DONOHUE E ANIMAL EYE SPECIALISTS, INC. 648 WEST CENTER STREET WEST BRIDGEWATER MA 02379 2/16/2019 / / DVM II,III,IV,V,VI MELISSA DORR LYNN NATICK ANIMAL CLINIC 121 W CENTRAL ST NATICK MA 01760 7/20/2020 / / DVM II,III,IV,V,VI KATHRYN DORSEY RYAN ANGELL ANIMAL MEDICAL CENTER 350 S HUNTINGTON AVE BOSTON MA 02130 12/27/2017 / / DVM II,III,IV,V,VI LAUREN DORSEY VETERINARY EMERGENCY & SPECIALTY HOSPITAL 141 GREENFIELD ROAD SOUTH DEERFIELD MA 01373 7/13/2021 / / DVM II,III,IV,V,VI DELANEY DOUGLAS NICOLE MSPCA ANGELL AT ESSEX 565 MAPLE STREET DANVERS MA 01923 6/18/2021 / / DVM II,III,IV,V,VI ANDREA DOW 110 RIVER ROAD PEPPERELL MA 01463 4/1/2019 / / DVM II,III,IV,V,VI PETRA DOYLE NORTH SHORE ANIMAL HOSPITAL 1 NEPTUNE BLVD LYNN MA 01902 4/25/2017 / / DVM II,III,IV,V,VI SARA DOYLE CHRISTINE ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE JAMAICA PALIN MA 02130 6/20/2019 / / DVM II,III,IV,V,VI

Page 76 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

KATHERINE DOYON L. NEW ENGLAND ANIMAL MEDICAL CENTER 595 W. CENTER ST. WEST BRIDGEWATER MA 02379 6/1/2021 / / DVM II,III,IV,V,VI AGNESSA DREYTSER L. BANFIELD, THE PET HOSPITAL 70 WORCESTER -PROVIDENCE TURNPIKE #240 MILLBURY MA 01527 5/28/2020 / / DVM II,III,IV,V,VI MARYJEAN DRISCOLL 60 ZERO CROCKER ROAD CENTERVILLE MA 02632 3/16/2021 / / DVM II,III,IV,V,VI DAROL DUCA D ANIMAL CENTER 365 ESSEX ST SAUGUS MA 01906 5/19/2020 / / DVM II,III,IV,V,VI RICHARD DUCKETT THE FAMILY PET HOSPITAL 300 ELIOT ST. ASHLAND MA 01721 8/30/2017 / / DVM II,III,IV,V,VI MEGAN DUCKETT-SONNENBERG MARGARET ANGELL ANIMAL MEDICAL CENTER 350 S. HUNTINGTON AVE JAMAICA PLAIN MA 02130 2/10/2020 / / DVM II,III,IV,V,VI JEAN DUDDY MARIE 350 S. HUNTINGTON AVE BOSTON MA 02130 9/8/2018 / / DVM VI MELISSA DUDLEY B CEDAR SURGICAL VETERINARY SERVICES 168 OAK HILL RD BARRINGTON NH 03825 2/20/2018 / / DVM II,III,IV,V,VI NICHOLAS DUFFIELD VICTORIA HARVEY-NORTHEAST VETERINARY PARTN 1794 BRIDGE STREET DRACUT MA 01826 6/23/2021 / / DVM II,III,IV,V,VI AMANDA DUFFY L. VCA SOUTH SHORE ANIMAL HOSPITAL 595 COLUMBIAN STREET SOUTH WEYMOUTH MA 02190 11/16/2019 / / DVM II,III,IV,V,VI TRACEY DUFFY CONNOLLY A BANFIELD PET HOSPITAL 260 GROSSMAN DR BRAINTREE MA 02184 1/19/2021 / / DVM II,III,IV,V,VI MICHAEL DUGGAN J ACCURO FARMS 346 BLACKMER ROAD SOUTHBRIDGE MA 01550 4/2/2021 / / DVM II,III,IV,V,VI MICHAEL DUGGAN JOSEPH CELL SIGNALING TECHNOLOGY 3 TRASK LN DANVERS MA 01923 6/16/2020 / / DVM II,III,IV,V,VI MICHAEL DUGGAN JOSEPH UNIVERSITY OF MA BOSTON (UMB) 100 MORRISSEY BLVD 1SC 5514 BOSTON MA 02125 5/11/2021 / / DVM II,III,IV,V,VI NICHOLAS DULONG C PUTNAM VETERINARY CLINIC 824 MAIN STREET SHREWSBURY MA 01545 7/10/2020 / / DVM II,III,IV,V,VI WILLIAM DUNDON S MEDFIELD VETERINARY CLINIC 51 PETER KRISTOF WAY MEDFIELD MA 02052 7/8/2019 / / DVM II,III,IV,V,VI STACIE DUNKLE ELIZABETH BANFIELD LEOMINSTER 89 COMMERCIAL RD LEOMINSTER MA 01453 9/6/2021 / / DVM II,III,IV,V,VI DAVID DUNN A NORTH SHORE ANIMAL HOSPITAL ONE NEPTUNE BOULEVARD LYNN MA 01902 2/24/2020 / / DVM II,III,IV,V,VI MOLLY DUNN KATE BANFIELD PET HOSPITAL 10 TRADERS WAY SALEM MA 01970 11/14/2018 / / DVM II,III,IV,V,VI PETER DUNN J NORTH SHORE ANIMAL HOSPITAL 1 NEPTUNE BLVD LYNN MA 01902 6/11/2019 / / DVM II,III,IV,V,VI BRIDGET DUNNIGAN VINEYARD VETERINARY CLINIC P.O. BOX 1289 276 EDGARTOWN -VINEYARD HAVEN R EDGARTOWN MA 02539 7/29/2021 / / DVM II,III,IV,V,VI ANGELA DURKAC AMESBURY ANIMAL HOSPITAL ., P.C. 277 ELM STREET AMESBURY MA 01913 9/22/2021 / / DVM II,III,IV,V,VI ELISE DURVILLE MSPCA ANGELL WEST 293 2ND AVE WALTHAM MA 02451 9/24/2021 / / DVM II,III,IV,V,VI CARY DYER A BOSTON ROAD ANIMAL CLINIC 239 BOSTON ROAD SUTTON MA 01590 7/18/2020 / / DVM II,III,IV,V,VI LAURALYN DYER BETH SHAWME ANIMAL HOSPITAL 32 RT 6A SANDWICH MA 02563 10/9/2021 / / DVM II,III,IV,V STEPHEN DYER MICHEAL VCA SOUTH SHORE ANIMAL HOSPITAL 595 COLUMBIAN STREET SOUTH WEYMOUTH MA 02190 12/12/2017 / / DVM II,III,IV,V,VI VERA DYMENT VANESSA VCA ROBERTS ANIMAL HOSPITAL 516 WASHINGTON STREET HANOVER MA 02339 3/23/2020 / / DVM II,III,IV,V,VI KATHERINE DZULINSKY LYDIA-ANNE VCA SHAKER ROAD ANIMAL HOSPITAL 108 SHAKER ROAD EAST LONGMEADOW MA 01028 1/26/2020 / / DVM II,III,IV,V,VI JAMES EASLEY C TOWNSEND VETERINARY HOSPITAL 354 MAIN STREET TOWNSEND MA 01469 11/16/2019 / / DVM II,III,IV,V,VI CAITLIN EATON J.V. EQUIDDOC VETERINARY SERVICES LLC 369 MAIN STREET SPENCER MA 01562 7/25/2020 / / DVM II,III,IV,V,VI TARA EATON LYNNE ACORN ANIMAL HOSPITAL 20 EARL'S WAY FRANKLIN MA 02038 1/30/2021 / / DVM II,III,IV,V,VI KATE ECHEVERRIA O KE EQUINE PLLC 10 FLORA ROAD ATTLEBORO MA 02703 4/28/2021 / / DVM II,III,IV,V,VI JANET EDMAN E COUNTRYSIDE ANIMAL HOSPITAL 164 WEST STATE STREET GRANBY MA 01033 12/18/2018 / / DVM II,III,IV,V,VI AIMEE EGGLESTON M EGGLESTON EQUINE, LLC 483 CENTER ROAD WOODSTOCK CT 06281 2/20/2021 / / DVM II,III,IV,V,VI LINDA EIBEN R 480 HAWES HILL RD BARRE MA 01005 11/14/2019 / / DVM II,III,IV,V,VI GERALD EICHINGER LEE SHARON VETERINARY CLINIC, PC 586 SOUTH MAIN STREET SHARON MA 02067 2/5/2021 / / DVM II,III,IV,V,VI BETH EISENBERG W. MASS. VETERINARY REFERRAL HOSPITAL EMERGENCY & CRITICAL CARE DEPT. 20 CABOT ROAD WOBURN MA 01801 5/24/2019 / / DVM II,III,IV,V,VI ANNA EISSENOVA CAPE CODE VETERINARY SPECIALISTS 11 BOURNE BRIDGE APPROACH ST BUZZARDS BAY MA 02532 2/27/2018 / / DVM II,III,IV,V,VI LAURA EISZLER A GREYLOCK ANIMAL HOSPITAL 1028 STATE ROAD NORTH ADAMS MA 01247 8/12/2021 / / DVM II,III,IV,V,VI COURTNEY EK CHILDREN'S HOSPITAL, ARCH ENDERS SB 300 LONGWOOD AVE BSH 3110 BOSTON MA 02115 3/10/2019 / / DVM II,III,IV,V,VI CONNOR ELLIS JAKE ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON STREET JAMAICA PLAIN MA 02130 6/18/2019 / / DVM II,III,IV,V,VI STEVEN ELLIS M SUNDERLAND ANIMAL HOSPITAL 52 AMHERST ROAD SUNDERLAND MA 01375 4/13/2021 / / DVM II,III,IV,V,VI MOHAMED EMARA M RELIEF AND TRAVELING VETERINARIAN 5 GLEASON ST WATERTOWN MA 02472 5/22/2021 / / DVM II,III,IV,V,VI WENDY EMERSON ELLEN 374 BOSTON STREET TOPSFIELD MA 01983 4/23/2021 / / DVM II,III,IV,V,VI DANIELLE ENGEL MARIE ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE JAMAICA PLAIN MA 02130 6/18/2019 / / DVM II,III,IV,V,VI GLENN EPHRAIM PENLOSA BREWSTER VETERINARY HOSPITAL 56 UNDERPASS ROAD BREWSTER MA 02631 5/9/2019 / / DVM II,III,IV,V,VI ASHLEY ERBE NICOLE BAYSTATE VETERINARY EMERGENCY SERVICES 76 BAPTIST STREET SWANSEA MA 02777 6/13/2017 / / DVM II,III,IV,V,VI

Page 77 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

ALINA ERMILIO RAE BANFIELD PET HOSPITAL 114 A COMMERCE WAY WOBURN MA 01801 9/11/2020 / / DVM II,III,IV,V,VI HARRY ERNST B. BOURNE VETERINARY CLINIC 160 MAC ARTHUR BLVD, # 5B BOURNE MA 02532 7/13/2020 / / DVM II,III,IV,V,VI KRISTEN ESTES VETERINARY EMERGENCY GROUP 165 NEEDHAM STREET NEWTON MA 02464 8/6/2021 / / DVM II,III,IV,V,VI MARIA ESTEVES ISABEL 92 HILLSIDE ROAD SOUTH EGREMONT MA 01258 8/29/2020 / / DVM II,III,IV,V,VI MICHAEL ESTRIN A 2 1ST AVE PEABODY MA 01960 3/23/2020 / / DVM II,III,IV,V,VI JEFFREY EVANS M BOSTON ANIMAL HOSPITIAL 274 SOUTHAMPTON STREET BOSTON MA 02118 11/6/2020 / / DVM II,III,IV,V,VI JENNIFER EVERETT L ANIMAL HEALTH CARE 20 AIRPORT ROAD WEST TISBURY MA 02575 5/29/2018 / / DVM II,III,IV,V,VI NIORA FABIAN JOY PUTNAM VETERINARY CLINIC 374 BOSTON ST TOPSFIELD MA 01983 8/16/2017 / / DVM II,III,IV,V,VI MARK FAGAN EDWARD HAMILTON WENHAM VETERINARY HOSPITAL 31 RAILROAD AVE SOUTH HAMILTON MA 01982 4/19/2019 / / DVM II,III,IV,V,VI JENNIFER FAGERQUIST ANN SPENCER VETERINARY HOSPITAL 407 MAIN STREET SUITE A SPENCER MA 01562 12/23/2019 / / DVM II,III,IV,V,VI TRACEY JO FAHEY MILLER BERKSHIRE BARKS & PURRS LLC 151 MILLER AVE SHEFFIELD MA 01257 9/9/2021 / / DVM II,III,IV,V,VI RACHEL FALK LAUREN BANFIELD PET HOSPITAL 10 TRADERS WAY SALEM MA 01970 10/8/2019 / / DVM II,III,IV,V,VI WILLIAM FALL D 82 TROWBRIDGE ROAD BOURNE MA 02532 12/12/2019 / / DVM II,III,IV,V,VI JENNIFER FALLON LYNNE FALMOUTH ANIMAL HOSPITAL 1184 SANDWICH ROAD FALMOUTH MA 02536 7/5/2020 / / DVM II,III,IV,V,VI KEVIN FALLON JOHN 1183 MASSACHUSETTS AVENUE ARLINGTON MA 02476 11/14/2019 / / DVM II,III,IV,V,VI MICHAEL FALLON J. 79 MASSACHUSETTS AVENUE LUNENBURG MA 01462 11/18/2019 / / DVM II,III,IV,V,VI ALFRED FAMIGLIETTI P 157-A COMMERCIAL STREET, SUITE 3 PO BOX 112 PROVINCETOWN MA 02657 11/4/2018 / / DVM II,III,IV,V,VI LAURENCE FAMILY DEER RUN VETERINARY SERVICE, INC 168 TEA TICKETS HWY E. FALMOUTH MA 02536 9/28/2021 / / DVM II,III,IV,V,VI ANDREW FARABAUGH E VCA SOUTH SHORE ANIMAL HOSPITAL 595 COLUMBIAN STREET SOUTH WEYMOUTH MA 02190 8/15/2019 / / DVM II,III,IV,V,VI MEAGHAN FARNAM ANN FRANKLIN VETERINARY CLINIC 430 EAST CENTRAL ST. FRANKLIN MA 02038 8/17/2019 / / DVM II,III,IV,V,VI TAYLOR FARRIS ANDREW BULGER VETERINARY HOSPITAL 141 WINTHROP AVE LAWRENCE MA 01843 12/7/2020 / / DVM II,III,IV,V,VI CHERYL FASO ROSE ANDOVER ANIMAL HOSPITAL 233 LOWELL ST ANDOVER MA 01810 8/16/2021 / / DVM II,III,IV,V,VI ROBERT FECCIA CHARLES LEOMINSTER ANIMAL HOSPITAL INC. 129 NEW LANCASTER ROAD LEOMINSTER MA 01453 12/7/2018 / / DVM II,III,IV,V,VI GAYLE FEELEY L. 41 WAYSIDE LANE WEST BARNSTABLE MA 02668 11/14/2019 / / DVM II,III,IV,V,VI KRISTINA FEIGIN VETERINARY DENTAL SERVICES 530 MASSACHUSETTS AVE BOXBOROUGH MA 01719 6/5/2020 / / DVM II,III,IV,V,VI LORI FELDMAN H. BROOKLINE ANIMAL HOSPITAL 678 BROOKLINE AVENUE BROOKLINE MA 02445 3/16/2021 / / DVM II,III,IV,V,VI ADRIENNE FELIX MARIE MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT RD WOBURN MA 01801 9/17/2019 / / DVM II,III,IV,V,VI REBECCA FELLMAN MSPCA- ANGELL 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 3/18/2021 / / DVM II,III,IV,V,VI SPENCER FENNIK ROSS MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT ROAD WOBURN MA 01801 6/23/2020 / / DVM II,III,IV,V,VI ALBERTO FERNANDEZ-MOJICA L NEW ENGLAND ANIMAL MEDICAL CENTER 595 CENTER STREET WEST BRIDGEWATER MA 02379 10/5/2020 / / DVM II,III,IV,V,VI GREGORY FERRICK GERARD FALMOUTH ANIMAL HOSPITAL 188 NATHAN ELLIS HIGHWAY N. FLAMOUTH MA 02556 5/23/2019 / / DVM II,III,IV,V,VI JORDANA FETTO SIMONE MSPCA- ANGELL WEST 293 SECOND AVE WALTHAM MA 02451 9/7/2021 / / DVM II,III,IV,V,VI TESSA FIAMENGO SLADE VETERINARY HOSPITAL, INC 334 CONCORD STREET FRAMINGHAM MA 01702 12/6/2019 / / DVM II,III,IV,V,VI PAUL FICK HOWARD BANFIELD PET HOSPITAL 104 ANDOVER ST DANVERS MA 01923 3/10/2020 / / DVM II,III,IV,V,VI ANNE FIELD N. POWDER MILL ANIMAL HOSPITAL 77 POWDER MILL ROAD ACTON MA 01720 9/8/2020 / / DVM II,III,IV,V,VI CHELSEA FIELD MAE VCA LYNNFIELD ANIMAL HOSPITAL 1 BAY STATE RD LYNNFIELD MA 01940 6/28/2019 / / DVM II,III,IV,V,VI CARLY FIELDING C CAPE COD VETERINARY SPECIALISTS 11 BOURNE BRIDGE APPROACH BUZZARD BAY MA 02532 10/9/2018 / / DVM II,III,IV,V KAREN FINE R FINE VETERINARY HOUSE CALLS 30 STONELAND ROAD SHREWSBURY MA 01545 1/16/2021 / / DVM II,III,IV,V,VI EMILY FINN 168 SOUTH ST. UPTON MA 01568 4/29/2021 / / DVM II,III,IV,V,VI THOMAS FINNEY D VCA HANSON ANIMAL HOSPITAL 104 LIBERTY ST HANSON MA 02341 2/5/2021 / / DVM II,III,IV,V,VI ELIZABETH FIOCCHI HATHAWAY 5 STRATHMORE RD NATICK MA 01760 10/25/2019 / / DVM II,III,IV,V,VI STEVEN FISH T WESTON VETERINARY CLINIC 152 BOSTON POST ROAD WESTON MA 02493 5/12/2021 / / DVM II,III,IV,V,VI JAMES FISHER LEE 160 ADAMS ROAD CONCORD MA 01742 11/19/2020 / / DVM II,III,IV,V,VI NICOLE FISHER DENISE BANFIELD PET HOSPITAL 213 HARTFORD AVE BELLINGHAM MA 02019 5/2/2019 / / DVM II,III,IV,V,VI KAITLIN FISKE ELIZABETH MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT RD WOBURN MA 01801 8/9/2017 / / DVM II,III,IV,V,VI LAUREN FISKE STURBRIDGE VETERINARY HOSPITAL 6 CEDAR STREET STURBRIDGE MA 01566 4/20/2019 / / DVM II,III,IV,V MELISSA FISKE ANNE HOLMES FAMILY VETERINARY CLINIC 2245 PROVIDENCE HIGHWAY WALPOLE MA 02081 8/26/2019 / / DVM II,III,IV,V,VI

Page 78 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

STEPHANIE FISSEKIS F BULGER VETERINARY HOSPITAL 141 WINTHROP AVE LAWRENCE MA 01843 6/5/2019 / / DVM II,III,IV,V,VI KAITLIN FITCH R LOYAL COMPANION 193 BOSTON TURNPIKE SHREWBURY MA 01545 10/16/2020 / / DVM II,III,IV,V,VI CAROLINE FITGERALD WACHUSETT ANIMAL HOSPITAL 29 THEODORE DRIVE WESTINISTER MA 01473 7/31/2019 / / DVM II,III,IV,V,VI CAROLINE FITZGERALD WASCHUSETT ANIMAL HOSPITAL 29 THEODORE DRIVE WESTMINSTER MA 01473 9/7/2021 / / DVM II,III,IV,V,VI BRIDGET FITZPATRICK CENTRAL ANIMAL HOSPITAL 1285 CENTRAL ST LEOMINSTER MA 01453 6/1/2018 / / DVM II,III,IV,V,VI MONIQUE FITZPATRICK A VETERINARY EMERGENCY & SPECIALTY HOSPITAL 141 GREENFIELD RD. SOUTH DEERFIELD MA 01373 8/17/2020 / / DVM II,III,IV,V,VI JESSICA FIX L BULGER VETERINARY HOSPITAL 247 CHICKERING ROAD NORTH ANDOVER MA 01845 6/28/2019 / / DVM II,III,IV,V,VI LAUREN FLANAGAN PEPPERELL VETERINARY HOSPITAL 110 RIVER RD PEPPERELL MA 01463 3/15/2020 / / DVM II,III,IV,V,VI ROBERT FLECKER VETERINARY EMERGENCY & SPECALTY HOSPITAL 141 GREENFIELD ROAD SOUTH DEERFIELD MA 01373 9/7/2021 / / DVM II,III,IV,V,VI ANNE FLEMING M SPINNAKER VETERINARY CLINIC 167 COUNTY ST. SOMERSET MA 02726 9/16/2019 / / DVM II,III,IV,V,VI MEGHAN FLEMING A MASS VETERINARY REFERRAL HOSPITAL DEPT OF RADIOLOGY 20 CABOT RD WOBURN MA 01801 8/15/2018 / / DVM II,III,IV,V,VI WARREN FLEMING P. FIREHOUSE VETERINARY CLINIC 4 HEDGES POND ROAD PLYMOUTH MA 02360 4/16/2019 / / DVM II,III,IV,V,VI DAPHNE FLESSAS ACTON ANIMAL HOSPITAL 363R MAIN ST. ACTON MA 01720 9/11/2021 / / DVM II,III,IV,V,VI SARAH FLICK E VCA ROTHERWOOD ANIMAL HOSPITAL 78 WINCHESTER STREET NEWTON HIGHLANDS MA 02461 7/13/2021 / / DVM II,III,IV,V,VI CARL FLINKSTROM 109 MASSACHUSETTS AVENUE LUNENBURG MA 01462 11/21/2019 / / DVM II,III,IV,V,VI CAMILLE FLOURNOY A METROWEST VETERINARY ASSOCIATES 207 EAST MAIN STREET MILFORD MA 01757 10/13/2018 / / DVM II,III,IV,V,VI JESSICA FLYNN GAYLE SAUGUS ANIMAL HOSPITAL 300 BROADWAY SAUGUS MA 01906 8/22/2018 / / DVM II,III,IV,V,VI ROSEMARY FLYNN READING ANIMAL CLINIC 1312 MAIN STREET READING MA 01867 9/18/2020 / / DVM II,III,IV,V,VI AMANDA FOGAREN MICHELE BANFIELD PET HOSPITAL 85 MAIN STREET STONEHAM MA 02180 10/6/2020 / / DVM II,III,IV,V,VI MELISSA FOGELSON L METHUEN VETERINARY HOSPITAL 15 LOWELL STREET METHUEN MA 01844 3/3/2020 / / DVM II,III,IV,V,VI KYLYNN FONTAINE E NORTH SHORE ANIMAL HOSPITAL 1 NEPTUNE BLVD LYNN MA 01902 5/16/2017 / / DVM II,III,IV,V,VI ELIZABETH FORBES D EQUIDDOC VETERINARY SERVICES, LLC 369 MAIN STREET SUITE 1 SPENCER MA 01562 11/12/2019 / / DVM II,III,IV,V,VI NAOMI FORD ROSE ANGELL ANIMAL MEDICAL CENTER 350 S HUNTINGTON AVE BOSTON MA 02130 10/13/2017 / / DVM II,III,IV,V,VI KENDYL FORISTALL-DRASS M 22 HIGHLAND ST MIDDLEBORO MA 02346 12/9/2019 / / DVM II,III,IV,V,VI DEIRDRE FORNARI J WESTSIDE ANIMAL CLINIC 262 MILL ST WORCESTER MA 01602 3/17/2020 / / DVM II,III,IV,V,VI SARA FORSYTHE JANE ANIMAL HOSPITAL OF LYNNFIELD 1 BAY STATE RD LYNNFIELD MA 01940 6/21/2019 / / DVM II,III,IV,V,VI AMY FORTE RUGGIERO VCA NORTHBOROUGH ANIMAL HOSPITAL 286 WEST MAIN STREET NORTHBOROUGH MA 01532 3/23/2021 / / DVM II,III,IV,V,VI TIMOTHY FOSTER S. SHEPHERD VETERINARY CLINIC 17 CODMAN HILL ROAD BOXBOROUGH MA 01719 4/10/2021 / / DVM II,III,IV,V,VI GEORGE FOUNTAS JR. 176 RIVER ROAD ANDOVER MA 01810 1/9/2021 / / DVM II,III,IV,V,VI TRACIE FOUNTAS ELIZABETH RIVER ROAD VETERINARY HOSPITAL 176 RIVER ROAD ANDOVER MA 01810 3/21/2020 / / DVM II,III,IV,V,VI JAMIE FOURNIER L NEW ENGLAND ANIMAL MEDICAL CENTER 595 W. CENTER ST. W. BRIDGEWATER MA 02379 4/28/2020 / / DVM II,III,IV,V,VI JEAN FOURNIER MARIE NORTH SHORE ANIMAL HOSPITAL 1 NEPTUNE BLVD. LYNN MA 01902 5/28/2020 / / DVM II,III,IV,V,VI JAMES FOX G MASSACHUSETTS INSTITUTE OF TECHNOLOGY, M.I.T. BLDG. 16-825C 77 MASSACHUSETTS AVENUE CAMBRIDGE MA 02139 9/22/2020 / / DVM II,III,IV,V,VI KATHLEEN FOX 230 MAIN ST. BUZZARDS BAY MA 4/7/2020 / / DVM II,III,IV,V,VI KRISTINA FOYO MARIA NEW ENGLAND ANIMAL MEDICAL CENTER 595 W CENTER ST W BRIDGEWATEWR MA 02379 7/6/2021 / / DVM II,III,IV,V,VI SAMANTHA FRABLE SOUTH SHORE CLINIC 151 PALMER ROAD PLYMPTON MA 02367 8/6/2021 / / DVM II,III,IV,V,VI STEPHAINE FRAISSL RAMANI BANFIELD PET HOSPITAL 114A COMMERCE WAY WOBURN MA 01801 9/9/2019 / / DVM II,III,IV,V,VI JENNIFER FRAKER PROCTOR OFF SHORE ANIMAL HOSPITAL 11 CROOKED LANE NANTUCKET MA 02554 10/8/2019 / / DVM II,III,IV,V,VI RACHEL FRANCIS KIESSLING MARION ANIMAL HOSPITAL 303 WAREHAM ROAD MARION MA 02738 12/14/2019 / / DVM II,III,IV,V,VI KRISTEN FRANK ANN MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT RD WOBURN MA 01801 10/1/2018 / / DVM II,III,IV,V ERIC FRANSON THOMAS MARLBOROUGH ANIMAL HOSPITAL 441 LAKESIDE AVE MARLBOROUGH MA 01752 9/8/2020 / / DVM II,III,IV,V,VI GILLIAN FRASER B 164 CARRIAGE HILL ROAD NORTHBOROUGH MA 01532 3/14/2019 / / DVM II,III,IV,V,VI REBECCA FRASER-HAND FRASER VETERINARY SERVICES, INC 59 BUTLER CIRCLE MARBOROUGH MA 01752 8/5/2019 / / DVM II,III,IV,V,VI TAYLOR FRAYCHAK JULIA 4 CLINTON ROAD STERLING MA 01564 6/12/2020 / / DVM II,III,IV,V,VI KATHERINE FRAZIER ANNE OCEAN STATE EQUINE ASSOCIATES 11 WINSOR AVE NORTH SCITUATE RI 02857 6/8/2021 / / DVM II,III,IV,V,VI ARTHUR FREEDMAN BRUCE HAWTHORNE ANIMAL HEALTHCARE 120 CANAL STREET SALEM MA 01970 1/2/2021 / / DVM II,III,IV,V,VI NICOLE FREEMAN B WHOLE PET VETERINARY CENTER 270 LITTLETON RD, SUITE 20 WESTFORD MA 01886 7/10/2020 / / DVM II,III,IV,V,VI

Page 79 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

KIMBERLY FREID MSPCA ANGELL WEST 293 2ND AVENUE WALTHAM MA 02451 4/28/2021 / / DVM II,III,IV,V,VI MARY FRELINGER RIVER ROAD VETERINARY HOSPITAL 176 RIVER ROAD ANDOVER MA 01810 2/25/2021 / / DVM II,III,IV,V,VI DANIEL FREM L VETERINARY REFERRAL HOSPITAL C/O JENNIFER BRISSON 20 CABOT RD WOBURN MA 01801 3/7/2021 / / DVM II,III,IV,V,VI DOUGLAS FRENCH JOHN CAPE ANN VETERINARY HOSPITAL 462 ESSEX AVE GLOUCESTER MA 01930 7/1/2019 / / DVM II,III,IV,V,VI JEFFREY FRENCH B. 462 ESSEX AVENUE GLOUCESTER MA 01930 9/20/2020 / / DVM II,III,IV,V,VI ANN FRIEDHOFER L 58 BATES STREET MENDON MA 01756 7/18/2020 / / DVM II,III,IV,V,VI DAWN FRIEDMAN M WRENTHAM ANIMAL HOSPITAL 5 LEDGEVIEW WAY WRENTHAM MA 02093 9/20/2019 / / DVM II,III,IV,V,VI WILLIAM FRIEDMAN EDWARD BEVERLY ANIMAL HOSPITAL 303 CABOT STREET BEVERLY MA 01915 3/2/2021 / / DVM II,III,IV,V,VI CELIA FRIEDMAN COWAN KOALA PHARMACY BOSTON 179 SOUTH STREET, SUITE 100 BOSTON MA 02111 6/18/2021 / / DVM II,III,IV,V,VI CELIA FRIEDMAN COWAN JANE KOALA PHARMACY BOSTON 179 SOUTH STREET SUITE 100 BOSTON MA 02111 5/30/2021 / / DVM II,III,IV,V,VI DANIELLE FRIEND ISAACS HOLDEN VETERINARY CLINIC 11 INDUSTRIAL DRIVE HOLDEN MA 01520 11/14/2019 / / DVM II,III,IV,V,VI CHANDLER FRITZ D 26 OLD FARM ROAD LINCOLN MA 01773 9/5/2017 / / DVM II,III,IV,V,VI MICHAEL FROST JOSEPH 32 OVERLOOK DRIVE WESTFIELD MA 01085 11/23/2019 / / DVM II,III,IV,V,VI WHITNEY FRY PAIGE MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT RD WOBURN MA 01801 9/28/2018 / / DVM II,III,IV,V,VI GALIT FRYDMAN H 500 TECHNOLOGY SQ 3RD FLOOR, RM 383 CAMBRIDGE MA 02139 10/23/2020 / / DVM II,III,IV,V,VI ASHLEY FRYE ANNE BANFIELD 160 ALEWIFE BROOK PKWY CAMBRIDGE MA 02138 12/26/2018 / / DVM II,III,IV,V,VI CYNTHIA FUHS A 244 VAUGHN HILL ROAD P.O. BOX 489 BOLTON MA 01740 9/25/2021 / / DVM II,III,IV,V,VI MORGAN FUHS-MYRICK ALEXANDRA CAPE COD VETERINARY SPECIALIST 11 BOURNE BRIDGE APPROACH BUZZARDS BAY MA 02532 12/6/2019 / / DVM II,III,IV,V,VI JACKLYN FULLERTON A VCA SOUTH SHORE ANIMAL HOSPITAL 595 COLUMBIAN STREET SOUTH WEYMOUTH MA 02190 5/21/2021 / / DVM II,III,IV,V,VI STEPHANIE FULLERTON ASHLEY HEALTHY PAWS VETERINARY CENTER 6 OLD FLADNERS ROAD WESTBOROUGH MA 01581 6/29/2021 / / DVM II,III,IV,V,VI RUTH FUNDYGA ELIZABETH MARSHFIELD ANIMAL HOSPITAL 490 PLAIN STREET MARSHFIELD MA 02050 5/1/2020 / / DVM II,III,IV,V,VI EDWARD FUNK L. BROOKSIDE ANIMAL HOSPITAL 279 PLAIN ROAD GREENFIELD MA 01301 8/18/2020 / / DVM II,III,IV,V,VI SAMANTHA GABREE ROSE VETERINARY EMERGENCY GROUP 312 STUART STREET BOSTON MA 02116 3/20/2019 / / DVM II,III,IV,V,VI MARYA GABRIEL V BALANCE POINT VETERINARY ACUPUNCTURE SERVI 7 ALDER BERRY LANE MATTAPOISETT MA 02739 9/15/2019 / / DVM II,III,IV,V,VI BRETT GABY R 84 SAMPSON ROAD BOLTON MA 01740 12/12/2017 / / DVM II,III,IV,V,VI TRENT GALL VCA NORTHBORO ANIMAL HOSPITAL 286 WEST MAIN ST NORTHBOROUGH MA 01532 3/27/2018 / / DVM II,III,IV,V,VI ASHLEY GALLAGHER ANN NEW ENGLAND VETERINARY CLINIC 204 HIGHLAND AVE SALEM MA 01970 8/5/2021 / / DVM II,III,IV,V,VI LINDSAY GALLAGHER M BOSTON VETERINARY CLINIC 383 TREMONT STREET BOSTON MA 02116 7/29/2019 / / DVM II,III,IV,V,VI MARGARET GALLAGHER E VCA SOUTH SHORE ANIMAL HOSPITAL 595 COLUMBIAN STREET WEYMOUTH MA 02190 7/22/2021 / / DVM II,III,IV,V,VI JENNIFER GALLO LYNN 370 ELMWOOD AVENUE UXBRIDGE MA 01569 4/21/2021 / / DVM II,III,IV,V,VI PATRICIA GALLO V. THE BOSTON CAT HOSPITAL 3840 WASHINGTON STREET JAMAICA PLAIN MA 02130 10/28/2019 / / DVM II,III,IV,V,VI TIMOTHY GALUSHA G. TRAILSIDE VETERINARY SERVICES 1116 MOHAWK TRAIL SHELBURNE FALLS MA 01370 6/12/2021 / / DVM II,III,IV,V,VI TESS GANNAWAY E BACK BAY VETERINARY CLINIC 288 NEWBURY ST BOSTON MA 02115 9/28/2021 / / DVM II,III,IV,V,VI RACHEL GARBAR DALEY ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 6/15/2020 / / DVM II,III,IV,V,VI JESSICA GARBOSKI MEGAN FALLON ANIMAL CLINIC 79 MASSACHUSETTS AVE LUNENBURG MA 01462 9/11/2020 / / DVM II,III,IV,V,VI JANE GARDINER R SOUTH BAY VETERINARY GROUP 587 TREMONT STREET BOSTON MA 02118 1/12/2020 / / DVM II,III,IV,V,VI SARA GARDINER GAIL 38 JOHN STREET READING MA 01867 6/30/2021 / / DVM II,III,IV,V,VI HEATHER GARDNER LYNN BLUE PEARL VETERINARY PARTNERS 180 BEAR HILL RD WALTHAM MA 02451 7/13/2017 / / DVM II,III,IV,V,VI KELLY GARRETT JEAN 311 HILL RD GROTON MA 01450 8/27/2021 / / DVM II,III,IV,V,VI SHEILA GASTROCK GOLDSZLAGER NEWTON ANIMAL HOSPITAL 602 WASHINGTON STREET NEWTON MA 02458 7/15/2020 / / DVM II,III,IV,V,VI RACHEL GATES ELIZABETH ANGELL ANIMAL MEDICAL CENTER 350 S HUNTINGTON AVE JAMAICA PLAIN MA 02130 8/29/2018 / / DVM II,III,IV,V,VI MEERA GATLIN SRIRAM 200 WESTBORO ROAD NORTH GRAFTON MA 01536 6/20/2019 / / DVM II,III,IV,V,VI ELIZABETH GATTI M VALLEY VETERINARY HOSPITAL 320 RUSSELL STREET HADLEY MA 01035 12/26/2018 / / DVM II,III,IV,V,VI PHILIP GAUDET R CAPEWAY VETERINARY HOSPITAL OF FAIRHAVEN 171 BRIDGE ST. FAIRHAVEN MA 02719 2/25/2019 / / DVM II,III,IV,V,VI CHRISTINE GAUMONT L. ACUSHNET ANIMAL HOSPITAL 265 MAIN STREET ACUSHNET MA 02743 2/5/2018 / / DVM II,III,IV,V,VI NICOLE GAUTREAU WESTFORD VETERINARY EMERGENCY & REFERRAL 11 CORNERSTONE SQUARE WESTFORD MA 01886 9/24/2021 / / DVM II,III,IV,V,VI WILLIAM GAVIN G 87 NEW SPENCER ROAD CHARLTON DEPOT MA 01507 11/10/2019 / / DVM II,III,IV,V,VI

Page 80 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

KATHERINE GEBBIE ANNE TUFTS VETS 525 SOUTH ST WALPOLE MA 02081 8/9/2021 / / DVM II,III,IV,V,VI RAHEL GEBREYESUS BANFIELD PET HOSPITAL 85 MAIN STREET STONEHAM MA 02180 10/9/2019 / / DVM II,III,IV,V,VI HEATHER GEDDES RENEE 34 LONG POND ROAD PLYMOUTH MA 02360 10/21/2019 / / DVM II,III,IV,V,VI DEBRA GEHRKE A. C/O PET PARTNERS, INC. 139 SHAW STREET FALL RIVER MA 02724 11/30/2019 / / DVM II,III,IV,V,VI KAREN GEISSERT E. 134 REED FARM ROAD BOXBOROUGH MA 01719 11/30/2020 / / DVM II,III,IV,V,VI MELLISSA GELDMACHER A. 260 ELM STREET PEMBROKE MA 02359 1/17/2020 / / DVM II,III,IV,V,VI ADRIA GELLER T. 12 WINTHROP STREET MEDWAY MA 02053 9/16/2019 / / DVM II,III,IV,V,VI CHRISTINA GENAREO ANNE CAPE COD VETERINARY SPECIALISTS 11 BOURNE BRIDGE APPROACH BUZZARDS BAY MA 02532 9/6/2018 / / DVM II,III,IV,V,VI ELIZABETH GENGO ANN WOBURN ANIMAL HOSPITAL 373 RUSSELL ST WOBURN MA 01801 2/12/2020 / / DVM II,III,IV,V,VI MEAGAN GEOFFRION SARAH VCA WICKABOAG ANIMAL HOSPITAL 138 W MAIN ST. WEST BROOKFIELD MA 01585 7/15/2020 / / DVM II,III,IV,V,VI AMANDA GERARD FRENCH VESH 141 GREENFIELD ROAD SOUTH DEERFIELD MA 01573 4/29/2019 / / DVM II,III,IV,V,VI MINA GERGIS MSPCA-ANGELL-WEST 293 2ND AVE. WALTHAM MA 02451 5/28/2020 / / DVM II,III,IV,V,VI ANNIKA GEROW M. METHUEN VETERINARY HOSPITAL 15 LOWELL ST. METHUEN MA 01844 3/14/2019 / / DVM II,III,IV,V,VI KRISTEN GERVAIS JANE VCA SOUTH SHORE ANIMAL HOSPITAL OPHTHALMOLOGY DEPT. 595 COLUMBIAN ST. SOUTH WEYMOUTH MA 02190 11/23/2020 / / DVM II,III,IV,V,VI ERIN GESHWILER S VCA ABBOTT ANIMAL HOSPITAL 21 E. MOUNTAIN ST WORCESTER MA 01606 4/3/2020 / / DVM II,III,IV,V,VI ANDREW GESTRICH MICHAEL 11 MURRAY AVE SOUTH GRAFTON MA 01560 2/17/2021 / / DVM II,III,IV,V,VI ANDREW GESTRICH MICHAEL 11 MURRAY AVE SOUTH GRAFTON MA 01560 9/27/2021 / / DVM II,III,IV,V,VI LISA GIBSON KATHLEEN VCA SOUTH SHORE WEYMOUTH ANIMAL HOSPITAL 595 COLUMBIAN ST. WEYMOUTH MA 02190 8/12/2020 / / DVM II,III,IV,V,VI MARY-LEE GIFFORD LIZABETH HYANNIS ANIMAL HOSPITAL 102 ANSEL HALLET ROAD WEST YARMOUTH MA 02673 7/18/2019 / / DVM II,III,IV,V,VI SAYRAH GILBERT ELIZABETH 350 S HUNTINGTON AVE JAMAICA PLAIN MA 02130 7/16/2018 / / DVM II,III,IV,V,VI HAROLD GILL PRIESTLEY JR 474 SOUTH BOLTON ROAD BOLTON MA 01740 1/19/2019 / / DVM II,III,IV,V,VI ELAINE GILLEECE S 93 DURHAM ROAD DEDHAM MA 02026 1/14/2021 / / DVM II,III,IV,V,VI SUSAN GILLHAM BOARD 44 BENJAMIN RD SHIRLEY MA 01464 12/26/2019 / / DVM II,III,IV,V,VI BRIANNA GILMAN C LEACH ANIMAL HOSPITAL 482 MAIN ST. MASHPEE MA 02649 7/20/2018 / / DVM II,III,IV,V,VI SUSAN GILMORE ELIZABETH VCA WAKEFIELD ANIMAL HOSPITAL 19 MAIN STREET WAKEFIELD MA 01880 12/14/2019 / / DVM II,III,IV,V,VI JESSICA GINGRAS METCALF BULGER VETERINARY HOSPITAL 141 WINTHROP AVENUE LAWRENCE MA 01843 6/10/2020 / / DVM II,III,IV,V,VI ANGELA GIRELLO L. VCA SOUTH SHORE ANIMAL HOSPITAL 595 COLUMBIAN STREET SOUTH WEYMOUTH MA 02190 3/16/2020 / / DVM II,III,IV,V,VI TRICIA GLAZIER LEE EMMERSON ANIMAL HOSPITAL 255 FREEPORT STREET DORCHESTER MA 02122 11/28/2021 / / DVM II,III,IV,V,VI ARIANE GOERLICH O BLUE PERL VETERINARY PARTNERS, WALTHAM EMERGENCY AND CRITICAL CARE 180 BEAR HILL ROAD WALTHAM MA 02451 6/15/2019 / / DVM II,III,IV,V,VI JOAN GOFFI H. 45 LOG CABIN ROAD EASTHAM MA 02642 12/19/2019 / / DVM II,III,IV,V,VI SARAH GOLD ARIELLE BULGER VETERINARY HOSPITAL 14 WINTHROP AVE LAWRENCE MA 01843 7/5/2019 / / DVM II,III,IV,V,VI BRANDI GOLDEN A SUTTON ANIMAL HOSPITAL 38 OAKHURST ROAD SUTTON MA 01590 7/27/2021 / / DVM II,III,IV,V,VI AMY GOLDSTEIN R BLUE PEARL 180 BEAR HILL ROAD WALTHAM MA 02451 9/25/2019 / / DVM II,III,IV,V,VI MICHAEL GOLDSTEIN BENJAMIN BILLERICA VETERINARY HOSPITAL 31 LEXINGTON RD BILLERICA MA 01821 6/21/2019 / / DVM II,III,IV,V,VI KATHERINE GOLLON ANNE ANIMAL RESCUE LEAGUE OF BOSTON 55 ANNA'S PLACE DEDHAM MA 02026 10/13/2018 / / DVM II,III,IV,V,VI PETER GOLLUB ERIC 615 DOUGLAS ST. UXBRIDGE MA 01569 5/18/2019 / / DVM II,III,IV,V,VI ASHRAF GOMAA MOHSEN ABBOTT ANIMAL HOSPITAL 48 FALL RIVER AVENUE REHOBOTH MA 02769 3/21/2019 / / DVM II,III,IV,V,VI MOHSEN GOMAA M ABBOTT ANIMAL HOSPITAL INC. 48 FALL RIVER AVE REHOBOTH MA 02769 12/14/2018 / / DVM II,III,IV,V,VI YARITZA GOMEZ FRESH POND ANIMAL HOSPITAL 15 FLANDERS ROAD BELMONT MA 02478 2/17/2021 / / DVM II,III,IV,V,VI AMANDA GONNEVILLE LOUISE 35 VENTURA DR NORTH DARTMOUTH MA 02747 7/5/2019 / / DVM II,III,IV,V,VI NADYA GONZALEZ MARIE ANCHOR ANIMAL HOSPITAL 750 STATE RD N DARTMOUTH MA 02747 9/28/2018 / / DVM II,III,IV,V,VI VERONICA GONZALEZ-VARGAS FALL RIVER ANIMAL HOSPITAL 33 18TH STREET FALL RIVER MA 02723 10/6/2020 / / DVM II,III,IV,V,VI LAUREN GOOD S CENTRAL ANIMAL HOSPITAL 1285 CENTRAL STREET LEOMINSTER MA 01453 3/23/2018 / / DVM II,III,IV,V,VI ALICE GOODMAN E 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 7/23/2019 / / DVM II,III,IV,V,VI ANDREW GOODMAN RUSSELL ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE JAMAICA PLAIN MA 02130 7/23/2019 / / DVM II,III,IV,V,VI ERIN GOODREAU ELIZABETH COUNTRYSIDE ANIMAL HOSPITAL 164 W STATE ST GRANBY MA 01033 10/2/2020 / / DVM II,III,IV,V,VI LORI GORDON-LEDOUX ELLEN 4 ROSE LANE ATKINSON NH 03811 11/15/2020 / / DVM II,III,IV,V,VI

Page 81 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

LISA GORMAN DIANA MSPCA-ANGELL WEST 293 SECOND AVE WALTHAM MA 02451 8/29/2020 / / DVM II,III,IV,V,VI SARAH GORMAN EMILY BOSTON ANIMAL HOSPITAL 274 SOUTHAMPTON ST BOSTON MA 02118 11/1/2018 / / DVM II,III,IV,V,VI KATHRYN GORSKI OLD DERBY ANIMAL HOSPITAL 40 RECREATON PARK DRIVE HINGHAM MA 02043 5/22/2017 / / DVM II,III,IV,V,VI SANNA GOUGH MARIE ANGELL ANIMAL MEDICAL CENTER 350 S. HUNTINGTON AVE. BOSTON MA 02130 7/30/2020 / / DVM II,III,IV,V,VI ALISON GOUINLOCK CATHERINE SECOND CHANCE ANIMAL SERVICES 831 MAIN STREET WORCHESTER MA 01610 4/13/2020 / / DVM II,III,IV,V,VI ROBERT GOUINLOCK WILLIAM BANFIELD PET HOSPITAL 6106 SHOPS WAY NORTH BOROUGH MA 01532 8/15/2019 / / DVM II,III,IV,V,VI HEATHER GOULD R APPLE COUNTRY ANIMAL HOSPITAL 35 GREAT ROAD STOW MA 01775 4/15/2019 / / DVM II,III,IV,V,VI WILLARD GOULD J III MATTAPOISETT ANIMAL HOSPITAL 91 COUNTY ROAD MATTAPOISETT MA 02739 12/19/2019 / / DVM II,III,IV,V,VI NICOLE GOVONI MARIE MEDWAY ANIMAL HOSPITAL 66 WEST STREET MEDWAY MA 02053 9/17/2020 / / DVM II,III,IV,V,VI JENNIFER GRADY LYNN TUFTS AT TECH COMMUNITY CLINIC 1 SKYLINE DRIVE WORCESTER MA 01605 9/5/2019 / / DVM II,III,IV,V,VI JENNIFER GRAHAM ERIN TUFTS CUMMINGS SCHOOL OF VETERINARY MED 200 WESTBORO ROAD NORTH GRAFTON MA 01536 12/10/2018 / / DVM II,III,IV,V,VI KATHRYN GRAHAM T CAT CLINIC OF PLYMOUTH 80 SANDWICH ST PLYMOUTH MA 02360 5/11/2018 / / DVM II,III,IV,V,VI MOLLY GRAHAM KATHLEEN ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 6/15/2020 / / DVM II,III,IV,V,VI KARIN GRAMBOW S HAVE A HEART ANIMAL HOSPITAL 764 BROADWAY STREET HAVERHILL MA 01832 3/30/2018 / / DVM II,III,IV,V,VI WALTER GRAMBOW F JR HAVE A HEART ANIMAL HOSPITAL 764 BROADWAY STREET HAVERHILL MA 01832 5/26/2021 / / DVM II,III,IV,V,VI JESSICA GRAMLICH LYN VCA LANCASTER ANIMAL HOSPITAL 456 HIGH ST EXT LANCASTER MA 01523 2/24/2019 / / DVM II,III,IV,V,VI LORNA GRANDE M. 672 DUBLIN ROAD RICHMOND MA 01254 10/2/2019 / / DVM II,III,IV,V,VI JEREMY GRANSKY D AT HOME VETERINARY LLC 2 SUMMER ST, SUITE 300 NATICK MA 01760 2/28/2020 / / DVM II,III,IV,V,VI PETER GRANVILLE WILLIAM 18 TAUNTON ST. UNIT 41 PLAINVILLE MA 02762 1/8/2020 / / DVM II,III,IV,V,VI MARTINE GRAVELLE RENEE WILLARD VETERINARY CLINIC 176 WILLARD ST QUINCY MA 02169 3/28/2019 / / DVM II,III,IV,V,VI KATHERINE GRAVES ELIZABETH SEAPORT VETERINARY HOSPITAL 100 EASTERN AVE GLOUCESTER MA 01930 9/10/2019 / / DVM II,III,IV,V,VI SARA GRAY G FRANKLIN VETERINARY CLINIC 430 EAST CENTRAL STREET FRANKLIN MA 02038 8/31/2021 / / DVM II,III,IV,V,VI HEATHER GRAY-EDWARDS UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL 368 PLANTATION STREET, AS6-2041 ASC WORCESTER MA 01605 1/21/2021 / / DVM II,III,IV,V,VI HEATHER GRAY-EDWARDS LEIGH HORAE GENE THERAPY CENTER UNIVERSITY OF MASSACHUSETTS 368 PLANTATION STREET WORCESTER MA 01605 9/4/2020 / / DVM II,III,IV,V,VI J. PAIGE GRAZIANO R. WOODLAND FARM 120 LAKE STREET PEMBROKE MA 02359 1/27/2020 / / DVM II,III,IV,V,VI LEAH GREENBERGER J CANTERBURY TAILS 40 EAST MAIN STREET SUITE 10 WARE MA 01082 9/13/2019 / / DVM II,III,IV,V,VI WHITNEY GREENE 70 STAR OF THE SEA DRIVE DARTMOUTH MA 02748 7/5/2019 / / DVM II,III,IV,V,VI JULIE GREENE CHARRON ELIZABETH 31 LEXINGTON ROAD BILLERICA MA 01821 9/21/2019 / / DVM II,III,IV,V,VI KELLY GREENFIELD S MEDFIELD VETERINARY CLINIC 51 PETER KRISTOF WAY MEDFIELD MA 02052 7/21/2020 / / DVM II,III,IV,V,VI ANN GREENLEAF MARIE ANGELL MEMORIAL ANIMAL HOSPITAL 350 SOUTH HUNTINGTON AVENUE BOSTON MA 02130 2/1/2019 / / DVM II,III,IV,V,VI JONSEY GREER THOMAS MILL BROOK ANIMAL CLINIC 1183 MASSACHUSETTS AVE ARLINGTON MA 02476 9/26/2020 / / DVM II,III,IV,V,VI GIANNA GREGORY LYNNE SHARON VETERINARY CLINIC 586 SOUTH MAIN ST. SHARON MA 02067 7/23/2021 / / DVM II,III,IV,V,VI CALEIGH GRIFFIN ELLEN VCA SOUTH SHORE (WEYMOUTH) 595 COLUMBIAN ST. SOUTH WEYMOUTH MA 02190 7/2/2020 / / DVM II,III,IV,V,VI JOHN GRILLO M. NEWBURY ANIMAL HOSPITAL 96 HANOVER STREET NEWBURY MA 01951 12/1/2019 / / DVM II,III,IV,V,VI TERRI GROBE L FALLON ANIMAL CLINIC, INC. 79 MASSACHUSETTS AVENUE LUNENBURG MA 01462 11/28/2018 / / DVM II,III,IV,V,VI TRAVIS GRODKIEWICZ JAMES BREWSTER VETERINARY HOSPITAL 56 UNDERPASS ROAD BRESTER MA 6/3/2019 / / DVM II,III,IV,V,VI SCOTT GROPER DOUGLAS BROOKLINE ANIMAL HOSPITAL 678 BROOKLINE AVE BROOKLINE MA 02445 2/15/2021 / / DVM II,III,IV,V,VI KARA GROSSER S 363 R MAIN ST. ACTON MA 01720 1/27/2020 / / DVM II,III,IV,V,VI CATHERINE GROSSI A ACOAXET VETERINARY CLINIC 965 SANFORD ROAD WESTPORT MA 02790 3/7/2019 / / DVM II,III,IV,V,VI SARAH GROSSMAN CLARK MITCHELL ANIMAL HOSPITAL 312 S RD BRENTWOOD NH 03833 10/3/2019 / / DVM II,III,IV,V,VI KATHERINE GROVE DIANE MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT RD. WOBURN MA 01801 5/28/2020 / / DVM II,III,IV,V,VI MICHELLE GUARIN M BOSTON VETERINARY CARE, ANIMAL RESCUE 10 CHANDLER ST. BOSTON MA 02116 9/18/2021 / / DVM II,III,IV,V,VI KELLY GUAY WOLFENSON 21B PAGE ROAD POMFRET CENTER CT 06259-2431 6/23/2017 / / DVM II,III,IV,V,VI JANNA GUERRETTE M CHELMSFORD ANIMAL HOSPITAL 11 FLETCHER STREET CHELMSFORD MA 01824 9/26/2019 / / DVM II,III,IV,V,VI SAMANTHA GUIDA JUDE 350 SOUTH HUNTINGTON AVENUE JAMAICA PLAIN MA 02130 7/15/2019 / / DVM II,III,IV,V,VI DEBORAH GUIDI A. 125 SOUTH WESTFIELD STREET P.O. BOX 39 FEEDING HILLS MA 01030 10/24/2019 / / DVM II,III,IV,V,VI LEAH GUIDRY N WILBRAHAM ANIMAL HOSPITAL 2424 BOSTON ROAD WILBRAHAM MA 01095 11/18/2019 / / DVM II,III,IV,V,VI

Page 82 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

LEAH GUIDRY NICOLE EAST SPRINGFIELD VETERINARY HOSPITAL 525 PAGE BLVD SPRINGFIELD MA 01104 11/20/2019 / / DVM II,III,IV,V,VI RUTH GUISCHARD AYRES VCA SOUTH SHORE (WEYMOUTH) 595 COLUMBIAN ST. SOUTH WEYMOUTH MA 02190 7/24/2020 / / DVM II,III,IV,V,VI LAURA GULIANI ELIZABETH ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 8/8/2019 / / DVM II,III,IV,V,VI ANDREW GURESH VCA HYANNIS ANIMAL HOSPITAL 102 ANSEL HALLET ROAD WEST YAMOUTH MA 02673 9/22/2021 / / DVM II,III,IV,V,VI MARION HABER MEMONT D. MASS. VETERINARY REFERRAL HOSPITAL INTERNAL MEDICINE DEPT. 20 CABOT ROAD WOBURN MA 01801 9/26/2019 / / DVM II,III,IV,V,VI MELVIN HADDAD C. VCA NORTH MAIN ST. VETERINARY CLINIC 1116 NORTH MAIN ST BROCKTON MA 02301 11/28/2019 / / DVM II,III,IV,V,VI EVGENIA HADJINICOLAOU HILLSIDE VETERINARY CLINIC 9 HOWE STREET AUBURN MA 01501 9/13/2019 / / DVM II,III,IV,V,VI MEGAN HAHNE CARDINE NORTON ANIMAL HOSPITAL 147 W MAIN STREET NORTON MA 02766 8/15/2019 / / DVM II,III,IV,V,VI KIMBERLY HALING A 71 SUMMER STREET. EXTENSION WESTBOROUGH MA 01581 7/14/2020 / / DVM II,III,IV,V,VI GREGORY HALL A. TOXIKON 15 WIGGINS AVE BEDFIRD MA 9/17/2018 / / DVM II,III,IV,V,VI WILLIAM HALL S 91 COUNTY ROAD MATTAPOISETT MA 02739 12/12/2019 / / DVM II,III,IV,V,VI JULIE HALLER E. BULGER VETERINARY HOSPITAL 247 CHICKERING ROAD NORTH ANDOVER MA 01845 1/28/2019 / / DVM II,III,IV,V,VI PATRICK HALLISEY J KINDNESS ANIMAL HOSPITAL 20 LINDEN STREET WALTHAM MA 02452 8/25/2020 / / DVM II,III,IV,V,VI LINDSEY HALLOWELL JEANNE BANFIELD PET HOSPITAL 265 CHELMSFORD ST CHELMSFORD MA 01824 6/22/2021 / / DVM II,III,IV,V,VI KIMBERLY HALPERT J VCA ABBOTT ANIMAL HOSPITAL 21 EAST MOUNTAIN STREET WORCESTER MA 01606 9/25/2019 / / DVM II,III,IV,V,VI STACEY HALSE MICHELLE MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT ROAD WOBURN MA 01801 12/12/2019 / / DVM II,III,IV,V,VI AMANDA HALVERSON FAYE SHEPHERD VETINARY CLINIC 17 CODMAN HILL RD BOXBOROUGH MA 01719 8/12/2020 / / DVM II,III,IV,V,VI SCOTT HAMBERG DAVID BANFIELD PET HOSPITAL 10 TRADER'S WAY SALEM MA 01970 2/24/2021 / / DVM II,III,IV,V,VI THOMAS HAMILTON ROBERT MASSACHUSETTS ANIMAL MEDICAL CENTER 380 PLEASANT ST WATERTOWN MA 02472 2/26/2018 / / DVM II,III,IV,V,VI MURRAY HAMLET PATTON 7 ROCKY NOOK AVENUE KINGSTON MA 02364 8/27/2019 / / DVM II,III,IV,V,VI SARAH HAMMOND K TIDAL MEDICINE 153 R WESTERN AVE GLOUCESTER MA 01930 12/29/2017 / / DVM II,III,IV,V,VI TARA HAMMOND N TUFTS VETERINARY EMERG. TREATMENT'S SPEC. 525 SOUTH STREET WALPOLE MA 02131 1/18/2021 / / DVM II,III,IV,V,VI SAMANTHA HAMPTON JEAN DANVERS ANIMAL HOSPITAL 367 MAPLE STREET DANVERS MA 01923 6/11/2019 / / DVM II,III,IV,V,VI SCOTT HANDLER R 11 MATHEW LANE STERLING MA 01564 7/28/2020 / / DVM II,III,IV,V,VI LAYNE HANDY R VCA LANCASTER ANIMAL HOSPITAL 456 HIGH ST., EXT LANCASTER MA 01523 4/10/2021 / / DVM II,III,IV,V,VI LINDA HANNEMAN K 98 HUDSON ROAD STOW MA 01775 1/4/2021 / / DVM II,III,IV,V,VI APRIL HANRAHAN SCHICK EVE H. 84 CEDAR HILL RD NORTHBOROUGH MA 01532 3/23/2020 / / DVM II,III,IV,V,VI KELLY HANSEN J CHELMSFORD ANIMAL HOSPITAL 11 FLETCHER ST CHELMSFORD MA 01824 11/15/2019 / / DVM II,III,IV,V,VI KATHLEEN HANSON MAILE PARKER BURLINGTON ANIMAL CLINIC 259A CAMBRIDGE ST. BURLINGTON MA 01803 6/15/2021 / / DVM II,III,IV,V,VI JENNIFER HARACKIEWICZ LEE 4 CLINTON RD STERLING MA 01564 1/23/2020 / / DVM II,III,IV,V,VI KATHY HARDCASTLE BOSTON UNIVERSITY MEDICAL CENTER NEIDL, 620 ALBANY STREET 700 ALBANY STREET, W-707 BOSTON MA 02118 7/9/2019 / / DVM II,III,IV,V,VI BRADFORD HARDIE II CONCORD ANIMAL HOSPITAL 245 BAKER AVE CONCORD MA 01742 11/14/2019 / / DVM II,III,IV,V,VI MUHAMMAD HARFOUSH ELSAYED MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT RD WOBURN MA 01801 6/11/2021 / / DVM II,III,IV,V,VI LESLIE HARMON GERHARD SANDWICH ANIMAL HOSPITAL 492 RTE 6A E. SANDWICH MA 02537 12/22/2017 / / DVM II,III,IV,V,VI MICHELLE HAROULES VCA PALMER ANIMAL HOSPITAL 1028 THORNDIKE STREET PALMER MA 01069 3/25/2021 / / DVM II,III,IV,V,VI KRISTINA HARPIN VITALITY VETERINARY SERVICES 573-5 GAR HWY SWANSEA MA 02777 8/9/2021 / / DVM II,III,IV,V,VI KEITH HARRINGTON G. ATTLEBORO VETERINARY CLINC 179 NORTH MAIN STREET ATTLEBORO MA 02703 4/13/2019 / / DVM II,III,IV,V,VI SUSAN HARRINGTON M RANDOLPH ANIMAL HOSPITAL 400 SOUTH MAIN STREET RANDOLPH MA 02368 4/11/2019 / / DVM II,III,IV,V,VI EMILY HARRIS WELLESLEY -NATICK VETERINARY HOSPITAL 359 WORCESTER STREET NATICK MA 01767 5/12/2021 / / DVM II,III,IV,V,VI LAUREN HARRIS BETH USDA APITIS VS 160 WORCESTER PROVIDENCE TPK SUTTON MA 01590 6/19/2017 / / DVM II,III,IV,V,VI BART HARRISON HARLAND MIDDLEBORO ANIMAL CLINIC 511 WAREHAM STREET MIDDLEBORO MA 02346 5/21/2021 / / DVM II,III,IV,V,VI JANE HARRISON L MIDDLESEX ANIMAL HOSPITAL, P.C. 668 MAIN STREET READING MA 01867 5/13/2019 / / DVM II,III,IV,V,VI JENNIFER HART KATE NEPONSET PET CENTER & ANIMAL HOSPITAL 961 WILLIAM T. MORRISSEY BOULEVARD DORCHESTER MA 02122 10/21/2019 / / DVM II,III,IV,V,VI PATRICIA HART M. CHELMSFORD ANIMAL HOSPITAL 11 FLETCHER STREET CHELMSFORD MA 01824 7/20/2020 / / DVM II,III,IV,V,VI KARIN HARTER BANFIELD PET HOSPITAL 89 COMMERCIAL ROAD LEOMINSTER MA 01453 9/13/2019 / / DVM II,III,IV,V,VI ELIZABETH HARTMAN E WELLESLEY ANIMAL HOSPITAL, P.C. 314 WESTON ROAD WELLESLEY MA 02482 3/7/2019 / / DVM II,III,IV,V,VI KATE HARTZLER ELIZABETH MSPCA ANGELL-WEST 293 2RD AVE WALTHAM MA 02453 6/29/2020 / / DVM II,III,IV,V,VI

Page 83 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

LORI HARVEY MAY SOUTH COASTAL ANIMAL HEALTH CLINIC 1389 MAIN ST. WEYMOUTH MA 02364 12/12/2019 / / DVM II,III,IV,V,VI VICTORIA HARVEY SIMONE WIGNALL ANIMAL HOSPITAL 1837 BRIDGE ST DRACUT MA 01826 6/11/2021 / / DVM II,III,IV,V,VI MELISSA HASKELL MARGARET 46 SLATER STREET ATTLEBORO MA 02703 12/19/2019 / / DVM VI SHANTELL HASSEY MARIE BANFIELD PET HOSPITAL FRAMINGHAM 30 WORCESTER RD. SUITE 2 FRAMINGHAM MA 01702 5/4/2020 / / DVM II,III,IV,V,VI JOSHUA HATCH A 4 ANCHORWAY RIVERSIDE RI 02915 1/21/2021 / / DVM II,III,IV,V,VI LILAN HAUSER BASSE FALMOUTH ANIMAL HOSPITAL 1184 SANDWICH ROAD EAST FALMOUTH MA 02536 9/22/2020 / / DVM II,III,IV,V,VI KATHARINE HAUSMANN EMILY BULGER VETERINARY HOSPITAL 141 WINTHROP AVE. LAWRENCE MA 01843 7/9/2020 / / DVM II,III,IV,V,VI LARRY HAWK M 2285 COMMONWEALTH AVENUE NEWTON MA 02466 6/17/2021 / / DVM II,III,IV,V,VI JACK HAWKES 21 AZALEA LN MARLBOROUGH MA 01752 6/21/2019 / / DVM II,III,IV,V,VI LIESL HAWLEY R. 27 OLD NECK ROAD MANCHESTER MA 01944 5/12/2017 / / DVM II,III,IV,V,VI JAMES HAYDEN G 8 CRESCENT ST. EASTHAMPTON MA 01027 2/11/2019 / / DVM II,III,IV,V,VI JESSICA HAYES ANGELL ANIMAL MEDICAL CENTERS 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 6/18/2021 / / DVM II,III,IV,V,VI ALISON HAYWARD M MASSACHUSETTS INSTITUTE OF TECHNOLOGY 77 MASSACHUSETTS AVE, BLDG 16-849 CAMBRIDGE MA 02139 10/19/2018 / / DVM II,III,IV,V,VI KIMBERLY HEALD T WESTON VETERINARY CLINIC 152 BOSTON POST RD WESTON MA 02493 2/24/2020 / / DVM II,III,IV,V,VI DONNA HEANEY J NORTH SHORE VETERINARY HOSPITAL 7 DR. OSMAN BABSON ROAD GLOUCESTER MA 01930 11/16/2019 / / DVM II,III,IV,V,VI DANIEL HEBERT RAYMOND DUXBURY ANIMAL HOSPITAL 103 DEPOT STREET DUXBURY MA 02332 9/4/2019 / / DVM II,III,IV,V,VI SCOTT HECKERLING ERIK MIDDLESEX COUNTY ANIMAL HOSPITAL 330 BOSTON ROAD BILLERICA MA 01862 1/17/2021 / / DVM II,III,IV,V,VI JENNY-REE HEDGES WELLESLEY ANIMAL HOSPITAL 314 WESTON RD WELLESLEY MA 02482 11/21/2019 / / DVM II,III,IV,V,VI JENNIFER HEIBA ELIZABETH MASSACHUSETTS EQUINE CLINIC 75 LOCUST ST UXBRIDGE MA 01569 10/18/2017 / / DVM II,III,IV,V,VI NATALIE HEININGER JEAN WINCHESTER VETERINARY GROUP 95 CROSS STREET WINCHESTER MA 01890 5/17/2019 / / DVM II,III,IV,V,VI JACOB HELD MATTHEW 228 WASHINGTON STREET SUITE 230B ATTLEBORO MA 02703 6/11/2019 / / DVM II,III,IV,V,VI RICHARD HELLER A 103 CONGRESS ST. MILFORD MA 01257 12/9/2018 / / DVM II,III,IV,V,VI ELIZABETH HELTON ANN 22 NEILSON ROAD NEW SALEM MA 01355 8/25/2021 / / DVM II,III,IV,V,VI ELIZABETH HELTON ANN DAKIN HUMANE SOCIETY 171 UNION ST. SPRINGFIELD MA 01105 7/2/2021 / / DVM II,III,IV,V,VI LARA HELWIG A 441 HOWARD STREET NORTHBOROUGH MA 01532 5/8/2020 / / DVM II,III,IV,V,VI LINDA HENDERSON JANE MT. TOM VETERINARY SERVICE 320 EASTHAMPTON ROAD HOLYOKE MA 01040 1/23/2021 / / DVM II,III,IV,V,VI ABBY HENNEMAN H. SHAWME ANIMAL HOSPITAL 32 RT. 6A SANDWICH MA 02563 9/16/2019 / / DVM II,III,IV,V,VI ELIZABETH HENNESSY 419 MERRIMAC ST. NEWBURYPORT MA 01950 2/28/2019 / / DVM II,III,IV,V,VI KRISTEN HENNESSY D. CAPE COD VETERINARY SPECIALISTS 11 BOURNE BRIDGE APPROACH BUZZARDS BAY MA 02532 10/9/2018 / / DVM II,III,IV,V,VI PAUL HENRICKS MURRAY VCA ROBERTS ANIMAL HOSPITAL 516 WASHINGTON STREET HANOVER MA 02339 1/22/2020 / / DVM II,III,IV,V,VI MELISSA HENRIKSON ROSE BULGER VETERINARY HOSPITAL 247 CHICKERING ROAD NORTH ANDOVER MA 01845 4/29/2019 / / DVM II,III,IV,V,VI LAETITIA HENRY M. THE NEPONSET PET CENTER 961 MORRISSEY BLVD DORCHESTER MA 02122 4/8/2021 / / DVM II,III,IV,V,VI RANDI HENRY A BOSTON VETERINARY CLINIC 363 TREMONT ST. BOSTON MA 02116 1/25/2020 / / DVM II,III,IV,V,VI VANESSA HENRY-HILL LYNN CRAZY PAWS 234 KING STREET COHASSET MA 02025 11/13/2021 / / DVM II,III,IV,V,VI ARIELLE HERBERGER REBECCA 20 CABOT ST WOBURN MA 01801 11/14/2017 / / DVM II,III,IV,V,VI ANNETTE HERBST-THERMANN K ALL PETS MEDICAL CENTER 16 WATERHOUSE RD, SUITE 7 BOURNE MA 02532 4/21/2020 / / DVM II,III,IV,V,VI DANIEL HERMSTREET GRANT BOSTON ANIMAL HOSPITAL 274 SOUTHAMPTON STREET BOSTON MA 02118 12/3/2020 / / DVM II,III,IV,V,VI WINTER HERRON MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT ROAD WOBURN MA 01801 7/13/2021 / / DVM II,III,IV,V,VI ANDREW HERSMAN R EAST SPRINGFIELD VETERINARY CLINICS, INC. 525 PAGE BLVD SPRINGFIELD MA 01104 1/17/2020 / / DVM II,III,IV,V,VI ANDREW HERSMAN R WILBRAHAM ANIMAL HOSPITAL 2424 BOSTON RD WILBRAHAM MA 01095 6/16/2020 / / DVM II,III,IV,V,VI FREDERICK HESS FLEMING 143 NORTHEAST ST. AMHERST MA 01002 11/14/2019 / / DVM II,III,IV,V,VI ROSALIE HEZEKIAH FRANCES ALL CREATURES VETERINARY HOSPTIAL 20 COMMERCIAL ST SALEM MA 01970 7/10/2021 / / DVM II,III,IV,V,VI COLLEEN HICKEY ANGELL ANIMAL MEDICAL CENTER 305 SOUTH HUNTINGTON STREET BOSTON MA 02130 6/15/2020 / / DVM II,III,IV,V,VI KAREN HICKEY A. THE BREWSTER VETERINARY HOSPITAL 56 UNDERPASS ROAD BREWSTER MA 02631 11/20/2017 / / DVM II,III,IV,V,VI SANDRA HIGGINS LYNNE BUZZARDS BAY VETERINARY ASSOCIATES 230 MAIN STREET BUZZARDS BAY MA 02532 9/13/2019 / / DVM II,III,IV,V,VI JEAN HIGGINSON M MASSASOIT COMMUNITY COLLEGE VET TECH PROGRAM 900 RANDOLPH STREET CANTON MA 02021 7/8/2019 / / DVM II,III,IV,V,VI CARI HILER L SYNERGY VETERINARY SERVICES 50 SUMMER STREET SOUTH WALPOLE MA 02071 1/13/2020 / / DVM II,III,IV,V,VI

Page 84 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

BRUCE HILL C DEWITT ANIMAL HOSPITAL, LLC 145 WASHINGTON STREET PLAINVILLE MA 02762 12/9/2018 / / DVM II,III,IV,V,VI CRAIG HILL DANIEL DEWITT ANIMAL HOSPITAL 145 WASHINGTON STREET PLAINVILLE MA 02762 4/13/2019 / / DVM II,III,IV,V,VI SARAH HILL C DEWITT ANIMAL HOSPITAL 145 WASHINGTON STREET PLAINVILLE MA 02762 11/2/2020 / / DVM II,III,IV,V,VI VICTORIA HILL ERIN RIVERLIN ANIMAL HOSPITAL 287 RIVERLIN STREET MILLBURY MA 01527 6/10/2020 / / DVM II,III,IV,V,VI DUANE HILLIS F 499 WINCHESTER STREET NEWTON MA 02461 12/27/2017 / / DVM II,III,IV,V,VI AMY HINC WEYMOUTH LANDING CAT CLINIC 127 WASHINGTON STREET WEYMOUTH MA 02188 9/22/2020 / / DVM II,III,IV,V,VI LESLIE HIRSCH STEPHEN WEST ROXBURY ANIMAL HOSPITAL, INC. 1964 CENTRE STREET WEST ROXBURY MA 02132 11/14/2019 / / DVM II,III,IV,V,VI RONALD HIRSCHBERG E. BROCKTON ANIMAL HOSPITAL 386 BELMONT STREET BROCKTON MA 02301 11/10/2019 / / DVM II,III,IV,V,VI STUART HODDER R BLISS POND VETERINARY SERVICES 43 SMITH-HANSON RD NORTH BROOKFIELD MA 01535 11/7/2019 / / DVM II,III,IV,V,VI ELIZABETH HODGE ANNE HINGHAM ANIMAL CLINIC 146 CHIEF JUSTICE CUSHING HWY HINGHAM MA 02043 2/28/2020 / / DVM II,III,IV,V,VI HAYLEY HOFFMAN BOSTON VETERINARY CLINIC 363 TREMONT STREET BOSTON MA 02116 9/22/2020 / / DVM II,III,IV,V,VI KATHERINE HOGAN M ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVENUE BOSTON MA 02130 11/2/2020 / / DVM II,III,IV,V,VI AMBER HOGGATT FERNER BRIGHAM & WOMEN'S HOSPITAL, MRB 114, CCM 20 SHATTUCK STREET BOSTON MA 02115 5/17/2019 / / DVM II,III,IV,V,VI ELIZABETH HOLMAN B. BULGER VETERINARY HOSPITAL 141 WINTHROP AVENUE LAWRENCE MA 01843 7/18/2019 / / DVM II,III,IV,V,VI MARK HOLMAN G BOSTON EQUINE ASSOCIATES, INC. 28 TREMONT STREET REHOBOTH MA 02769 1/25/2019 / / DVM II,III,IV,V,VI HANNAH HOLMES LYNN 179 MAIN ST ATTLEBORO MA 02703 5/2/2017 / / DVM II,III,IV,V,VI KAREN HOLMES ANN HOLMES FAMILY VETERINARY CLINIC 2245 PROVIDENCE HIGHWAY WALPOLE MA 02081 1/21/2019 / / DVM II,III,IV,V,VI KATHERINE HOLMES MARIE NEW ENGLAND ANIMAL MEDICAL CENTER 595 W. CENTER ST. W.BRIDGEWATER MA 02379 5/4/2019 / / DVM II,III,IV,V,VI SHARON HOLT C 227 SKYLINE TRAIL MIDDLEFIELD MA 01243 8/5/2020 / / DVM II,III,IV,V,VI SHARON HOLT C HOLT VETERINARY/DR. SHARON HOLT 227 SKYLINE TRAIL P.O.BOX 25 MIDDLEFIELD MA 01243 6/6/2017 / / DVM II,III,IV,V,VI SUSAN HOLT ELIZABETH VCA N, MAIN STREET VETERINARY CLINIC 1116 N.. MAIN ST. BROCKTON MA 02301 7/16/2021 / / DVM II,III,IV,V,VI BRIAN HOLUB E COUNTRYSIDE VETERINARY HOSPITAL 289 LITTLETON RD CHELMSFORD MA 01824 5/11/2019 / / DVM II,III,IV,V,VI MADELEINE HOOG-CRELLIN PITTSFIELD VETERINARY HOSPITAL 1634 WEST HOUSATONIC ST. PITTTSFIELD MA 01201 10/14/2021 / / DVM II,III,IV,V,VI GARY HOOVER MICHAEL 500 ARSENAL STREET WATERTOWN MA 02472 12/27/2019 / / DVM II,III,IV,V,VI BARBARA HOPEY A. DRIFTWAY ANIMAL HOSPITAL 53 DRIFTWAY BOX 405 GREENBUSH MA 02040 6/8/2018 / / DVM II,III,IV,V,VI JILL HOPFENBECK M 34 FISHER STREET UXBRIDGE MA 01569 4/25/2019 / / DVM II,III,IV,V,VI JESSIE HOPKINS C MEDFIELD VETERINARY CLINIC 51 PETER KRISTOF WAY MEDFIELD MA 02052 10/9/2019 / / DVM II,III,IV,V,VI KEITH HOPKINS HOWARD 259 PLYMOUTH STREET PO BOX 161 HALIFAX MA 02338 12/27/2017 / / DVM II,III,IV,V,VI ANELISE HORAH LOUISE BOSTON ROAD ANIMAL CLINIC 239 BOSTON ROAD SUTTON MA 01590 10/5/2020 / / DVM II,III,IV,V,VI KATHERINE HORIGAN CREMENS NORWELL VETERINARY HOSPITAL 295 WASHINGTON STREET NORWELL MA 02061 7/27/2021 / / DVM II,III,IV,V,VI MICHAEL HORNBERGER BULGER VETERINARY HOSPITAL 141 WINTHROP AVE LAWRENCE MA 01843 6/20/2018 / / DVM II,III,IV,V,VI JULIANNE HORNER MANSFIELD VETERINARY HEALTH CENTER 619 EAST ST. MANSFIELD MA 02048 8/10/2018 / / DVM II,III,IV,V,VI DONNA HORVATH M. FASOLO 209 PLAIN ST. TAUNTON MA 02780 12/10/2018 / / DVM II,III,IV,V,VI MAIA HOWARD OFFSHORE ANIMAL HOSPITAL 11 CROOKED LANE NANTUCKET MA 02554 10/11/2020 / / DVM II,III,IV,V,VI HEIDI HOWELL FRANCES 105 MACLEAN ROAD BREWSTER MA 02631 10/23/2021 / / DVM II,III,IV,V,VI PHOEBE HOYT M BAYSTATE ANIMAL CLINIC 249 ANDOVER ST. DANVERS MA 01923 10/6/2019 / / DVM II,III,IV,V,VI KATJA HRONES B. VCA SOUTH HADLEY ANIMAL HOSPITAL 511 NEWTON ST. SOUTH HADLEY MA 01075 8/17/2019 / / DVM II,III,IV,V,VI AMANDA HSU CHEN ANGELL ANIMAL MEDICAL CENTER 350 S. HUNTINGTON AVE JAMAICA PLAIN MA 02130 6/26/2018 / / DVM II,III,IV,V,VI BETTY HUANG H BOST WEST VETERINARY EMERGENCY 5 STRATHMORE ROAD NATICK MA 01760 7/8/2019 / / DVM II,III,IV,V,VI JIAMING HUANG HEAL VETERINARY CLINIC 150 BELMONT STREET WATERTOWN MA 02472 6/18/2021 / / DVM II,III,IV,V,VI WEI-CHUN HUANG CAPE COD VETERINARY SPECIALISTS 11 BOURNE BRIDGE BUZZARDS BAY MA 02532 11/19/2020 / / DVM II,III,IV,V,VI WENDY HUANG MSPCA 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 3/11/2021 / / DVM II,III,IV,V,VI CHRISTINE HUBBARD THERESA BANFIELD PET HOSPITAL-NORTHBOROUGH 6106 SHOPS WAY NORTHBOROUGH MA 01532-3301 7/5/2019 / / DVM II,III,IV,V,VI JENNIFER HUELSMAN KATHLEEN BAYSTATE VETERINARY EMERGENCY SERVICES 76 BAPTIST ST. SWANSEA MA 02777 6/13/2020 / / DVM II,III,IV,V,VI SCOTT HUFFENUS M. BROCKTON ANIMAL HOSPITAL 386 BELMONT STREET BROCKTON MA 02301 10/17/2021 / / DVM II,III,IV,V,VI HOLLY HUGHS-WACHTEL ANNE 19 SUNSET ROAD NAHANT MA 01908 1/13/2021 / / DVM II,III,IV,V,VI RACHAEL HUMKE ELISE MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT ROAD WOBURN MA 01801 7/22/2021 / / DVM II,III,IV,V,VI

Page 85 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

BRIAN HURLEY C GARDNER ANIMAL CARE CENTER 73 EATON ST GARDNER MA 01440 1/25/2019 / / DVM II,III,IV,V,VI TAD HURVITZ M 94 SUSAN LN BREWSTER MA 02631 7/16/2021 / / DVM II,III,IV,V,VI BRIAN HUSS T PROFORMANCE CANINE,INC. 198 AYER ROAD SUITE 102 HARVARD MA 01451 8/5/2019 / / DVM II,III,IV,V,VI LAURA HUSSEY 143 FRONT STREET P.O.BOX 734 MARION MA 02738 9/16/2021 / / DVM II,III,IV,V,VI MORGAN HUSSEY RANDLE BERKSHIRE VETERINARY HOSPITAL 730 CRANE AVE PITTSFIELD MA 01201 7/8/2019 / / DVM II,III,IV,V,VI SARA HUTCHINGS K 83 A SHANK PAINTER RD PROVINCETOWN MA 02667 8/3/2020 / / DVM II,III,IV,V,VI HOWARD HUTCHINS R. 200F MAIN ST #132 STONEHAM MA 02180 11/20/2020 / / DVM II,III,IV,V,VI DARCY HUTCHINSON L 347 HIGHLAND AVE MELROSE MA 02176 3/25/2019 / / DVM II,III,IV,V,VI KELLY HUTH MICHELE VCA SOUTH SHORE (WEYMOUTH) 595 COLUMBIAN ST SOUTH WEYMOUTH MA 02190 9/29/2017 / / DVM II,III,IV,V,VI JOANNE HUYLER H. 36 DEPOT RD HATFIELD MA 01038 3/6/2018 / / DVM II,III,IV,V,VI OLGA IGLIKOVA V DORCHESTER PET CLINIC 103 SAVIN HILL AVE DORCHESTER MA 02125 2/21/2021 / / DVM II,III,IV,V,VI OLGA IGLIKOVA V PEABODY PET CLINIC 80 WALNUT ST PEABODY MA 01960 2/21/2021 / / DVM II,III,IV,V,VI OLGA IGLIKOVA V WINCHESTER ANIMAL CLINIC 874 MAIN ST WINCHESTER MA 01890 1/25/2019 / / DVM II,III,IV,V,VI OLGA IGLIKOVA V. CHARLESTOWN PET CLINIC 330 MAIN STREET CHARLESTOWN MA 02129 7/18/2019 / / DVM II,III,IV,V,VI OLGA IGLIKOVA V. LYNN PET CLINIC 165 BROAD STREET LYNN MA 01901 7/18/2019 / / DVM II,III,IV,V,VI OLGA IGLIKOVA V. MEDFORD PET CLINIC 391 MAIN STREET MEDFORD MA 02155 7/18/2019 / / DVM II,III,IV,V,VI OLGA IGLIKOVA V. REVERE PET CLINIC 10 PLEASANT STREET REVERE MA 02151 1/25/2019 / / DVM II,III,IV,V,VI RACHEL ILLINGWORTH PUTNAM VETERINARY CLINIC 374 BOSTON ST. TOPSFIELD MA 01983 4/13/2020 / / DVM II,III,IV,V,VI TAMAR ILOVICH NORFOLK COUNTY VETERINARY SERVICE 1342 MAIN STREET WALPOLE MA 02081 11/18/2019 / / DVM II,III,IV,V,VI AYNAZ IMANIAN BLACKSTONE VALLEY DENTAL ASSOCIATES 12 MAIN ST BLACKSTONE MA 01504 11/5/2018 / / DVM II,III,IV,V,VI SARAH INGRAM E MALDEN ANIMAL HOSPITAL 231 SALEM ST. MALDEN MA 02148 7/1/2019 / / DVM II,III,IV,V,VI BETHANY INNIS S SLEEPY DOG VETERINARY 114 MASSACHUSETTS AVE ARLINGTON MA 02474 9/27/2021 / / DVM II,III,IV,V,VI CHARLES INNIS JOHN NEW ENGLAND AQUARIUM 551 SOUTH STREET QUNICY MA 02169 9/7/2021 / / DVM II,III,IV,V,VI DAVID ISKANDAR BANFIED PET HOSPITAL 13 EXCHANGE STREET HOLLISTON MA 01746 2/18/2020 / / DVM II,III,IV,V,VI SAMER JABER M ABBVIE, BIORESOURCES 100 RESEARCH DRIVE WORCETSER MA 01605 8/26/2020 / / DVM II,III,IV,V,VI JERILYN JACOBS E VERMONT-NEW HAMPSHIRE VETERINARY CLINC INC 38 EAST - WEST ROAD EAST DUMMERSTON VT 05346-9635 1/24/2020 / / DVM II,III,IV,V,VI ANDREA JACOBSON ELISE COUNTRY CATS 115 HOLLENBECK AVENUE GREAT BARRINGTON MA 01230 6/26/2018 / / DVM II,III,IV,V,VI MADISON JAGODA JILLIAN HALIFAX VETERINARY SERVICES 259 PLYMOUTH STREET HALIFAX MA 02338 6/29/2020 / / DVM II,III,IV,V,VI JAY JAKUBOWSKI J. HERRING COVE ANIMAL HOSPITAL 83 SHANK PAINTER ROAD PROVINCETOWN MA 02657 1/17/2021 / / DVM II,III,IV,V,VI MICHELE JAMES DENISE ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 8/19/2019 / / DVM II,III,IV,V,VI NATALIE JAMES KATHLEEN VCA BOSTON ROAD ANIMAL HOSPITAL 1235 BOSTON ROAD SPRINGFIELD MA 01119 10/17/2018 / / DVM II,III,IV,V,VI STEPHANIE JAMES B BERKSHIRE VETERINARY ACUPUNCTURE 165 EGREMONT PLAIN RD EGREMONT MA 01230 12/4/2018 / / DVM II,III,IV,V,VI ALEX JAMIESON DAVID BANFIELD PET HOSPITAL 104 ANDOVER ST DANVERS MA 01923 11/30/2018 / / DVM II,III,IV,V,VI HELEN JANUSZEWSKI M. 364 BARRE ROAD PO BOX 102 OAKHAM MA 01068 5/17/2017 / / DVM II,III,IV,V,VI GEOFFREY JARBEAU S 20 LINDEN ST WALTHAM MA 02452 3/29/2020 / / DVM II,III,IV,V,VI ANGELA JASPER JASPER VETERINARY CARE, LLC 51 PARK PLACE WAY MASHPEE MA 02649 8/24/2021 / / DVM II,III,IV,V,VI NYASHA JAWAHIR MAHENDRA BANFIELD, MILLBURY 001167-1005 70 WORCESTER-PROVIDENCE TURNPIKE #240 MILLBURY MA 01527 1/7/2019 / / DVM II,III,IV,V MARK JAWITZ COLIN STONEHAM ANIMAL HOSPITAL 17 ELM STREET STONEHAM MA 02180 2/12/2021 / / DVM II,III,IV,V,VI WALTER JAWORSKI C 87 OLD WENDELL ROAD NORTHFIELD MA 01360 2/8/2021 / / DVM II,III,IV,V,VI NANDINI JAYARAM CAPEWAY VETERINARY HOSPITAL 171 BRIDGE ST. FAIRHAVEN MA 02719-4102 12/26/2018 / / DVM II,III,IV,V,VI JANET JEFFERS LO M MILL BROOK ANIMAL CLINIC 1183 MASS AVE ARLINGTON MA 02474 1/2/2020 / / DVM II,III,IV,V,VI THOMAS JENEI MICHAEL 200 WESTBORO ROAD NORTH GRAFTON MA 01536 2/18/2020 / / DVM II,III,IV,V,VI MICHELLE JENSSEN ANN MSPCA CENTERVILLE 1577 FALMOUTH ROAD CENTERVILLE MA 02632 7/17/2021 / / DVM II,III,IV,V,VI JADE JEROLMON 730 1/2 CRANE AVE PITTSFIELD MA 01201 9/21/2018 / / DVM II,III,IV,V,VI LAURA JESSEMAN LYNN THE FELINE HOSPITAL 81 WEBB ST SALEM MA 01970 6/20/2018 / / DVM II,III,IV,V,VI BETH JEWETT MAY VCA HANSON ANIMAL HOSPITAL 405 MAIN ST. HANSON MA 02341 9/7/2020 / / DVM II,III,IV,V,VI MELISSA JOBLON JAMIE NEW ENGLAND AQUARIUM 1 CENTRAL WHARF BOSTON MA 02110 6/27/2021 / / DVM II,III,IV,V,VI

Page 86 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

MELISSA JOBLON JAMIE NEW ENGLAND AQUARIUM 551 SOUTH ST QUINCY MA 02169 6/27/2021 / / DVM II,III,IV,V,VI CAROL JOHANSON-PRUE E 173 BERKLEY ROAD NORTH ANDOVER MA 01845 4/6/2021 / / DVM II,III,IV,V,VI AMY JOHNSON C JAMAICA PLAIN ANIMAL CLINIC 10A GREEN ST BOSTON MA 02130 11/6/2020 / / DVM II,III,IV,V,VI ANNE JOHNSON E LINCOLN VETERINARY SERVICES 33 HOMBOLDT ST. WALTHAM MA 02452 3/15/2020 / / DVM II,III,IV,V,VI DAVID JOHNSON H. R. 511 WAREHAM STREET SOUTH MIDDLEBORO MA 02346 1/4/2021 / / DVM II,III,IV,V,VI JENNIFER JOHNSON A 60 SHARP STREET, UNIT 5 HINGHAM MA 02043 12/9/2018 / / DVM II,III,IV,V,VI JENNIFER JOHNSON JEAN PEMBROKE ANIMAL HOSPITAL 115 MATTAKEESETT ST. PEMBROKE MA 02359 3/21/2019 / / DVM II,III,IV,V,VI JENNIFER JOHNSON LYNN 20 COLONIAL VILLAGE HAMPDEN MA 01036 5/25/2017 / / DVM II,III,IV,V,VI JUSTINE JOHNSON A. BAYSTATE VETERINARY EMERGENCY SERVICES 76 BAPTIST STREET SWANSEA MA 02777 3/11/2021 / / DVM II,III,IV,V,VI KIRSTIN JOHNSON CANDICE ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVENUE BOSTON MA 02130 7/20/2018 / / DVM II,III,IV,V,VI MARGARET JOHNSON ELLEN SOUTH CAPE VETERINARY CLINIC, INC 435 WAQUOIT HWY WAQUOIT MA 02536 2/10/2019 / / DVM II,III,IV,V,VI MICHAEL JOHNSON A. BULGER VETERINARY HOSPITIAL 141 WINTHROP AVENUE LAWRENCE MA 01843 10/3/2020 / / DVM II,III,IV,V,VI THEODORE JOHNSON E VERMONT-NEW HAMPSHIRE VETERINARY CLINC INC 38 EAST-WEST ROAD EAST DUMMERSTON VT 05346-9635 1/25/2020 / / DVM II,III,IV,V,VI THEODORE JOHNSON GEORGE 228 WASHINGTON ST ATTLEBORO MA 02703 6/30/2017 / / DVM II,III,IV,V,VI SOPHIA JOHNSTONE FONTAINE LESCURE SOUTH COASTAL ANIMAL HEALTH 1389 MAIN STREET WEYMOUTH MA 02190 7/15/2019 / / DVM II,III,IV,V,VI ROBIN JOLY S. BOX 219 154 SUMMER ST YARMOUTHPORT MA 02675 3/10/2019 / / DVM II,III,IV,V,VI HEATHER JONES LYNNE BANFIELD PET HOSPITAL 290 S. BROADWAY SALEM MA 03079 11/21/2021 / / DVM II,III,IV,V LAURA JONES LYNNE NORTH COUNTY VETERINARY HOSPITAL CURRAN HIGHWAY NORTH ADAMS MA 01247 9/22/2019 / / DVM II,III,IV,V,VI TAYLOR JONES PARKWAY VETERINARY HOSPITAL 18 SPRING STREET WEST ROXBURY MA 02132 7/13/2021 / / DVM II,III,IV,V,VI TIMOTHY JONES GLYN PORTER SQUARE VETERINARIAN 360 SUMMER ST SOMERVILLE MA 02144 11/20/2017 / / DVM II,III,IV,V,VI CAROLINA JOOS LUCIA FEEDING HILLS VETERINARY CLINIC 1194 SPRINGFIELD ST. FEEDING HILLS MA 01030 12/10/2020 / / DVM II,III,IV,V,VI JODIE JOSEPH LOUISE 35 SOUTH HUNGTINGTON AVE JAMAICA PLAIN MA 02130 2/11/2019 / / DVM II,III,IV,V,VI SARA JOSEPH A CANTON VETERINARY HOSPITAL 190 TURNPIKE ST. CANTON MA 02021 1/9/2020 / / DVM II,III,IV,V,VI PAMELA JOSEPHSON MAY MSPCA NEVINS FARM 400 BROADWAY METHUEN MA 01844 4/22/2019 / / DVM II,III,IV,V,VI RITA JOU L 373 WORCESTER ST WELLESLEY MA 02481 1/9/2018 / / DVM II,III,IV,V,VI VICKI JUNE L VCA ALL CARING ANIMAL HOSPITAL 440 STOCKBRIDGE ROAD GREAT BARRINGTON MA 01230 9/14/2021 / / DVM II,III,IV,V,VI MARISSA JUNKINS LEAH BANFIELD 250 GROSSMAN DR BRAINTREE MA 02184 6/19/2020 / / DVM II,III,IV,V,VI ISABEL JURK R ANIMAL EYE CARE OF NEW ENGLAND 14 SANDY LANE WHATELY MA 01093 1/25/2019 / / DVM II,III,IV,V,VI RONNA KABLER S 26 DONNA ROAD FRAMINGHAM MA 01701 3/29/2019 / / DVM II,III,IV,V,VI KARIN KACZOROWSKI KARINS MOBILE VETERINARY SERVICE 94 CARESWELL STREET MARSHFIELD MA 02050 12/21/2020 / / DVM II,III,IV,V,VI MARY KAHAN E. 38 RIVERVIEW DR NEWBURY MA 01951 12/27/2020 / / DVM II,III,IV,V,VI KERRIANNE KALBKO BLUE PEARL VETERINARY PARTNERS 56 ROLAND STREET, SUITE 107 CHARLESTOWN MA 02129 2/16/2021 / / DVM II,III,IV,V,VI FORBERT KALUBA NEW ENGLAND ANIMAL MEDICAL CENTRE 595 WEST CENTRE ST. WEST BRIDGEWATER MA 02379 12/19/2020 / / DVM II,III,IV,V,VI TIFFANY KAN MSPCA-ANGELL (ANGELL ANIMAL CENTER) 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 6/19/2017 / / DVM II,III,IV,V,VI ANDRIS KANEPS JANIS A.J.KANEPS EQUINE SPORTS MED. & SURGERY 68 GROVER STREET BEVERLY MA 01915 1/16/2021 / / DVM II,III,IV,V,VI YUAN KANG POWDER MILL ANIMAL HOSPITAL 77 POWDER MILL ROAD ACTON MA 01720 3/11/2021 / / DVM II,III,IV,V,VI KATHLEEN KANJER S BLUE PEARL VETERINARY PARTNERS 180 BEAR HILL ROAD WALTHAM MA 02451 6/27/2021 / / DVM II,III,IV,V,VI IRA KAPLAN CHARLES SLADE VETERINARY HOSPITAL, INC 334 CONCORD ST. FRAMINGHAM MA 01702 12/14/2019 / / DVM III,IV,V JEFFREY KAPLAN ROY 23 LOMBARD STREET NEWTON MA 02458 12/27/2019 / / DVM II,III,IV,V,VI MICHAEL KAPLAN L. 45 POND STREET MARBLEHEAD MA 01945 4/26/2020 / / DVM II,III,IV,V,VI ROBIN KARFUNKEL CAPE COD VETERINARY SPECIALISTS 11 BOURNE BRIDGE APPROACH BUZZARDS BAY MA 02532 10/29/2020 / / DVM II,III,IV,V,VI ROBIN KARLIN J. 99 MAIN STREET HAYDENVILLE MA 01039 3/3/2017 / / DVM II,III,IV,V,VI CRYSTALYN KASA JENNIFER 171 SE 13TH ST POMPANO BEACH FL 33060 4/12/2021 / / DVM II,III,IV,V,VI WILLIAM KASER G THE BREWSTER VETERINARY HOSPITAL 56 UNDERPASS RD BREWSTER MA 02631 1/4/2021 / / DVM II,III,IV,V,VI REVITAL KASTNER PARK STREET VETERINARY CLINIC 238 PARK STREET NORTH READING MA 01864 9/17/2021 / / DVM II,III,IV,V,VI JOEY KASTON BOSTON VETERINARY CLINIC 363 TREMONT STREET BOSTON MA 02116 7/31/2019 / / DVM II,III,IV,V,VI JEFFREY KATUNA WELLESLEY-NATICK VETERINARY HOSPITAL 359 WORCESTER RD. NATICK MA 01760 10/16/2020 / / DVM II,III,IV,V,VI

Page 87 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

MICHAEL KATZ LINCOLN 260 SNELL ST. AMHERST MA 01002 1/31/2020 / / DVM II,III,IV,V,VI GRETCHEN KAUFMAN ELISE 51 FAIRVIEW AVE SOUTH CHATMAN MA 02659 7/13/2017 / / DVM II,III,IV,V,VI JEFFREY KAY 38 BONWIT RD RIVERSIDE CT 06878 7/10/2020 / / DVM II,III,IV,V,VI SUZANNE KAY E BAYSTATE ANIMAL CLINIC 249 ANDOVER ST DANVERS MA 01923 11/3/2020 / / DVM II,III,IV,V,VI KARA KAYALA MONIQUE BANFIELD PET HOSPITAL- FRAMINGHAM #5273 30 WORCESTER ROAD UNIT #2 FRAMINGHAM MA 01702 7/25/2019 / / DVM II,III,IV,V,VI JOEL KAYE A. MSPCA ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVENUE BOSTON MA 02130 3/4/2020 / / DVM II,III,IV,V,VI MITCHELL KAYE E MASS VETERINARY REFERRAL HOSPITAL 20 CABOT ROAD WOBURN MA 01801 10/27/2019 / / DVM II,III,IV,V,VI ERIN KAZNOCHA MEREDITH THE CAT DOCTOR 200 GREAT RD. SUITE 9 BEDFORD MA 01730 7/21/2020 / / DVM II,III,IV,V,VI SHAWN KEARNS A ANGELL ANIMAL MEDICAL CTR INTERNAL MEDICINE 350 SOUTH HUNTINGTON STREET BOSTON MA 02130 1/25/2020 / / DVM II,III,IV,V,VI MELISSA KECK V THE BOSTON CAT HOSPITAL 3840 WASHINGTON STREET JAMAICA PLAIN MA 02130 5/5/2017 / / DVM II,III,IV,V,VI MELISSA KECK VANNATTA BOSTON VETERINARY CARE 10 CHANDLER STREET BOSTON MA 02116 5/6/2019 / / DVM II,III,IV,V,VI KATHLEEN KEEFE TERNES J. THE FELINE HOSPITAL 81 WEBB STREET SALEM MA 01970 4/16/2021 / / DVM II,III,IV,V,VI ANNE KEESLER B. 1410-4 MONUMENT STREET CONCORD MA 01742 2/16/2019 / / DVM II,III,IV,V,VI JENNIFER KEFER ERIN FLORENCE ANIMAL CLINIC 185 LOCUST ST NORTHAMPTON MA 01060 12/27/2019 / / DVM II,III,IV,V,VI AMY KEISER IRIS BANFIELD PET HOSPITAL 265 CHELMSFORD ST CHELMSFORD MA 01824 3/28/2020 / / DVM II,III,IV,V,VI TRACEY KELLEHER F. NORWELL VETERINARY HOSPITAL 295-R WASHINGTON STREET NORWELL MA 02061 6/3/2021 / / DVM II,III,IV,V,VI CASSANDRA KELLEY CAT CLINIC OF PLYMOUTH 80 SANDWICH STREET PLYMOUTH MA 02360 12/12/2019 / / DVM II,III,IV,V,VI JOHN KELLEY S. 725 STATE HIGHWAY EASTHAM MA 02642 8/3/2020 / / DVM II,III,IV,V,VI MEGAN KELLEY PAGE ANGELL ANIMAL MEDICA CENTER 350 SOUTH HUNTINGTON AVENUE JAMAICA PLAIN MA 02130 9/10/2019 / / DVM II,III,IV,V,VI MICHELLE KELLEY ELIZA VCA SOUTH SHORE 595 COLUMBIAN ST. WEYMOUTH MA 02190 7/27/2020 / / DVM II,III,IV,V,VI MORGAN KELLEY ANGELL MSPCA 350 S HUNTINGTON AVE BOSTON MA 02130 6/16/2020 / / DVM II,III,IV,V,VI JOHN KELLY STEPHENS 57 PERSHING LANE ONLEAKS MA 02653 1/14/2021 / / DVM II,III,IV,V,VI JONATHAN KELMAN L GREAT ROAD VETERINARY HOSPITAL 272 GREAT RD ACTON MA 01720 12/12/2019 / / DVM II,III,IV,V,VI LINDSAY KENDRICK ANDERSON HEATHER HANCOCK ANIMAL HOSPITAL 55A HANCOCK ST QUINCY MA 02171 11/15/2018 / / DVM II,III,IV,V,VI BOBBIE KENNA LYNN EAST HAMPTON ANIMAL HOSPITAL 410 MAIN ST. EAST HAMPTON MA 01027 2/20/2020 / / DVM II,III,IV,V,VI CHRISTOPHER KENNEDY A MASSACHUSETTS ANIMAL MEDICAL CENTER 380 PLEASANT STREET WATERTOWN MA 02472 2/1/2019 / / DVM II,III,IV,V,VI JESSAMYN KENNEDY A. PEACEFUL SHORE HOLISTIC VETERINARY HOSPICE 71 ONSET AVE BUZZARD'S BAY MA 02532 3/17/2019 / / DVM II,III,IV,V,VI SHAYNA KENNEDY LYNN VETERINARY EMERGENCY GROUP 165 NEEDHAM STREET NEWTON MA 02464 1/4/2019 / / DVM II,III,IV,V,VI SAMANTHA KENT VETERINARY EMERGENCY GROUP 165 NEEDHAM STREET NEWTON MA 02464 12/28/2020 / / DVM II,III,IV,V,VI JENNIFER KENWORTHY VALLEY VETERINARY HOSPITAL 320 RUSSELL ST HADLEY MA 01035 4/12/2019 / / DVM II,III,IV,V,VI JASMIN KERAMATY M ANDOVER ANIMAL HOSPITAL 233 LOWELL STREET ANDOVER MA 01810 1/9/2021 / / DVM II,III,IV,V GERGES KEROLES BELLINGHAM PET HOSPITAL 213 HARTFORD AVE BELLINGHAM MA 02019 1/28/2021 / / DVM II,III,IV,V,VI SHEELA KERR M CENTERAL ANIMAL HOSPITAL 1285 CENTRAL ST. LEOMINSTER MA 01453 9/28/2020 / / DVM II,III,IV,V,VI CLAUDIA KESSEN-BANKS LEXINGTON-BEDFORD VET. HOSP. 476 BEDFORD STREET LEXINGTON MA 02420 1/12/2021 / / DVM II,III,IV,V,VI SAMANTHA KESSLER ANDOVER ANIMAL HOSPITAL 233 LOWELL STREET ANDOVER MA 01810 9/4/2020 / / DVM II,III,IV,V,VI SARAH KEYES E SYLVAN ANIMAL CLINIC 474 DURFEE STREET FALL RIVER MA 02720 4/13/2020 / / DVM II,III,IV,V,VI LAILA KHAYAMI LAI-MEI WINGALL ANIMAL HOSPITAL 1837 BRIDGE ST DRACUT MA 01826 5/9/2019 / / DVM II,III,IV,V,VI LESLI KIBLER NICHOLE TUFTS VETERINARY EMERGENCY TREATMENT AND SPECIALTIES 525 SOUTH ST WALPOLE MA 02081 4/28/2017 / / DVM II,III,IV,V,VI GREGORY KIDD STURBRIDGE VETERINARY HOSPITAL 6 CEDAR STREET STURBRIDGE MA 01518 6/18/2021 / / DVM II,III,IV,V,VI NICHOLAS KIEFER FOSTER HOSPITAL FOR SMALL ANIMALS 55 WILLARD STREET NORTH GAFTON MA 01536 5/26/2021 / / DVM II,III,IV,V,VI STACEY KIELEC M 167 COUNTY ST. SOMERSET MA 02726 3/25/2018 / / DVM II,III,IV,V ERIN KILBANE M HAMPDEN VETERINARY CLINIC 28 SOMERS RD HAMPDEN MA 01036 7/19/2018 / / DVM II,III,IV,V,VI MEGAN KILDUFF BANFIELD PET HOSPITAL 30 WORCESTER ROAD UNIT #2 FRAMINGHAM MA 01702 9/30/2020 / / DVM II,III,IV,V,VI GHANGSAN KIM VCA EVERETT ANIMAL HOSPITAL 251 CHELSEA STREET EVERETT MA 02149 4/15/2021 / / DVM II,III,IV,V,VI MOON KIM S DUNSTABLE ANIMAL CLINIC 386 MAIN ST DUNSTABLE MA 01827 1/13/2019 / / DVM II,III,IV,V,VI PETTY KIM NEWBURYPORT VETERINARY CLINIC 127 STOREY AVE NEWBURYPORT MA 01950 8/26/2021 / / DVM II,III,IV,V,VI TAE RIM KIM MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT RD. WOBURN MA 01801 7/22/2020 / / DVM II,III,IV,V,VI

Page 88 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

LISA KIMBALL ANN DRIFTWAY ANIMAL HOSPITAL 53 NEW DRIFTWAY, BOX 405 SCITUATE MA 02061 12/27/2019 / / DVM II,III,IV,V,VI SAMUEL KIMBALL A OLD DERBY ANIMAL HOSPITAL 40 RECREATION PARK DRIVE HINGHAM MA 02043 3/14/2019 / / DVM II,III,IV,V,VI LELIA KING S RAYNHAM VETERINARY HOSPITAL 402 SOUTH STREET EAST RAYNHAM MA 02767 12/5/2019 / / DVM II,III,IV,V,VI MICHAEL KING J 730 1/2 CRANE AVENUE PITTSFIELD MA 01201 2/12/2019 / / DVM II,III,IV,V,VI SHARON KING L BACK BAY VETERINARY CLINIC 288 NEWBURY ST. BOSTON MA 02115 11/20/2020 / / DVM II,III,IV,V,VI SHARON KING L MASSASSOIT COMMUNITY COLLEGE 900 RANDOLPH ST, CANTON MA 02021 11/20/2017 / / DVM II,III,IV,V,VI AMANDA KINNEY H 662 BOSTON POST ROAD SUDBURY MA 01776 3/5/2019 / / DVM II,III,IV,V,VI TAYLOR KIRBY-MADDEN MALIA ANIMAL HOSPITAL OF ORLEANS 65 FINLEY ROAD ORLEANS MA 02662 5/11/2021 / / DVM II,III,IV,V,VI SHANNON KIRCHER CLAIRE NEWBURYPORT VETERINARY CLINIC 177 STOREY AVE NEWBURYPORT MA 01950 3/31/2019 / / DVM II,III,IV,V,VI PETER KIRK J 51 PETER KRISTOFF WAY MEDFIELD MA 02052 9/16/2019 / / DVM II,III,IV,V,VI DIANICIA KIRTON VALENCIA MAIN STREET ANIMAL SERVICES OF HOPKINTON 72W MAIN ST HOPKINTON MA 01748 5/31/2018 / / DVM II,III,IV,V,VI DANA KLAIBER L. 498 COLLEGE HIGHWAY P.O. BOX 10 SOUTHWICK MA 01077 4/30/2018 / / DVM II,III,IV,V,VI LEIGH KLAR FOXBORO ANIMAL HOSPITAL 200 MECHANIC ST FOXBORO MA 02035 10/11/2020 / / DVM II,III,IV,V,VI JOAN KLASSEN OGDEN MARIE 78 DEERFOOT ROAD SOUTHBOROUGH MA 01772 9/26/2020 / / DVM II,III,IV,V,VI JENNIFER KLAUS MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT ROAD WOBURN MA 01801 12/19/2020 / / DVM II,III,IV,V,VI LAURIE KLEIN VCA WESTBORO ANIMAL HOSPITAL 155 TURNPIKE ROAD WESTBOROUGH MA 01581 12/19/2020 / / DVM II,III,IV,V,VI SARAH KLEIN EVELYN MSPCA ANGELL WEST 293 SECOND AVE. WALTHAM MA 02451 6/10/2020 / / DVM II,III,IV,V KIMBERLY KLEINFELD C HOME VETERINARY SERVICES 7 STAR OF THE SEA DRIVE SOUTH DARTMOUTH MA 02748 9/4/2018 / / DVM II,III,IV,V,VI PAULINE KLEK LUBA 10 WOODLAND DRIVE NANTUCKET MA 02554 4/26/2020 / / DVM II,III,IV,V,VI STEPHANIE KLINE ANN ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 6/15/2020 / / DVM II,III,IV,V,VI DEBORAH KLINGENER L. 600 MAIN STREET BOYLSTON MA 01505 11/17/2019 / / DVM II,III,IV,V,VI BRITTANY KLINKER STAMP SHAWSHEEN ANIMAL HOSPITAL 1415 MAIN STREET TEWSKBURY MA 01876 6/26/2019 / / DVM II,III,IV,V,VI RACHEL KLOPFER S 39 RICHARDSON STREET WINCHESTER MA 01890 1/20/2021 / / DVM II,III,IV,V,VI BARBARA KMIECIK J VETERINARY ASSOCIATES OF CAPE COD 16 COMMONWEALTH AVE SOUTH DENNIS MA 02664 1/23/2021 / / DVM II,III,IV,V,VI KATHLEEN KNAPP GWENDOLYN RIVERLIN ANIMAL HOSPITAL 287 RIVERLIN ST. MILLBURY MA 01527 3/5/2019 / / DVM II,III,IV,V,VI ELIZABETH KNIGHT JUNE FRESH POND ANIMAL HOSPITAL 15 FLANDERS RD BELMONT MA 02478 7/11/2019 / / DVM II,III,IV,V,VI THERESA KNOBLOCK MARY 100 LITTLETON ROAD WESTFORD MA 01886 7/8/2019 / / DVM II,III,IV,V,VI ROBIN KNOX REID CENTRAL ANIMAL HOSPITAL 109 CENTRAL ST. STONEHAM MA 02180 11/25/2019 / / DVM II,III,IV,V,VI JOSEF KOHLER RICKARD MASS VETERINARY REFERRAL HOSPITAL DEPT OF SURGERY 20 CABOT RD WOBURN MA 01801 7/17/2019 / / DVM II,III,IV,V,VI MICHAELA KOHLER MARIE READING ANIMAL CLINIC 1312 MAIN ST READING MA 01867 7/22/2019 / / DVM II,III,IV,V,VI APRIL KOICH MARRE ICCD PARTNERS 340 TURNPIKE ST. #1-3A CANTON MA 02021 7/25/2017 / / DVM II,III,IV,V,VI AUDREY KOID ERN MEI ANGELL ANIMAL MEDICAL CENTER 350 S HUNTINGTON AVE BOSTON MA 02130 6/13/2017 / / DVM II,III,IV,V,VI CHRISTINE KOIRALA DAVID VCA STERLING ANIMAL HOSPITAL 4 CLINTON ROAD STERLING MA 01564 5/30/2018 / / DVM II,III,IV,V,VI NATALIE KOONS MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT RD WOBURN MA 01801 8/14/2021 / / DVM II,III,IV,V,VI CAITLAN KOONTZ W MSPACA ANGELL ANIMAL MEDICAL CENTER 350 S HUNTINGTON AVE BOSTON MA 02130 7/21/2017 / / DVM II,III,IV,V,VI NANCY KOPEC L WIGNALL ANIMAL HOSPITAL 1837 BRIDGE ST DRACUT MA 01826 11/17/2019 / / DVM II,III,IV,V,VI ASHLEY KOPEIKIN ELIZABETH WELLESLEY ANIMAL HOSPITAL 314 WESTON ROAD WELLESLEY MA 02482 9/24/2020 / / DVM II,III,IV,V,VI JULIE KOPSER A COUNTRYSIDE VET HOSPITAL 289 LITTLETON ROAD CHELMSFORD MA 01824 1/13/2019 / / DVM II,III,IV,V,VI PAMELA KORETSKY G HARVARD FAMILY PET CLINIC, LLC 259 AYER RD HARVARD MA 01451 1/11/2020 / / DVM II,III,IV,V,VI MATTHEW KORTHAUER RICHARD VCA EVERETT 251 CHELSEA ST EVERETT MA 02149 9/18/2018 / / DVM II,III,IV,V,VI KRIS KOSS M 2 COLTON ROAD MILLBURY MA 01527 12/2/2018 / / DVM II,III,IV,V,VI PAUL KOTAS 111 LOST MILE ROAD DUMMERSTON MA 05301 12/3/2020 / / DVM II,III,IV,V,VI NICHOLAS KOTSOPOULOS A RT 20 ANIMAL CLINIC 84 SOUTHWEST CUTOFF WORCESTER MA 01604-1518 9/13/2020 / / DVM II,III,IV,V,VI PAVLO KOVALENKO L SAREPTA THERAPEUTICS 215 FIRST ST. CAMBRIDGE MA 02142 2/10/2020 / / DVM II,III,IV,V,VI CAITLIN KOZEL AGNES CAPE COD VETERINARY SPECIALISTS 79 THEOPHILIS SMITH ROAD SOUTH DENNIS MA 02660 5/23/2019 / / DVM II,III,IV,V,VI CHRISTOPHER KOZLOWSKI FRANCIS VCA SOUTH HADLEY ANIMAL HOSPITAL 511 NEWTON ST SOUTH HADLEY MA 01075 6/29/2018 / / DVM II,III,IV,V,VI MICHAELA KRAFVE M LARGE ANIMAL VET SERVICES 812 CENTRAL ST. WINCHENDON MA 01475 2/1/2019 / / DVM II,III,IV,V,VI

Page 89 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

BRANDY KRAGNESS JO VCA SOUTH SHORE (WEYMOUTH) 595 COLUMBIAN STREET SOUTH WEYMOUTH MA 02190 12/12/2017 / / DVM II,III,IV,V,VI ROBIN KRAMER SANA BIOTECHNOLOGY 100 TECHNOLOGY SQ, FL 2 ATTN: EMILY KING C/O ROBIN KRAMER CAMBRIDGE MA 02139 1/4/2021 / / DVM II,III,IV,V,VI FARLEIGH KRANE ELIZABETH 8 BRENDON DRIVE GRAFTON MA 01519 2/18/2020 / / DVM II,III,IV,V,VI GREGORY KRANE AARON 8 BRENDAN DRIVE GRAFTON MA 01519 2/26/2020 / / DVM II,III,IV,V,VI MEGAN KRAUTH C VCA ROTHERWOOD ANIMAL HOSPITAL 78 WINCHESTER ST NEWTON HIGHLANDS MA 02461 5/8/2017 / / DVM II,III,IV,V,VI MICHAEL KRAWSHUK D. WESTON VETERINARY CLINIC 152 BOSTON POST ROAD WESTON MA 02493 5/22/2021 / / DVM II,III,IV,V,VI LORI KREIDBERG B 32 HARVARD DRIVE SUDBURY MA 01776 7/21/2020 / / DVM II,III,IV,V,VI STEPHANIE KREIN RUTH ANGELL ANIMAL MED CTR 350 S. HUNTINGTON AVE JAMAICA PLAIN MA 02130 4/17/2018 / / DVM II,III,IV,V,VI TAMARA KREMER MECABELL I. SLADE VETERINARY HOSPITAL 334 CONCORD ST FRAMINGHAM MA 01702 4/19/2019 / / DVM II,III,IV,V,VI MICHELLE KRIEGER C AT HOME VETERINARY 2 SUMMER ST. NATICK MA 01760 10/20/2020 / / DVM II,III,IV,V,VI ELIZABETH KRIER M 595 WEST CENTER ST WEST BRIDGEWATER MA 02379-1526 5/25/2018 / / DVM II,III,IV,V,VI LAUREN KRONE M VETERINARY EMERGENCY GROUP 165 NEEDHAM STREET, SUITE N311 NEWTON MA 02464 4/25/2019 / / DVM II,III,IV,V BETSY KRUEGER W 8 POST OAK LANE #22 NATICK MA 01760 12/23/2019 / / DVM II,III,IV,V,VI KAREN KRUEGER LOU BOSTON CHILDREN'S HOSPITAL ANIMAL RESOURCES 300 LONGWOOD AVR BOSTON MA 02115 5/25/2019 / / DVM II,III,IV,V,VI KAREN KRUEGER LOU SCHEPENS EYE RESEARCH INSTITUTE 20 STANIFORD ST BOSTON MA 02114 2/9/2021 / / DVM II,III,IV,V,VI AMELIA KRUMP L METRO CAT HOSPITAL 1630 BEACON ST BROOKLINE MA 02446 7/9/2021 / / DVM II,III,IV,V,VI ASTRID KRUSE M VCA WAKEFIELD ANIMAL HOSPITAL 19 MAIN STREET WAKEFIELD MA 01880 3/22/2018 / / DVM II,III,IV,V,VI MELISSA KRUSELL VCA SOUTH SHORE 595 COLUMBIAN STREET SOUTH WEYMOUTH MA 02190 7/24/2020 / / DVM II,III,IV,V,VI GILLIAN KRUSKALL ANNE 678 BROOKLINE AVE BROOKLINE MA 02445 4/26/2020 / / DVM II,III,IV,V,VI ABIGAIL KRZANOWSKI 2 COTTON ROAD MILLBURY MA 01527 8/26/2021 / / DVM II,III,IV,V,VI STEPHANIE KUBE A VETERNINARY NEUROLOGY & PAIN MANAGEMENT 2250 PROVIDENCE HWY WALPOLE MA 02081 7/5/2020 / / DVM II,III,IV,V,VI LYNDSAY KUBICEK-REGEV N ANGELL ANIMAL MEDICAL CENTER DEPT OF ONCOLOGY 350 S. HUNTINGTON AVENUE JAMAICA PLAIN MA 02130 9/18/2020 / / DVM II,III,IV,V,VI VICKI KUCIA L WAGMORE VETERINARY ACUPUNCTURE AND WELLNES 49 STOWE ROAD MILLBURY MA 01527 2/17/2021 / / DVM II,III,IV,V,VI ALISSA KULOW M HUBBARDSTON VETERINARY CLINIC 48 GARDNER RD HUBBARDSTON MA 01452 12/9/2019 / / DVM II,III,IV,V,VI AMY KUO PERRY DEDHAM VETERINARY ASSOCIATES 326 BRIDGE STREET DEDHAM MA 02026 7/27/2021 / / DVM II,III,IV,V,VI RACHEL KUPCINSKAS-SANTIC L. 615 DOUGLAS ST. UXBRIDGE MA 01569 4/9/2021 / / DVM II,III,IV,V,VI GWENDOLYN KUPPER SUE 74 SAINT ROSE ST #2 JAMAICA PLAIN MA 02130 7/7/2021 / / DVM II,III,IV,V,VI SUSANNA KURNICK APRIL 620 ALBANY STREET BOSTON MA 02118 12/6/2019 / / DVM II,III,IV,V,VI SARAH KUSSMAN ANNE VCA SOUTH SHORE HOSPITAL 595 COLUMBIAN STREET SOUTH WEYMOUTH MA 02190 6/23/2020 / / DVM II,III,IV,V,VI KATHLEEN KYLE PAGE MA VETERINARY REFERRAL HOSPITAL 20 CABOT RD WOBURN MA 02127 5/12/2019 / / DVM II,III,IV,V,VI MARY LABATO ANNA DEPT. OF CLINICAL SCIENCES TUFTS UNIVERSITY SCHOOL OF VETERINARY MED 200 WESTBORO RD. NORTH GRAFTON MA 01536 1/8/2021 / / DVM II,III,IV,V,VI ROBERT LABDON A. VETERINARY ASSOCIATES OF CAPE COD, INC 16 COMMONWEALTH AVENUE SOUTH YARMOUTH MA 02664 11/27/2020 / / DVM II,III,IV,V,VI LORA LABRANCHE ELIZABETH BANFIELD PET HOSPITAL 104 ANDOVER ST DANVERS MA 01923 4/11/2019 / / DVM II,III,IV,V,VI SYDNEY LACHMAN ERIKA SOMERVILLE VETERINARY CENTER 314 HIGLAND AVE SOMERVILLE MA 02144 6/20/2019 / / DVM II,III,IV,V,VI RENEE LAFORT N BANFIELD PET HOSPITAL #5264 123 SAMOSET STREET PLYMOUTH MA 02360-4801 10/8/2019 / / DVM II,III,IV,V,VI EFRONIA NIKI LAGASSE RIVERSIDE VETERINARY CLINIC 664 RIVERSIDE AVENUE HAVERHILL MA 01830 3/16/2020 / / DVM II,III,IV,V,VI ARTHUR LEE LAGE 125 CHURCH ST. PO BOX 90-303 PEMBROKE MA 02359 12/1/2017 / / DVM II,III,IV,V,VI GARY LAINER A. 355 TURNPIKE ST. CANTON MA 02021 5/26/2021 / / DVM II,III,IV,V,VI AMANDA LAJZER ELIZABETH EASTFIELD HOSPITALS FOR ANIMALS 1964 BOSTON ROAD WILBRAHAM MA 01095 11/6/2020 11/6/2020 DVM II,III,IV,V,VI WINNIE LAM ANGELL ANIMAL MEDICAL CENTER (DENTISTRY) 350 SOUTH HUNGTINTON AVE BOSTON MA 02130 6/18/2021 / / DVM II,III,IV,V,VI LAWRENCE LAMB A MANCHESTER VETERINARY CLINIC 66 SUMMER STREET MANCHESTER MA 01944 11/24/2020 / / DVM II,III,IV,V,VI REBECCA LAMBE JANE DIGHTON-REHOBOTH ANIMAL HOSPITAL 2424 WINTHROP STREET NORTH DIGHTON MA 02764 4/22/2019 / / DVM II,III,IV,V,VI MICHELLE LAMPE ANNE MASS-RI VETERINARY E.R., INC. 477 MILFORD ROAD SWANSEA MA 02777 3/9/2021 / / DVM II,III,IV,V,VI SAVANAH MARIAH LANCASTER LORRAINE BOSTON WEST VET EMERGENCY & SPECIALTY HOSP 5 STRATHMORE RD NATICK MA 01760 8/29/2021 / / DVM II,III,IV,V,VI FIONA LAND JANE NORTHEAST ANIMAL SHELTER 347 HIGHLAND AVE SALEM MA 01970 8/21/2020 / / DVM II,III,IV,V,VI PATRICK LANDERS B WIGNALL ANIMAL HOSPITAL 1837 BRIDGE ST DRACUT MA 01826 12/6/2019 / / DVM II,III,IV,V,VI AMANDA LANDRY MARIE ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON ACE BOSTON MA 02130 8/7/2017 / / DVM II,III,IV,V,VI

Page 90 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

ADAM LANDY ROSS LEXINGTON-BEDFORD VETERINARY HOSPITAL 476 BEDFORD STREET LEXINGTON MA 02420 3/23/2020 / / DVM II,III,IV,V,VI JENNIFER LANE FRANEL CENTER FOR TRANSPLANT SCIENCES/ MGH 149 13TH ST. ROOM 9030 CHARLESTOWN MA 02129 5/28/2020 / / DVM II,III,IV,V,VI JESSE LANE ANN HYANNIS ANIMAL HOSPITAL 102 ANSEL HALLET ROAD WEST YARMOUTH MA 02673 11/27/2020 / / DVM II,III,IV,V,VI MELISSA LANG ANN VCA SOUTHSHORE, WEYMOUTH 595 COLUMBIAN ST S WEYMOUTH MA 02190 6/15/2018 / / DVM II,III,IV,V,VI ASHLEY LANGE JENNIFER 165 NEEDHAM ST SUITE N311 NEWTON MA 02461 9/10/2019 / / DVM II,III,IV,V,VI HEIDI LANGENDOEN A 41 JORDAN AVENUE WAKEFIELD MA 01880 10/21/2019 / / DVM II,III,IV,V,VI STEPHAINE LAOVELLI NEW ENGLAND ANIMAL NEDICAL CENTER 595 W CENTER STREET WEST BRIDGEWATER MA 02379 6/23/2021 / / DVM II,III,IV,V,VI KERI LAPORTE ANNE WEYMOUTH LANDING CAT CLINIC 127 WASHINGTON STREET WEYMOUTH MA 02188 2/19/2019 / / DVM II,III,IV,V,VI KRISTIN LAPPETITO MCLAUGHLIN 212 EAST ST. EASTHAMPTON MA 01027 7/20/2021 / / DVM II,III,IV,V,VI MICHAEL LAPPIN A THE ANIMAL HOUSE 21 REDBROOK ROAD BUZZARDS BAY MA 02532 11/23/2019 / / DVM II,III,IV,V,VI NANCY LASTE J BULGER VETERINARY HOSPITAL 141 WINTHROP AVENUE LAWRENCE MA 01843 2/27/2021 / / DVM II,III,IV,V,VI CHELE LATHROUM NICOLE 350 SOUTH HUNTINGTON AVE JAMAICA PLAIN MA 02130 7/5/2018 / / DVM II,III,IV,V,VI KATHRYN LATSHAW EYLES NORTH SHORE ANIMAL HOSPITAL 1 NEPTUNE BLVD. LYNN MA 01902 6/10/2020 / / DVM II,III,IV,V,VI BRANDI LAUER ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 6/28/2021 / / DVM II,III,IV,V,VI STACEY LAUER A WESTFORD VETERINARY EMERGENCY & REFERRAL 11 CORNERSTONE SQUARE WESTFORD MA 01886 12/14/2019 / / DVM II,III,IV,V,VI KAREN LAVELLI R. 17 SKYLARK AVE PLYMOUTH MA 02360 3/22/2021 / / DVM II,III,IV,V,VI KRISTEN LAVIN ANCHOR ANIMAL HOSPITAL INC 750 STATE RD N DARTMOUTH MA 02747 7/30/2021 / / DVM II,III,IV,V,VI LINDSEY LAVIN ELIZABETH NEW ENGLAND ANIMAL MEDICAL CENTER 595 W. CENTER ST WEST BRIDGEWATER MA 02379 6/25/2021 / / DVM II,III,IV,V,VI SAMANTHA LAVOIE CAPE COD VETERINARY SPECIALISTS 11 BOURNE BRIDGE APPROACH BUZZARDO MA 02532 8/26/2021 / / DVM II,III,IV,V,VI EDWARD LAWRENCE PATRICK AGAPE ANIMAL HOSPITAL 1114 PROVIDENCE ROAD WHITINSVILLE MA 01588 7/6/2021 / / DVM II,III,IV,V,VI REBECA LAWRENCE ROSE HUBBARDSTON VETERINARY CLINIC 48 GARDNER RD HUBBARDSTON MA 01452 3/29/2018 / / DVM II,III,IV,V,VI KIMVI LE BULGER VETERINARY HOSPITAL 141 WINTHROP AVE LAWRENCE MA 01843 7/7/2021 / / DVM II,III,IV,V,VI JAMES LEAHEY M 189 RESERVOIR ROAD LEE MA 01238 11/14/2019 / / DVM II,III,IV,V,VI CAROLYN LEAHY JANE 4B SUNNYSIDE LANE DERRY NH 03038 10/13/2020 / / DVM II,III,IV,V,VI JAMES LEAR ROBERT VCA PLYMOUTH ANIMAL HOSPITAL 100 INDUSTRIAL PARK ROAD PLYMOUTH MA 02360 7/17/2018 / / DVM II,III,IV,V,VI KATHLEEN LEAVEY M. VCA CITY CAT HOSPITAL 665 MASS. AVENUE ARLINGTON MA 02476 8/18/2021 / / DVM II,III,IV,V,VI MISCHA LEAVEY M VCA WESTBORO ANIMAL HOSPITAL 155 TURNPIKE ROAD WESTBOROUGH MA 01581 10/9/2018 / / DVM II,III,IV,V,VI AMBER LEAVIS MARIE ANGELL AT NASHOBA 100 LITTLETON RD. WESTFORD MA 01886 6/23/2020 / / DVM II,III,IV,V,VI SHAWN LEBLANC LOUIS SHAWSHEEN ANIMAL HOSPITAL 1415 MAIN STREET TEWKSBURY MA 01876 7/25/2020 / / DVM II,III,IV,V,VI MARK LEDOUX J 15 LONGHILL ROAD BROOKFIELD MA 01506 11/9/2019 / / DVM II,III,IV,V,VI AMBER LEE MAY VCA WAKEFIELD 19 MAIN STREET WAKEFIELD MA 01880 3/24/2019 / / DVM II,III,IV,V,VI JI-IN LEE J ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVENUE BOSTON MA 02130 10/15/2019 / / DVM II,III,IV,V,VI KATHERINE LEE JI-AE VITALITY VEERINARY SVCS ATTLEBORO 228 WASHINGTON ST STE 230B ATTLEBORO MA 02703 9/14/2018 / / DVM II,III,IV,V,VI MARYELLEN LEE MORNINGSTER ANIMAL HOSPITAL 164 SUMMER STREET UNIT C KINGSTON MA 02364 9/18/2020 / / DVM II,III,IV,V,VI AMANDA LEEF KATHLEEN HEAL VETERINARY CLINIC 150 BELMONT ST ARLINGTON MA 02472 4/7/2020 / / DVM II,III,IV,V,VI KIMBERLY LEIDL BENSON FORTIER SOUTH COASTAL ANIMAL HEALTH 1389 MAIN ST WEYMOUTH MA 02190 4/25/2020 / / DVM II,III,IV,V,VI JOANNE LEJA M. PET HOUSE CALLS VETERINARY CLINIC 9 RUSSELL ROAD WESTFIELD MA 01085 9/11/2021 / / DVM II,III,IV,V,VI GERALD LEMIEUX PHILIP BERKSHIRE VETERINARY HOSPITAL 730 1/2 CRANE AVENUE PITTSFIELD MA 01201 3/18/2018 / / DVM II,III,IV,V,VI MARTHA LEMOS JANE 646 LAFAYETTE ST SOMERSET MA 02726-3434 4/11/2021 / / DVM II,III,IV,V,VI CHENOA LENCEWICZ A. DOUGLAS ANIMAL HOSPITAL 28A REIDELL ROAD DOUGLAS MA 01516 8/1/2020 / / DVM II,III,IV,V,VI SARAH LENTINI A WILLARD VETERINARY CLINIC 176 WILLARD STREET QUINCY MA 02169 2/24/2020 / / DVM II,III,IV,V,VI NICOLE LEONARD JANE 12 SHORT WAY HANSON MA 02341 6/26/2020 / / DVM II,III,IV,V,VI MELISSA LEONHARDT ANNE 64 LEONHARDT ROAD BECKET MA 01223 9/25/2020 / / DVM II,III,IV,V,VI MEREDITH LEONI K NORFOLK COUNTY VETERINARY SERVICE 1342 MAIN STREET WALPOLE MA 02081 6/9/2021 / / DVM II,III,IV,V,VI RICHARD LERNER DAVID 83 LONG AVE FRAMINGHAM MA 01702 10/4/2018 / / DVM II,III,IV,V,VI MICHAEL LEVERONE F 167 VAN NORDEN ROAD READING MA 01867 12/28/2019 / / DVM II,III,IV,V,VI JONATHAN LEVINE COMMONWEALTH VETERINARY HOSPITAL 2285 COMMONWEALTH AVE ABURNDALE MA 02466 6/9/2021 / / DVM II,III,IV,V,VI

Page 91 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

JONATHAN LEVINE S HIGLAND ANIMAL HOSPITAL 31 WELLESLEY AVE NEEDHAM HEIGHTS MA 02494 6/28/2021 / / DVM II,III,IV,V,VI JONATHAN LEVINE S SOUTH BAY VETERINARY GROUP 587 TREMONT STREET BOSTON MA 02118 1/8/2020 / / DVM II,III,IV,V,VI KIMBERLY LEVINE MARIE CAMBRIDGE CAT CLINIC, LLC 1108 CAMBRIDGE ST. CAMBRIDGE MA 02139 6/29/2021 / / DVM II,III,IV,V,VI DALE LEVITT MORGAN COMMUNITY ANIMAL HOSPITAL 15 CLEWS STREET SHREWSBURY MA 01545 7/5/2019 / / DVM II,III,IV,V,VI JEFFREY LEVY CLASSICAL VETERINARY HOMEOPATHY 71 ASHFIELD ROAD WILLIAMSBURG MA 01096 12/26/2018 / / DVM II,III,IV,V,VI COURTNEY LEWIS D RELIEF VETERINARIAN 63 VILLAGE COURT BERLIN MA 01503 3/11/2021 / / DVM II,III,IV,V,VI HANNAH LEWIS I ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 6/16/2017 / / DVM II,III,IV,V,VI SHAWNA LI C NORTON ANIMAL HOSPITAL 147 WEST MAIN STREET NORTON MA 02766 12/2/2019 / / DVM II,III,IV,V,VI DANIELLE LIBMAN OLIVIA MASSACHUSETTS VETERINARY REFERAL HOSPITAL 20 CABOT ROAD WOBURN MA 01801 7/8/2019 / / DVM II,III,IV,V,VI TODD LIEBERMAN COLE COMMONWEALTH VETERINARY HOSPITAL 2285 COMMONWEALTH AVE NEWTON MA 02466 7/13/2020 / / DVM II,III,IV,V,VI CHRISTOPHER LIEBERT B MUDDY CREEK ANIMAL CARE CENTER 993 HAVERHILL STREET ROWLEY MA 01969 2/19/2019 / / DVM II,III,IV,V,VI SHANNON LIGHTBODY H VCA EVERETT 251 CHELSEA STREET EVERETT MA 02149 1/9/2020 / / DVM II,III,IV,V,VI ALEXANDRA LIGHTBOWN C MA GAMING COMMISSION DIVISION OF PROFESSIONAL LICENSURE 101 FEDERAL ST. 12TH FLOOR BOSTON MA 02110 5/11/2021 / / DVM II,III,IV,V,VI CASSANDRA LILLIE E BILMAR VETERINA 776 MAIN ST GREAT BARRINGTON MA 01230 5/9/2017 / / DVM II,III,IV,V,VI SARAH LIM ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVENUE BOSTON MA 02130 10/17/2017 / / DVM II,III,IV,V,VI LEAH LIMONE EMILY 84 HILL STREET TOPFIELD MA 01982 7/11/2019 / / DVM II,III,IV,V,VI JOANN LINDENMAYER MICHELE 720 EAST HARTFORD AVE UXBRIDGE MA 01569 1/16/2019 / / DVM II,III,IV,V,VI JOHN LINDERMUTH E PREVENTIVE VETERINARY MEDICINE CLINIC 23 MAPLE STREET PEPPERELL MA 01463 9/6/2020 / / DVM II,III,IV,V,VI MARTHA LINDSAY C ALTERNATIVE VETERINARY SERVICES, LLC 9 HODGES STREET NORTH ANDOVER MA 01845 9/11/2021 / / DVM II,III,IV,V,VI DEBORAH LINDSEY M. VCA BOSTON ROAD ANIMAL HOSPITAL 1235 BOSTON ROAD SPRINGFIELD MA 01119 1/6/2020 / / DVM II,III,IV,V,VI DEBORAH LINK M COMMUNITY ANIMAL HOSPITAL 15 CLEWS STREET SHREWSBURY MA 01545 12/19/2019 / / DVM II,III,IV,V,VI MARGARET LINNELL MEREDITH JOHNSON VETERINARY HOSPITAL 160 WINTHROP AVENUE LAWRENCE MA 01843 12/8/2017 / / DVM VI CHRISTINA LIOCE GRACE NEW ENGLAND ANIMAL MEDICAL CENTER DEPT OF SURGERY 595 W. CENTER STREET WEST BRIDGEWATER MA 02379 7/17/2018 / / DVM II,III,IV,V,VI ERICA LIPANOVICH D.W NEW BEDFORD POLICE 834 KEMPTON STREET NEW BEDFORD MA 02740 6/28/2021 / / DVM II,III,IV,V,VI ERICA LIPANOVICH DEAN BUTTONWOOD PARK ZOO 425 HAWTHORN STREET NEW BEDFORD MA 02740 3/18/2019 / / DVM II,III,IV,V,VI HALLIE LIPINSKI ANN CHASE VET CLINIC 66 E. GROVE ST MIDDLEBORO MA 02346 1/7/2019 / / DVM II,III,IV,V STEFANIE LIPTON MARA 514 NORTH AVE WESTON MA 02493 8/9/2021 / / DVM II,III,IV,V,VI NOELLE LITRA ELIZABETH HIGHLAND ANIMAL HOSPITAL 31 WELLESLEY AVE NEEDHAM MA 02494 1/4/2020 / / DVM II,III,IV,V,VI AMY LITTLE MARIE VCA SOUTH SHORE ANIMAL HOSPITAL 595 COLUMBIAN STREET SOUTH WEYMOUTH MA 02190 3/14/2019 / / DVM II,III,IV,V,VI JENNY LIU FRAMNGHAM ANIMAL HOSPITAL 1415 EDGELL ROAD FRAMINGHAM MA 01701 7/5/2020 / / DVM II,III,IV,V MELISSA LLORENS NICOLE BANFIELD 265 CHELMSFORD STREET CHELMSFORD MA 01824 1/23/2018 / / DVM II,III,IV,V,VI EMILY LLOYD KATE NORTH SHORE ANIMAL HOSPITAL 1 NEPTUNE BLVD. LYNN MA 01902 6/10/2020 / / DVM II,III,IV,V,VI SAVANNAH LLOYD-SEABOYER JEANNETTE HYANNIS ANIMAL HOSPITAL 102 ANSEL HALLET ROAD WEST YARMOUTH MA 02673 6/16/2019 / / DVM II,III,IV,V,VI ASHLEY LOCKWOOD JANE MSPCA ANGEL WEST 293 2ND AVE WALTHAM MA 02451 10/23/2020 / / DVM II,III,IV,V,VI MEREDITH LOCKWOOD LOUISE SEAPORT VETERINARY HOSPITAL 100 EASTERN AVENUE GLOUCESTER MA 01930 3/23/2020 / / DVM II,III,IV,V,VI KLAUS LOFT EARL MSPCA ANGELL MEMORIAL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVENUE BOSTON MA 02130 1/24/2020 / / DVM II,III,IV,V,VI LAURIE LOFTON SELLS LUNENBURG VETERINARY HOSPITAL 109 MASSACHUSETTS AVE LUNENBURG MA 01462 2/5/2021 / / DVM II,III,IV,V,VI STEVEN-ANTHONY LOGSDON WALKER NORTHEAST VETERINARY HOSPITAL 29 LOWELL ST. PEABODY MA 01960 8/1/2020 / / DVM II,III,IV,V,VI SUZANNE LOHEAC M BACKSTRETCH VETERINARY INC 55 MAIN ST. GROVELAND MA 01834 1/9/2020 / / DVM II,III,IV,V,VI AMANDA LOHIN BROOKE ANGELL WEST 293 2ND AVENUE WALTHAM MA 02451 9/7/2020 / / DVM II,III,IV,V,VI ALICIA LONG ELMERE THE MASSACHUSETTS EQUINE CLINIC 75 LOCUST ST UXBRIDGE MA 01569 8/18/2017 / / DVM II,III,IV,V,VI DENA LONG K DAKIN HUMANE SOCIETY 171 UNION STREET SPRINGFIELD MA 01105 7/15/2019 / / DVM II,III,IV,V,VI ERICA LONG MARIE BOSTON ROAD ANIMAL CLINIC 239 BOSTON RD. SUTTON MA 01590 7/14/2020 / / DVM II,III,IV,V,VI MORGAN LONG S ASSONET VETERINARY ASSOCIATES LLC 68 SOUTH MAIN STREET, POB 670 ASSONET MA 02702 9/21/2019 / / DVM II,III,IV,V,VI WILLIAM LOOBY C. JR 637 HIGH STREET MEDFORD MA 02155 11/27/2020 / / DVM II,III,IV,V,VI ANTHONY LOOMIS EASTHAM VETERINARY HOSPITAL 725 STATE HIGHWAY EASTHAM MA 02642 8/6/2020 / / DVM II,III,IV,V,VI ANTHONY LOOMIS HERRING COVE ANIMAL HOSPITAL 83 SHANK PAINTER RD PROVINCETOWN MA 02657 4/28/2021 / / DVM II,III,IV,V,VI

Page 92 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

ANTHONY LOOMIS STONY HILL ANIMAL CLINIC 137 STONY HILL ROAD CHATHAM MA 02633 4/28/2021 / / DVM II,III,IV,V,VI ANDREA LOONEY L 67 MUNSON ROAD CHESTERFIELD MA 01012 11/14/2019 / / DVM II,III,IV,V,VI MICHELLE LOONEY P PITTSFIELD VETERINARY HOSPITAL 1634 W. HOUSATONIC ST. PITTSFIELD MA 01201 1/21/2019 / / DVM II,III,IV,V,VI CINDY LOPES S VCA SOUTH SHORE ANIMAL HOSPITAL 595 COLUMBIAN STREET SOUTH WEYMOUTH MA 02190 8/28/2020 / / DVM II,III,IV,V,VI JASON LORD W NEW ENGLAND ANIMAL HOSPITAL, INC 66 HUTTLESTON AVENUE FAIRHAVEN MA 02719 1/27/2021 / / DVM II,III,IV,V,VI DANIELLE LORENZO ANNE FLORENCE ANIMAL CLINIC 185 LOCUST STREET NORTHAMPTON MA 01060 5/4/2020 / / DVM II,III,IV,V,VI SARAYA LORETTA SPENCER VETERINARY HOSPITAL, LLC 407 MAIN STREET SPENCER MA 01562 6/18/2021 / / DVM II,III,IV,V,VI KIRSTIN LOSERT A EAST HAMPTON ANIMAL HOSPITAL 410 MAIN ST. EASTHAMPTON MA 01027 10/23/2020 / / DVM II,III,IV,V,VI JON LOU ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE JAMAICA PLAIN MA 02130 6/20/2019 / / DVM II,III,IV,V,VI KAREN LOVELACE TOFTE TAUNTON CAT HOSPITAL 56 WINTHROP STREET TAUNTON MA 02780 8/18/2020 / / DVM II,III,IV,V,VI ANITA LOVELY M. 66 WEST ST. MEDWAY MA 02053 1/4/2021 / / DVM II,III,IV,V,VI PAMELA LOW ANNE 26 ESSEX STREET MELROSE MA 02176 1/15/2019 / / DVM II,III,IV,V,VI EMILY LOWE VETERINARY EMERGENCY & SPECIALTY HOSPITAL 141 GREENFIELD RD. SOUTH DEERFIELD MA 01373 7/21/2020 / / DVM II,III,IV,V,VI JENNIFER LOWRY BANFIELD PET HOSPITAL #5323 180 NEEDHAM STREET NEWTON MA 02464 9/7/2021 / / DVM II,III,IV,V,VI MARCI LOWY R SOUTH AMHERST VETERINARY HOSPITAL 660 WEST ST. AMHERST MA 01002 2/8/2021 / / DVM II,III,IV,V,VI JOSUE LUGARDO 350 S. HUNTINGTON AVE BOSTON MA 02130 7/3/2020 / / DVM II,III,IV,V,VI TESSA LUMLEY B EQULDDOC VETERINARY SERVICES 369 MAIN ST SPENCER MA 01562 9/25/2021 / / DVM II,III,IV,V,VI COURTNEY LUNGER MARIE MSPCA-ANGELL 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 6/15/2020 / / DVM II,III,IV,V,VI REBECCA LUSSIER JO BRAINTREE VETERINARY CARE 494 QUINCY AVE BRAINTREE MA 02184 11/24/2020 / / DVM II,III,IV,V,VI JOCELYN LYLE-DUGAS JERUSHA HAPPY @ HOME MOBILE CARE VETERINARY CARE 4 W. SUTTON ROAD SUTTON MA 01590 2/21/2020 / / DVM II,III,IV,V,VI ELISABETH LYNCH ANNE FUCHS MSPCA NEVINS FARMS 400 BROADWAY METHUEN MA 01844 3/18/2021 / / DVM II,III,IV,V,VI ELISABETH LYNCH ANNE-FUCHS MSPCA NEVINS FARM 400 BROADWAY METHUEN MA 01844 2/21/2019 / / DVM II,III,IV,V,VI SARA LYNCH ANNE LAP OF LOVE VETERINARY HOME HOSPICE AND EUTHANASIA 550 LIBERTY ST #403 BRAINTREE MA 02184 8/7/2020 / / DVM II,III,IV,V,VI SHARON LYNCH M HILLTOWNS VETERINARY CLINIC 133 SO. WASHINGTON STATE ROAD WASHINGTON MA 01223 3/23/2020 / / DVM II,III,IV,V,VI CLINTON LYNN MASSACHUSETTS VETERINARY REFERRAL HOSITAL EMERGENCY AND CRITICAL CARE 20 CABOT ROAD WOBURN MA 01801 3/11/2021 / / DVM II,III,IV,V,VI DEBRA LYNN WAYLAND ANIMAL CLINIC SIX WINTER STREET WAYLAND MA 01778 1/6/2020 / / DVM II,III,IV,V,VI JENNIFER LYSZ STACY PARKWAY VETERINARY HOSPITAL 18 SPRING STREET WEST ROXBURY MA 02132 5/30/2019 / / DVM II,III,IV,V,VI BRADLEY LYTLE SCOTT VCA SOUTHSHORE WEYMOUTH ANIMAL HOSPITAL 595 COLUMBIA STREET SOUTH WEYMOUTH MA 02190 7/15/2019 / / DVM II,III,IV,V,VI DEBORAH LYTLE-HOOVER RUTH VCA BOSTON ROAD ANIMAL HOSPITAL 1235 BOSTON ROAD SPRINGFIELD MA 01119 6/14/2019 / / DVM II,III,IV,V,VI JENNIFER MAAS 299 RIVER ROAD WORTHINGTON MA 01098 12/26/2019 / / DVM II,III,IV,V,VI SHELLEY MACCHI K. VCA NORTHBORO ANIMAL HOSPITAL 286 WEST MAIN STREET NORTHBOROUGH MA 01532 1/10/2018 / / DVM II,III,IV,V,VI HEATHER MACFARLANE L WELLESLEY-NATICK VETERINARY HOSPITAL 359 WORCESTER STREET NATICK MA 01760 4/25/2020 / / DVM II,III,IV,V,VI JOHN MACGREGOR M. BULGER VETERINARY HOSPITAL 141 WINTHROP AVE LAWRENCE MA 01843 8/8/2019 / / DVM II,III,IV,V,VI JESSICA MACHO L BOSTON ROAD ANIMAL CLINIC 239 BOSTON ROAD SUTTON MA 01590 7/17/2019 / / DVM II,III,IV,V,VI LISA MACIORAKOWSKI ANN MSPCA ANGELL ANIMAL MEDICAL CENTER BOSTON GENERAL MEDICINE DEPARTMENT 350 SOUTH HUNTINGTON AVENUEBOSTON MA 02130 9/22/2020 / / DVM II,III,IV,V,VI MARYANNE MACK REBECCAH HAMPDEN VETERINARY CLINIC 28 SOMERS RD HAMPDEN MA 01036 1/11/2020 / / DVM II,III,IV,V,VI SARAH MACKAY-MONTVILLE A TUFTS VETERINARY EMERGENCY TREAMENT & SPEC 525 SOUTH STREET WALPOLE MA 02081 12/3/2020 / / DVM II,III,IV,V,VI CHRISTINA MACKENZIE WAY M 18 MOUNT VERNON STREET MIDDLETON MA 01949 1/28/2019 / / DVM II,III,IV,V,VI MICAELA MACKIE ANNE NEW ENGLAND VETERINARY CLINIC 204 HIGHLAND AVE SALEM MA 01970 5/9/2019 / / DVM II,III,IV,V,VI DANA MACNAMEE R. BAY STATE ANIMAL CLINIC 249 ANDOVER STREET DANVERS MA 01923 12/30/2019 / / DVM II,III,IV,V,VI JOHN MACRI ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 6/18/2021 / / DVM II,III,IV,V,VI SURESH MADDUR GANESAN BANFIELD PET HOSPITAL 250 GROSSMAN DRIVE BRAINTREE MA 02184 2/11/2019 / / DVM II,III,IV,V,VI SURESH MADDUR GANESAN BANFIELD PET HOSPITAL 250 GROSSMAN DRIVE BRAINTREE MA 02184 3/26/2019 / / DVM II,III,IV,V,VI RACHEL MADENJIAN MARGUERITE FALMOUTH ANIMAL HOSPITAL 1184 SANDWICK RD. EAST FALMOUTH MA 02536 6/2/2020 / / DVM II,III,IV,V,VI KRISTEN MADER M VETERINARY EMERGENCY & SPECIALTY HOSPITAL 141 GREENFIELD ROAD SOUTH DEERFIELD MA 01373 6/11/2019 / / DVM II,III,IV,V,VI SUSAN MAGESTRO C 9 ASHLAND STREET, #2 SOMERVILLE MA 02144 11/5/2018 / / DVM II,III,IV,V,VI KRISTI MAGIDA NORTH SHORE ANIMAL HOSPITAL 1 NEPTUNE BLVD LYNN MA 01902 8/8/2019 / / DVM II,III,IV,V,VI

Page 93 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

MELISSA MAGNOTTA EVELYN BANFIELD PET HOSPITAL 123 SOMOSET RD PLYMOUTH MA 02360 8/27/2018 / / DVM II,III,IV,V SHARADA MAHALINGAM MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT RD WOBURN MA 01801 4/23/2018 / / DVM II,III,IV,V,VI MARIE MAHER JEANNINE WEYMOUTH LANDING CAT CLINIC & HOTEL 127 WASHINGTON ST WEYMOUTH MA 02188 12/31/2018 / / DVM II,III,IV,V,VI DEBRA MAHLENKAMP A 10 HEATH CIRCLE NORTH ANDOVER MA 01845 12/28/2020 / / DVM II,III,IV,V,VI LAURA MAHONEY ELIZABETH VETERINARY EMERGENCY GROUP 165 NEEDHAM STREET SUITE N311 NEWTON MA 02464 11/9/2020 / / DVM II,III,IV,V,VI REILLY MAHONEY K. HIGHLAND ANIMAL HOSPITAL 31 WELLESLEY AVENUE NEEDHAM MA 02703 3/10/2019 / / DVM II,III,IV,V,VI SALLY MAHONEY A. 74 BIRCH DR HARWICH MA 02645 1/19/2021 / / DVM II,III,IV,V,VI VANESSA MAILLOUX-HIRD LAUREN 21 JACKSON ST. METHUEN MA 01844 5/19/2017 / / DVM II,III,IV,V,VI YOANNA MAITRE Y 394 UNDER MOUNTAIN ROAD LENOX MA 01240 1/31/2019 / / DVM II,III,IV,V,VI INNA MAKARENKO REVERE PET CLINIC 10 PLEASANT STREET REVERE MA 02151 8/28/2020 / / DVM II,III,IV,V,VI JOHN MAKUC D BERKSHIRE VETERINARY HOSPITAL INC. 730 1/2 CRANE AVENUE PITTSFIELD MA 01201 1/22/2019 / / DVM II,III,IV,V,VI REBECCA MALAKOFF L ANGELL ANIMAL MEDICAL CENTER- WEST 293 SECOND AVE WALTHAM MA 02451 5/8/2018 / / DVM II,III,IV,V,VI MUHAMMAD MALIK B BROADWAY ANIMAL HOSPITAL 925 WEST BROADWAY GARDNER MA 01440 7/13/2017 / / DVM II,III,IV,V,VI ARTHUR MALLOCK E VCA- LLOYD ANIMAL MEDICAL CENTER 1995 WASHINGTON ST. STOUGHTON MA 02072 9/15/2019 / / DVM II,III,IV,V,VI ELIZABETH MALONEY M 110 MILLER STREET FRANKLIN MA 02038 5/28/2021 / / DVM II,III,IV,V,VI MARTHA MALONEYHUSS ALICE VETERINARY EMERGENCY AND SPECIALTY HOSPITA 141 GREENFIELD ROAD SOUTH DEERFIELD MA 01373 7/9/2019 / / DVM II,III,IV,V,VI DIANA MAN 437 WALPOLE STREET NORWOOD MA 02062 4/8/2021 / / DVM II,III,IV,V,VI DIANA MAN NORWOOD ANIMAL HOSPITAL 437 WALPOLE ST NORWOOD MA 02062 6/25/2018 / / DVM II,III,IV,V,VI LOUISE MANDEVILLE M 20 CHAPEL STREET APT B1012 BROOKLINE MA 02446 2/4/2021 / / DVM II,III,IV,V,VI INDU MANI VCA BROOKLINE HOSPITAL 678 BROOKLINE AVENUE BROOKLINE MA 02445 10/22/2021 / / DVM II,III,IV,V,VI CARALEE MANLEY U. APPLE COUNTRY ANIMAL HOSPITAL 35 GREAT ROAD STOW MA 01775 11/24/2020 / / DVM II,III,IV,V,VI KRISTEN MANSE LEANNE PARK STREET VETERINARY CLINIC 238 PARK ST NORTH READING MA 01864 7/2/2021 / / DVM II,III,IV,V,VI MAX MANSE ANDOVER ANIMAL HOSPITAL 233 LOWELL ST ANDOVER MA 01810 8/24/2021 / / DVM II,III,IV,V,VI MONICA MANSFIELD MEDWAY ANIMAL HOSPITAL 66 WEST ST., PO BOX 638 MEDWAY MA 02053 2/10/2020 / / DVM II,III,IV,V CLARE MANZ H 81 CHAPIN RD BERNARDSTON MA 01337 10/22/2020 / / DVM II,III,IV,V,VI JOSEPH MARCHELL WOJCICKI MERRIMAC VALLEY ANIMAL HOSPITAL 26 HAVERHILL RD. AMESBURY MA 01913 5/8/2020 / / DVM II,III,IV,V,VI LESLIE MARCI E METROWEST VETERINARY ASSOC. 207 E MAIN STREET, RT 16 MILFORD MA 01757 5/6/2019 / / DVM II,III,IV,V,VI WILLIAM MARCOUX G PLEASANT VALLEY ANIMAL HOSPITAL 21 JACKSON ST METHUEN MA 01844 11/25/2019 / / DVM II,III,IV,V,VI ALEXIS MARGOLIS REBECCA ATTLEBORO VETERINARY CLINIC 179 NORTH MAIN STREET ATTLEBORO MA 02703 8/6/2021 / / DVM II,III,IV,V,VI JULIANA MARIN ARELLANO BANFIELD PET HOSPITAL #1706 160 ALEWIFE BROOK PKWY CAMBRIDGE MA 02138 10/2/2017 / / DVM II,III,IV,V,VI ROBERT MARINI P. MASS. INSTITUTE OF TECHNOLOGY DIV. OF COMPARATIVE MEDICINE 77 MASS. AVE., BLDG. 16-849 CAMBRIDGE MA 02139 5/9/2017 / / DVM II,III,IV,V,VI EVAN MARIOTTI THOMAS ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 2/19/2019 / / DVM II,III,IV,V,VI CATHERINE MARK A VCA NORTHBORO ANIMAL HOSPITAL 286 WEST MAIN STREET NORTHBORO MA 01532 4/5/2019 / / DVM II,III,IV,V,VI BETH MARKS SANDRA ANIMAL PROTECTION CENTER OF SOUTHEASTERN 1300 WEST ELM STREET EXT BROCKTON MA 02301 9/13/2019 / / DVM II,III,IV,V,VI HEDLEY MARKS GLYN ASHFIELD CHEYNE VETERINARY SERVICE 33 BROADWAY NORWOOD MA 02062 11/14/2019 / / DVM II,III,IV,V,VI VICTORIA MAROUN 163 HIGHLAND AVE NEEDHAM MA 02494 5/6/2019 / / DVM II,III,IV,V,VI CAROLYN MARQUARDT 367 MAPLE ST DANVERS MA 01923 5/9/2019 / / DVM II,III,IV,V,VI RUTH MARRION M BULGER VET HOSPITAL 141 WINTHROP AVE LAWRENCE MA 01843 12/9/2019 / / DVM II,III,IV,V,VI HANNAH MARSHALL ROSE EHLERS ANGELL ANIMAL MEDICAL CENTER 350 S. HUNTINGTON AVE BOSTON MA 02130 10/5/2018 / / DVM II,III,IV,V,VI MICHAEL MARSHALL S 54 ORCHARD DR STOW MA 01775 2/14/2017 / / DVM II,III,IV,V,VI JESSICA MARSHALL ROBERTS ANNE HOLLISTON ANIMAL HOSPITAL 13 EXCHANGE ST. HOLLISTON MA 01746 12/19/2019 / / DVM II,III,IV,V,VI ROBERT MARSTON ANDREWS AMESBURY ANIMAL HOSPITAL PC 277 ELM ST. AMESBURY MA 01913 2/1/2019 / / DVM II,III,IV,V,VI DANIELLE MARTIN D DUXBURY ANIMAL HOSPITAL 103 DEPOT ST. DUXBURY MA 02332 3/19/2021 / / DVM II,III,IV,V,VI MARIANNE MARTIN GIBSON SLADE VETERINARY HOSPITAL 334 CONCORD STREET FRAMINGHAM MA 01702 7/22/2021 / / DVM II,III,IV,V,VI PAMELA MARTIN E ROBERTS ANIMAL HOSPITAL 516 WASHINGTON STREET HANOVER MA 02339 3/5/2021 / / DVM II,III,IV,V,VI TERRI MARTIN E. 205 WOOD STREET HOPKINTON MA 01740 6/22/2021 / / DVM II,III,IV,V,VI WILLIAM MARTIN M. EAST LONGMEADOW ANIMAL HOSPITAL 572 NORTH MAIN ST. EAST LONGMEADOW MA 01028 12/22/2017 / / DVM II,III,IV,V,VI

Page 94 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

JOSEPH MARTINEZ F VCA ROBERT'S ANIMAL HOSPITAL 516 WASHINGTON STREET 02339 HANOVER MA 12/19/2019 / / DVM II,III,IV,V,VI AMANDA MASCIARELLI ELIZABETH 20 CABOT RD STE 1 WOBURN MA 01801 7/11/2019 / / DVM II,III,IV,V,VI CATHERINE MASLAND MARIE NEW ENGLAND ANIMAL MEDICAL CENTER 595 W CENTER STREET WEST BRIDGEWATER MA 02379 7/29/2019 / / DVM II,III,IV,V,VI ANNE MASLOSKI MASS VET SPECIALTY SERVICES 305 SUFFIELD ST AGAWAM MA 01001 9/14/2021 / / DVM II,III,IV,V BEVERLY MASON R DEDHAM VETERINARY ASSOCIATES 326 BRIDGE STREET DEDHAM MA 02026 5/11/2021 / / DVM II,III,IV,V,VI CHRISTOPHER MASON JAMES VCA SOUTH SHORE ANIMAL HOSPITAL 595 COLUMBIAN STREET WEYMOUTH MA 02190 8/6/2021 / / DVM II,III,IV,V,VI CHRISTINE MASSARO ANN CAT AND DOG HOUSECALL PRACTICE, P.C. 760 STATION ROAD AMHERST MA 01002 12/19/2019 / / DVM II,III,IV,V,VI BRUNO MASSAT J WESTFORD VETERINARY EMERGENCY & REFERRAL C 11 CORNERSTONE SQUARE WESTFORD MA 01886 6/14/2020 / / DVM II,III,IV,V,VI DANIEL MASSOFF A 250 GROSSMAN DRIVE BRAINTREE MA 02184 11/15/2019 / / DVM II,III,IV,V,VI CHRISTOPHER MASTERSON MASSACHUSETTS VETERINARY REFFERAL HOSPITAL 20 CABOT ROAD WOBRUN MA 01801 6/28/2021 / / DVM II,III,IV,V,VI ERIN MASUR TRI-STATE VETERINARY SERVICES 499 BANTAM ROAD UNIT D LITCHFIELD CT 06759 2/17/2021 / / DVM II,III,IV,V,VI JENNIFER MATELESKA M ATTLEBORO VETERINARY CLINIC 179 NORTH MAIN STREET ATTLEBORO MA 02703 11/30/2017 / / DVM II,III,IV,V,VI CHERYL MATHEIN ELIZABETH 196 MILLERS FALLS ROAD TURNER FALLS MA 01376 9/10/2021 / / DVM II,III,IV,V,VI KRISTIN MATTHEWS A 341 BEACON ST, # 2A BOSTON MA 02116 5/9/2017 / / DVM II,III,IV,V,VI KRISTIN MATTHEWS ADAIR PFIZER, INC-COMPARATIVE MEDICINE 1 PORTLAND ST STE 600 CAMBRIDGE MA 02139 8/3/2017 / / DVM II,III,IV,V,VI REBECCA MATTSON JILL GREYLOCK ANIMAL HOSPITAL 1025 STATE ROAD NORTH ADAMS MA 01247 12/19/2017 / / DVM II,III,IV,V,VI LISA MAUE D. LOOBY VETERINARY GROUP 637 HIGH ST MEDFORD MA 02155 12/20/2019 / / DVM II,III,IV,V,VI VICTORIA MAURON VETCO TOTAL CARE NEEDHAM 163 HIGHLAND AVE NEEDHAM MA 02494 9/1/2020 / / DVM II,III,IV,V,VI CHRISTINE MAXFIELD 965 MAIN ST. UNIT 7 HOLDEN MA 01520 4/12/2018 / / DVM II,III,IV,V,VI ISAAC MAXMEN LOUIS BRADFORD ANIMAL HOSPITAL 839 S. MAIN ST BRADFORD MA 01835 1/5/2020 / / DVM II,III,IV,V,VI JESSICA MAYNARD LYNN BULGER VETERINARY HOSPITAL 247 CHICKERING ROAD NORTH ANDOVER MA 01845 11/6/2017 / / DVM II,III,IV,V,VI ANGELA MAZZA M ANGELL ANIMAL MEDICAL CTR DEPT OF GENERAL MEDICINE 350 SOUTH HUNTINGTON BOSTON MA 02130 12/23/2019 / / DVM II,III,IV,V,VI ALYSSA MAZZOLA ANN VCA EVERETT ANIMAL HOSPITAL 251 CHELSEA ST EVERETT MA 02149 6/22/2020 / / DVM II,III,IV,V,VI JUDITH MCADAM A SOUTH SHORE ANIMAL SERVICES 1090 WASHINGTON ST. HANOVER MA 02339 4/22/2019 / / DVM II,III,IV,V,VI BONNIE MCARTHUR J MOBILE ANIMAL CARE 265 UNION STREET EAST BRIDGEWATER MA 02333 3/22/2021 / / DVM II,III,IV,V,VI EMILY MCCABE COOMBS NORFOLK COUNTY VETERINARY SERVICE 1342 MAIN ST WALPOLE MA 02081 9/1/2019 / / DVM II,III,IV,V,VI CLAIRE MCCAFFREY ELIZABETH BRISTOL COUNTY VETERINARY HOSPITAL 288 FALL RIVER AVE SEEKONK MA 02771 12/28/2018 / / DVM II,III,IV,V,VI KELLEN MCCAFFREY THOMAS BANFIELD PET HOSPITAL 89 COMMERICAL ROAD LEOMINSTER MA 01453 7/9/2019 / / DVM II,III,IV,V,VI SCOTT MCCAFFREY ADAMS ALL CREATURES GREAT & SMALL ANIMAL HOSPITAL 500 GRANBY RD. SOUTH HADLEY MA 01075 8/20/2021 / / DVM II,III,IV,V,VI KATJA MCCALL VCA LYNNFIELD 1 BAY STATE ROAD LYNNFIELD MA 01940 7/22/2021 / / DVM II,III,IV,V,VI SARAH MCCARRON E SOUTH HINGHAM VETERINARY SERVICES 60 SHARP STREET, UNIT #5 HINGHAM MA 02043 11/18/2019 / / DVM II,III,IV,V,VI COLLEEN MCCARTHY J PET HAVEN ANIMAL HOSPITAL 155 MT. AUBURN ST. WATERTOWN MA 02472 7/17/2021 / / DVM II,III,IV,V,VI PAUL MCCARTHY E VETERINARY SURGERY CENTER OF STURBRIDGE 175 CHARLTON ROAD STURBRIDGE MA 01566 5/8/2020 / / DVM II,III,IV,V,VI RICHARD MCCARTHY E LINWOOD ANIMAL HOSPITAL 1500 GORHAM ST. LOWELL MA 01852 1/24/2020 / / DVM II,III,IV,V,VI ROBERT MCCARTHY J 20 PATRICIA DRIVE GRAFTON MA 01519 7/13/2020 / / DVM II,III,IV,V,VI PAUL MCCARTIN C 34 OSTERVILLE-WEST BARNSTABLE ROAD OSTERVILLE MA 02655 12/3/2020 / / DVM II,III,IV,V,VI PAUL MCCARTIN C HYANNIS ANIMAL HOSPITAL 102 ANSEL HALLET ROAD WEST YARMOUTH MA 02673 1/9/2020 / / DVM II,III,IV,V,VI ELISABETH MCCARTNEY R BARNSTABLE ANIMAL HOSPITAL 157 AIRPORT RD HYANNIS MA 02601 8/30/2021 / / DVM II,III,IV,V,VI DAVID MCCHESNEY SCOTT ANGELL ANIMAL MEDICAL CENTER 350 S HUNTINGTON AVE JAMAICA PLAIN MA 02130 6/18/2018 / / DVM II,III,IV,V,VI TINA MCCOLLESTER L. 476 SNIPATUIT ROAD ROCHESTER MA 02770 3/28/2019 / / DVM II,III,IV,V,VI LEANN MCCOLLUM VETERINARY EMERGENCY AND SPECIALTY HOSPITA 141 GREENFIELD RD SOUTH DEERFIELD MA 01373 6/22/2018 / / DVM II,III,IV,V,VI JOSEPH MCCOY PATRICK 1 COTTAGE STREET, SUITE 4-10 EASTHAMPTON MA 01027 1/23/2021 / / DVM II,III,IV,V,VI RHEA MCCULLOUGH KATHLEEN CONCORD ANIMAL HOSPITAL 245 BAKER AVE CONCORD MA 01742 7/8/2019 / / DVM II,III,IV,V,VI SHARON MCCUTCHEN R GREENFIELD VETERINARY CLINIC 18 FRENCH KING HWY GREENFIELD MA 01301 2/21/2021 / / DVM II,III,IV,V,VI MAUREEN MCDERMOTT SUSAN MASSACHUSETTS VETERNARY HOSPITAL 20 COBAT RD WOBURN MA 01801 6/4/2019 / / DVM II,III,IV,V,VI ALYSSA MCDONAGH SHANNON ASHLAND ANIMAL HOSPITAL 10 FOUNTAIN STREET ASHLAND MA 01721 6/5/2019 / / DVM II,III,IV,V,VI AARON MCDONALD THOMAS 21 ADAMS ST. WESTBOROUGH MA 01581 10/24/2019 / / DVM II,III,IV,V,VI

Page 95 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

MICHAEL MCEWAN A HURON VETERINARY HOSPITAL 70 BEACON ST. SOMERVILLE MA 02143 1/3/2021 / / DVM II,III,IV,V,VI TERRENCE MCGEE D. 58 ELM STREET PEPPERELL MA 01463 11/20/2019 / / DVM II,III,IV,V,VI COLLEEN MCGINLEY BRIDGET SAUGUS ANIMAL HOSPITAL 300 BROADWAY SAUGUS MA 01906 10/9/2018 / / DVM II,III,IV,V,VI CINDY MCGINN LOU HOME CARE VETERINARY SERVICE 16 BLUE BELL RD WORCESTER MA 01606 10/12/2020 / / DVM II,III,IV,V,VI DAVID MCGRATH J III CENTRAL ANIMAL HOSPITAL 109 CENTRAL ST STONEHAM MA 02180 11/21/2019 / / DVM II,III,IV,V,VI DAVID MCGRATH J III NATICK ANIMAL CLINIC 121 WEST CENTRAL STREET NATICK MA 01760 5/30/2017 / / DVM II,III,IV,V,VI DAVID MCGRATH JAMES LEOMINSTER ANIMAL HOSPITAL 129 NEW LANCASTER ROAD LEOMINSTER MA 01453 4/28/2021 / / DVM II,III,IV,V,VI DAVID MCGRATH JAMES III GREAT ROAD VETERINARY HOSPITAL 272 GREAT ROAD ACTION MA 01720 11/21/2019 / / DVM II,III,IV,V,VI STEPHEN MCGRATH CARL BULGER VETERINARY HOSPITAL 141 WINTHROP AVE LAWRENCE MA 01843 3/10/2020 / / DVM II,III,IV,V,VI MARGARET MCISAAC GRANBY ANIMAL CLINIC, INC. 51 WEST STATE STREET GRANBY MA 01033 7/13/2020 / / DVM II,III,IV,V,VI MADISON MCKAY ANGELL ANIMAL MEDICAL CENTER 350 S HUNTINGTON AVE JAMAICA PLAIN MA 02130 6/22/2018 / / DVM II,III,IV,V,VI JESSICA MCKAY-DASENT WEYMOUTH LANDING CAT CLINIC & HOTEL 127 WASHINGTON ST. WEYMOUTH MA 02188 10/19/2020 / / DVM II,III,IV,V,VI KATHERINE MCKEAN ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 6/28/2021 / / DVM II,III,IV,V,VI KELSEY MCKENNA LEE 136 COURT ST. PLYMOUTH MA 02360 7/12/2021 / / DVM II,III,IV,V,VI SHAUNA MCLEOD PREVENTIVE VETERINARY MEDICINE CLINIC 23 MAPLE STREET PEPPERELL MA 01463 10/8/2020 / / DVM II,III,IV,V,VI MARJORIE MCMILLAN C. THE WINDHOVER VETERINARY CENTER, PC 944A MAIN STREET WALPOLE MA 02081 12/28/2020 / / DVM II,III,IV,V,VI HEIDI MCMORROW A CAPE COD ANIMAL HOSPITAL 1415 OSTERVILLE ROAD WEST BARNSTABLE MA 02668 11/24/2020 / / DVM II,III,IV,V,VI GAIL MCNEILL W MCNEILL VETERINARY CLINIC 21 UNION AVE. SUDBURY MA 01776 2/9/2019 / / DVM II,III,IV,V,VI MELANIE MCNERNEY MARIE NEW ENGLAND ANIMAL MEDICAL CENTER 595 WEST CENTER ST WEST BRIDGEWATER MA 02379 6/13/2020 / / DVM II,III,IV,V,VI JENNIFER MCNULTY M DACO, INC. 145 WASHINGTON STREET PLAINVILLE MA 02762 6/10/2021 / / DVM II,III,IV,V,VI ELIZABETH MCSTAY SAUNDERS BEST LIFE MOBLIE VET LLC 1229 ORLEANS ROAD HARWICH MA 02645 1/4/2021 / / DVM II,III,IV,V,VI MICHAEL MCTIGUE P. GARDNER ANIMAL CARE CENTER 73 EATON ST. GARDNER MA 01440 3/22/2021 / / DVM II,III,IV,V,VI JAMIE MCVICKER MARIE WILLARD VETERINARY CLINIC, INC. 176 WILLARD STREET QUINCY MA 02169 12/10/2020 / / DVM II,III,IV,V,VI ROSEMARY MCWILLIAMS CATHERINE HESS MCWILLIAMS VETERINARY SERVICES 143 N EAST ST AMHERST MA 01002 4/20/2021 / / DVM II,III,IV,V,VI DOUGLAS MEADE W. 64 MIDDLESEX TPK BURLINGTON MA 01803 4/5/2020 / / DVM II,III,IV,V,VI SUSAN MEANEY ATLANTIC VETERINARY HOSPITAL 10 OCEAN AVE MARBLEHEAD MA 01945 10/24/2019 / / DVM II,III,IV,V,VI J MEDCRAFT RICHARD MAIN STREET VETERINARY HOSPITAL 825 MAIN STREET MILLIS MA 02054 4/29/2019 / / DVM II,III,IV,V,VI JULIE MEDLEY M. CHESTNUT STREET ANIMAL HOSPITAL, INC. 334 CHESTNUT STREET NEEDHAM MA 02192 2/20/2021 / / DVM II,III,IV,V,VI KARA MEEHAN ANNE NEWBURY ANIMAL HOSPITAL 96 HANOVER ST NEWBURY MA 01951 9/13/2017 / / DVM II,III,IV,V,VI TRACY MEEHAN A 31 LEXINGTON ROAD BILLERICA MA 01821 3/21/2019 / / DVM II,III,IV,V,VI CHRISTOPHER MEEHL BRYAN 70 MAIN ST. LYNNFIELD MA 019402511 8/8/2019 / / DVM II,III,IV,V,VI ALETT MEKLER R. 110 COMMERCIAL ST. # 2- FOUR PAWS MOBILITY BOSTON MA 02109 1/13/2020 / / DVM II,III,IV,V,VI LAUREN MELLE N 45 SW MAIN STREET DOUGLAS MA 01516 7/22/2021 / / DVM II,III,IV,V,VI VICTORIA MELLO RHEA VETERINARY EMERGENCY GROUP-NEWTON 165 NEEDHAM STREET NEWTON MA 02464 8/6/2021 / / DVM II,III,IV,V,VI JOYCE MELLON L VCA PALMER ANIMAL HOSPITAL 1028 THORNDIKE STREET PALMER MA 01069 8/26/2021 / / DVM II,III,IV,V,VI REBEKAH MENSE ALYSE MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT RD WOBURN MA 01801 2/27/2018 / / DVM II,III,IV,V,VI CAROLYN MERCHANT EW LAP OF LOVE VETERINARY 26 GREEN STREET GLOUCESTER MA 01930 1/22/2020 / / DVM II,III,IV,V,VI MEAGAN MERINDER A CHELMSFORD ANIMAL HOSPITAL 11 FLETCHER STREET CHELMSFORD MA 01824 4/8/2021 / / DVM II,III,IV,V,VI RUTH MEROLA FINE WALTHAM VETERINARY HOSPITAL 265 LEXINGTON STREET WALTHAM MA 02154 11/14/2019 / / DVM II,III,IV,V,VI GREGORY MERTZ A CAPE WILDLIFE CENTER 4011 MAIN ST BARNSTABLE MA 02630 3/15/2017 / / DVM II,III,IV,V,VI GREGORY MERTZ A NEW ENGLAND WILDLIFE CENTER 500 COLUMBIAN ST. S. WEYMOUTH MA 02190 8/24/2020 / / DVM II,III,IV,V,VI ALEXIS MESSLER CECILIA LEXINGTON VETERINARY ASSOCIATES 511 WALTHAM AVE LEXINGTON MA 02421 4/15/2019 / / DVM II,III,IV,V,VI BERNARD MEUNIER J TOWNSEND VETERINARY HOSPITAL, INC. 354 MAIN STREET TOWNSEND MA 01469 1/13/2020 / / DVM II,III,IV,V,VI VIVIAN MEYER D. MONTGOMERY ANIMAL HOSPITAL 219 MONTGOMERY ROAD WESTFIELD MA 01085 4/11/2021 / / DVM II,III,IV,V,VI SARFRAZ MIAN A MERRIMACK ANIMAL HOSPITAL 151 STEDMAN ST LOWELL MA 01851 12/21/2020 / / DVM II,III,IV,V,VI JENNIFER MICHAELS R ANGELL ANIMAL MEDICAL CENTER 350 S HUNTINGTON AVE BOSTON MA 02130 7/8/2019 / / DVM II,III,IV,V,VI JESSICA MICHALEK DANVERS ANIMAL HOSPITAL 367 MAPLE STREET DANVERS MA 01923 6/18/2021 / / DVM II,III,IV,V,VI

Page 96 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

KRISTINE MIENTKA LEE HEAL VETERINARY CLINIC 150 BLEMONT ST WATERTOWN MA 02472 6/28/2021 / / DVM II,III,IV,V,VI ANITA MIGDAY M SLADE VETERINARY HOSPITAL, INC. 334 CONCORD STREET FRAMINGHAM MA 01702 11/14/2019 / / DVM II,III,IV,V,VI KRISTAL MILES ANN 16 LOGAN PATH NORTH GRAFTON MA 01536 6/18/2018 / / DVM II,III,IV,V,VI MARIA MILLER L THE RUFF HOUSE 7 LITTERTON ROAD UNIT E2 WESTFORD MA 01886 6/30/2020 / / DVM II,III,IV,V,VI ANNE MINIHAN CATHERINE CAPE COD VETERINARY SPECIALISTS 79 THEOPHILUS SMITH RD SOUTH DENNIS MA 02660 8/23/2017 / / DVM II,III,IV,V,VI SHANNA MINIOR B OFFSHORE ANIMAL HOSPITAL 11 CROOKED LANE NANTUCKET MA 02554 10/8/2019 / / DVM II,III,IV,V,VI CYNTHIA MINTER ANNE MSPCA-ANGELL 350 HUNTINGTON AVE BOSTON MA 02130 6/27/2019 / / DVM II,III,IV,V,VI GABRIELLE MINTER ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 8/6/2021 / / DVM II,III,IV,V,VI NICOLE MIRABELLA ELIZABETH MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT ROAD WOBURN MA 01801 5/23/2019 / / DVM II,III,IV,V,VI ASHLEY MIRANDA MICHELLE COUNTRY SIDE VETERINARY HOSPITAL 289 LITTLETON ROAD CHELMSFORD MA 01824 7/26/2021 / / DVM II,III,IV,V,VI SUSAN MITCHELL B. 194 BALL HILL ROAD P.O 527 PRINCETON MA 01541 3/2/2020 / / DVM II,III,IV,V,VI KERRI MITTON L KERRI MITTON, DVM INC. 22 HOLDEN SHIRLEY MA 01464 5/8/2017 / / DVM II,III,IV,V,VI ANDREA MODERI B PORTER SQUARE VET 360 SUMMER STREET SOMERVILLE MA 02144 3/10/2021 / / DVM II,III,IV,V,VI RHEA MOHAMMED KARINA PLEASANT VALLEY ANIMAL HOSPITAL 21 JACKSON STREET METHUEN MA 01844 7/9/2019 / / DVM II,III,IV,V,VI CHRISTINE MONROE M FRAMINGHAM ANIMAL HOSPITAL 1415 EDGELL ROAD FRAMINGHAM MA 01701 11/17/2019 / / DVM II,III,IV,V,VI PAULA MONTE DAVIS 27 SARAH LAWRENCE ROAD SANDWICH MA 02563 2/18/2021 / / DVM II,III,IV,V,VI BRIAN MOORE J VCA WESTBORO ANIMAL HOSPITAL 155 TURNPIKE ROAD WESTBOROUGH MA 01581 12/16/2018 / / DVM II,III,IV,V,VI MICHAEL MOORE JOHN 91 WILLOW STREET YARMOUTH PORT MA 02675 3/15/2017 / / DVM II,III,IV,V,VI MICHAEL MOORE JOHN WOODS HOLE OCEANOGRAPHIC INSTITUTION MS 50 BIOLOGY DEPT 266 WOODS HOLE ROAD WOODS HOLE MA 02563 4/28/2020 / / DVM II,III,IV,V,VI SHARI MORANA L. COMMUNITY ANIMAL HOSPITAL 15 CLEWS STREET SHREWSBURY MA 01545 11/21/2019 / / DVM II,III,IV,V,VI JAMES MORAWSKI NORTH VCA LANCASTER ANIMAL HOSPITAL 456 HIGH STREET, EXT. SUITE A LANCASTER MA 01523 11/27/2020 / / DVM II,III,IV,V,VI KATHRYN MORAWSKI MARIE VCA WESTBORO ANIMAL HOSPITAL 155 TURNPIKE ROAD WESTBOROUGH MA 01581 11/20/2020 / / DVM II,III,IV,V,VI CLIFFORD MORCOM B MILL VALLEY VET CLINIC 224 MILL VALLEY ROAD BELCHERTOWN MA 01007 3/30/2020 / / DVM II,III,IV,V,VI DANIEL MORDARSKI CHARLES NEW ENGLAND ANIMAL MEDICAL CENTER 595 WEST CENTER ST. WEST BRIDGEWATER MA 02379 9/3/2020 / / DVM II,III,IV,V,VI LAUREN MORENO Y HUBBARDSTON VETERINARY CLINIC 48 GARDNER ROAD HUBBARDSTON MA 01452 11/16/2019 / / DVM II,III,IV,V,VI MAYRAV MORESHET CRADL 100 BINNEY ST BOSTON MA 02142 11/26/2018 / / DVM II,III,IV,V,VI NATALIE MORGAN ROSE ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 5/19/2020 / / DVM II,III,IV,V,VI KELLY MORIN ANN SOMERVILLE VETERINARY CENTER 314 HIGHLAND AVE. SOMERVILLE MA 02143 8/12/2020 / / DVM II,III,IV,V,VI JILLIAN MORLOCK ROSE COMMUNITY ANIMAL HOSPITAL 15 CLEWS ST SHREWSBURY MA 01545 7/20/2021 / / DVM II,III,IV,V,VI ALAN MORRIS STEPHEN WEST ROXBURY ANIMAL HOSPITAL, INC. 1964 CENTRE STREET WEST ROXBURY MA 02132 3/30/2021 / / DVM II,III,IV,V,VI BRODIE MORRIS JAMIES VCA WAKEFIELD ANIMAL HOSPITAL 19 MAIN STREET WAKEFIELD MA 01880 12/10/2020 / / DVM II,III,IV,V,VI ELISABETH MORRIS MORRIS VETERINARY ASSOCIATES 15 APPLE STREET SHERBORN MA 01770 12/7/2019 / / DVM II,III,IV,V,VI JOANNE MORRIS B MASSACHUSETTS GENERAL HOSPITAL 149 13TH ST RM 524 CHARLESTOWN MA 02129 7/19/2017 / / DVM II,III,IV,V,VI NANCY MORRIS A MASS VETERINARY CARDIOLOGY SERVICES INC 305 SUFFIELD ST AGAWAM MA 01001 1/9/2018 / / DVM II,III,IV,V,VI JOANNE MORRISON 375 OLD POST ROAD WORTHINGTON MA 01267 11/21/2019 / / DVM II,III,IV,V,VI SUSAN MORRISON A. WEYMOUTH VETERINARY HOSPITAL 595 COLUMBIAN ST. SOUTH WEYMOUTH MA 02190 7/29/2021 / / DVM II,III,IV,V,VI THOMAS MORRISON JOSEPH COAST TO COAST CARDIOLOGY 123 WOODCLIFF ROAD NEWTON MA 02461 6/10/2020 / / DVM II,III,IV,V,VI SHEILA MORRISSEY E. NORTH COUNTY VETERINARY CLINIC, INC. 1182 BERNARDSTON ROAD GREENFIELD MA 01301 11/25/2019 / / DVM II,III,IV,V,VI RICHARD MOSCHELLA A 200 MECHANIC ST FOXBORO MA 02035 12/16/2019 / / DVM II,III,IV,V,VI MARIANNE MOSELEY L MILLBURY ANIMAL CLINIC 12 NICOLE DRIVE MILLBURY MA 01527 3/9/2021 / / DVM II,III,IV,V,VI BRADLEY MOSES LYNN VCA ROBERTS ANIMAL HOSPITAL 516 WASHINGTON ST. HANOVER MA 02339 1/9/2021 / / DVM II,III,IV,V,VI CHERYL MOSS LEE 1285 CENTRAL ST. LEOMINSTER MA 01543 12/19/2019 / / DVM II,III,IV,V,VI SUE MOWCOMBER ELLEN FAMILY PET VETERINARY SERVICES, LLC 697 TEMPLETON RD ATHOL MA 01331 8/19/2020 / / DVM II,III,IV,V,VI KATHERINE MOYNIHAN E NATICK ANIMAL CLINIC 121 WEST CENTRAL STREET NATICK MA 01760 5/29/2018 / / DVM II,III,IV,V,VI ERIKA MUELLER R 141 GREENFIELD ROAD SOUTH DEERFIELD MA 01373 8/13/2021 / / DVM II,III,IV,V,VI KATHRYN MUELLER GRAHAM MSPCA ANGELL WEST 293 2ND AVENUE WALTHAM MA 02451 7/6/2018 / / DVM II,III,IV,V,VI EILEEN MULCAHY 1285 CENTRAL STREET LEOMINSTER MA 01453 5/6/2019 / / DVM II,III,IV,V,VI

Page 97 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

GUY MULDER BOARDMAN CHARLES RIVER LABORATORIES 251 BALLARDVALE ST WILMINGTON MA 01887 11/17/2020 / / DVM II,III,IV,V,VI CHELSEY MULLEN ANN MILL VALLEY VETERINARY CLINIC 224 MILL VALLEY RD. BELCHERTOWN MA 01007 7/24/2020 / / DVM II,III,IV,V,VI LISA MULRYAN Y MT. WACHUSETT VETERINARY HOSPITAL 11 MAYO DRIVE HOLDEN MA 01520 11/23/2019 / / DVM II,III,IV,V,VI AMY MUNSON B EAST BAY ANIMAL HOSPITAL 643 FALL RIVER AVE SEEKONK MA 02771 1/7/2021 / / DVM II,III,IV,V,VI CHRISTOPHER MURDOCK JEREMY NEW ENGLAND EQUINE SERVICES 72 ASH ST REHOBOTH MA 02769 12/20/2017 / / DVM II,III,IV,V,VI ELIZABETH MURDOCK ANNE EAST BAY ANIMAL HOSPITAL 643 FALL RIVER AVENUE SEEKONK MA 02771 3/27/2020 / / DVM II,III,IV,V,VI ANITA MURPHY S. 392 C BALL HILL RD PRINCETON MA 01541 12/27/2019 / / DVM II,III,IV,V,VI BARTHOLOMEW MURPHY M WESTSIDE ANIMAL CLINIC 262 MILL ST. WORCESTER MA 01602 3/11/2019 / / DVM II,III,IV,V,VI GILLIAN MURPHY MARIE HARBOR ANIMAL HOSPITAL 288 MARKET ST. WARREN RI 02885 7/27/2018 / / DVM II,III,IV,V,VI WILLIAM MURPHY P PILGRIM ANIMAL HOSPITAL 72 SAMOSET STREET PLYMOUTH MA 02360 9/8/2021 / / DVM II,III,IV,V,VI TYLER MURPHY-TUCKER MARIE ARLINGTON ANIMAL CLINIC 191 BROADWAY ARLINGTON MA 02474 8/19/2019 / / DVM II,III,IV,V,VI MAUREEN MURRAY E WILDLIFE CLINIC TUFTS UNIVERSITY CUMMINGS SCHOOL OF VET ME 200 WESTBORO ROAD N GRAFTON MA 01536 3/18/2021 / / DVM II,III,IV,V,VI MICHELLE MURRAY LEILA ZARIF VETERINARY ASSOCIATES OF CAPE COD 16 COMMONWEALTH AVE. S. YARMOUTH MA 02664 12/1/2019 / / DVM II,III,IV,V,VI JACK MUTH PHILIP HAMPDEN VETERINARY CLINIC 28 SOMERS RD HAMPDEN MA 01036 1/8/2020 / / DVM II,III,IV,V,VI MARIA MUTTY S ACOAXET VETERINARY CLINIC 965 SANFORD ROAD WESTPORT MA 02790 2/10/2020 / / DVM II,III,IV,V,VI GEORGE MYERS D 367 MAPLE ST. DANVERS MA 01923 2/17/2019 / / DVM II,III,IV,V,VI HAE SEO NA VCA WESTBROUGH ANIMAL HOSPITAL 155 TURNPIKE ROAD WESTBOROUGH MA 01581 9/7/2021 / / DVM II,III,IV,V,VI YUKI NAKAYAMA TUFTS AT TECH VETERINARY CLINIC 1 SKYLINE DR WORCESTER MA 01605 10/23/2020 / / DVM II,III,IV,V,VI NATASHA NANDA VCA BROOKLINE 678 BROOKLINE AVE BROOKLINE MA 02445 2/18/2020 / / DVM II,III,IV,V,VI KELSEY NANNIG SHEA VCA CITY CATS HOSPITAL 665 MASS AVE BROOKLINE MA 02445 10/28/2019 / / DVM II,III,IV,V,VI TUMKUR NARASIMHAN R ANIMAL HEALTH CENTER OF SALISBURY 59 LAFAYETTE RD SALISBURY MA 01952 4/11/2021 / / DVM II,III,IV,V,VI JENNIFER NARBONNE ANN CAPE COD EQUINE ASSOCIATES OFFICE 482 MAIN STREET MASHPEE MA 02649 4/3/2017 / / DVM II,III,IV,V,VI RADU NASTASE 30 LISE CIRCLE SUFFIELD CT 06078 12/16/2018 / / DVM II,III,IV,V,VI AMANDA NEE JILL BILMAR VETERINARY SERVICES 776 S. MAIN ST. GREAT BARRINGTON MA 01230 7/30/2020 / / DVM II,III,IV,V,VI ABIGAIL NEEDLEMAN BULGER VETERINARY HOSPITAL 141 WINTHROP AVENUE LAWRENCE MA 01843 9/14/2021 / / DVM II,III,IV,V,VI EMILY NEENAN A. 257 BROADWAY SOMERVILLE MA 02145 11/25/2019 / / DVM II,III,IV,V,VI ALLISON NEESE S. DENNIS VETERINARY HOSPITAL 425 MAIN STREET DENNIS PORT MA 02639 6/26/2021 / / DVM II,III,IV,V KATIE NEIL MUDDY CREEK ANIMAL CARE CENTER 993 HAVERHILL STREET ROWLEY MA 01969 11/5/2020 / / DVM II,III,IV,V,VI ALEXANDRA NEMETH C COMMUNITY ANIMAL HOSPITAL 15 CLEWS ST SHREWSBURY MA 01545 8/27/2020 / / DVM II,III,IV,V,VI LESLIE NEVILLE BOERNER 117 EAST BARE HILL ROAD HARVARD MA 01451 3/6/2020 / / DVM II,III,IV,V,VI CHARLOTTE NEWELL M. 16 HILLSVILLE ROAD NORTH BROOKFIELD MA 01535 7/1/2019 / / DVM II,III,IV,V,VI CHRISTINA NEWLIN KAJSA ANIMAL RESCUE LEAGUE OF BOSTON 10 CHANDLER STREET BOSTON MA 02116 11/4/2019 / / DVM II,III,IV,V,VI ARTHUR NEWMAN RICHARD VET PET PALS INC. 59 BELLEVUE DRIVE PLYMOUTH MA 02360 3/24/2019 / / DVM II,III,IV,V,VI EMILY NEWMAN DIX BILMAR VETERINARY SERVICES 776 MAIN STREET GREAT BARRINGTON MA 01230 8/26/2021 / / DVM II,III,IV,V,VI WARREN NEWMAN S. 114A COMMERCE WAY WOBURN MA 01801 8/11/2017 / / DVM II,III,IV,V,VI SARAH NEWTON 49 HAVENS ROAD NEW BRAINTREE MA 01531 12/18/2018 / / DVM II,III,IV,V,VI YOLLANDA NG SOUTH BOSTON ANIMAL HOSPITAL 9 WEST BROADWAY SOUTH BOSTON MA 02171 12/9/2019 / / DVM II,III,IV,V,VI DEBORAH NICHOLSON VEO UXBRIDGE ANIMAL HOSPITAL 510 WEST HARTFORD AVE UXBRIDGE MA 01569 7/6/2021 / / DVM II,III,IV,V,VI ROBERT NICHOLSON J POST ROAD VETERINARY HOSPITAL 154 STURBRIDGE RD CHARLTONUPTON MA 0150701568 9/20/2020 / / DVM II,III,IV,V,VI KATHRYN NICKERSON MCCALLUM BELVIDERE VETERINARY HOSPITAL 215 MANSUR ST LOWELL MA 01852 8/26/2018 / / DVM II,III,IV,V,VI JESSICA NICKLESS HAVE A HEART ANIMAL HOSPITAL 764 BROADWAY HAVERHILL MA 01832 5/12/2021 / / DVM II,III,IV,V,VI MARY ANN NIEVES BLUE PEARL VETERINARY PARTNERS. 180 BEARHILL ROAD WALTHAM MA 02454 9/12/2020 / / DVM II,III,IV,V,VI HODA NIKPOUR NEW ENGLAND ANIMAL MEDICAL CENTER 595 WEST CENTER STREET WEST BRIDGEWATER MA 02379-1529 5/20/2019 / / DVM II,III,IV,V,VI MENG NING READING ANIMAL CLINIC 1312 MAIN ST. READING MA 01867 10/5/2020 / / DVM II,III,IV,V,VI NATTAMON NOIMANEEWAN RAPOSO 363 TREMONT STREET BOSTON MA 02116 10/19/2020 / / DVM II,III,IV,V,VI BRENDAN NOONAN PATRICK ANGELL ANIMAL MEDICAL CENTER AVION & EXOT. 350 SOUTH HUNTINGTON STREET BOSTON MA 02130 10/20/2020 / / DVM II,III,IV,V,VI TERRI NORD L. MILLIS ANIMAL HOSPITAL 1175 MAIN STREET MILLIS MA 02054 12/1/2017 / / DVM II,III,IV,V,VI

Page 98 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

WILLIAM NORELLI J. SHIRLEY ANIMAL CLINIC 38 PARKER ROAD SHIRLEY MA 01464 6/12/2020 / / DVM II,III,IV,V,VI CHRISTOPHER NORKUS LEIGHTON 44 CRITTENDEN HILL RD SHELBURNE MA 01370 10/18/2020 / / DVM II,III,IV,V,VI CAITLIN NORMINGTON ANNE WHOLE PET VETERINARY CENTER 270 LITTLETON ROAD, SUITE 20 WESTFORD MA 01886 5/19/2020 / / DVM II,III,IV,V,VI KELLY NORRIS L. BANFIELD PET HOSPITAL 85 MAIN ST STONEHAM MA 02180 3/9/2021 / / DVM II,III,IV,V,VI PAULA NORTHROP J 20 MOCKINGBIRD LN MAYNARD MA 01754 1/5/2020 / / DVM II,III,IV,V,VI JOHN NOSTRANT FREDERICK NORTH BRIDGE EQUINE ASSOCIATES 1487 MONUMENT STREET CONCORD MA 01742 8/17/2021 / / DVM II,III,IV,V,VI LISA NOWICKI ANNE VETERINARY EMERGENCY & SPECIALTY HOSPITAL 141 GREENFIELD ROAD SOUTH DEERFIELD MA 01373 6/11/2019 / / DVM II,III,IV,V,VI MARTIN NUGENT F 216 CAMBRIDGE RD. WOBURN MA 01801 12/7/2018 / / DVM II,III,IV,V,VI LINDSAY NUSSBAUM 31 STOUGHTON STREET MEDFORD MA 02155 1/14/2021 / / DVM II,III,IV,V,VI ANNE NUTTALL EAST BAY ANIMAL HOSPITAL 643 FALL RIVER AVENUE SEEKONK MA 02771 11/30/2019 / / DVM II,III,IV,V,VI CAROL NYEREGONA VET PET CHECK 100 MASSMILLS DRIVE #508 LOWELL MA 01852 2/11/2019 / / DVM II,III,IV,V,VI CHERYL NYGARD ANN 461 PATRIOTS ROAD TEMPLETON MA 01468 1/20/2020 / / DVM II,III,IV,V,VI BARBARA ANN NYGARD-BESSE HILLTOP ANIMAL CLINIC 1485 MAIN STREET LEICESTER MA 01524 7/18/2020 / / DVM II,III,IV,V,VI MICHAEL NYSTROM ATTLEBORO VETINARY CLINIC 179 N. MAIN ST ATTLEBORO MA 02703 10/6/2020 / / DVM II,III,IV,V,VI SUSAN O'BELL AUBREY ANGELL ANIMAL MEDICAL CENTER 350 S. HUNTINGTON AVENUE BOSTON MA 02130 8/12/2021 / / DVM II,III,IV,V,VI DESTINY O'BRIEN I 1014 PEARL ST. BROCKTON MA 02301 7/25/2020 / / DVM II,III,IV,V,VI JILL O'BRIEN PAULINE MATTAPOISETT ANIMAL HOSPITAL 91 COUNTY ROAD MATTAPOISETT MA 02739 12/19/2019 / / DVM II,III,IV,V,VI LAUREN O'BRIEN D. 14 SAINT BRENDAN RD DORCHESTER MA 02124 7/18/2019 / / DVM II,III,IV,V,VI DENICE O'CONNELL MICHELE ABBVIE BIORESERACH CENTER BIORESOURCES DEPARTMENT 100 RESEARCH DRIVE WORCESTER MA 01605 8/1/2019 / / DVM II,III,IV,V,VI CYNTHIA O'CONNOR EAST BRIDGEWATER VETERINARY HOSPITAL, INC 302 NORTH BEDFORD E. BRIDGEWATER MA 02333 11/14/2019 / / DVM II,III,IV,V,VI LORRAINE O'CONNOR 470 OLD BILLERICA RD. BEDFORD MA 01730 4/9/2018 / / DVM II,III,IV,V,VI SUSAN O'DELL D. 26 HABERHILL ROAD AMESBURY MA 01913 4/6/2021 / / DVM II,III,IV,V,VI BRIDGET O'DONNELL CAPEWAY VETERINARY HOSPITAL OF FAIRHAVEN 171 BRIDGE ST FAIRHAVEN MA 02719 7/23/2018 / / DVM II,III,IV,V,VI BRIDGET O'DONNELL CARA CAPEWAY VETERINARY HOSPITAL 171 BRIDGE STREET FAIRHAVEN MA 02719 1/30/2019 / / DVM II,III,IV,V,VI CATHLEEN O'DONNELL 136 COURT STREET PLYMOUTH MA 02360 10/8/2020 / / DVM II,III,IV,V,VI CATHLEEN O'DONNELL 136 COURT STREET PLYMOUTH MA 02360 10/8/2020 / / DVM II,III,IV,V,VI ALISON O'HAGAN J. UXBRIDGE ANIMAL HOSPITAL 510 WEST HARTFORD AVE UXBRIDGE MA 01569 6/26/2020 / / DVM II,III,IV,V,VI KATHLEEN O'HARA C ANGELL ANIMAL MEDICAL DENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 12/28/2018 / / DVM II,III,IV,V,VI MARY-BETH O'LEARY SUTTON ANIMAL HOSPITAL 38 OAKHURST ROAD SUTTON MA 01590 3/1/2020 / / DVM II,III,IV,V,VI NANCY O'LEARY J WORCESTER CAT HOSPITAL & BIRD CLINIC 347 PARK AVE WORCESTER MA 01610 1/17/2019 / / DVM II,III,IV,V,VI TIMOTHY O'LEARY JAMES VCA WAKEFIELD ANIMAL HOSPITAL 60A AUDUBON ROAD WAKEFIELD MA 01880 9/22/2021 / / DVM II,III,IV,V,VI ERIKA O'MARA TEUTSCH ALLEN HEIGHTS VETERINARY HOSPITAL 289 DALTON AVE PITTSFIELD MA 01201 3/21/2019 / / DVM II,III,IV,V,VI ALLISON O'NEIL LYNNE COMPASSIONATE CARE VETERINARY SERVICES 497 MAIN ST. SUITE F GROTON MA 01450 1/25/2021 / / DVM II,III,IV,V,VI LYNNE O'NEIL LOUISE COMPASSIONATE CARE VETERINARY SERVICES INC 497 MAIN ST SUITE E GROTON MA 01450 1/10/2019 / / DVM II,III,IV,V,VI SUSAN O'NEILL M. 131-9 WASHINGTON STREET AUBURN MA 01501 1/17/2020 / / DVM II,III,IV,V,VI ERIN O'REAR TERESA FRESH POND ANIMAL HOSPITAL 15 FLANDERS ROAD BELMONT MA 02478 6/15/2020 / / DVM II,III,IV,V,VI AMANDA O'SHEA ELISE WRENTHAM ANIMAL HOSPITAL 5 LEDGERVIEW WAY WRENTHAM MA 02093 10/17/2019 / / DVM II,III,IV,V,VI MARY-KATE O'TOOLE ANGELL AT NASHOBA 100 LITTLETON ROAD WESTFORD MA 01886 6/23/2021 / / DVM II,III,IV,V,VI THERESE O'TOOLE E 35 LEACH LANE NATICK MA 01760 6/11/2019 / / DVM II,III,IV,V,VI ERIN OAKHAM C CAPEWAY VETERINARY HOSPITAL OF FAIRHAVEN 171 BRIDGE ST. FAIRHAVEN MA 02719 5/8/2020 / / DVM II,III,IV,V,VI CARA OBADOWSKI VCA NORTHBORO ANIMAL HOSPITAL 286 WEST MAIN ST. NORTHBORO MA 01532 4/1/2019 / / DVM II,III,IV,V,VI KAREN OBER M SUTTON ANIMAL HOSPITAL 38 OAKHURST ROAD SUTTON MA 01590 11/18/2019 / / DVM II,III,IV,V,VI MICHELLE OBERMAN VCA LYNNFIELD ANIMAL HOSPITAL 1 BAY STATE ROAD LYNNFIELD MA 01940 6/28/2021 / / DVM II,III,IV,V,VI MARK OLDHAM MASHPEE VETERINARY HOSPITAL 430 GREAT NECK ROAD MASHPEE MA 02649 4/14/2020 / / DVM II,III,IV,V,VI ELYSE OLENCHONOWICZ VCA SOUTH SHORE WEYMOUTH ANIMAL HOSPITAL 595 COLUMBIAN STREET SOUTH WEYMOUTH MA 01290 10/8/2020 / / DVM II,III,IV,V,VI NAOMI OLIVER G METRO CAT HOSPITAL 1630 BEACON ST. BROOKLINE MA 02446 6/14/2020 / / DVM II,III,IV,V,VI ELIZABETH OLSEN B 285 RIVER ROAD HUDSON MA 01749 3/18/2020 / / DVM II,III,IV,V,VI

Page 99 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

VICTORIA OLSON MARIE FORESTDALE VETERINARY CLINIC 2 ROUTE 130 FORESTDALE MA 02644 12/12/2020 / / DVM II,III,IV,V,VI AMAMDA OPPOLD ARLINGTON ANIMAL CLINIC 191 BROADWAY ARLINGTON MA 02474 6/23/2021 / / DVM II,III,IV,V,VI ELIZABETH ORAM NORWOOD ANIMAL HOSPITAL 437 WALPOLE ST. NORWOOD MA 02062 8/9/2021 / / DVM II,III,IV,V,VI MICHELLE ORANGES ANN ANGELL ANIMAL MEDICAL CENTER-BOSTON 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 6/15/2018 / / DVM II,III,IV,V,VI SHAD ORECHOVESKY ANDREW RIVERLIN ANIMAL HOSPITAL 287 RIVERLIN ST MILBURY MA 01527 6/20/2018 / / DVM II,III,IV,V,VI ANTONIETTA ORLANDI MARIA ADAVET VETERINARY CLINIC 84 ANDREW AVE WAYLAND MA 01778 4/3/2020 / / DVM II,III,IV,V,VI RACHEL ORLOWSKI NICOLE 163 EAST STREET TEWKSBURY MA 01876 10/22/2020 / / DVM II,III,IV,V,VI AMBER ORR MAIKEKAI RENEE CAPE ANN VETERINARY HOSPITAL 462 ESSEX AVE GLOUCESTER MA 01930 12/12/2018 / / DVM II,III,IV,V,VI BIANCA ORTOLANI R KINDNESS ANIMAL HOSPITAL 20 LINDEN ST WALTHAM MA 02452 3/21/2019 / / DVM II,III,IV,V,VI CORYNNE ORZECH MULCAHY AYER ANIMAL MEDICAL CENTER 196 WEST MAIN STREET AYER MA 01432 6/24/2019 / / DVM II,III,IV,V,VI JOANNE OSCAR R HANSON ANIMAL HOSPITAL 705 MAIN STREET HANSON MA 02341 1/19/2020 / / DVM II,III,IV,V,VI CAITLIN OWEN EDANA SOUTH SHORE EQUINE CLINIC 15 PALMER RD PLYMOUTH MA 02367 1/11/2018 / / DVM II,III,IV,V,VI ELIZABETH OWEN GAIL RIVERSIDE VETERINARY CLINIC 664 RIVERSIDE AVENUE HAVERHILL MA 01830 2/14/2020 / / DVM II,III,IV,V,VI ADAM PAGE REED J.M. PET RESORT AND PET VET CLINIC 1014 PEARL ST BROCKTON MA 02301 1/4/2021 / / DVM II,III,IV,V,VI MEAGAN PAINTER MSPCA ANGELL WEST 293 SECOND AVENUE WALTHAM MA 02451 11/9/2020 / / DVM II,III,IV,V,VI NATASHA PAKRAVAN REBECCA CAPECOD VETERINARY SPECIALISTS 11 BOURNE BRIDGE APPROACH BUZZARD BAY MA 02532 10/4/2018 / / DVM II,III,IV,V,VI NATASHA PAKRAVAN REBECCA TUFTS VETS 525 SOUTH STREET WALPOLE MA 02081 3/25/2021 / / DVM II,III,IV,V,VI SAMANTHA PALERMO ASHLEY NATICK ANIMAL CLINIC 121 W CENTRAL STREET NATICK MA 01760 6/3/2019 / / DVM II,III,IV,V,VI KENNETH PALLADINO JOSPEPH MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT ROAD WOBURN MA 01801 5/6/2019 / / DVM II,III,IV,V,VI LORI PALLEY S MASS GENERAL HOSPITAL CENTER FOR COMPARATIVE MEDICINE 149 13TH STREET, BLD 149-8TH FL ANIMAL FAC CHARLESTOWN MA 02129 7/1/2019 / / DVM II,III,IV,V,VI FOSTER PALMER K C/O DEER RUN VETERINARY SERVICES 168 TEATICKET HIGHWAY EAST FALMOUTH MA 02536 6/19/2021 / / DVM II,III,IV,V JENNIFER PALMER LYNN MSPCA-ANGELL WEST 293 SECOND AVE WALTHAM MA 02451 1/11/2021 / / DVM II,III,IV,V,VI ANNABELLA PALOPOLI VCA CITY CATS 665 MASSACHUSETTS AVE ARLINGTON MA 02476 8/6/2021 / / DVM II,III,IV,V,VI VAISHALI PANCOAST KAMATH BAY STATE VETERINARY EMERGENCY SERVICES 76 BAPTIST STREET SWANSEA MA 02777 2/18/2020 / / DVM II,III,IV,V,VI DANA PANTANO M BLACK POND VETERINARY SERVICE 229 LINCOLN ST. NORWELL MA 02061 2/18/2021 / / DVM II,III,IV,V,VI IRENE PAPAMITROU SHEPHERD VETERINARY CLINIC 17 CODMAN HILL ROAD BOXBOROUGH MA 01719 12/23/2019 / / DVM II,III,IV,V,VI KERRI PAPANICHOLAS LYNN VETERINARY URGENT CARE CENTER 34 LONG POND ROAD PLYMOUTH MA 02360 4/28/2020 / / DVM II,III,IV,V,VI LORI PAPORELLO L NORTHAMPTON VETERINARY CLINIC LLC 190 NONOTUCK ST SUITE 105 NORTHAMPTON MA 01062 12/27/2020 / / DVM II,III,IV,V,VI VICTORIA PAPSCOE A INTERGRATIVE ANIMAL HEALTH CENTER 556 MAIN ST. BOLTON MA 01740 1/30/2021 / / DVM II,III,IV,V,VI KATIE PARENT BESS GREAT ROAD VETERINARY HOSPITAL 272 GREAT ROAD ACTON MA 01720 7/18/2020 / / DVM II,III,IV,V,VI GRACIELA PARK C SECOND CHANCE ANIMAL WELLNESS CENTER 372 N. MAIN ST NORTH BROOKFIELD MA 01535 3/8/2021 / / DVM II,III,IV,V,VI ADAM PARKER C PORTER SQUARE VETERINARIAN 360 SUMMER STREET SOMERVILLE MA 02144 11/17/2019 / / DVM II,III,IV,V,VI SAMARA PARKER LANE 24 BEACON STREET ST. AUGUSTINE FL 32084 12/3/2020 / / DVM II,III,IV,V,VI WENDY PARKIS K INTEGRATIVE ANIMAL HEALTH CENTER 556 MAIN ST BOLTON MA 01740 3/20/2019 / / DVM II,III,IV,V,VI AUDREY PARKS CENTRAL ANIMAL HOSPITAL 109 CENTRAL STREET STONEHAM MA 02180 3/18/2021 / / DVM II,III,IV,V,VI DAYLE PARNELL-LAMPEN ANNE WESTFORD VETERINARY EMERGENCY AND REFERRAL 11 CORNERSTONE SQUARE WESTFORD MA 01886 7/3/2020 / / DVM II,III,IV,V,VI HENRIETTA PARNELL-TURNER CAPE COD VETEINARY SPECIALISTS 11 BOURNE BRIDGE APPROACH BOURNE MA 02532 7/21/2017 / / DVM II,III,IV,V,VI BRYAN PARROTT G PARROTT EQUINE ASSOC LLC 1 WINTHROP ST., P.O. BOX 298 HAMILTON MA 01936 1/7/2020 / / DVM II,III,IV,V,VI KAREN PASTOR F MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT ROAD WOBURN MA 01801 9/14/2021 / / DVM II,III,IV,V,VI KELLY PATE M.I.T., DIVISION OF COMPARATIVE MEDICINE 77 MASSACHUSETTS AVENUE., 16-825C CAMBRIDGE MA 02139 1/28/2021 / / DVM II,III,IV,V,VI ROSEANNE PATEY BEZZANT ASHLAND ANIMAL HOSPITAL 10 FOUNTAIN STREET ASHLAND MA 01721 11/30/2021 / / DVM II,III,IV,V,VI GANGADHAR PATIL COMPASSION VETERINARY CLINIC 275 BOSTON POST RD. (E) MARLBOROUGH MA 01752 11/14/2019 / / DVM II,III,IV,V,VI GANGADHAR PATIL KARUNA VETERINARY CLINIC 577 GROVE STREET WORCESTER MA 01605 11/19/2020 / / DVM II,III,IV,V,VI LEONARD PATRICK JOHN 39 WILLOW ROAD NAHANT MA 01908 12/18/2018 / / DVM II,III,IV,V,VI NICHOLE PATTEN WESTSIDE ANIMAL CLINIC 262 MILL STREET WORCESTER MA 01602 7/13/2021 / / DVM II,III,IV,V,VI CHARLES PATTERSON HOWARD SR ROBERTS ANIMAL HOSPITAL 516 WASHINGTON ST HANOVER MA 02339 1/6/2017 / / DVM II,III,IV,V,VI DELANAY PATTERSON FLANIGAN SRH VETERINARY SERVICES 295 HIGH STREET IPSWICH MA 01938 9/22/2021 / / DVM II,III,IV,V,VI

Page 100 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

KAREN PATTI MARIE ARTEMS VETERINARY 343 PLEASANT ST. MARLBOROUGH MA 01752 5/8/2020 / / DVM II,III,IV,V,VI KAREN PATTI MARIE AURORA VETERINARY 343 PLEASANT STREET MARLBOROUGH MA 01752 9/2/2020 / / DVM II,III,IV,V,VI KAREN PATTI MARIE MARLBORO ANIMAL HOSPITAL 441 LAKESIDE AVE MARLBOROUGH MA 01752 1/20/2020 / / DVM II,III,IV,V,VI MARION PATTILLO RAMSAY VCA BOSTON ROAD ANIMAL HOSPITAL 1235 BOSTON ROAD SPRINGFIELD MA 01119 1/31/2019 / / DVM II,III,IV,V,VI TANYA PAUKNER MARIE UNION SQUARE VETERINARY CLINIC 314 HIGHLAND AVE SOMERVILLE MA 02143 5/4/2018 / / DVM II,III,IV,V,VI APRIL PAUL L TUFTS VETERINANY 525 SOUTH STREET WALPOLE MA 02081 1/25/2021 / / DVM II,III,IV,V,VI HALIE PAUL LEANN VCA ABBOTT ANIMAL HOSPITAL 21 E. MOUNTAIN ST. WORCESTER MA 01606 7/21/2020 / / DVM II,III,IV,V,VI JUDITH PAULAUSKI A 77 MESSINA DRIVE BRAINTREE MA 02184 12/19/2019 / / DVM II,III,IV,V,VI KRISHNA PAULSON THANKEY VETERINARY EMERGENCY AND SPECIALTY HOSPITA 141 GREENFIELD RD SOUTH DEERFIEDL 04182018MA01373 MA 7/7/2021 / / DVM II,III,IV,V,VI MICHAEL PAVLETIC MARK ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVENUE BOSTON MA 02130 9/14/2021 / / DVM II,III,IV,V,VI JULIA PAXSON ADAMS 27 FAY MOUNTAIN ROAD GRAFTON MA 01519 3/5/2019 / / DVM II,III,IV,V,VI KATHRYN PEABODY NEW ENGLAND ANIMAL MEDICAL CENTER 595 W CENTER STREET WEST BRIDGEWATER MA 02379 10/8/2020 / / DVM II,III,IV,V,VI EMILY PEARCE CATHERINE VETERINARY EMERGENCY & SPECIALTY HOSPITAL 141 GREENFIELD ROAD SOUTH DEERFIELD MA 01373 8/12/2021 / / DVM II,III,IV,V,VI COURTNEY PECK M MSPCA-ANGELL WEST 293 SECOND AVE WALTHAM MA 02451 8/18/2020 / / DVM II,III,IV,V,VI PENNY PECK M. HAMPDEN VETERINARY CLINIC 28 SOMERS RD HAMPDEN MA 01036 6/30/2020 / / DVM II,III,IV,V,VI ADINA PEDROSO G. MASS VETERINARY REFERRAL HOSPITAL 20 CABOT ROAD WOBURN MA 01801 6/15/2019 / / DVM II,III,IV,V,VI ROGER PEDUZZI JAMES HUDSON ANIMAL HOSPITAL 30 HIGH ST HUDSON MA 01749 11/17/2019 / / DVM II,III,IV,V,VI BETH PELLEGRINI L. VCA ABBOTT ANIMAL HOSPITAL 21 EAST MOUNTAIN STREET WORCESTER MA 01606 6/27/2020 / / DVM II,III,IV,V,VI BETH PELLEGRINI LOUISE 209 SOUTHBRIDGE STREET AUBURN MA 01501 3/18/2021 / / DVM II,III,IV,V,VI BETH PELLEGRINI LOUISE WORCESTER ANIMAL RESCUE LEAGUE 139 HOLDEN ST WORCESTER MA 01601 11/9/2018 / / DVM II,III,IV,V,VI BETH PELLETIER ANN PIONEER VALLEY VETERINARY HOSPITAL 571 BERNARDSTON ROAD GREENFIELD MA 01301 3/14/2019 / / DVM II,III,IV,V,VI CHRISTINE PELLETIER B VCA WAKEFIELD ANIMAL HOSPITAL 19 MAIN STREET WAKEFIELD MA 01880 7/6/2018 / / DVM II,III,IV,V,VI DANIELLE PELLETIER CLAIRE MELROSE ANIMAL CLINIC 26 ESSEX ST. MELROSE MA 02176 2/24/2020 / / DVM II,III,IV,V,VI PAUL PELLETIER O. 36 KIRKLAND DRIVE ANDOVER MA 01810 1/19/2021 / / DVM II,III,IV,V,VI TARYN PENA MARIE ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON BOSTON MA 02130 2/26/2020 / / DVM II,III,IV,V,VI SUZANNE PENCE HAWKINS BACK BAY VETERINARY CLINC 288 NEWBURY ST BOSTON MA 02215 6/27/2018 / / DVM II,III,IV,V,VI JOHN PERDRIZET A 210 LINDEN ST HOLYOKE MA 01040 4/4/2020 / / DVM II,III,IV,V,VI LAURA PEREIRA ANN LITTLETON ANIMAL HOSPITAL 29 KING ST LITTLETON MA 01460 7/25/2017 / / DVM II,III,IV,V,VI JULIANNA PEREZ MARIE ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 1/14/2021 / / DVM II,III,IV,V,VI ELIZABETH PERKINS C. BURLINGTON VETEINARY HOSPITAL 64 MIDDLESEX TPKE BURLINGTON MA 01803 1/31/2021 / / DVM II,III,IV,V,VI SERA PERROTTA CHARLES RIVER LABORATORIES-MASSACHUSETTS 334 SOUTH ST SHREWSBURY MA 01545 4/6/2021 / / DVM II,III,IV,V,VI DANA PERRY JOSEPH MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT RD WOBURN MA 01801 11/12/2020 / / DVM II,III,IV,V,VI JERRY PERRY WILLIAM VCA SOUTH SHOURE ANIMAL HOSPITAL 595 COLUMBIAN STREET SOUTH WEYMOUTH MA 02190 12/9/2019 / / DVM II,III,IV,V,VI MELINDA PERSSON EMMALINE 76 HIGHLAND ST. CANTON MA 02021 3/4/2020 / / DVM II,III,IV,V,VI CAROLE PETERS F NOAHS ARK ANIMAL HOSPITAL 1240 PARK STREET PALMER MA 01069 7/23/2018 / / DVM II,III,IV,V,VI NINA PETERSEN MICHELE MASSACHUSETTS EQUINE CLINIC 75 LOCUST ST UXBRIDGE MA 01569 6/11/2018 / / DVM II,III,IV,V,VI EMILY PETERSON JOY WILLARD VETERINARY CLINIC 176 WILLARD ST. QUINCY MA 02169 7/30/2020 / / DVM II,III,IV,V,VI LISA PETERSON M. 9 MURIEL DRIVE GRANBY CT 06035 6/8/2021 / / DVM II,III,IV,V,VI ABBEY PETRONZIO ANGELL ANIMAL MEDICAL CENTER 350 S. HUNTINGTON AVE BOSTON MA 02130 7/1/2021 / / DVM II,III,IV,V,VI SCOTT PETT DONALD 31 RAILROAD AVENUE S, HAMILTON MA 01982 12/1/2017 / / DVM II,III,IV,V,VI PRISCILLA PETTIT MARY SOUTH COASTAL ANIMAL HEALTH 1389 MAIN STREET WEYMOUTH MA 02190 2/3/2020 / / DVM II,III,IV,V,VI ASHLEY PHILLIPS VICTORIA MUDDY CREEK ANIMAL CARE CENTER 993 HAVEHILL STREET ROWLEY MA 01969 10/28/2019 / / DVM II,III,IV,V,VI BARBARA PHILLIPS C 440 STOCKBRIDGE ROAD GREAT BARRINGTON MA 01230 11/21/2019 / / DVM II,III,IV,V,VI DIANNE PHILLIPS E 20 CABOT ROAD WOBURN MA 01801 5/30/2019 / / DVM II,III,IV,V,VI HEATHER PHILLIPS RAE VCA SOUTHWICK ANIMAL HOSPITAL 498 COLLEGE HIGHWAY SOUTHWICK MA 01077 4/20/2019 / / DVM II,III,IV,V,VI JENNIFER PICARD ELIZABETH CHASE FARM VETERINARY HOSPITAL 35 VENTURA DR DARTMOUTH MA 02747 2/23/2018 / / DVM II,III,IV,V,VI EMILY PICCIOTTO CAPE COD VETERINARY SPECIALISTS 11 BOURNE BRIDGE APPROACH BUZZARDS BAY MA 02532 6/27/2019 / / DVM II,III,IV,V,VI

Page 101 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

CHERYL PICKERING L 120 PIERCE STREET NEW BEDFORD MA 02740 8/1/2020 / / DVM II,III,IV,V,VI NICOLE PICOZZA RENEE BANFIELD PET HOSPITAL 271 UNIVERSITY AVE WESTWOOD MA 02090 9/3/2019 / / DVM II,III,IV,V,VI CATHERINE PIENKOS MONSON SMALL ANIMAL CLINIC 125 PALMER RD MONSON MA 01057 6/10/2019 / / DVM II,III,IV,V,VI KATHERINE PIETSCH M ANCHOR ANIMAL HOSPITAL 750 STATE ROAD DARTMOUTH MA 02747 6/27/2020 / / DVM II,III,IV,V,VI TAMARA PIKULIK V WIGNALL ANIMAL HOSPITAL 1837 BRIDGE ST DRACUT MA 01826 8/14/2017 / / DVM II,III,IV,V,VI TAMARA PIKULIK VALENTINA BELVIDERE ANIMAL HOSPITAL 215 MANSUR ST LOWELL MA 01852 3/19/2018 / / DVM II,III,IV,V,VI KATHERINE PILLSBURY S WHISPERING PINES ANIMAL HOSPITAL DBA CODY PET HOSPITAL, 5 SHARON AVENUE NORFOLK MA 02056 4/27/2021 / / DVM II,III,IV,V,VI ZACHARY PILOSSOPH ALEXANDER ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 6/16/2017 / / DVM II,III,IV,V,VI JULIEANNE PINEL ACORN ANIMAL HOSPITAL 20 EARLS WAY FRANKLIN MA 02038 2/22/2021 / / DVM II,III,IV,V,VI MARY PINO ELISE MALDEN ANIMAL HOSPITAL 231 SALEM STREET MALDEN MA 02148 2/17/2021 / / DVM II,III,IV,V,VI CAROLINE PINSKY ROSE WAYLAND ANIMAL CLINIC 6 WINTER ST. WAYLAND MA 01778 6/23/2020 / / DVM II,III,IV,V,VI MICHELLE PINTO GOULART DIGHTON-REHOBOTH ANIMAL HOSPITAL 2424 WINTHROP STREET N. DIGHTON MA 02764 8/18/2019 / / DVM II,III,IV,V,VI ABIGAIL PISINSKI KNOWLTON VETERINARY ASSOCIATES OF CAPE COD 16 COMMONWEALTH AVE SOUTH YARMOUTH MA 02664 7/23/2021 / / DVM II,III,IV,V,VI JEAN PITCAIRN C CHASE FARM VETERINARY HOSPITAL 35 VENTURA DRIVE N. DARTMOUTH MA 02747 1/1/2021 / / DVM II,III,IV,V,VI KATHLEEN PITTMAN S 11 ELM STREET MEDFIELD MA 02052 11/16/2019 / / DVM II,III,IV,V,VI ALEXANDRA PIVODA MASSACHUSETS VETERINARY REFERRAL HOSPITAL 20 CABOT RD WOBURN MA 01801 6/22/2021 / / DVM II,III,IV,V,VI MARGARET PIWONKA CATHARINE 68 SUNDERLAND ROAD MONTAGUE MA 01351 2/5/2021 / / DVM II,III,IV,V,VI AMANDA PLACE S. VCA SOUTH HADLEY ANIMAL HOSPITAL 511 NEWTON STREET SOUTH HADLEY MA 01075 3/11/2021 / / DVM II,III,IV,V,VI EVELYN PLATKO BANFIELD 30 WORCESTER ROAD UNIT 2 FRAMINGHAM MA 01702 8/26/2021 / / DVM II,III,IV,V,VI AMANDA PODLES K MENDON ANIMAL CLINIC 128 UXBRIDGE ROAD MENDON MA 01756 3/28/2019 / / DVM II,III,IV,V,VI LAUREN POGANIK COUGHLIN OLD DERBY ANIMAL HOSPITAL 40 RECREATION PARK DR. HINGHAM MA 02043 9/2/2020 / / DVM II,III,IV,V,VI RODNEY POLING WILLIAM HOLLISTON ANIMAL SERVICES, INC 13 EXCHANGE ST. HOLLISTON MA 01746 11/15/2019 / / DVM II,III,IV,V,VI NEIRDEEN POLIS F SOMERSET ANIMAL HOSPITAL, LLC 1300 WILBUR AVE SOMERSET MA 02725 12/6/2019 / / DVM II,III,IV,V,VI MICHELLE POLITANO MICHIENZIE 595 COLUMBIAN STREET VCA SOUTH SHORE ANIMAL HOSPITAL SOUTH WEYMOUTH MA 02190 8/2/2019 / / DVM II,III,IV,V,VI ELIZABETH POLLACK ANN BULGER VETERINARY HOSPITAL 141 WINTHROP AVENUE LAWRENCE MA 01843 6/28/2021 / / DVM II,III,IV,V,VI PATRICK POLLARD JOSEPH VCA WICKABOAG ANIMAL HOSPITAL 138 WEST MAIN STREET WEST BROOKFIELD MA 01585 6/29/2020 / / DVM II,III,IV,V,VI CHELSEA POMEROY M VCA SOUTHWICK 498 COLLEGE HIGHWAY SOUTHWICK MA 01077 1/18/2019 / / DVM II,III,IV,V,VI CHRISTINA POOR M NORFOLK COUNTY VETERINARY SERVICE 1342 MAIN ST. WALPOLE MA 02081 10/5/2020 / / DVM II,III,IV,V,VI BRIDGET POPE E PITTSFIELD VETERINARY HOSPITAL 1634 WEST HOUSATONIC STREET PITTSFIELD MA 01201 2/15/2020 / / DVM II,III,IV,V,VI KAYLA PORCELLI N FRESH POND ANIMAL HOSPITAL 15 FLANDERS ROAD BELMONT MA 02478 3/23/2020 / / DVM II,III,IV,V,VI LAUREN PORTER THERESE MSPCA ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 6/14/2019 / / DVM II,III,IV,V,VI ISABELLE POULIN HUDSON ANIMAL HOSPITAL 30 HIGH STREET HUDSON MA 01749 7/27/2020 / / DVM II,III,IV,V,VI RACHEL POWE COOPER MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT ROAD WOBURN MA 01801 8/3/2020 / / DVM II,III,IV,V,VI WILLIAM POWELL L. 4 OAK CIRCLE ROCKPORT MA 01966 5/14/2021 / / DVM II,III,IV,V,VI JENNIFER POWER R VCA METRO CAT HOSPITAL 1630 BEACON STREET BROOKLINE MA 02446 2/17/2021 / / DVM II,III,IV,V,VI MATTHEW POWERS JOHN MARSHFIELD ANIMAL HOSPITAL 490 PLAIN ST. MARSHFIELD MA 02050 7/21/2021 / / DVM II,III,IV,V,VI MICHELLE POWERS YUKIKO 20 CABOT RD WOBURN MA 01801 5/6/2019 / / DVM II,III,IV,V,VI ANNALISA PRAHL 141 WINTHROP AVE LAWRENCE MA 01843 8/15/2019 / / DVM II,III,IV,V,VI MELISSA PRECOPIO LYNN PORTER SQUARE VETERINARIAN 360 SUMMER ST. SOMERVILLE MA 02144 6/16/2020 / / DVM II,III,IV,V,VI KAROLINA PREISNER URSZULA WESTFORD VETERINARY EMERGENCY& REFERRAL CT 11 CORNERSTONE SQ STE 100 WESTFORD MA 01886 3/19/2018 / / DVM II,III,IV,V,VI JODI PRETI A BOW WOWS AND MEOWS MOBILE VETERINARY SERV 283 THOMPSON ST. MIDDLEBORO MA 02346 3/10/2020 / / DVM II,III,IV,V,VI KATHLEEN PRITCHETT-CORNING R HAVRVARD FACULTY OF ARTS & SCIENCES OFFICE OF ANIMAL RESOURCES 16 DIVINITY AVE, ROOM 2102 CAMBRIDGE MA 02138 4/29/2019 / / DVM II,III,IV,V,VI KATHLEEN PRITCHETT-CORNING RIPPERTON BIOVERATIV 225 2ND AVE WALTHAM MA 02451 4/4/2017 / / DVM II,III,IV,V,VI SHERI PROCIOUS L VCA SOUTH SHORE ANIMAL HOSPITAL 595 COLUMBIAN STREET SOUTH WEYMOUTH MA 02190 3/27/2019 / / DVM II,III,IV,V,VI ALYSSA PRZYDROZNY LYNN ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 7/18/2017 / / DVM II,III,IV,V,VI DENISE PUMPHREY LAROCHELLE WESTFIELD ANIMAL CLINIC 422 NORTH ELM STREET WESTFIELD MA 01085 2/10/2019 / / DVM II,III,IV,V,VI STEPHANIE PUMPHREY ANN TUFTS UNIVERSITY CUMMINGS SCHOOL OF VET ME 55 WILLIARD ST. NORTH GRAFTON MA 01536 5/26/2019 / / DVM II,III,IV,V,VI

Page 102 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

STEPHEN PUNTON JACK VCA SOUTH SHORE ANIMAL HOSPITAL 595 COLUMBIAN STREET SOUTH WEYMOUTH MA 02190 6/11/2019 / / DVM II,III,IV,V,VI STEPHEN PURDY R 458 SOUTH WASHINGTON ST. BELCHERTOWN MA 01007 2/10/2019 / / DVM II,III,IV,V,VI ALLEN PUTZIG F EMMERSON ANIMAL HOSPITAL 255 FREEPORT ST. DORCHESTER MA 02122 4/11/2017 / / DVM II,III,IV,V,VI NICOLE PUZA MARIE 1235 BOSTON RD SPRINGFIELD MA 01119 8/11/2017 / / DVM II,III,IV,V,VI CHRISTOPHER QUIGLEY K. ANIMAL RESCUE LEAGUE OF BOSTON 2 COMMERCE WAY, UNIT D CARVER MA 02330 10/9/2018 / / DVM II,III,IV,V,VI LISA QUINN A 3004 VILLAGE RD W NORWOOD MA 02062 10/29/2021 / / DVM II,III,IV,V,VI REBECCA QUINN L ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 5/6/2019 / / DVM II,III,IV,V,VI REBECCA QUINN L MSPCA ANGELL 350 SOUTH HUNTINGTON AVENUE BOSTON MA 02130 11/16/2018 / / DVM II,III,IV,V,VI MARIA QUIROZ VALEEN BANFIELD PET HOSPITAL 114A COMMERCE WY WOBURN MA 01801 9/3/2018 / / DVM II,III,IV,V,VI DIANE QUISENBERRY REBECCA ANIMAL HOSPITAL OF WEBSTER 34 THOMPSON ROAD WEBSTER MA 01570 11/20/2020 / / DVM II,III,IV,V,VI ZESHAN QURESHI NORTH ATTLEBOROUGH ANIMAL CLINIC 375 EAST WASHINGTON STREET NORTH ATTLEBOROUGH MA 02760 2/16/2019 / / DVM II,III,IV,V,VI ZESHAN QURESHI TLC ANIMAL HOSPITAL 245 WINTHROP STREET REHOBOTH MA 02769 9/7/2021 / / DVM II,III,IV,V,VI ZESHAN QURESHI TLC VETERINARY HOSPITAL 896 HATHAWAY ROAD NEW BEDFORD MA 02740 9/7/2021 / / DVM II,III,IV,V,VI CHRISTINE RABAUT M FRAMINGHAM ANIMAL HOSPITAL 1415 EDGELL RD. FRAMINGHAM MA 01701 8/16/2019 / / DVM II,III,IV,V,VI SUSAN RABAUT FRAMINGHAM ANIMAL HOSPITAL 1415 EDGELL RD. FRAMINGHAM MA 01701 11/17/2019 / / DVM II,III,IV,V,VI ELIZABETH RACINE A HAMPDEN VETERINARY CLINIC 28 SOMERS RD HAMPDEN MA 01036 8/1/2017 / / DVM II,III,IV,V,VI KARA RADZINSKI TOWNSHEND LITTLETON ANIMAL HOSPITAL 29 KING STREET LITTLETON MA 01460 5/23/2019 / / DVM II,III,IV,V,VI LOUISA RAHILLY JANE CAPE COD VETERINARY SPECIALISTS 11 BOURNE BRIDGE APPROACH BUZZARDS BAY MA 02532 4/5/2019 / / DVM II,III,IV,V,VI RANJINI RAJA-ABRAHAM ASHLAND ANIMAL HOSPITAL 10 FOUNTAIN STREET ASHLAND MA 01721 5/14/2019 / / DVM II,III,IV,V,VI CHRISTOPHER RALPHS S BAYSTATE VETERINARY EMERGENCY SERVICES 76 BAPTIST ST SWANSEA MA 02777 6/13/2020 / / DVM II,III,IV,V,VI JEFFREY RAMSEY J 1227 ASHLEY BLVD NEW BEDFORD MA 02745 12/9/2018 / / DVM II,III,IV,V,VI KIRA RANDALL NOELLE JEAN 141 GREENFIELD ROAD SOUTH DEERFIELD MA 01373 12/12/2017 / / DVM II,III,IV,V,VI JULIA RANDO TASS RANDO VETERINARY SERVICE 5 WATERVILLE ST NORTH GRAFTON MA 01536 10/11/2019 / / DVM II,III,IV,V,VI KATHERINE RANSOM STEWART WACHUSETT ANIMAL HOSPITAL 29 THEODORE DRIVE WESTMINSTER MA 01473 11/3/2020 / / DVM II,III,IV,V,VI NICOLE RAPA LINDSEY MILL VALLEY VETERINARY CLINIC 224 MILL VALLEY RD BELCHERTOWN MA 1007 6/29/2018 / / DVM II,III,IV,V,VI BETHANY RAPPLEYEA WACHUSETTANIMAL HOSPITAL & PET RETREAT 29 THEODORE DRIVE WESTMINSTER MA 01473 9/21/2020 / / DVM II,III,IV,V,VI VISHWA RASANIA VCA SOUTH SHORE WEYMOUTH ANIMAL HOSPITAL 595 COLUMBIAN STREET SOUTH WEYMOUTH MA 02190 6/30/2021 / / DVM II,III,IV,V,VI MARA RATNOFSKY J ANGELL ANIMAL MEDICAL CENTER GENERAL MEDICINE 350 SOUTH HUNTINGTON AVENUE BOSTON MA 02130 1/20/2020 / / DVM II,III,IV,V,VI KAREN RAVANESI EILEEN MARSHFIELD ANIMAL HOSPITAL, INC. 490 PLAIN STREET MARSHFIELD MA 02050 1/25/2019 / / DVM II,III,IV,V,VI SARAH RAY VCA SOUTH SHORE 595 COLUMBIAN STREET SOUTH WEYMOUTH MA 02190 6/18/2021 / / DVM II,III,IV,V,VI ALISSA RAYMOND B. EASTFIELD HOSPITAL FOR ANIMALS 1964 BOSTON RD WILBRAHAM MA 01095 12/26/2019 / / DVM II,III,IV,V,VI ASHLEY RAYMOND LAUREN SECOND CHANCE ANIMAL SERVICES 700 WORCESTER STREET SOUTHBRIDGE MA 01550 9/14/2021 / / DVM II,III,IV,V,VI ASHLEY RAYMOND LAUREN SECOND CHANCE COMMUNITY VETERINARY CLINIC 67 MULBERRY STREET SPRINGFIELD MA 01105 2/25/2019 / / DVM II,III,IV,V,VI JOSEPH REA RICHARD BULGER VETERINARY HOSPITAL 141 WINTHROP AVE LAWRENCE MA 01843 6/18/2021 / / DVM II,III,IV,V,VI LYRA READ E FOXBORO ANIMAL HOSPITAL 200 MECHANIC STREET FOXBORO MA 02035 5/11/2019 / / DVM II,III,IV,V,VI STANLEY READ K 566 SCHOOL STREET CARLISLE MA 01241 6/23/2021 / / DVM II,III,IV,V,VI TAYLOR REALE H ANGELL AT NASHOBA 100 LITTLETON ROAD WESTFORD MA 01886 6/18/2021 / / DVM II,III,IV,V,VI KAREN REAMSNYDER E RAYNHAM VETERINARY HOSPITAL, INC. 402 SOUTH STREET EAST RAYNHAM MA 02767 11/21/2019 / / DVM II,III,IV,V,VI CHEJERLA REDDY RAJAGOPAL 1300 WILBUR AVENUE SOMERSET ANIMAL HOSPITAL SOMERSET MA 02725 5/6/2018 / / DVM II,III,IV,V,VI TYLER REESE CATHERINE VITALITY VETERINARY SERVICES SWANSEA 581 GRAND AMY OF THE REPUBLIC HWY SWANSEA MA 02777 6/27/2019 / / DVM II,III,IV,V,VI PAMELA REGANTE C BANFIELD PET HOSPITAL# 5273 30 WORCESTER ROAD UNIT 2 FRAMINGHAM MA 01702 10/11/2019 / / DVM II,III,IV,V,VI CARSON REHN ANGEL WEST 293 SECOND AVE WALTHAM MA 02451 9/16/2021 / / DVM II,III,IV,V,VI BARBARA REID JEAN 462 ESSEX AVE. GLOUCESTER MA 01930 12/14/2019 / / DVM II,III,IV,V,VI DENISE REIDY JEAN VCA MONTGOMERY ROAD ANIMAL HOSPITAL 207 MONTGOMERY ROAD WESTFIELD MA 01085 2/26/2019 / / DVM II,III,IV,V,VI MARK REILLY T SOUTH SHORE EQUINE CLINIC 151 PALMER ROAD PLYMPTON MA 02367 6/20/2020 / / DVM II,III,IV,V,VI KATHERINE REINER A KATMOBILE 128 PARKER ST., #3B ACTON MA 01720 1/4/2020 / / DVM II,III,IV,V,VI SYLVIA REISER D. MUDDY CREEK ANIMAL CARE CENTER 993 HAVERHILL ST. ROWLEY MA 01969 1/23/2021 / / DVM II,III,IV,V,VI

Page 103 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

DARRYN REMILLARD ELLIOT 3 COLCHESTER ROAD WINDHAM NH 03087 7/9/2021 / / DVM II,III,IV,V,VI WAYNE RENEGAR R 175 ELM ST. HANSON MA 02341 10/20/2019 / / DVM II,III,IV,V,VI LINDSAY RENZULLO B. BULGER VETERINARY HOSPITAL 141 WINTHROP AVE LAWRENCE MA 01843 2/17/2021 / / DVM II,III,IV,V,VI JAMIE RESNICK MARIE BAYSTATE VETERINARY EMERGENCY SERVICES 76 BAPTIST ST. SWANSEA MA 02777 6/16/2019 / / DVM II,III,IV,V,VI JOHN REYNOLDS C BERKSHIRE HUMANE SOCIETY 214 BARKER ROAD PITTSFIELD MA 01201 5/14/2021 / / DVM II,III,IV,V,VI JOHN REYNOLDS C PITTSFIELD VETERINARY HOSPITAL 1634 WEST HOUSATONIC STREET PITTSFIELD MA 01201 11/6/2020 / / DVM II,III,IV,V,VI ERICA REZEK JARMON 8 EDEN AVE NEWTON MA 02465 3/23/2019 / / DVM II,III,IV,V,VI ERYN REZNICEK MARIE ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 2/28/2020 / / DVM II,III,IV,V,VI MALAINA RHODES P VALLEY VETERINARY HOSPITAL 320 RUSSELL ST HADLEY MA 01035 7/14/2020 / / DVM II,III,IV,V,VI DANIEL RICE STUART LINWOOD ANIMAL HOSPITAL 1500 GORHAM ST LOWELL MA 01852 7/3/2018 / / DVM II,III,IV,V,VI AMY RICHARDS NORTON ANIMAL HOSPITAL 147 WEST MAIN STREET NORTON MA 02766 3/23/2020 / / DVM II,III,IV,V,VI ANNE RICHARDS E THE CAT DOCTOR OF BEDFORD 200 GREAT ROAD, SUITE 9 BEDFORD MA 01730 4/11/2020 / / DVM II,III,IV,V,VI ZOE RICHARDS KATHERINE BANFIELD PET HOSPITAL #5323 180 NEEDHAM STREET NEWTON MA 02464 8/26/2021 / / DVM II,III,IV,V,VI AURORA RICHARDS-STIPNIEKS B. BRISTOL COUNTY VETERINARY HOSPITAL 288 FALL RIVER AVENUE SEEKONK MA 02771 8/16/2020 / / DVM II,III,IV,V,VI AMY RICHARDSON T. NEWBURY ANIMAL HOSPITAL 96 HANOVER STREET NEWYBURY MA 01951 4/28/2020 / / DVM II,III,IV,V,VI ELLA RICHARDSON CHRISTINE ANGELL ANIMAL MEDICAL CENTER 350 HUNTINGTON AVE BOSTON MA 02130 12/7/2018 / / DVM II,III,IV,V,VI LEAH RICHTER G ANGELL ANIMAL MEDICAL CENTER 350 HUNTINGTON AVE JAMAICA PLAIN MA 02130 6/28/2021 / / DVM II,III,IV,V,VI NICOLE RICKARD CATHERINE CHASE FARM VETERINARY HOSPITAL 35 VENTURA DRIVE NORTH DARTMOUTH MA 02747 10/11/2019 / / DVM II,III,IV,V,VI KATHRYN RICKERSHAUSER A 141 WINTHROP AVE LAWRENCE MA 01843 3/23/2020 / / DVM II,III,IV,V,VI LYNNE RICKETTS A. 9 WILLIAMS RD LYNNFIELD MA 01940 11/23/2019 / / DVM II,III,IV,V,VI MAUREEN RICKSGERS E THE CAT HOSPITAL 139 C DAMON ROAD NORTHAMPTON MA 01060 5/30/2019 / / DVM II,III,IV,V,VI REBECCA RIEDEL JANE BANFIELD PET HOSPITAL 2165 265 CHELMSFORD ST. CHELMSFORD MA 01824 9/9/2019 / / DVM II,III,IV,V,VI JESSICA RIEHL ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 4/22/2019 / / DVM II,III,IV,V,VI BREANNE RIGGS MARIE SOUTH BOSTON ANIMAL HOSPITAL 9 W. BROADWAY SOUTH BOSTON MA 02127 4/23/2019 / / DVM II,III,IV,V,VI KATHLEEN RILEY N 203 PROSPECT STREET BROCKTON MA 02301 11/18/2019 / / DVM II,III,IV,V,VI NICHOLAS RINALDI JOHN BLUEPEARL VETERINARY PARTNERS 180 BEAR HILL RD WALTHAM MA 02451 11/21/2018 / / DVM II,III,IV,V,VI SHARA RIPP R. BRISTOL COUNTY VETERINARY HOSPITAL 288 FALL RIVER AVENUE SEEKONK MA 02771 5/28/2021 / / DVM II,III,IV,V,VI ELIZABETH RISING JEAN LEUCHTE 95 CROSS STREET WINCHESTER MA 01890 3/19/2021 / / DVM II,III,IV,V TRACY RISLEY A. 414 OLD MILL ROAD OSTERVILLE MA 02655 3/10/2020 / / DVM II,III,IV,V,VI HEIDI RIVADENEYRA INGRID 274 WALNUT ST UNIT 2 SHREWSBURY MA 01545 11/9/2021 / / DVM II,III,IV,V,VI BRENDA RIVERA LIZ MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT ROAD WOBURN MA 01801 6/27/2019 / / DVM II,III,IV,V,VI CAROLYN ROBBINS BARBARA ACOAXET VETERINARY CLINIC 965 SANFORD RD WESTPORT MA 02790 2/10/2020 / / DVM II,III,IV,V,VI CAROLYN ROBBINS BARBARA BATSTATE VETERUBART ENERGEGENCY SERVICES 76 BAPTIST ST SWANSEA MA 02777 3/14/2018 / / DVM II,III,IV,V,VI KENNETH ROBERTS EUGENE ANIMAL CLINIC-ON-WHEELS 409 WASHINGTON STREET PEMBROKE MA 02359 11/24/2020 / / DVM II,III,IV,V,VI JILL ROBERTSON A VCA PLYMOUTH ANIMAL HOSPITAL & PET RESORT 100 INDUSTRIAL PARK ROAD PLYMOUTH MA 02360 4/28/2020 / / DVM II,III,IV,V,VI STEVEN ROBILLARD DAVID ANGELL ANIMAL MEDICAL CENTER 350 S HUNTINGTON AVE BOSTON MA 02130 6/18/2018 / / DVM II,III,IV,V,VI MICHAEL ROBINSON P MEDWAY ANIMAL HOSPITAL 66 WEST ST., BOX 638 MEDWAY MA 02053 12/29/2019 / / DVM II,III,IV,V,VI MICHAEL ROCHA WILLIAM CAPEWAY VETERINARY HOSPITAL 171 BRIDGE STREET FAIRHAVEN MA 02719 1/28/2021 / / DVM II,III,IV,V,VI JEFFREY ROCKWELL B ATLANTIC VETERINARY HOSPITAL, LLC 10 OCEAN AVENUE MARBLEHEAD MA 01945 3/16/2021 / / DVM II,III,IV,V,VI ASHLEE ROCKWOOD ELIZABETH PEMBROKE ANIMAL HOSPITAL 115 MATTAKEESETT ST PEMBROKE MA 02359 1/10/2019 / / DVM II,III,IV,V,VI RICHARD RODGER F 9 FISHER ROAD EAST FALMOUTH MA 02536 11/18/2019 / / DVM II,III,IV,V,VI EVA RODRIGUEZ MARIE LUDLOW ANIMAL CLINIC 200 CENTER ST UNIT 13 LUDLOW MA 01056 6/11/2021 / / DVM II,III,IV,V,VI FELISE ROE A MIDDLESEX VETERINARY CENTER 31 STEVENS ST LITTLETON MA 01460 4/12/2021 / / DVM II,III,IV,V,VI LILLIAN ROGERS IRENE VCA SOUTH SHORE WEYMOUTH ANIMALHOSPITAL 595 COLUMBIAN ST. WEYMOUTH MA 02190 8/12/2020 / / DVM II,III,IV,V,VI LINDA ROGERS S INTEGRATIVE ANIMAL HEALTH CENTER 556 MAIN ST BOLTON MA 01740 8/20/2021 / / DVM II,III,IV,V,VI ROSALIND ROLLAND MURL 22 BAILEY LN GEOGETOWN MA 01833 11/17/2017 / / DVM II,III,IV,V,VI LAURA ROMAN B VCA MONTGOMERY ROAD ANIMAL HOSPITAL 207 MONTGOMERY RD WESTFIELD MA 01085 1/10/2019 / / DVM II,III,IV,V

Page 104 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

MARGO ROMAN-AUERHAHN R MAIN ST. ANIMAL SERVICES OF HOPKINTO 75 W MAIN ST HOPKINTON MA 01748 8/6/2020 / / DVM II,III,IV,V,VI JON ROMANO PATRICK CAPERON PARK ZOO 201 COUNTY ST ATTLEBORO MA 02703 8/18/2017 / / DVM II,III,IV,V,VI ERIN ROMANSIK M WESTFORD VETERINARY EMERGENCY & REFERRAL CENTER 11 CORNERSTONE SQUARE WESTFORD MA 01886 5/7/2021 / / DVM II,III,IV,V,VI DAVID ROMEISER E SHAWME ANIMAL HOSPITAL 32 ROUTE 6A SANDWICH MA 02653 1/10/2020 / / DVM II,III,IV,V,VI MATTHEW ROMERO RYAN NEW ENGLAND ANIMAL MEDICAL CENTER 595 W CENTER STREET WEST BRIDGEWATER MA 02379 6/15/2020 / / DVM II,III,IV,V,VI KAITLIN RONDEAU MARIE HUDSON ANIMAL HOSPITAL 30 HIGH ST HUDSON MA 01749 2/16/2019 / / DVM II,III,IV,V,VI TANIA ROOS COIMAN DRIVE WOLCOTT CT 06716 1/14/2021 / / DVM II,III,IV,V,VI FLORENCE ROSE S BANFIELD #797 213 HARTFORD AVENUE BELLINGHAM MA 02019 6/10/2019 / / DVM II,III,IV,V,VI LAUREN ROSE ALEXANDRA MSPCA-ANGELL WEST EMERGENCY & CRITICAL CARE 293 2ND AVE WALTHAM MA 02451 8/14/2019 / / DVM II,III,IV,V,VI ALICE ROSE-MCDONALD L VCA METRO CAT HOSPITAL 1630 BEACON STREET BROOKLINE MA 02446 3/2/2018 / / DVM II,III,IV,V,VI LENA ROSEN S VETERINARY EMERGENCY & SPECIALTY HOSPITAL 141 GREENFIELD ROAD SOUTH DEERFIELD MA 01373 6/1/2021 / / DVM II,III,IV,V,VI MARIEKE ROSENBAUM H SOUTH BAY VETERINARY GROUP 587 TREMONT STREET BOSTON MA 02118 5/9/2017 / / DVM II,III,IV,V,VI ANNA ROSENBERG J VCA WINDHAM ANIMAL HOSPITAL 19 NOAH'S LN BRATTLEBORO VT 05301 7/3/2018 / / DVM II,III,IV,V,VI KENNETH ROSENBERG A TAUNTON SMALL ANIMAL CLINIC 155 WINTHROP STREET TAUNTON MA 02780 1/20/2020 / / DVM II,III,IV,V,VI SUSAN ROSENBLATT RACHEL KINDNESS ANIMAL HOSPITAL 20 LINDEN STREET WALTHAM MA 02452 8/24/2020 / / DVM II,III,IV,V,VI PAUL ROSIELLO J ASSOCIATES ANIMAL HOSPITAL 21 SUMMER STREET WESTBORO MA 01581 7/13/2020 / / DVM II,III,IV,V,VI JULIE ROSS ANN ROSS VETERINARY HOUSE CALLS 684 PLEASANT ST RAYNHAM MA 02767 3/3/2019 / / DVM II,III,IV,V,VI JOHN ROSSEEL R JR AMHERST VETERINARY CLINIC 300 NORTH PLEASANT STREET AMHERST MA 01002 10/7/2018 / / DVM II,III,IV,V,VI THOMAS ROSSI 9 ANGENICA TERRACE MARBLEHEAD MA 01945 2/11/2019 / / DVM II,III,IV,V YA ROTE Z VALLEY VETERINARY HOSPITAL 320 RUSSELL ST HADLEY MA 01035 1/30/2019 / / DVM II,III,IV,V,VI SARAH ROTHBART ROBERTS EAST LONGMEADOW ANIMAL HOSPITAL 572 NORTH MAIN ST EAST LONGMEDOW MA 01028 8/10/2020 / / DVM II,III,IV,V,VI LAURA ROTHONG ANN ASHLAND ANIMAL HOSPITAL 10 FOUNTAIN ST ASHLAND MA 01721 8/9/2021 / / DVM II,III,IV,V,VI KIM ROTNER B HAWTHORNE ANIMAL HEALTHCARE 120 CANAL STREET SALEM MA 01970 3/15/2020 / / DVM II,III,IV,V,VI PALMA ROTOLO 359 WORCESTER ROAD NATICK MA 01760 3/23/2020 / / DVM II,III,IV,V,VI PATRICIA ROTTMAN LYNN SLADE VETERINARY HOSPITAL 334 CONCORD STREET FRAMINGHAM MA 01701 9/28/2018 / / DVM II,III,IV,V,VI ELISSABETH ROUMANIS MAE COMPANION ANIMAL CARDIAC CONSULTS 242 RUSSELL STREET CARLISLE MA 01741 5/14/2019 / / DVM II,III,IV,V,VI DAVID ROUSSEAU JOSEPH 77 CRESTVIEW RD NEEDHAM MA 02492 9/7/2021 / / DVM II,III,IV,V,VI TESSA ROUX MARIE BULGER VETERINARY HOSPITAL 141 WINTHROP AVE LAWRENCE MA 01843 5/26/2021 / / DVM II,III,IV,V,VI SUZANNE ROVAN I. BOSTON WEST VETERINARY EMERGENCY 5 STRATHMORE ROAD NATICK MA 01760 3/23/2021 / / DVM II,III,IV,V,VI ROBERT HARRISON ROWE 1570 SAMOSET RD EASTHAM MA 02642 5/24/2018 / / DVM II,III,IV,V,VI LYNN ROY M WESTSIDE ANIMAL CLINIC 262 MILL ST. WORCESTER MA 01602 8/20/2021 / / DVM II,III,IV,V,VI JESSICA ROZEN KATHERINE VITALITY VETERINARY SVCS ATTLEBORO 228 WASHINGTON ST SUITE 23013 ATTLEBORO MA 02703 1/11/2019 / / DVM II,III,IV,V,VI DEBRA RUBIN H. 10 SHELDON ROAD MARBLEHEAD MA 01945 6/2/2020 / / DVM II,III,IV,V,VI AMY RUBIN HARRIS J VETERINARY AND ANIMAL SERVICES 431 A INTERGRATED SCIENCES BUILDING 661 NORTH PLEASANT ST AMHERST MA 01003 3/19/2020 / / DVM II,III,IV,V,VI RACHEL RUBINSTEIN ANN NEWTON ANIMAL HOSPITAL 602 WASHINGTON STREET NEWTON MA 02458 7/31/2019 / / DVM II,III,IV,V,VI MICHELLE RUDIN KINGSTOM ANIMAL HOSPITL 192 MAIN ST KINGSTON MA 02364 10/19/2019 / / DVM II,III,IV,V,VI REBECCA RUEMMLER LEE 245 DILLON LANE SWANSEA MA 02777 4/13/2020 / / DVM II,III,IV,V,VI TIFFANY RULE COUNTRYSIDE VETERINARY HOSPITAL 289 LITTLETON ROAD CHELMSFORD MA 01824 11/1/2018 / / DVM II,III,IV,V,VI DELERYS RULLAN-CARDEC MAIN STREET VETERINARY HOSPITAL 825 MAIN STREET MILLS MA 02054 5/6/2019 / / DVM II,III,IV,V,VI VICTORIA RUOCCO LEIGH NORTON ANIMAL HOSPITAL 147 W. MAIN ST. NORTON MA 02766 4/5/2019 / / DVM II,III,IV,V,VI ANDREA RUSILOWICZ PITTSFIELD VETERINARY HOSPITAL 1634 W HOUSATONIC STREET PITTSFIELD MA 01201 4/28/2021 / / DVM II,III,IV,V,VI ELIZABETH RUSSELL ANNE HEALTHY PAWS VETERINARY CENTER 6 OLD FLANDERS ROAD WESTBOROUGH MA 01581 7/20/2020 / / DVM II,III,IV,V,VI MOLLY RUSSO WESTBROOK LICHTENBERG VETERINARY HOSPITAL 2 BELCHERTOWN RD PELHAM MA 01002 8/17/2021 / / DVM II,III,IV,V,VI RACHEL RUSSO M BULGER ANIMAL HOSPITAL 247 CHICKERING ROAD NORTH ANDOVER MA 01845 1/28/2019 / / DVM II,III,IV,V,VI SARAH RYAN M WACHUSETT ANIMAL HOSPITAL 29 THEODORE DRIVE WESTMNSTER MA 01473 9/7/2021 / / DVM II,III,IV,V,VI DEIRDRE RYAN-LEY 42 HIGHLAND CIRCLE WAYLAND MA 01778 5/21/2021 / / DVM II,III,IV,V,VI KARA RYCZEK M. 75 RUGBY RD LONGMEADOW MA 01106 3/20/2020 / / DVM II,III,IV,V,VI

Page 105 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

MICHAEL RYER C WESTBRIDGE ANIMAL HOSPITAL 595 WEST CENTER STREET WEST BRIDGEWATER MA 02379 12/26/2019 / / DVM II,III,IV,V,VI ANNE RYLESTONE L CANTERBURY BROOKS FARM 344 OLD GREENWICH PLAINS ROAD HARDWICH MA 01082 4/20/2021 / / DVM II,III,IV,V,VI LINDSEY RYNK NORTHEAST ANIMAL SHELTER 347 HIGHLAND AVE SALEM MA 01970 1/7/2019 / / DVM II,III,IV,V,VI JULIANNA SABOL CELESTE ANGELL ANIMAL MEDICAL CENTER 350 S HUNTINGTON AVE . JAMAICA PLAIN MA 02130 6/14/2017 / / DVM II,III,IV,V,VI HEATHER SACKS HINGHAM ANIMAL CLINIC 146 CHIEF JUSTICE CUSHING HIGHWAY HINGHAM MA 02043 10/23/2020 / / DVM II,III,IV,V,VI TARA SACRAMONE M DUNSTABLE ANIMAL CLINIC 386 MAIN ST DUNSTABLE MA 01827 7/2/2019 / / DVM II,III,IV,V,VI WILLIAM SAGER CHARLES SAGER ANIMAL HOSPITAL 4 STRAWBERRY ROAD HILL ACTON MA 01720 10/19/2021 / / DVM II,III,IV,V,VI GRAHAM SAGER-GELLERMAN BACK BAY VETERINARY CLINIC 288 NEWBURY ST BOSTON MA 02115 9/22/2021 / / DVM II,III,IV,V,VI MEGHAN SAINTE ELIZABETH HEALTHY PAWS VETERINARY CENTER 6 OLD FLANDERS RD WESTBOROUGH MA 01581 3/8/2021 / / DVM II,III,IV,V,VI CATHERINE SAKAKEENY E 525 SOUTH ST. WALPOLE MA 02081 11/18/2019 / / DVM II,III,IV,V,VI PONCIANO SALAZAR SANCHEZ WEBSTER SQUARE ANIMAL CLINIC 1108 MAIN STREET WORCESTER MA 01603 12/8/2019 / / DVM II,III,IV,V,VI BRENDA SALINARDI J. TUFTS VETERINARY EMERG. TREATMENT'S SPEC. 525 SOUTH STREET WALPOLE MA 02081 12/28/2020 / / DVM II,III,IV,V,VI WILBUR SALTER M II ANIMED PET HOSPITAL 592 PROVIDENCE HIGHWAY DEDHAM MA 02026 2/6/2020 / / DVM II,III,IV,V,VI VICTORIA SALVATORIELLO M. 53 NEW DRIFTWAY SCITUATE MA 02066 4/3/2020 / / DVM II,III,IV,V,VI KAYLA SAMPLE BRIANA MONTY TECH VETERINARY CLINIC 218 STATE ROAD EAST WESTMINSTER MA 01473 8/5/2019 / / DVM II,III,IV,V,VI SHARON SANDLER M. BELLINGHAM ANIMAL HOSPITAL 112 MENDON STREET BELLINGHAM MA 02019 4/22/2021 / / DVM II,III,IV,V,VI SAMANTHA SANGSTER RACHELLE 1385 SOUTH WASHINGTON STREET NORTH ATTLEBORO MA 02760 2/11/2019 / / DVM II,III,IV,V,VI SASHA SANTIAGO LEE VETERINARY EMERGENCY & SPECIALTY HOSPITAL 141 GREENFIELD ROAD SOUTH DEERFIELD MA 01373 6/9/2021 / / DVM II,III,IV,V,VI NICOLE SANTOS SHIREEN NEWTON ANIMAL HOSPITAL 602 WASHINGTON STREET NEWTON MA 02458 8/4/2020 / / DVM II,III,IV,V,VI DEBORAH SAPIENZA JEAN ANIMAL CANCER SPECIALIST 5 CORNERSTONE SQUARE SUITE 203 WESTFORD MA 01886 6/14/2019 / / DVM II,III,IV,V,VI TATIANA SAUNDERS NIKITAS VCA ALL CARING ANIMAL HOSPITAL 440 STOCKBRIDGE RD GREAT BARRINGTON MA 01230 6/21/2018 / / DVM II,III,IV,V,VI KIRSTEN SAUTER G MY PET'S VET 401 STATE ROAD VINEYARD HAVEN MA 02568 10/8/2020 / / DVM II,III,IV,V,VI LAUREN SAWCHYN DODGE MELROSE ANIMAL CLINIC 26 ESSEX STREET MELROSE MA 02176 11/17/2019 / / DVM II,III,IV,V,VI ERIN SAWYER C BOSTON UNIVERSITY ANIMAL SCIENCE CENTER 700 ALBANY ST W 707 BOSTON MA 02118 4/19/2019 / / DVM II,III,IV,V,VI ERIN SAWYER C BOSTON UNIVERSITY LACF 590 COMMONWEALTH AVE 4TH FLOOR RM 423 BOSTON MA 02215 6/24/2019 / / DVM II,III,IV,V,VI KATE SAWYER MARGEAUX BULGER VETERINARY HOSPITAL 141 WINTHROP AVE LAWRENCE MA 01843 4/28/2020 / / DVM II,III,IV,V,VI LAURENCE SAWYER STEWART ANGELL @ NASHOBA TECH NASHOBA VALLEY TECH HIGH SCHOOL 100 LITTLETON ROAD WESTFORD MA 01886 3/2/2021 / / DVM II,III,IV,V,VI JAMES SAWYERS ROBERT 1007 SARATOGA ST EAST BOSTON MA 02128 11/27/2017 / / DVM II,III,IV,V,VI MEG SAXON H DIGHTON VETERINARY HOSPITAL 532 SOMERSET AVENUE NORTH DIGHTON MA 02764 11/17/2019 / / DVM II,III,IV,V,VI KATHLEEN SCANDURA M. VCA NORTHBORO ANIMAL HOSPITAL 286 W. MAIN STREET NORTHBOROUGH MA 01532 5/4/2021 / / DVM II,III,IV,V,VI COLM SCANLON P LEICESTER VETERINARY CLINIC, LLC 1205 MAIN STREET LEICESTER MA 01520 10/13/2021 / / DVM II,III,IV,V,VI LAUREN SCANLON VCA ALL CARING ANIMAL HOSPITAL 440 STOCKBRIDGE ROAD GREAT BARRINGTON MA 01230 6/18/2021 / / DVM II,III,IV,V,VI JORDAN SCHACHAR MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT RD WOBURN MA 01801 9/12/2018 / / DVM II,III,IV,V,VI CYNTHIA SCHAEFER F. 14 POINT ROAD MARION MA 02738 11/16/2018 / / DVM II,III,IV,V,VI MAGEN SCHAFFER BAILEE HARU BOSTON ANIMAL HOSPITAL 274 SOUTHAMPTON STREET BOSTON MA 02118 6/3/2021 / / DVM II,III,IV,V,VI SAMANTHA SCHENCK M ANCHOR ANIMAL HOSPITAL 750 STATE ROAD N. DARTMOUTH MA 02747 5/30/2017 / / DVM II,III,IV,V,VI SARAH SCHLESINGER J WESTON VET CLINIC 152 BOSTON POST ROAD WESTON MA 02493 12/12/2019 / / DVM II,III,IV,V,VI CHRISTINE SCHLUPF ELIZABETH 218 STATE ROAD E WESTMINSTER MA 01473 5/6/2019 / / DVM II,III,IV,V,VI ANN SCHMIDT L 157 DRESSER HILL ROAD DUDLEY MA 01571 11/25/2019 / / DVM II,III,IV,V,VI DAVID SCHMIDT MATTHEW MASSACHUSETTS VETRINARY REFERRAL HOSPITAL 20 CABOT RD WOBURN MA 01801 7/1/2019 / / DVM II,III,IV,V,VI WILLIAM SCHMIDT A. COMMUNITY ANIMAL HOSPITAL 15 CLEWS ST. SHREWSBURY MA 01545 6/4/2018 / / DVM II,III,IV,V,VI GAIL SCHMIEDER J SLADE VETERINARY HOSPITAL 334 CONCORD ST FRAMINGHAM MA 01702 11/14/2019 / / DVM II,III,IV,V,VI ROBERT SCHMITT PEARCE SOUTH DEERFIELD VETERINARY CLINIC 30 ELM STREET SOUTH DEERFIELD MA 01373 3/21/2021 / / DVM II,III,IV,V,VI ERIC SCHNIRMAN CARY ANIMAL HOSPITAL OF LYNNFIELD 1 BAYSTATE RD LYNNFIELD MA 01940 3/21/2018 / / DVM II,III,IV,V,VI CRYSTAL SCHOELLMANN JOY ANGELL ANIMAL MEDICAL CENTER 350 S. HUNTINGTON AVENUE BOSTON MA 02130 8/5/2020 / / DVM II,III,IV,V,VI REBECCA SCHOENBERG L 222 HIGH STREET MEDFORD MA 02155 11/14/2019 / / DVM II,III,IV,V,VI CURTIS SCHONDELMEYER WILEY 7C STREET HOPKINTON MA 01748 12/17/2018 / / DVM II,III,IV,V,VI

Page 106 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

CHARLES SCHOR H ACOAXET VETERINARY CLINIC 965 SANFORD ROAD WESTPORT MA 02790 2/7/2020 / / DVM II,III,IV,V,VI KRISTEN SCHOTT CAMERON ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE. BOSTON MA 02130 7/21/2020 / / DVM II,III,IV,V,VI ANGELINA SCHULTZ W LOOBY VETERINARY GROUP 637 HIGH ST. MEDFORD MA 02155 10/8/2019 / / DVM II,III,IV,V,VI KRYSTLE SCHULTZ L HAMPDEN VETERINARY CLINIC 28 SOMERS ROAD HAMPDEN MA 01036 6/3/2019 / / DVM II,III,IV,V,VI DANIELLA SCHUTZENGEL J. 70 LONG AVE WELLFLEET MA 02667 8/15/2020 / / DVM II,III,IV,V,VI JENNIFER SCHWARTZ LEIGH FRESH POND ANIMAL HOSPITAL 15 FLANDERS RD BELMONT MA 02478 8/8/2019 / / DVM II,III,IV,V,VI KATHERINE SCHWARTZ C 141 WINTHROP AVE. LAWRENCE MA 01843 7/22/2020 / / DVM II,III,IV,V,VI RACHEL SCHWARTZ DUFFANY WESTFORD VETERINARY EMERGENCY AND REF CTR 11 CORNERSTONE SQ WESTFORD MA 01886 5/11/2021 / / DVM II,III,IV,V,VI KRISTIN SCOTT E CANTON VETERINARY HOSPITAL 190 TURNPIKE STREET CANTON MA 02021 8/15/2019 / / DVM II,III,IV,V,VI ERIN SCOTT MORLEY A HIGHLAND ANIMAL HOSPITAL 31 WELLESLEY AVENUE NEEDHAM MA 02494 7/21/2019 / / DVM II,III,IV,V,VI DEVIN SCRUTON RAY VCA ROTHERWOOD ANIMAL HOSPITAL 78 WINCHESTER ST NEWTON HIGHLAND MA 02461 12/3/2018 / / DVM II,III,IV,V,VI JENNIFER SCUDDER HYANNIS ANIMAL HOSPITAL, INC. 102 ANSEL HALLET ROAD WEST YARMOUTH MA 02673 6/30/2019 / / DVM II,III,IV,V,VI VINCENT SECCARECCIA JOSEPH III ALL PETS MOBILE VET 48 BLISS ST REHOBOTH MA 02769 2/2/2020 / / DVM II,III,IV,V,VI STEVEN SEDRISH A. UPSTATE EQUINE MEDICAL CENTER 362 RUGG ROAD SCHUYLERVILLE NY 12871 12/30/2019 / / DVM II,III,IV,V,VI MARYANNE SEFCHUK VCA NORTH MAIN ST VETERINARY CLINIC 1116 NORTH MAIN ST BROCKTON MA 02301 8/14/2020 / / DVM II,III,IV,V,VI CYNTHIA SEGAL J. 64 LEICESTER ROAD MARBLEHEAD MA 01945 2/6/2019 / / DVM II,III,IV,V,VI ILENE SEGAL H. PARKWAY VETERINARY HOSPITAL 18 SPRING STREET WEST ROXBURY MA 02132 11/15/2019 / / DVM II,III,IV,V,VI RICHARD SEGALOFF L. VCA SOUTH SHORE ANIMAL HOSPITAL 595 COLUMBIAN STREET S. WEYMOUTH MA 02190 12/28/2020 / / DVM II,III,IV,V,VI JESSICA SEID D MSPCA ANGELL WEST 293 SECOND AVENUE WALTHAM MA 02451 1/11/2020 / / DVM II,III,IV,V,VI TODD SEIDEMAN M MARION ANIMAL HOSPITAL 303 WAREHAM ROAD MARION MA 02738 1/27/2021 / / DVM II,III,IV,V,VI SHAWN SEITZ E ALPHA TEC PET, INC. 25 PORTER ROAD, SUITE 210 LITTLETON MA 01460 11/16/2019 / / DVM II,III,IV,V,VI MISTY SELL CHARLESTOWN VETERINARY HOSPITAL 24 ROLAND STREET CHARLESTOWN MA 02129 11/21/2019 / / DVM II,III,IV,V,VI SARINA SELLECK MARLENE COMMUNITY ANIMAL HOSPITAL 15 CLEWS ST SHREWSBURY MA 01545 7/30/2021 / / DVM II,III,IV,V,VI LAURA SERBIN MICHELLE VCA HANSON ANIMAL HOSPITAL 705 MAIN STREET HANSON MA 02341 8/27/2020 8/27/2021 DVM II,III,IV,V,VI SHARON SERNIK ARIEL JOURNEY'S END 15 WINSOR DRIVE MERRIMACK NH 03054 9/14/2018 / / DVM II,III,IV,V,VI CATHERINE SEXTON EILEEN ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BSTON MA 02130 6/14/2019 / / DVM II,III,IV,V,VI GAURA SHAH MELROSE ANIMAL CLINIC 26 ESSEX STREET MELROSE MA 02176 12/29/2019 / / DVM II,III,IV,V,VI AMBER SHAMBURGER KRISTIE GARDNER ANIMAL CARE CENTER 73 EATON ST. GARDNER MA 01440 8/14/2020 / / DVM II,III,IV,V,VI JULIANN SHANAHAN MARY VALLEY VET SERVICE 920 PLEASANT STREET LEE MA 01238 2/16/2019 / / DVM II,III,IV,V,VI SARAH SHARP MELISSA INTERNATIONAL FUND FOR 290 SUMMER ST. YARMOUTH PORT MA 02675 3/18/2019 / / DVM II,III,IV,V,VI SARAH SHARP MELISSA INTERNATIONAL FUND FOR ANIMAL WELFARE 91 WILLOW ST. YARMOUTH PORT MA 02675 1/19/2021 / / DVM II,III,IV,V,VI NICOLE SHAUFFER SOMERVILLE VETERINARY CENTER 314 HIGHLAND AVE SOMERVILLE MA 02143 6/18/2021 / / DVM II,III,IV,V,VI MOIRA SHEEHAN A 35 JUNIPER LANE EXT HARWICH MA 02645 11/12/2020 / / DVM II,III,IV,V,VI ELEANOR SHELBURNE E NORTHAMPTON VETERINARY CLINIC LLC 190 NONOTUCK ST SUITE 105 NORTHAMPTON MA 01062 12/21/2020 / / DVM II,III,IV,V,VI LAUREN SHELL CASTILLA 1032 AMES HILL DR TEWKSBURY MA 01876 3/23/2017 / / DVM II,III,IV,V,VI JESSICA SHEPARD F. DUXBURY ANIMAL HOSPITAL 103 DEPOT ST DUXBURY MA 02332 2/20/2021 / / DVM II,III,IV,V,VI KEVIN SHERMAN 104 PAIGE HILL ROAD BRIMFIELD MA 01010 11/18/2019 / / DVM II,III,IV,V,VI TED SHERMAN D 171 BRIDGE ST. FAIRHAVEN MA 02719 5/24/2021 / / DVM II,III,IV,V,VI ANNIE SHEU-LEE S 350 S. HUNTINGTON AVENUE BOSTON MA 02130 7/17/2020 / / DVM II,III,IV,V,VI JULIE SHIELDS MARIE MEDFIELD VETERINARY CLINIC 4042 51 PETER KRISTOF WAY MEDFIELD MA 02052 11/30/2019 / / DVM II,III,IV,V NAKO SHINOHARA BULGER ANIMAL HOSPITAL 141 WINTHROP AVE LAWRENCE MA 01843 3/28/2020 / / DVM II,III,IV,V,VI KAITLYN SHOBER NICOLE 595 COLUMBIAN ST SOUTH WEYMOUTH MA 02190 8/17/2018 8/17/2019 DVM II,III,IV,V,VI KAITLYN SHOBER NICOLE VCA WESTBORO ANIMAL HOSPITAL 155 TURNPIKE ROAD WESTBOROUGH MA 01581 8/14/2019 / / DVM II,III,IV,V,VI ADAM SHOELSON MICHAEL TUFTS VETERINARY EMERGENCY TREATMENT AND SPECIALTIES 525 SOUTH STREET WALPOLE MA 02081 6/13/2017 / / DVM II,III,IV,V,VI ABIGAIL SHOLTYS ANN SOUTH COASTAL ANIMAL HEALTH 1389 MAIN ST WEYMOUTH MA 02190 10/17/2018 / / DVM II,III,IV ALYSSA SHORE-KHIRALLAH TAYLOR CHELMSFORD ANIMAL HOSPITAL 11 FLETCHER ST, CHELMSFORD MA 01824 7/25/2020 / / DVM II,III,IV,V,VI HEATHER SHOSHO MARIE BEVERLY ANIMAL HOSPITAL 303 CABOT STREET BEVERLY MA 01915 7/15/2019 / / DVM II,III,IV,V,VI

Page 107 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

BENJAMIN SHRYOCK HOLT WILBRAHAM ANIMAL HOSPITAL 2424 BOSTON RD WILBRAHAM MA 01095 7/1/2019 / / DVM II,III,IV,V,VI AMY SHUMAKER K VCA SOUTH SHORE ANIMAL HOSPITAL 595 COLUMBIAN STREET SOUTH WEYMOUTH MA 02190 10/21/2019 / / DVM II,III,IV,V,VI ELIZABETH SHURLAND C READING ANIMAL CLINIC, INC. 1312 MAIN STREET READING MA 01867 11/21/2019 / / DVM II,III,IV,V,VI ROBERT SHURTLEFF S 1964 BOSTON ROAD SUITE 5 WILBRAHAM MA 01095 11/8/2018 / / DVM II,III,IV,V,VI GILES SIDDONS PETER LEXINGTON VETERINARY ASSOCIATES 511 WALTHAM ST LEXINGTON MA 02421 7/2/2019 / / DVM II,III,IV,V,VI ANN SIDLEY E TOPSFIELD VETERINARY HOSPITAL 443 BOSTON ST. TOPSFIELD MA 01983 2/15/2019 / / DVM II,III,IV,V,VI ROBERT SIDORSKY GENE 78 CRITTENDEN HILL RD SHELBURNE FALLS MA 01370 11/14/2019 / / DVM II,III,IV,V,VI HANNAH SIEBENS C WESTON VETERINARY CLINIC 152 BOSTON POST ROAD WESTON MA 02493 8/15/2017 / / DVM II,III,IV,V RUSSELL SIEGEL C ATTLEBORO VETERINARY CLINIC 179 N. MAIN STREET ATTLEBORO MA 02703 12/7/2019 / / DVM II,III,IV,V,VI SHERI SIEGEL 12 MARION TER BROOKLINE MA 02446 2/23/2018 / / DVM II,III,IV,V,VI LESLIE SIEWKO-STORY A OUR FAMILY VETERINARY SERVICES 649 LOWELL STREET, UNIT F PEABODY MA 01960 6/1/2021 / / DVM II,III,IV,V,VI THOMAS SILBERHORN A NORTON ANIMAL HOSPITAL, INC. 147 WEST MAIN STREET NORTON MA 02766 1/17/2020 / / DVM II,III,IV,V,VI MARION SILK A. IVG METROWEST 5 STRATHMORE ROAD NATICK MA 01760 6/10/2019 / / DVM II,III,IV,V,VI BRANDON SILVA CHRISTOPHER ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE. BOSTON MA 02130 6/13/2017 / / DVM II,III,IV,V,VI JESSICA SILVA L ACOAXET VETERINARY CLINIC 965 SANFORD RD WESTPORT MA 02790 9/28/2021 / / DVM II,III,IV,V,VI GENA SILVER M MASS VETERINARY REFERRAL HOSPITAL 20 CABOT ROAD WOBURN MA 01801 11/29/2018 / / DVM II,III,IV,V,VI CARLOS SILVERA A SWANSEA VETERINARY CENTER 333 DRIVE SWANSEA MA 02777 11/14/2019 / / DVM II,III,IV,V,VI CARLOS SILVERA E. FALL RIVER ANIMAL HOSPITAL, INC. 33 18TH STREET FALL RIVER MA 02720 11/24/2020 / / DVM II,III,IV,V,VI STEWART SILVERMAN J. MELROSE ANIMAL CLINIC, P.C. 26 ESSEX STREET MELROSE MA 02176 7/23/2021 / / DVM II,III,IV,V,VI REBEKAH SIMMONS T 3 NATHAN PRATT DRIVE APT #308 CONCORD MA 01742 3/11/2021 / / DVM II,III,IV,V,VI BROOKE SIMON J ANGELL ANIMAL MEDICAL CENTER, INTERN 350 SOUTH HUNTINGTON AVENUE BOSTON MA 02130 9/4/2019 / / DVM II,III,IV,V,VI ELISABETH SIMONE-FREILICHER ANNE ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVENUE BOSTON MA 02130 7/18/2020 / / DVM II,III,IV,V,VI SAMANTHA SIMONELLI MARY MERRIMACK RIVER FELINE RESCUE SOCIETY 63 ELM STREET (RT.110) SALISBURY MA 01952 11/19/2020 / / DVM II,III,IV,V,VI SAMANTHA SIMONELLI MARY MSPCA NEVINS FARM 400 BROADWAY METHUEN MA 01844 8/12/2021 / / DVM II,III,IV,V,VI SAMANTHA SIMONELLI MARY VCA WAKEFIELD ANIMAL HOSPITAL 60 AUBURN ROAD WAKEFIELD MA 01880 11/12/2020 / / DVM II,III,IV,V,VI PAULA SIMONS MARIE MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT RD. WOBURN MA 01801 6/10/2020 / / DVM II,III,IV,V,VI NORMAN SIMPSON RANDOLPH 64 MAIN STREET P.O. BOX 1193 CARVER MA 02330 10/3/2020 / / DVM II,III,IV,V,VI STEPHANIE SIMPSON N VCA ROBERTS ANIMAL HOSPITAL 516 WASHINGTON ST. HANOVER MA 02339 7/18/2020 / / DVM II,III,IV,V,VI MICHELE SIMS A WOODS HOLE SCIENCE AQUARIUM 166 WATER STREET WOODS HOLE MA 02543 2/18/2020 / / DVM II,III,IV,V,VI RAVINDER SINGH ANIMAL ASSOCIATES, INC 606 STATE RD NORTH DARTMOUTH MA 02747 6/10/2019 / / DVM II,III,IV,V,VI KYLE SINNIGEN ALEN SUDBURY ANIMAL HOSPITAL 662 BOSTON POST ROAD SUDBURY MA 01776 7/9/2020 / / DVM II,III,IV,V,VI VIRGINIA SINNOTT B ANGELL - EMERGENCY & CRITICAL CARE 350 S. HUNTINGTON AVENUE BOSTON MA 02130 2/10/2019 / / DVM II,III,IV,V,VI ALLEN SISSON F ANGELL MEMORIAL ANIMAL HOSPITAL 350 S. HUNTINGTON HOSPITAL BOSTON MA 02130 1/18/2021 / / DVM II,III,IV,V,VI WANDA SISUM 280 B RTE 130 STE 1 FORESTDALE MA 02644 3/23/2020 / / DVM III,IV,V EVA SKIBILD VCA SOUTHWICK ANIMAL HOSPITAL 489 COLLEGE HIGHWAY SOUTHWICK MA 01077 3/19/2021 / / DVM II,III,IV,V,VI KRISTINE SKLENAK M SOUTHBRIDGE VETERINARY HOSPITAL 100 CENTRAL ST. SOUTHBRIDGE MA 01550 12/9/2019 / / DVM II,III,IV,V,VI CORINNE SLAUGHTER M HIDDEN BROOK VETERINARY SERVICES 726A DARTMOUTH STREET DARTMOUTH MA 02748 4/27/2020 / / DVM II,III,IV,V,VI SARAH SLAUGHTER ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 8/6/2021 / / DVM II,III,IV,V,VI RENEE SLOWICK E VCA MONTGOMERY ROAD ANIMAL HOSPITAL 207 MONTGOMERY ROAD WESTFIELD MA 01085 7/16/2021 / / DVM II,III,IV,V,VI ALYCIA SMITH 38 FLAGG ROAD HUBBARDSTON MA 01452 12/12/2019 / / DVM II,III,IV,V,VI BARBARA SMITH LYNN DANA-FARBER CANCER INSTITUTE 360 LONGWOOD AVE LC9055 BOSTON MA 02215 9/16/2019 / / DVM II,III,IV,V,VI BONNIE SMITH J 49 ST. CLAIR ROAD BRIMFIELD MA 01010-2121 2/18/2020 / / DVM II,III,IV,V,VI DANIELLE SMITH L. HYANNIS ANIMAL HOSPITAL 102 ANSEL HALLET ROAD WEST YARMOUTH MA 02673 11/30/2018 / / DVM II,III,IV,V,VI DARIA SMITH V. LEXINGTON VETERINARY ASSOCS, INC. 511 WALTHAM STREET LEXINGTON MA 02421 11/14/2019 / / DVM II,III,IV,V,VI KIMBERLY SMITH ANNE 4491 WASHINGTON ST. ROSLINDALE MA 02131 6/3/2021 / / DVM II,III,IV,V,VI REBECCA SMITH E AMESBURY ANIMAL HOSPITAL 277 ELM STREET AMESBURY MA 01913 11/7/2020 / / DVM II,III,IV,V,VI SUSAN SMITH MARGARET MSPCA-ANGELL WEST 293 SECOND AVENUE WALTHAM MA 02451 7/3/2018 / / DVM II,III,IV,V,VI

Page 108 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

THERESA SMITH MARIE CAPE COD VETERINARY SPECIALISTS 11 BOURNE BRIDGE APPROACH BUZZARD BAY MA 02532 8/27/2018 / / DVM II,III,IV,V,VI MARTHA SMITH-BLACKMORE M CITY OF BOSTON ANIMAL CARE AND CONTROL 26 MAHLER RD ROSLINDALE MA 02131 7/5/2020 / / DVM II,III,IV,V,VI KATE SMOLKA MARIE HOLMES FAMILY VETERINARY CLINIC 2245 PROVIDENCE HIGHWAY WALPOLE MA 02081 2/28/2020 / / DVM II,III,IV,V,VI ROXANNA SMOLOWITZ M COONAMESSETT FARM 277 HATCHVILLE ROAD EAST FALMOUTH MA 02536 7/30/2021 / / DVM II,III,IV,V,VI MICHAELA SNEAD ARLINGTON ANIMAL CLINIC 191 BROADWAY ARLINGTON MA 02474 12/28/2020 / / DVM II,III,IV,V,VI WILLIAM SNELL LEONARD 56 ROLAND ST STE 107 CHARLESTOWN MA 02129 8/29/2020 / / DVM II,III,IV,V,VI SETH SNOW TYLER CHASE FARM VETERINARY HOSPITAL 35 VENTURA DR NORTH DARTMOUTH MA 02747 3/23/2017 / / DVM II,III,IV,V,VI REBECCA SOCO S SECOND CHANCE ANIMAL SERVICES 372 N.MAIN STREET NORTH BROOKFIELD MA 01535 11/19/2020 / / DVM II,III,IV,V,VI STANLEY SOHN 619 EAST ST. P.O. BOX 631 MANSFIELD MA 02048 11/25/2019 / / DVM II,III,IV,V,VI MARGARITA SOKOLOVA WESTSIDE ANIMAL CLINIC 262 MILL ST WORCESTER MA 01602 8/10/2017 8/10/2020 DVM II,III,IV,V,VI RUTHANN SOLOMON BAY STATE ANIMAL CLINIC 249 ANDOVER ST. DANVERS MA 01923 6/23/2020 / / DVM II,III,IV,V,VI DEBORAH SONNEN-CAMPBELL A. PET HAVEN ANIMAL HOSPITAL 153 MT AUBURN ST. WATERTOWN MA 02472 12/5/2019 / / DVM II,III,IV,V,VI IVAN SOSA SAMPER MASS VET REFERRAL HOSPITAL (IVG) 20 CABOT RD WOBURN MA 01801 10/16/2019 / / DVM II,III,IV,V,VI JANET SOSNICKI LYNN PEACEFUL PET PARTING 16 MCKINLEY ST. MAYNARD MA 01754 12/7/2020 / / DVM II,III,IV,V,VI LAUREN SOUTH ANN BULGER VETERINARY HOSPITAL 141 WINTHROP AVE . LAWERNCE MA 01843 8/15/2019 / / DVM II,III,IV,V,VI RICHARD SOUTHGATE W. III BORASH VETERINARY CLINIC 79 PROSPECT ST. PEABODY MA 01960 5/4/2020 / / DVM II,III,IV,V,VI CLARISSA SPADANUTA E PEPPERELL VETERINARY HOSPITAL 110 RIVER ROAD PEPPERELL MA 01752 6/5/2019 / / DVM II,III,IV,V,VI HEATHER SPAIN NICOLE ANGELL ANIMAL MEDICAL CENTER DEPT OF RADIOLOGY 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 8/30/2018 / / DVM II,III,IV,V,VI KAYLAN SPATNY PATRICIA VETERINARY EMERGENCY & SPECIALTY HOSPITAL 141 GREENFIELD ROAD SOUTH DEERFIELD MA 01373 2/26/2020 / / DVM II,III,IV,V,VI DAISY SPEAR JANE ANGELL ANIMAL MEDICAL CENTER 350 HUNTINGTON AVE JAMAICA PLAIN MA 02130 8/15/2018 / / DVM II,III,IV,V,VI ANDREA SPEED VCA WICKABOG ANIMAL HOSPITAL 138 WEST MAIN STREET WEST BROCKTON MA 01585 9/4/2020 / / DVM II,III,IV,V,VI LAURA SPENGLER C. 82 WHITINS ROAD SUTTON MA 01590 1/17/2021 / / DVM II,III,IV,V,VI CARLY SPEYER RUBENZAHL VCA WICKABOAG ANIMAL HOSPITAL 138 WEST MAIN STREET WEST BROOKFIELD MA 01585 1/22/2020 / / DVM II,III,IV,V,VI HELEN SPIEGEL LEE MILL VALLEY VETERINARY CLINIC 224 MILL VALLEY ROAD BELCHERTOWN MA 01007 3/25/2019 / / DVM II,III,IV,V,VI BARI SPIELMAN L BLUE PEARL 180 BEAR HILL ROAD WALTHAM MA 02451 9/14/2021 / / DVM II,III,IV,V,VI JOHN SPODICK ATHANS SWAN CORNER ANIMAL HOSPITAL 164 WESTFORD ROAD UNIT 10 TYNGSBORO MA 01879 3/6/2017 / / DVM II,III,IV,V,VI JESSICA SPRINGER SVATEK CARLISLE VETERINARY 114 SUNSET ROAD CARLISLE MA 01741 5/23/2019 / / DVM II,III,IV,V,VI JIMMIE SPURLOCK P ANIMALS CARE SERVICES, UMASS AMHERST 135 HICKS WAY AMHERST MA 01003 7/16/2020 / / DVM II,III,IV,V,VI ASHLEY STANCIL E HYANNIS ANIMAL HOSPITAL 102 ANSEL HALLET RD. W. YARMOUTH MA 02673 3/29/2020 / / DVM II,III,IV,V,VI EMMA STAPLEY DELL MASSACHUSETTS EQUINE CLINIC 75 LOCUST ST. UXBRIDGE MA 01569 7/21/2020 / / DVM II,III,IV,V,VI MARYELLEN STARBLE CUSHING SQUARE VET CLINIC 133 TRAPELO ROAD BELMONT MA 02478 2/11/2019 / / DVM II,III,IV,V,VI SUZANNE STARR PAWS IN MOTION 214 NORTH MAIN STREET SUITE 101 NATICK MA 01760 11/16/2019 / / DVM II,III,IV,V,VI STEVEN STASIAK ATLANTIC VETERINARY HOSPITAL MARBLEHEAD MA 01945 3/11/2021 / / DVM II,III,IV,V,VI KRISTIN STEBBINS KINGSLEY NORTON ANIMAL HOSPITAL 147 WEST MAIN STREET NORTON MA 02766 2/22/2019 / / DVM II,III,IV,V,VI LAUREN STEIGERWALT MICHELE LEXINGTON-BEDFORD VETERINAY HOSPITAL 476 BEDFORD ST LEXINGTON MA 02420 9/7/2021 / / DVM II,III,IV,V,VI RACHAEL STEINBOCK LOUISE 705 MAIN STREET HANSON MA 02341 12/16/2019 / / DVM II,III,IV,V,VI CHAGIT STEINER WINTER HILL VETERINARY CLINIC 257 BROADWAY STREET SOMERVILLE MA 02145 3/11/2021 / / DVM II,III,IV,V,VI KATE STEINHACKER BESS 16 WILLOW STREET QUINCY MA 02170 1/9/2020 / / DVM II,III,IV,V,VI AMANDA STENECK GRACE MASSACHUSETTS EQUINE CLINIC 75 LOCUST ST UXBRIDGE MA 01569 7/6/2020 / / DVM II,III,IV,V,VI SARAH STETSON G ACOAXET VETERINARY CLINIC 965 SANFORD RD WESTPORT MA 02790 7/29/2021 / / DVM II,III,IV,V,VI BONNIE STEVENSON CLAIRE 4 WINFIELD STREET EAST FREETOWN MA 02717 3/9/2019 / / DVM II,III,IV,V,VI FAWN STEVENSON A CRAZY PAWS 234 KING ST COHASSET MA 02025 5/2/2017 / / DVM II,III,IV,V,VI DANIEL STEWART J 100 INDUSTRIAL PARK ROAD PLYMOUTH MA 02360 4/30/2021 / / DVM II,III,IV,V,VI SAMUEL STEWART D MASS VETERINARY REFERRAL HOSPITAL 20 CABOT ROAD WOBURN MA 01801 9/22/2021 / / DVM II,III,IV,V,VI SAMUEL STEWART DAVID BOSTON WEST VETERINARY EMERGENCY AND SPECIALTY 5 STRATMORE ROAD NATICK MA 01760 3/6/2018 / / DVM II,III,IV,V,VI REBECCA STIERT J EASTSIDE VETERINARY CLINIC 265 GANO STREET PROVIDENCE RI 02906 4/13/2020 / / DVM II,III,IV,V,VI NORMAN STILLMAN J THE COURT STREET ANIMAL HOSPITAL 136 COURT STREET PLYMOUTH MA 02360 12/8/2019 / / DVM II,III,IV,V,VI

Page 109 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

ALYSSA STOCKDALE L BANFIELD PET HOSPITAL 70 WORCESTER-PROVIDENCE TURNPIKE #240 MILLBURY MA 01527 7/26/2020 / / DVM II,III,IV,V,VI DENISE STONE M HOLLISTON ANIMAL HOSPITAL 13 EXCHANGE STREET HOLLISON MA 01746 8/15/2020 / / DVM II,III,IV,V,VI ERIC STONE W. EASTHAM VETERINARY HOSPITAL 725 STATE HIGHWAY EASTHAM MA 02642 11/20/2020 / / DVM II,III,IV,V,VI MARISA STONE D MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT ROAD WOBURN MA 01801 7/23/2019 / / DVM II,III,IV,V,VI MICHAEL STONE S TUFTS UNIVERSITY SCHOOL OF VETERINARY MED 200 WESTBORO ROAD NORTH GRAFTON MA 01536 3/28/2020 / / DVM II,III,IV,V,VI JACQUELINE STOREY VCA WAKRE ANIMAL HOSPITAL 60 AUDUBON ROAD WAKEFIELD MA 01880 8/26/2021 / / DVM II,III,IV,V,VI NEIL STOREY WESTON VETERINARY CLINIC 152 BOSTON POST ROAD WESTON MA 02493 7/23/2021 / / DVM II,III,IV,V,VI GRACE STRAKE LEE SOUTH COASTAL ANIMAL HEALTH 1389 MAIN STREET WEYMOUTH MA 02190 12/12/2019 / / DVM II,III,IV,V,VI SARAH STRAKE ANNE SOUTH COASTAL ANIMAL HEALTH 1389 MAIN STREET SOUTH WEYMOUTH MA 02190 7/26/2019 / / DVM II,III,IV,V,VI STEPHEN STRASSNER MICHAEL III MASSACHUSETTS EQUINE CLINIC 75 LOCUST ST UXBRIDGE MA 01569 12/23/2020 / / DVM II,III,IV,V,VI SUSAN STRASSNER G MASS EQUINE CLINIC, P.C. 75 LOCUST STREET UXBRIDGE MA 01569 2/28/2019 / / DVM II,III,IV,V,VI AMY STRAUT A MSPCA- ANGELL WEST PHYSICAL REHABILITATION 293 SECOND AVENUE WALTHAM MA 02451 5/18/2019 / / DVM II,III,IV,V,VI JESSE SUGRUE ELIZABETH MILL VALLEY VETERINARY CLINIC 224 MILL VALLEY RD BELCHERTOWN MA 01007 6/19/2021 / / DVM II,III,IV,V,VI MELISSA SULIN J FIRST CHOICE VETERINARY CARE 324 ELECTRIC AVE, STE 1 LUNENBURG MA 01462 10/31/2020 / / DVM II,III,IV,V,VI ANDREA SULLIVAN M YANKEE GOLDEN RETRIEVER RESCUE 110 CHAPLIN RD. HUDSON MA 01749 8/12/2020 / / DVM II,III,IV,V,VI ANDREA SULLIVAN MOOLENBEEK BAYPATH HUMANE SOCIETY 500 LEGACY FARMS NORTH HOPKINTOON MA 01748 8/27/2020 / / DVM II,III,IV,V,VI ANDREA SULLIVAN MOOLENBEEK METROWEST HUMANE SOCIETY 30 POND STREET ASHLAND MA 01721 8/27/2020 / / DVM II,III,IV,V,VI ANDREA SULLIVAN MOOLENBEEK NATICK ANIMAL CLINIC 121 WEST CENTRAL STREET NATICK MA 01760 9/26/2020 / / DVM II,III,IV,V,VI DIANE SULLIVAN M WEBSTER LAKE VETERINARY HOSPITAL 244 THOMPSON ROAD WEBSTER MA 01570 8/7/2021 / / DVM II,III,IV,V,VI JULIA SULLIVAN E 341 WASHINGTON ST. EAST WALPOLE MA 02032 1/24/2020 / / DVM II,III,IV,V,VI LINDSEY SULLIVAN LEE COURT STREET ANIMAL HOSPITAL 136 COURT ST PLYMOUTH MA 02360 3/10/2020 / / DVM II,III,IV,V,VI MARIA SULLIVAN LILLIAN NORWELL VETERINARY HOSPITAL 295-R WASHINGTON ST NORWELL MA 02061 1/2/2021 / / DVM II,III,IV,V,VI MEGAN SULLIVAN LESTER VETERINARY EMERGENCY AN SPECIALTY HOSPITAL VESH EMERGENCY 141 GREENFIELD RD SOUTH DEERFIELD MA 01373 5/24/2021 / / DVM II,III,IV,V,VI MEGHAN SULLIVAN O. ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVENUE BOSTON MA 02130 8/15/2017 / / DVM II,III,IV,V,VI PATRICK SULLIVAN J MSPCA-ANGELL WEST-WALTHAM 293 SECOND AVE WALTHAM MA 02451 7/15/2020 / / DVM II,III,IV,V,VI CATHERINE SUMNER MEREDITH MSPCA - ANGELL WEST 293 SECOND AVENUE WALTHAM MA 02451 9/20/2020 / / DVM II,III,IV,V,VI CATHY SUN READING ANIMAL CLINIC 1312 MAIN ST. READING MA 01867 8/15/2019 / / DVM II,III,IV,V,VI BETHANY SURGAN M MELROSE ANIMAL CLINIC 22 ESSEX STREET MELROSE MA 02176 11/14/2019 / / DVM II,III,IV,V,VI LINDSAY SUSSMAN MANICE VETERINARY SERVICES OF WESTWOOD 252 PROVIDENCE HWY WESTWOOD MA 02090 9/19/2019 / / DVM II,III,IV,V,VI HEIDI SUTCLIFFE A NORWELL VETERINARY HOSPITAL - VETCOR 295 WASHINGTON STREET NORWELL MA 02061 2/26/2019 / / DVM II,III,IV,V,VI KATHERINE SUTER L 1403 STEARNS HILL ROAD WALTHAM MA 02451 5/20/2021 / / DVM II,III,IV,V,VI SERENA SUTKA ADAMS ANIMAL HOSPITAL 1287 S MAIN ST ATHOL MA 01331 7/15/2019 / / DVM II,III,IV,V,VI SUZANNE SUTTON MEREDITH ANIMOTION ANIMAL REHAB CTR 1995 WASHINGTON ST STOUGHTON MA 02072 8/4/2017 / / DVM II,III,IV,V,VI PAUL SWENSON R WEST SPRINGFIELD ANIMAL HOSPITAL 288 WESTFIELD STREET WEST SPRINGFIELD MA 01089 12/14/2019 / / DVM II,III,IV,V,VI CARMENCITA SWINSON A SOUTH STREET VETERINARY SERVICE 864 SOUTH ST. PITTSFIELD MA 01201 6/27/2020 / / DVM II,III,IV,V,VI ABRAR SYED ALI 1130 MAIN ST MALDEN MA 02148 1/6/2020 / / DVM II,III,IV,V,VI JOHN SYKES J. COUNTRYSIDE VETERINARY CLINIC 92 ELDERLY ST. WRENTHAM MA 02093 9/19/2019 / / DVM II,III,IV,V,VI NICOLE SYNGAJEWSKI M SRH VETERINARY SERVICES 295 HIGH ST. IPSWICH MA 01938 1/20/2021 / / DVM II,III,IV,V,VI SUSANNE SZEKELY D. GIATTINA MASS VETERINARY REFFERAL HOSPITAL 20 CABOT ROAD WOBURN MA 01801 1/10/2019 / / DVM II,III,IV,V,VI MARISA TADDEI LAUREN WESTSIDE ANIAML CLINIC 262 MILL ST WORCESTER MA 01602 7/24/2021 / / DVM II,III,IV,V,VI MEGAN TAMBASCHI ROBERT BANFIELD PET HOSPITAL 88 SHOPS AT 5 WAY PLYMOUTH MA 02360 1/22/2019 / / DVM II,III,IV,V,VI AMY TAMULEVICUS MICHELLE CAPE COD VETERINARY SPECIALISTS 11 BOURNE BRIDGE APPROACH BUZZARDS BAY MA 02532 11/6/2017 / / DVM II,III,IV,V,VI JAMES TANNER EDWARD BOXFORD ANIMAL HOSPITAL 200 WASHINGTON STREET BOXFORD MA 01921 11/18/2019 / / DVM II,III,IV,V,VI HEIDI TAPSCOTT A BEST PETS VETERINARY HOSPITAL 2600 MAIN STREET TEWKSBURY MA 01876 12/19/2019 / / DVM II,III,IV,V,VI JANET TAST M. WELLESLEY ANIMAL HOSPITAL 314 WESTON ROAD WELLESLEY MA 02482 12/28/2020 / / DVM II,III,IV,V,VI SCOTT TAYLOR F MASHPEE VETERINARY HOSPITAL 430 GREAT NECK RD MASHPEE MA 02649 7/10/2017 / / DVM II,III,IV,V,VI SCOTT TAYLOR GRAHAM MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT RD WOBURN MA 01801 1/11/2019 / / DVM II,III,IV,V,VI

Page 110 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

SUZANNE TAYLOR M BULGER VETERINARY HOSPITAL 247 CHICKERING ROAD NOTH ANDOVER MA 01845 11/29/2018 / / DVM II,III,IV,V,VI GEORGE TEAGUE S 367 MAPLE ST. DANVERS MA 01923 7/23/2021 / / DVM II,III,IV,V,VI SAMANTHA TEBO ALICE VCA STERLING 4 CLINTON ROAD STERLING MA 01564 6/18/2021 / / DVM II,III,IV,V ROBERT TEDALDI D 304 COMMONWEALTH AVE, UNIT 1A BOSTON MA 02115 10/15/2021 / / DVM II,III,IV,V,VI MARIA TEHRANY 79 MYRTLE ST. HANOVER MA 02339 5/12/2017 / / DVM II,III,IV,V,VI LISA TEIXEIRA MARIE PEMBROKE ANIMAL HOSPITAL 115 MATTAKEESETT STREET PEMBROKE MA 02359 7/13/2020 / / DVM II,III,IV,V,VI KELLY TEMPLE L BOSTON VERTERINARY CLINIC 363 TREMONT STREET BOSTON MA 02116 12/28/2020 / / DVM II,III,IV,V,VI PATRICK TEMPLE J ADAMS ANIMAL HOSPITAL 1287 SOUTH MAIN STREET ATHOL MA 01331 11/3/2019 / / DVM II,III,IV,V,VI ELLEN TENG CHAO VCA WICKABOAG ANIMAL HOSPITAL 138 W MAIN STREET WEST BROOKFIELD MA 01585 7/8/2019 / / DVM II,III,IV,V,VI AMANDA TERRY DANVERS ANIMAL HOSPITAL 367 MAPLE STREET DANVERS MA 01923 1/14/2021 / / DVM II,III,IV,V,VI BEATRIZ THAYER B MERRIMAC VALLEY ANIMAL HOSPITAL 26 HAVERHILL ROAD AMESBURY MA 01913 1/17/2020 / / DVM II,III,IV,V,VI SHERRI THERRIEN L DAKIN PIONEER VALLEY HUMANE SOCIETY 171 UNION STREET SPRINGFIELD MA 01105 3/21/2020 / / DVM II,III,IV,V,VI ELIZABETH THEVE J NOVARTIS NIBR-CA LAS/VS 22 WINDSOR ST. B1D-326A CAMBRIDGE MA 02139 8/21/2020 / / DVM II,III,IV,V,VI LINDA THISTLE M. 664 RIVERSIDE AVE HAVERHILL MA 01830 9/4/2021 / / DVM II,III,IV,V,VI BRONWEN THOMAS J ETHOS VETERINARY HEALTH 150 PRESIDENT WAY, SUITE 200 WOBURN MA 01801 12/13/2018 / / DVM II,III,IV,V,VI CLAIRE THOMAS I VETERINARY HEALTH CARE OF GROTON 10 HOLLIS ST. GROTON MA 01450 7/7/2021 / / DVM II,III,IV,V,VI DANIELLE THOMAS E. MASSACHUSETTS VETERINARY REFERAL HOSP. 20 CABOT RD WOBURN MA 01801 8/24/2019 / / DVM II,III,IV,V,VI DIANE THOMAS M. HAWTHORNE ANIMAL HEALTH CARE 120 CANAL ST SALEM MA 01970 2/5/2021 / / DVM II,III,IV,V,VI EMMA THOMAS KAROLINE MASS VET REFERRAL HOSPITAL 20 CABOT RD WOBURN MA 01801 8/10/2017 / / DVM II,III,IV,V,VI KATE THOMAS E BELVIDERE VETERINARY HOSPITAL 215 MANSUR ST. LOWELL MA 01852 1/11/2019 / / DVM II,III,IV,V,VI KATE THOMAS E WIGNALL ANIMAL HOSPITAL 1837 BRIDGE STREET DRACUT MA 01826 1/2/2021 / / DVM II,III,IV,V,VI KRISTI THOMAS ANN BAY STATE VETERINARY EMERGENCY SERVICES 76 BAPTIST STREET SWANSEA MA 02777 3/28/2020 / / DVM II,III,IV,V,VI CASSANDRA THOMAS-SHEEHAN BRISTOL COUNTRY VETERINARY HOSPITAL 288 FALL RIVER AVE SEEKONK MA 02771 4/28/2021 / / DVM II,III,IV,V,VI ANN THOMPSON 75 SHORE DRIVE PLYMOUTH MA 02360 3/3/2020 / / DVM II,III,IV,V,VI ANN THOMPSON HUMANE SOCIETY & SHELTER -SOUTHCOAST 31 VENTURA DRIVE N.DARTMOUTH MA 02747 1/14/2021 / / DVM II,III,IV,V,VI NANCY THOMPSON F WELLESLEY COLLEGE SCIENCE CENTER 106 CENTRAL STREET WELLESLEY MA 02481 2/28/2020 / / DVM II,III,IV,V,VI NATALIE THOMPSON ELIZABETH WINDY HOLLOW VETERINARY CLINIC 66 SUNDERLAND RD MONTAGUE MA 01351 12/28/2020 / / DVM II,III,IV,V,VI BRIAN THOMSEN JAMES ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 7/26/2019 / / DVM II,III,IV,V,VI DAVID THOMSON S RIVERBEND ANIMAL HOSPITAL, P.C. 43 RUSSELL STREET HADLEY MA 01035 8/11/2020 / / DVM II,III,IV,V,VI CAROLYN THORNE M VETERINARY SERVICES OF WESTWOOD 252 PROVIDENCE HIGHWAY WESTWOOD MA 02090 1/5/2020 / / DVM II,III,IV,V,VI KAREN THORNTON-FOLLETT B T.J.O'CONNOR ANIMAL CONTROL AND ADOPTION CENTER 627 COTTAGE STREET SPRINGFIELD MA 01104 11/24/2020 / / DVM II,III,IV,V,VI SALLIE THURBER BEST FRIENDS VETERINARY HOSPITAL 256 MAIN STREET TOWNSEND MA 01469 4/25/2020 / / DVM II,III,IV,V,VI COLLEEN THURMAN NEIDL ARS BOSTON UNIVERSITY 620 ALBANY STREET BOSTON MA 02118 12/21/2020 / / DVM II,III,IV,V,VI AMANDA TICHY LYNN FRAMINGHAM ANIMAL HOSPITAL 1415 EDGELL ROAD FRAMINGHAM MA 01701 6/18/2021 / / DVM II,III,IV,V,VI CLAIRE TIMBAS L BANFIELD PET HOSPITAL #1593 299 LOUDON ROAD CONCORD NH 03046 10/13/2020 / / DVM II,III,IV,V,VI SUSAN TINKHAM MARY HALIFAX VETERINARY SERVICE 259 PLYMOUTH ST. HALIFAX MA 02338 9/6/2019 / / DVM II,III,IV,V,VI GREER TISON ALLISON VCA SOUTHWICK ANIMAL HOSPITAL 498 COLLEGE HIGHWAY SOUTHWICK MA 01077 12/3/2020 / / DVM II,III,IV,V,VI DONNA TIZARD C. SUDBURY ANIMAL HOSPITAL 662 BOSTON POST ROAD SUDBURY MA 01776 10/29/2021 / / DVM II,III,IV,V,VI STEPHANIE TOBIA MARY CENTRAL ANIMAL HOSPITAL 1285 CENTRAL STREET LEOMINSTER MA 01453 4/8/2021 / / DVM II,III,IV,V,VI BRIDGET TOBLEMAN NICOLE CAPE COD VETERINARY SPECIALISTS DENNIS 11 BOURNE BRIDGE APPROACH SOUTH DENNIS MA 02660 10/8/2019 / / DVM II,III,IV,V,VI LYNEL TOCCI JAYE HERRING COVE ANIMAL CLINIC 83 SHANKPAINTER ROAD PROVINCETOWN MA 02657 6/11/2019 / / DVM II,III,IV,V,VI LAUREN TOLESON CAPE COD VETERINARY SPECIALIST 79 THEOPHILUS RD SOUTH DENNIS MA 02660 10/8/2020 / / DVM II,III,IV,V,VI ANDREA TOMAS VCA SOUTH SHORE (WEYMOUTH) ANIMAL HOSPITAL 595 OLUMBIAN STREET SOUTH WEYMOUTH MA 02190 11/4/2019 / / DVM II,III,IV,V,VI BRIENNA TOMLINSON LEE SHAWSHEEN ANIMAL HOSPITAL 1415 MAIN ST TEWKSBURY MA 01876 7/2/2021 / / DVM II,III,IV,V,VI CHRISTINE TOOMEY A NEW ENGLAND ANIMAL MEDICAL CTR 595 WEST CENTER STREET WEST BRIDGEWATER MA 02379 2/23/2021 / / DVM II,III,IV,V,VI PIA TORRES RANDOLPH ANIMAL HOSPITAL 400 S. MAIN ST. RANDOLPH MA 02368 12/22/2017 / / DVM II,III,IV,V,VI FORREST TOWNSEND I. III NEW ENGLAND ANIMAL MEDICAL CENTER, INC. 595 WEST CENTER STREET WEST BRIDGEWATER MA 02379 12/3/2020 / / DVM II,III,IV,V,VI

Page 111 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

JENNIFER TRACHTMAN-ROOKS B BAYSIDE VETERINARY CARE, INC 4 GEORGE STREET WARREN RI 02885 1/25/2019 / / DVM II,III,IV,V,VI DENISE TRAPANI M. ANIMAL HEALTH CENTER 51 MAN MAR DRIVE # 1 PLANVILLE MA 02762 12/16/2019 / / DVM II,III,IV,V,VI TONYA TROMBLEE C MASS VETERINARY REFERRAL HOSPITAL RADIOLOGY DEPT. 20 CABOT ROAD WOBURN MA 01801 1/4/2019 / / DVM II,III,IV,V,VI LISA TROUT C PUTNAM VETERINARY CLINIC 374 BOSTON ST. TOPSFIELD MA 01983 1/2/2020 / / DVM II,III,IV,V,VI NICHOLAS TROUT J. ANGELL ANIMAL MEDICAL CENTER DEPT. OF SURGERY 350 SOUTH HUNTINGTON AVENUE BOSTON MA 02130 10/1/2018 / / DVM II,III,IV,V,VI ELISE TROWEL MICHELLE TAUNTON CAT HOSPITAL 56 WINTHROP ST. TAUNTON MA 02780 7/14/2020 / / DVM II,III,IV,V,VI MARK TROXEL THOMAS MASSACHUSETTS VETERINARY REFERRAL HOSP 20 CABOT ROAD WOBURN MA 01801 2/16/2019 / / DVM II,III,IV,V,VI WILLIAM TRUESDALE CLARK 455 CENTRAL AVE., RTE. 152 SEEKONK MA 02771 3/5/2021 / / DVM II,III,IV,V,VI EMILY TRUMBULL JANE VCA SOUTH SHORE (WEYMOUTH) 595 COLUMBIAN ST SOUTH WEYMOUTH MA 02190 9/21/2017 / / DVM II,III,IV,V,VI SARAH TRYJANKOWSKI BETH NASHOBA VALLEY VETERINARY HOSPITAL 347 LITTLETON ROAD WESTFORD MA 01886 1/17/2019 / / DVM II,III,IV,V,VI PATRICIA TRZCINSKI MARY LOOBY VETERINARY GROUP 639 HIGH ST MEDFORD MA 02155 12/4/2018 / / DVM II,III,IV,V,VI TINA TSAI SAUGUS ANIMAL HOSPITAL 300 BROADWAY SAUGUS MA 01906 9/10/2019 / / DVM II,III,IV,V,VI FLORINA TSENG S. TUFTS CUMMINGS SCHOOL OF VET. MEDICINE WILDLIFE CLINIC 200 WESTBORO ROAD NORTH GRAFTON MA 01536 12/16/2019 / / DVM II,III,IV,V HELEN TSOI ANGELL ANIMAL MEDICAL HOSPITAL 350 S HUNTINGTON AVE JAMAICA PLAIN MA 02130 6/29/2018 / / DVM II,III,IV,V,VI DAVID TUBMAN J PARKWAY VETERINARY HOSPITAL 18 SPRING ST. WEST ROXBURY MA 02132 12/31/2018 / / DVM II,III,IV,V,VI ELIZABETH TULLETT ANN ALLEN HEIGHTS ANIMAL HOSPITAL 289 DALTON AVEUNE PITTSFIELD MA 01201 7/24/2021 / / DVM II,III,IV,V,VI DAVID TUMINARO H 12 MOURNING DOVE ROAD OAK BLUFFS MA 02557 1/9/2018 / / DVM II,III,IV,V,VI AMY TUOMINEN E 141 E. BUCKLAND RD SHELBURNE FALLS MA 01370 1/28/2020 / / DVM II,III,IV,V,VI KELSEY TURLEY ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE JAMAICA PLAIN MA 02130 8/15/2019 / / DVM II,III,IV,V,VI MAUREEN TURNER E. HIGH STREET VETERINARY HOSPITAL 78 HIGH ST DANVERS MA 01923 11/21/2019 / / DVM II,III,IV,V,VI DIANE TURNER-MURRAY M 11 BOURNE BRIDGE APPROACH BUZZARDS BAY MA 02532 9/28/2020 / / DVM II,III,IV,V,VI ERIN TUROWSKI ELIZABETH ANGELL AT ESSEX 565 MAPLE ST. DANVERS MA 01923 9/17/2019 / / DVM II,III,IV,V,VI NICOLE TUSA VERONICA ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE JAMAICA PLAIN MA 02130 4/23/2019 / / DVM II,III,IV,V,VI KATHRYN TUXBURY ANN NEW ENGLAND AQUARIUM 1 CENTRAL WHARF BOSTON MA 02110 4/10/2021 / / DVM II,III,IV,V,VI KATHRYN TUXBURY ANN NEW ENGLAND AQUARIUM ANIMAL HEALTH 551 SOUTH ST QUINCY MA 02169 10/10/2020 / / DVM II,III,IV,V,VI EMILY ULFELDER H ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVENUE BOSTON MA 02130 10/26/2020 / / DVM II,III,IV,V,VI KISTLER ULMER MARY MASSACHUSETTS VETERINARY REFERRAL HOSP 20 CABOT ROAD WOBURN MA 01801 9/5/2020 / / DVM II,III,IV,V,VI CHRISTOPHER ULRICH M 70 BEACON ST. SOMERVILLE MA 02143 11/17/2019 / / DVM II,III,IV,V,VI SALLY UMLAUF DIEHL LENOX CAT HOSPITAL 450 PITTSFIELD RD LENOX MA 01240 5/24/2021 / / DVM II,III,IV,V,VI LISA UNDERWOOD M PIONEER VALLEY VETERINARY HOSPITAL 571 BERNARDSTON ROAD GREENFIELD MA 01301 1/12/2021 / / DVM II,III,IV,V,VI LAUREN UNGAR VCA SOUTH SHORE, EMERGENCY 595 COLUMBIAN ST. SOUTH WEYMOUTH MA 02190 8/12/2020 / / DVM II,III,IV,V,VI JENNIFER USIAK R PORTER SQUARE VETERINARIAN 360 SUMMER ST SOMERVILLE MA 02144 4/26/2021 / / DVM II,III,IV,V,VI KATHERINE VAGLIANO STERLING OLD DERBY ANIMAL HOSPITAL 40 RECREATION PARK DRIVE HINGHAM MA 02043 6/11/2019 / / DVM II,III,IV,V,VI CELESTIA VAICKUS ROSE VCA ROBERTS ANIMAL HOSPITAL 516 WASHINGTON STREET HANOVER MA 02339 12/16/2019 / / DVM II,III,IV,V,VI CRISTINA VALAS SANZ THE FAMILY PET HOSPITAL, INC. 300 ELIOT STREET ASHLAND MA 01721 4/7/2020 / / DVM II,III,IV,V,VI ELLEN VALLEY EAST LONGMEADOW ANIMAL HOSPITAL 572 NORTH MAIN STREET EAST LONGMEADOW MA 01028 8/6/2021 / / DVM II,III,IV,V,VI HARMEN VAN DER VELDEN JAN 895 TURKEY STREET HARDWICK MA 01082 6/8/2020 / / DVM II,III,IV,V,VI RUTH VAN HATTEN A ANGELL ANIMAL MEDICAL CENTER DEPT OF RADIOLOGY 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 4/16/2019 / / DVM II,III,IV,V,VI JULIA VANDERSLICE ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 6/3/2021 / / DVM II,III,IV,V,VI VICTORIA VASILAKIS BETSY LINWOOD ANIMAL HOSPITAL 1500 GORHAM ST. LOWELL MA 01852 4/12/2020 / / DVM II,III,IV,V,VI CAROLYN VASQUEZ HILLSIDE VETERINARY CLINIC 9 HOWE STREET AUBURN MA 01501 12/3/2020 / / DVM II,III,IV,V,VI CAITLIN VAUGHN F EASTHAMPTON ANIMAL HOSPITAL 410 MAIN ST, EASTHAMPTON MA 01027 6/5/2020 / / DVM II,III,IV,V,VI LAUREN VELEZ-COLLAZO C VETERINARY ASSOCIATES OF CAPE COD 16 COMMONWEALTH AVENUE SOUTH YARMOUTH MA 02664 3/18/2019 / / DVM II,III,IV,V,VI LAWRENCE VENEZIA E. 102 ANSEL HALLET ROAD WEST YARMOUTH MA 02673 10/31/2020 / / DVM II,III,IV,V,VI JUAN VERA-GONZALEZ BANFIELD PET HOSPITAL OF WESTWOOD HIGH 1451 HIGH STREET WESTWOOD MA 02090 2/10/2020 / / DVM II,III,IV,V,VI MICHAEL VERSCHOOR-KIRSS JOHN VCA-SOUTH SHORE 595 COLUMBIAN ST. SOUTH WEYMOUTH MA 02190 8/18/2020 / / DVM II,III,IV,V,VI CHRISTINA VEZZA RENNY ANGELL ANIMAL MEDICAL CENTER C/O JENNIFER MICHAELS 350 SOUTH HUNGTINGTON AVENUE BOSTON MA 02130 5/12/2021 / / DVM II,III,IV,V,VI

Page 112 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

EMILY VIANI CATHERINE ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 5/16/2021 / / DVM II,III,IV,V,VI SHARMEI VICENTE G MASSCHUSETTS VETERINARY REFERRAL HOSPITAL DEPT OF EMERGENCY & CRITICAL CENTER 20 CABOT RD WOBURN MA 01801 8/15/2018 / / DVM II,III,IV,V,VI JANYCE VICIK L 1032 DEPOT RD BOXBOROUGH MA 01719 5/2/2021 / / DVM II,III,IV,V,VI ANDREA VICKREY C WHOLE PET VETERINARY CENTER 270 LITTLETON RD, STE 20 WESTFORD MA 01886 6/1/2021 / / DVM II,III,IV,V,VI LISA VIEIRA ANN VCA MONTGOMERY ROAD ANIMAL HOSPITAL 207 MONTGOMERY ROAD WESTFIELD MA 01085 6/24/2018 / / DVM II,III,IV,V,VI MONICA VIEIRA ANN DIGHTON-REHOBOTH ANIMAL HOSPITAL 2424 WINTHROP STREET N. DIGHTON MA 02764 5/23/2019 / / DVM II,III,IV,V DIANE VIGNEAU LINDA OFFSHORE ANIMAL HOSPITAL 11 CROOKED LANE NANTUCKET MA 02554 10/8/2019 / / DVM II,III,IV,V,VI RON VIN 89 STEDMAN STREET #1 BROOKLINE MA 02446 2/18/2019 / / DVM II,III,IV,V,VI ALYSSA VINCENT L UXBRIDGE ANIMAL HOSPITAL 510 WEST HARTFORD AVE UXBRIDGE MA 01569 7/30/2021 / / DVM II,III,IV,V,VI RICHARD VINCUNAS R 1194 SPRINGFIELD ST FEEDING HILLS MA 01030 8/9/2020 / / DVM II,III,IV,V,VI SARA VITTI NEW ENGLAND ANIMAL MEDICAL CENTER 595 W CENTER STREET WEST BRIDGEWATER MA 02379 6/13/2017 / / DVM II,III,IV,V,VI MAXBETTER VIZELBERG SOLOMON SOUTH BOSTON ANIMAL HOSPITAL 9 W BROADWAY BOSTON MA 02127 7/9/2020 / / DVM II,III,IV,V,VI MAXBETTER VIZELBERG SOLOMON BANFIELD PET HOSPITAL 160 ALEWIFE BROOK PARKWAY CAMBRIDGE MA 02138 11/7/2018 / / DVM II,III,IV,V,VI KRISTEN VOEHL M HANSCOM VETERINARY TREATMENT FACILITY 7 KIRTLAND STREET BUILDING 1216 HANSCOM MA 01731 12/3/2020 / / DVM II,III,IV,V,VI MONICA VOGEL L PITTSFIELD VETERINARY HOSPITAL 1634 W HOUSATONIC STREET PITTSFIELD MA 01201 6/23/2021 / / DVM II,III,IV,V,VI REBECCA VOGEL J HAMILTON WENHAM VETERINARY HSOPITAL 31 RAILROAD AVE HAMILTON MA 01982 5/16/2017 / / DVM II,III,IV,V,VI ALISON VOLTURO ROYAK NEWBURY ANIMAL HOSPITAL 96 HANOVER STREET NEWBURY MA 01951 6/11/2019 / / DVM II,III,IV,V,VI ELIZABETH VOOYS G MT. WACHUSETT VETERINARY HOSPITAL 11 MAYO DRIVE HOLDEN MA 01520 7/18/2020 / / DVM II,III,IV,V,VI KRISITN VYHNAL K BAYSTATE VETERINARY EMERGENCY SERVICES 76 BAPTIST ST SWANSEA MA 02777 6/13/2017 / / DVM II,III,IV,V KIMBERLY WADSWORTH J CHASE FARM VETERINARY HOSPITAL 35 VENTURA DRIVE DARTMOUTH MA 02747 2/16/2019 / / DVM II,III,IV,V,VI NATALIE WAGGENER C SOUTH BOSTON ANIMAL HOSPITAL 9 WEST BROADWAY R122 SOUTH BOSTON MA 02127 11/10/2019 / / DVM II,III,IV,V,VI KIRA WAGNER VCA SHAKER ROAD ANIMAL HOSPITAL 108 SHAKER RD EAST LONGMEADOW MA 01028 10/5/2017 / / DVM II,III,IV,V,VI BETH WAISBURD S HEAL VETERINARY CLINIC 150 BELMONT ST. WATERTOWN MA 02472 4/2/2021 / / DVM II,III,IV,V,VI KATHERINE WALDEN ELISABETH JOHNSON VETERINARY HOSPITAL 160 WINTHROP AVE STADIUM PLAZA SOUTH LAWRENCE MA 01843 6/25/2018 / / DVM II,III,IV,V,VI ALEXANDER WALKER RUSSELL COUNTRYSIDE VETERINARY HOSPITAL 289 LITTLETON RD CHELMSFORD MA 01824 6/4/2021 / / DVM II,III,IV,V,VI ALEXANDRA WALKER GRACE MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT RD WOBURN MA 01801 11/21/2019 / / DVM II,III,IV,V,VI BRUCE WALKER ALAN 579 ADAMS STREET QUINCY MA 02169 12/17/2018 / / DVM II,III,IV,V,VI CHRIS EUGENE WALKER NEW ENGLAND ANIMAL MEDICAL CENTER, INC. 595 WEST CENTER STREET WEST BRIDGEWATER MA 02324 11/14/2019 / / DVM II,III,IV,V,VI VICTORIA WALMSLEY EILEEN ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 6/20/2017 / / DVM II,III,IV,V,VI ALICIA WALSH J CAPEWAY VETERINARY HOSPITAL 171 BRIDGE STREET FAIRHAVEN MA 02719 7/3/2020 / / DVM II,III,IV,V,VI THOMAS WALSH PETER TYNGSBOROUGH VETERINARY HOSP INC 3 FARWELL ROAD TYNGSBORO MA 01879 10/31/2020 / / DVM II,III,IV,V,VI JILLIAN WALZ Z 17 RAWSTON ROAD ROSLINDALE MA 02131 10/8/2019 / / DVM II,III,IV,V,VI ANNIE WANG LI VCA ABBOTT ANIMAL HOSPITAL 21 EAST MAINTAIN ST. WORCESTER MA 01606 6/19/2021 / / DVM II,III,IV,V,VI HUI WANG PAXTON ANIMAL HOSPITAL 612 PLEASANT STREET PAXTON MA 01612 9/17/2019 / / DVM II,III,IV,V,VI VIVAN WANG LUWEI VCA WAKEFIELD 19 MAIN ST WAKEFIELD MA 01880 9/1/2019 / / DVM II,III,IV,V,VI FRANCES WARBURTON ALEXANDRA COUNTRYSIDE VETERINARY HOSPITAL 289 LITTLETON RD CHELMSFORD MA 01824 9/7/2021 / / DVM II,III,IV,V,VI MARY WARE LIVINGSTON BARNSTABLE ANIMAL HOSPITAL 157 AIRPORT ROAD HYANNIS MA 02601 9/4/2021 / / DVM II,III,IV,V,VI NICHOLAS WARENDORF H OLD DERBY ANIMAL HOSPITAL 40 RECREATION PARK DRIVE HINGHAM MA 02043 4/30/2021 / / DVM II,III,IV,V,VI JACQUELINE WARNER P. 47 LASALLE AVENUE FRAMINGHAM MA 01701 11/7/2020 / / DVM II,III,IV,V VICTORIA WARNER ABIGAIL GARDNER ANIMAL CARE CENTER 73 EATON ST GARDNER MA 01440 6/18/2021 / / DVM II,III,IV,V,VI HANNAH WARREN VCA ROTHERWOOD ANIMAL HOSPITAL 78 WINCHESTER STREET NEWTON MA 02461 8/12/2021 / / DVM II,III,IV,V,VI AYSE WASHINGTON MAIN ST ANIMAL SERVICES OF HOPKINTON 72 W MAIN ST HOPKINTON MA 01748 7/6/2017 / / DVM II,III,IV,V,VI CHARLES WATERS D HINGHAM ANIMAL CLINIC 146 JUSTICE CUSHING WAY HINGHAM MA 02043 6/10/2019 / / DVM II,III,IV,V,VI DIANA WATKINS LINDSAY HINGHAM ANIMAL CLINIC 146 CHIEF JUSTICE CUSHING HWY HINGHAM MA 02043 6/23/2019 / / DVM II,III,IV,V,VI NOEL WATKINS L. VALLEY VETINARY HOSPITAL 320 RUSSELL STREET HADLEY MA 01035 4/24/2018 / / DVM II,III,IV,V,VI MARIA WATKO VCA SOUTH SHORE (WEYMOUTH) ANIMAL HOSPITAL 595 COLUMBIAN STREET SOUTH WEYMOUTH MA 02190 7/31/2019 / / DVM II,III,IV,V,VI ELIZABETH WATSON GARDNER PITTSFIELD VETERINARY HOSPITAL 1634 WEST HOUSATONIC ST PITTSFIELD MA 01201 7/29/2019 / / DVM II,III,IV,V,VI

Page 113 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

JACQUELINE WATSON L FARMS VETERINARY CLINIC LLC 642 HALE STREET BEVERLY MA 01915 9/26/2021 / / DVM II,III,IV,V,VI MALLORY WATSON THERESA ANGELL ANIMAL MEDICAL CENTER SURGERY 350 SOUTH HUNTINGTON JAMAICA PAIN MA 02130 6/11/2019 / / DVM II,III,IV,V,VI PETER WATTS D VCA PLEASANT BAY ANIMAL HOSPITAL 9 ROUTE 137 EAST HARWICH MA 02645 4/27/2020 / / DVM II,III,IV,V,VI ANNIE WAYNE SHEA MASS VET REFERRAL HOSPITAL, ETHOS 20 CABOT ROAD WOBURN MA 01801 7/7/2021 / / DVM II,III,IV,V,VI BEKAH WEATHERINGTON VETERINARY EMERGENCY GROUP 165 NEEDHAM ST NEWTON MA 02464 7/7/2021 / / DVM II,III,IV,V,VI JAMES WEAVER MATTHEW MASSACHUSETTS VETERINARY REFERRAL HOSPITAL RADIOLOGY DEPARTMENT 20 CABOT ROAD WOBURN MA 01801 6/10/2020 / / DVM II,III,IV,V,VI CRYSTAL WEE BANFIELD PET HOSPITAL 160 ALEWIFE BROOK PKWY CAMBRIDGE MA 02138 3/11/2021 / / DVM II,III,IV,V,VI CRYSTAL WEE 84 PLGASANT STREET PO BOX 440 WEYMOUTH MA 02190 6/29/2020 / / DVM II,III,IV,V,VI CLAIRE WEIGAND M VETERINARY SPECIALTY CENTER OF STURBRIDGE 175 CHARLTON RD STURBRIDGE MA 01566 12/11/2018 / / DVM II,III,IV,V,VI KACEY WEINTRAUB ANN CARR ISLAND ANIMAL HOSPITAL 419 MERRIMAC ST NEWBURYPORT MA 01950 7/1/2019 / / DVM II,III,IV,V,VI NANCY WEINTROB DALE VCA PLEASANT BAY ANIMAL HOSPITAL 9 RT 137 HARWICH MA 02645 5/1/2017 / / DVM II,III,IV,V,VI KATHRYN WEISS ALEYA VCA SOUTH SHORE 595 COLUMBIAN SR SOUTH WEYMOUTH MA 02190 8/26/2018 / / DVM II,III,IV,V,VI SONJA WEISSBACH PETRA BANFIELD PET HOSPITAL 70 WORCESTER PROVIDENCE TPKE #240 MILLBURY MA 01527 8/8/2017 / / DVM II,III,IV,V,VI ANDREW WEITZMAN ACORN ANIMAL HOSPITAL 20 EARL'S WAY FRANKLIN MA 02038 7/6/2021 / / DVM II,III,IV,V,VI BRYAN WELCH THOMAS CAPE COD VETERINARY SPECIALISTS 11 BOURNE BRIDGE APPROACH BUZZARDS BAY MA 02532 6/3/2020 / / DVM II,III,IV,V,VI CASSANDRA WELCH RUBY ALL CREATURES VETERINARY HOSPITAL 20 COMMERCIAL STREET SALEM MA 01970 6/14/2019 / / DVM II,III,IV,V,VI EAN WEMBER HANCOCK ANIMAL HOSPITAL, LLC 55 HANCOCK ST. QUINCY MA 02171 12/9/2018 / / DVM II,III,IV,V,VI SARAH WENGERT E SAUGUS ANIMAL HOSPITAL 300 BROADWAY SAUGUS MA 01906 7/2/2018 / / DVM II,III,IV,V,VI CATHERINE WENT COMMONWEALTH VETERINARY HOSPITAL 2285 COMMONWEALTH AVE AUBURNDALE MA 02466 11/4/2019 / / DVM II,III,IV,V,VI LISA WEPPNER M WESTOVER ANIMAL CLINIC 1361 MEMORIAL DRIVE CHICOPEE MA 01020 4/28/2020 / / DVM II,III,IV,V,VI JARDAYNA WERLIN LAURENT Y VCA - CITY CATS 665 MASSACHUSETTS AVE ARLINGTON MA 02476 4/18/2021 / / DVM II,III,IV,V,VI JESSICA WERNER A VT-NH VETERINARY CLINIC 38 EAST-WEST ROAD EAST DUMMERSTON VT 05346 12/6/2019 / / DVM II,III,IV,V,VI JEFFREY WESLEY D FRANKLIN VET CLINIC 430 EAST CENTRAL STREET FRANKLIN MA 02038 1/27/2020 / / DVM II,III,IV,V,VI ROGER WEST LOUIS 83 DALY RD CONWAY MA 01341 9/4/2020 / / DVM II,III,IV,V,VI VALERIE WHALEN FITZPATRICK A VCA HANSON ANIMAL HOSPITAL 705 MAIN STREET HANSON MA 02341 2/23/2021 / / DVM II,III,IV,V,VI STEVEN WHARRIE JAMES MIDDLESEX COUNTY ANIMAL HOSPITAL 330 BOSTON RD BILLERICA MA 01862 7/20/2018 / / DVM II,III,IV,V,VI KATHERINE WHEELER HANCY BACK BAY VETERINARY CLINIC 288 NEWBURY STREET BOSTON MA 02115 8/25/2021 / / DVM II,III,IV,V,VI TERRI WHEELER ANN 110 NICOLE AVE NORTHBRIDGE MA 01534-1108 6/10/2019 / / DVM II,III,IV,V,VI MEGAN WHELAN F ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVENUE BOSTON MA 02130 12/12/2019 / / DVM II,III,IV,V,VI LAUREN WHIPPEN-CURTIN A ABINGTON ANIMAL HOSPITAL 19 RANDOLPH STREET ABINGTON MA 02351 5/28/2020 / / DVM II,III,IV,V,VI LAUREN WHIPPEN-CURTIN ANN ABINGTON ANIMAL HOSPITAL CORP. 19 RANDOLPH STREET ABINGTON MA 02351 2/2/2017 / / DVM II,III,IV,V,VI BENJAMIN WHITCOMB BANFIELD PET HOSPITAL 1174 S, WASHINGTON ST. SUITE 210 NORTH ATTLEBORO MA 02760 8/18/2020 / / DVM II,III,IV,V ANNE WHITE E VCA WAKEFIELD ANIMAL HOSPITAL 60 AUDUBON ROAD WAKEFIELD MA 01880 7/22/2021 / / DVM II,III,IV,V,VI BRYAN WHITE S HOME VETERINARY CARE 5 LITTLE NECK WAY NANTUCKET MA 02554 12/12/2019 / / DVM II,III,IV,V,VI CHRISTINA WHITE K. RIVERBEND ANIMAL HOSPITAL 43 RUSSELL STREET HADLEY MA 01035 11/16/2019 / / DVM II,III,IV,V,VI HEIDI WHITE LYNN MVRH 20 CABOT ROAD WOBURN MA 01801 1/17/2021 / / DVM II,III,IV,V,VI JENNIFER WHITMORE LYN FAMILY PET VETERINARY SERVICES 697 TEMPLETON RD ATHOL MA 01331 3/21/2018 / / DVM II,III,IV,V,VI JOSEPH WICINSKI M. VALLEY VETERINARY HOSPITAL 320 RUSSELL STREET HADLEY MA 01035 4/20/2019 / / DVM II,III,IV,V,VI LAURA WIDMAN S 1108 CAMBRIDGE ST CAMBRIDGE MA 02139 10/24/2019 / / DVM II,III,IV,V MARGARET WIGLEY KATHLEEN NEW ENGLAND ANIMAL MEDICAL CENTER 595 W CENTER ST WEST BRIDGEWATER MA 02379 8/4/2017 / / DVM II,III,IV,V,VI ELIZABETH WILEY ANN ANGELL ANIMAL MEDICAL CENTER 350 S HUNTINGTON AVE JAMAICA PLAIN MA 02130 8/14/2019 / / DVM II,III,IV,V,VI HOLLY WILLARD E DANVERS ANIMAL HOSPITAL 367 MAPLE ST. DANVERS MA 01923 8/15/2020 / / DVM II,III,IV,V,VI HENRY WILLIAM BERNARD JR BOSTON VETERINARY SPECIALISTS 326 BRIDGE STREET DEDHAM MA 02026 4/21/2020 / / DVM II,III,IV,V,VI ALLISON WILLIAMS CHARLES RIVER 251 BALLARDVALE ST WILMINGTON MA 01887 4/6/2018 / / DVM II,III,IV,V,VI CLARISSA WILLIAMS ANIMAL RESCUE LEAGUE OF BOSTON 10 CHANDLER STREET BOSTON MA 02116 2/17/2021 / / DVM II,III,IV,V,VI DOUGLAS WILLIAMS A 9 HIGHLAND AVENUE MATTAPOISETT MA 02739-2236 5/1/2017 / / DVM II,III,IV,V,VI HEIDI WILLIAMS H. WILLIAMS EQUINE LLC 967 WEST STREET CARLISLE MA 01741 10/19/2021 / / DVM II,III,IV,V,VI

Page 114 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

HOLLY WILLIAMS NIELSEN AMESBURY ANIMAL HOSPITAL 277 ELM STREET AMESBURY MA 01913 7/31/2019 / / DVM II,III,IV,V,VI JENNIFER WILLIAMS LEE HUBBARDSTON VETERINARY CLINIC 48 GARDNER RD. HUBBARDSTON MA 01452 7/27/2020 / / DVM II,III,IV,V,VI JENNIFER WILLIAMS W SECOND CHANCE ANIMAL SERVICES 831 MAIN ST. WORCESTER MA 01610 6/13/2017 / / DVM II,III,IV,V,VI MARKEYA WILLIAMS K VCA WHITMAN ANIMAL HOSPITAL 795 BEDFORD ST WHITMAN MA 02382 3/27/2018 / / DVM II,III,IV,V,VI RACHEL WILLIAMS WENDY MASSACHUSETTS VETERINARY REFERRALHOSPITAL 20 CABOT ROAD WOBURN MA 01801 7/6/2021 / / DVM II,III,IV,V,VI RICHARD WILLIAMS A PETCO TOTAL CARE 343 BROADWAY SAUGUS MA 01906 1/14/2021 / / DVM II,III,IV,V,VI MISTY WILLIAMS-FRITZE JUNE 44 COLLEGE LANE NORTHAMPTON MA 01063 2/26/2020 / / DVM II,III,IV,V,VI MISTY WILLIAMS-FRITZE JUNE 7 HARVARD ROAD AYER MA 01432 1/25/2020 / / DVM II,III,IV,V,VI MISTY WILLIAMS-FRITZE JUNE BRUKER BIOSPIN INC. 15 FORTUNE DRIVE BILLERICA MA 01821 6/1/2020 / / DVM II,III,IV,V,VI MISTY WILLIAMS-FRITZE JUNE CBSET INC 500 SHIRE WAY LEXINGTON MA 02421 11/23/2021 / / DVM II,III,IV,V,VI AMY WILLIAMSON E. 138 WEST MAIN ST. WEST BROOKFIELD MA 01585 3/30/2021 / / DVM II,III,IV,V,VI ELIZABETH WILLIAMSON FLORY 637 HIGH STREET MEDFORD MA 02155 1/26/2019 / / DVM II,III,IV,V,VI ANNE WILLIS MICHELLE VCA CITY CATS DEPT OPTHALMOLOGY 665 MASSACHUSETTS AVENUE ARLINGTON MA 02476 1/25/2019 / / DVM II,III,IV,V,VI LAUREN WILMARTH WESTFORD VETERINARY EMERGENCY AND REFERRAL CENTER, NEUROLOGY DEPARTMENT 11 CORNERSTONE SQUAREWESTFORD MA 01886 10/29/2020 / / DVM II,III,IV,V,VI DEBORRA WILSON NEW ENGLAND VETERINARY CLINIC 204 HIGHLAND AVE SALEM MA 01970 10/13/2020 / / DVM II,III,IV,V,VI JAMES WILSON K 188 FAYERWEATHER ST CAMBRIDGE MA 02138 12/6/2019 / / DVM II,III,IV,V,VI KAREN WILSON E. HOMEWARD BOUND VETERINARY SERV LLC 116 MECHANIC STREET, UNIT 2 BELLINGHAM MA 02019 3/2/2021 / / DVM II,III,IV,V,VI KATHERINE WILSON BULGER VETERINARY HOSPITAL 141 WINTHROP AVENUE LAWRENCE MA 01843 6/24/2020 / / DVM II,III,IV,V,VI MATTHEW WILSON J TOPSFIELD VETERINARY HOSPITAL 443 BOSTON ST. TOPSFIELD MA 01983 1/11/2019 / / DVM II,III,IV,V,VI MEGAN WILSON ELIZABETH SECOND CHANCE ANIMAL SERVICES 372 N MAIN STREET NORTH BROOKFIELD MA 01535 4/2/2019 / / DVM II,III,IV,V,VI STEPHANIE WILSON THUY COMPASSION VETERINARY CLINIC 275 BOSTON POST ROAD EAST MARLBOROUGH MA 01752 2/2/2020 / / DVM II,III,IV,V,VI STEPHEN WILSON ANDREW CONCORD ANIMAL HOSPITAL 245 BAKER AVE CONCORD MA 01742 5/18/2021 / / DVM II,III,IV,V,VI TAYLOR WILSON LYNN BEST PETS VETERINARY HOSPITAL 2600 MAIN ST TEWKSBURY MA 01876 1/11/2019 / / DVM II,III,IV,V,VI LEE WINER RACHEL WAYLAND ANIMAL CLINIC 6 WINTER STREET WAYLAND MA 01778 5/20/2021 / / DVM II,III,IV,V,VI CAROLINE WINN BODI HARVARD CENTER OF COMPARATIVE MEDICINE 665 HUNTINGTON AVE BOSTON MA 02115 6/22/2018 / / DVM II,III,IV,V,VI KATHERINE WISSEL PHILBRICK COMMONWEALTH VETERINARY HOSPITAL 2285 COMMONWEALTH AVE NEWTON MA 02466 1/28/2019 / / DVM II,III,IV,V,VI BRIAN WITKOV S NINE STYLES DRIVE PEABODY MA 01960 11/8/2019 / / DVM II,III,IV,V,VI SARA WLODAREZYK-LI VCA SHAKER ROAD ANIMAL HOSPITAL 108 SHAKER ROAD EAST LONGMEADOW MA 01028 6/30/2021 / / DVM II,III,IV,V,VI CASEY WOEHRMANN NORWOOD ANIMAL HOSPITAL 437 WALPOLE STREET NORWOOD MA 02062 9/14/2021 / / DVM II,III,IV,V,VI CHRISTIAN WOELFEL WILLIAM MASSACHUSETTS VETERINARY REFERRAL HOSPITAL NEUROLOGY DEPARTMENT 20 CABOT RD WOBURN MA 01801 12/3/2018 / / DVM II,III,IV,V,VI BARBARA WOHLFAHRT ANN BERKSHIRE VETERINARY HOSP., INC. 730 1/2 CRANE AVE. PITTSFIELD MA 01201 11/18/2019 / / DVM II,III,IV,V,VI CYNTHIA WOJCICKI ANN MERRIMAC VALLEY ANIMAL HOSPITAL 26 HAVERHILL ROAD AMESBURY MA 01913 12/5/2019 / / DVM II,III,IV,V,VI ALEXANDRA WOLF E. COMMONWEALTH VETERINARY HOSPITAL 2285 COMMONWEALTH AVE AUBURNDALE MA 02466 1/25/2020 / / DVM II,III,IV,V,VI KATHERINE WOLFGANG E GREYLOCK ANIMAL HOSPITAL 1028 STATE ROAD NORTH ADAMS MA 02147 7/1/2019 / / DVM II,III,IV,V,VI DAVE WOLFTHAL M LAKEVILLE ANIMAL HOSPITAL 2 CLEAR POND ROAD LAKEVILLE MA 02347 11/21/2019 / / DVM II,III,IV,V,VI GREGORY WOLFUS MATTHEW TUFTS @ TECH COMMUNITY VETERINARY CLINIC 1 SKYLINE DRIVE WORCESTER MA 01605 3/14/2021 / / DVM II,III,IV,V,VI CARRIE WOOD A TUFTS UNIVERSITY FOSTER HOSPITAL FOR SMALL ANIMALS 55 WILLARD STREET NORTH GRAFTON MA 01536 3/17/2017 / / DVM II,III,IV,V,VI JENNIFER WOOD A TENDER HEART VETERINARY CARE, PC 7 PEARSON BOULEVARD GARDNER MA 01440 10/18/2021 / / DVM II,III,IV,V,VI BRITTANY WOODLAND VETERINARY EMERGENCY AND SPECIALITY HOSPIT 141 GREENFIELD ROAD SOUTH DEERFIELD MA 01373 7/13/2021 / / DVM II,III,IV,V,VI TIMOTHY WOSKO CHARLES STREET ANIMAL CLINIC 158 CHARLES STREET BOSTON MA 02114 8/1/2020 / / DVM II,III,IV,V,VI TIMOTHY WOSKO SOUTH BAY VETERINARY GROUP 587 TREMONT ST BOSTON MA 02118 8/1/2020 / / DVM II,III,IV,V,VI JOHN WRIGHT BRIAN JR APPLE COUNTRY ANIMAL HOSPITAL 35 GREAT ROAD STOW MA 01775 4/6/2020 / / DVM II,III,IV,V,VI SIOBHAN WRIGHT J 29 THEODORE DR WESTMINSTER MA 01473 1/28/2019 / / DVM II,III,IV,V,VI JILL WROTEN ANN TW VETERINARY ASSOCIATES 24 BLAISDELL ROAD MEDFORD MA 02155 8/24/2021 / / DVM II,III,IV,V,VI KRISHNAPRAVEEN YADLAPALLI 1174 SOUTH WASHINGTON STREET SUITE #210 NORTH ATTLEBORO MA 02760 6/29/2020 / / DVM II,III,IV,V,VI BETH YAGODZINSKI MARIE FRAMINGHAM ANIMAL HOSPITAL 1415 EDGELL ROAD FRAMINGHAM MA 01701 1/17/2020 / / DVM II,III,IV,V,VI SAMANTHA YAO VCA SOUTH SHORE ANIMAL HOSPITAL 595 COLUMBIAN STREET SOUTH WEYMOUTH MA 02190 9/7/2021 / / DVM II,III,IV,V,VI

Page 115 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

DEBORAH YATES L 21 PINE HILL AVE DUXBURY MA 02332 5/7/2018 / / DVM II,III,IV,V,VI JOSHUA YDSTIE AARON 37 S. SCHOOL ST PORTSMOUTH NH 03801 8/9/2018 / / DVM II,III,IV,V,VI CHI YEE ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 7/13/2021 / / DVM II,III,IV,V,VI SAMANTHA YEH ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVENUE BOSTON MA 02130 6/14/2017 / / DVM II,III,IV,V,VI SPENCER YEH DARRYL ANGELL ANIMAL HOSPITAL SMALL ANIMAL SURGERY 350 S HUNTINGTON AVE BOSTON MA 02130 7/21/2017 / / DVM II,III,IV,V,VI ELSA YEUNG MING SPINNAKER VETERINARY CLINIC 167 COUNTRY STREET SOMERSET MA 02726 6/18/2019 / / DVM II,III,IV,V,VI ELAINE YIP VCA WESTBORO ANIMAL HOSPITAL 155 TURNPIKE ROAD WESTBOROUGH MA 01581 12/3/2020 / / DVM II,III,IV,V,VI ROSA YIP BOSTON WEST VETERINARY EMERGENCY & SPECIAL 5 STRATMORE ROAD NATICK MA 01760 7/31/2019 / / DVM II,III,IV,V,VI JENNIFER YORK M HOLYOKE COMMUNITY COLLEGE 303 HOMESTEAD AVE HOLYOKE MA 01040-1091 12/3/2018 / / DVM II,III,IV,V,VI DANIEL YOUNG P MOUNT IDA CAMPUS OF UMASS AMHERST 777 DEDHAM STREET NEWTON CENTER MA 02459 7/18/2020 / / DVM II,III,IV,V,VI STEVEN YOUNG E VITALITY VETERINARY SERVICES 581-1 GAR HIGHWAY SWANSEA MA 02777 4/13/2018 / / DVM II,III,IV,V,VI DANIELLE YOUNGMAN MARY ANIMAL RESCUE LEAGUE OF BOSTON 3981 MAIN STREET BREWSTER MA 02631 5/9/2019 / / DVM II,III,IV,V,VI ALEXANDRA YU MAY MILL BROOK ANIMAL CLINIC 1183 MASSACHUSETTS AVE. ARLINGTON MA 02472 12/10/2018 / / DVM II,III,IV,V,VI QUAN YUAN WESTFORD VETERINARY 11 CORNERSTONE SQ #100 WESTFORD MA 01886 9/15/2019 / / DVM II,III,IV,V,VI KATERINA ZABETAKIS VICTORIA 8 COLD SPRING AVE NORTH PROVIDENCE MA 02911 8/16/2021 / / DVM II,III,IV,V,VI COURTNEY ZANDER NICOLE 21 AUBURN ST. WOBURN MA 01801 10/11/2019 / / DVM II,III,IV,V,VI JOSEPH ZARIN A ANGELL AMC 350 HUNTINGTON AVE JAMAICA PLAIN MA 02130 11/18/2020 / / DVM II,III,IV,V,VI AIMEE ZELMAN S NEWBURY ANIMAL HOSPITAL 96 HANOVER STREET NEWBURY MA 01951 8/31/2018 / / DVM II,III,IV,V,VI LAUREN ZEPERNICK SOUTH SHORE VETERINARY ACUPUNCTURE 291 QUINCY AVE QUINCY MA 02169 1/4/2020 / / DVM II,III,IV,V,VI CHRISTINE ZEWE MCKINNEY MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT RD WOBURN MA 01801 6/1/2017 / / DVM II,III,IV,V,VI AMES ZIEGRA F MALDEN ANIMAL HOSPITAL 231 SALEM ST. MALDEN MA 02148 7/13/2021 / / DVM II,III,IV,V,VI JOANNE ZIEMBA L GREYLOCK ANIMAL HOSPITAL 1028 STATE ROAD NORTH ADAMS MA 01247 3/17/2019 / / DVM II,III,IV,V,VI JENNIFER ZILINSKI A. TAUNTON CAT HOSPITAL 56 WINTHROP STREET TAUNTON MA 02780 4/4/2020 / / DVM II,III,IV,V,VI PAMELA ZIOLKOWSKI MARIE VITALITY VETERINARY SERVICES 573-5 GAR HWY SWANSEA MA 02777 1/20/2021 / / DVM II,III,IV,V,VI FLAVIA ZORGNIOTTI P VETERINARY HOUSECALL & ACUPUNCTURE 23 DORAN RD WAYLAND MA 01778 11/27/2017 / / DVM II,III,IV,V,VI BENJAMIN ZUCKER E MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT RD WOBURN MA 01801 8/8/2017 / / DVM II,III,IV,V,VI JALISE ZUMSTEIN NICOLE MASSACHUSETTS VETERINARY REFERRAL HOSPITA; 20 CABOT RD. WOBURN MA 01801 6/10/2020 / / DVM II,III,IV,V,VI SUSAN ZUROFF I 14 GOSHEN RD PO BOX 777 WILLIAMSBURG MA 01096 12/7/2017 / / DVM II,III,IV,V,VI CHRISTINE ADREANI HERD HEROES 28 WOODARD ROAD WEST ROXBURY MA 02132 5/9/2019 / / VMD II,III,IV,V,VI NEAL ANDELMAN CHARLES NEW ENGLAND ANIMAL MEDICAL CENTER, INC. 595 WEST CENTER ST. WEST BRIDGEWATER MA 02379 8/9/2017 / / VMD II,III,IV,V,VI ADAM ARZT H. METROWEST VETERINARY ASSOC. 207 EAST MAIN STREET MILFORD MA 01757 6/14/2020 / / VMD II,III,IV,V,VI STEVEN ATWOOD W ANIMAL HEALTH CARE ASSOCIATES, LTD. MARTHA'S VINEYARD AIRPORT 20 AIRPORT ROAD WEST TISBURY MA 02575 9/11/2021 / / VMD II,III,IV,V,VI CHRISTOPHER AUTIERI ROBERT ANDOVER ANIMAL HOSPITAL 233 LOWELL ST ANDOVER MA 01810 10/29/2021 / / VMD II,III,IV,V,VI LAURA BADESKI ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVENUE BOSTON MA 02130 6/23/2021 / / VMD II,III,IV,V,VI EDWARD BAKER J SOUTH BAY VETERINARY GROUP 587 TREMONT ST. BOSTON MA 02118 6/16/2020 / / VMD II,III,IV,V,VI BRITTANY BALD LAUREN MEDWAY ANIMAL HOSPITAL 66 WEST ST. PO BOX 638 MEDWAY MA 02131 12/19/2019 / / VMD II,III,IV,V,VI COLLEEN BARRETT ANNE BREWSTER VETERINARY HOSPITAL 56 UNDERPASS ROAD BREWSTER MA 02631 9/14/2021 / / VMD II,III,IV,V,VI TABITHA BASINE BOGDAN VESH 141 GREENFIELD ROAD SOUTH DEERFIELD MA 01373 10/17/2021 / / VMD II,III,IV,V,VI MICHELE BELISLE B CANTON VETERINARY CLINIC, INC. 120 TOLMAN STREET CANTON MA 02021 4/20/2020 / / VMD II,III,IV,V,VI EMILY BELLEMARE HOWE WAYLAND ANIMAL CLINIC 6 WINTER STREET WAYLAND MA 01778 12/2/2019 / / VMD II,III,IV,V,VI PAMELA BENDOCK LYNN BACK BAY VETERINARY CLINIC 288 NEWBURY ST BOSTON MA 02115 12/31/2020 / / VMD II,III,IV,V,VI KENNETH STEVEN BERNSTEIN SPRUCE HILL VETERINARY CLINIC, INC. FOUR PLUMTREE ROAD SPRINGFIELD MA 01118 11/7/2019 / / VMD II,III,IV,V,VI DAVID BESSLER VETERINARY EMERGENCY GROUP 316 STUART STREET BOSTON MA 02116 5/14/2020 / / VMD II,III,IV,V,VI DAVID BESSLER R VETERINARY EMERGENCY GROUP 165 NEEDHAM STREET NEWTON MA 02464 2/11/2019 / / VMD II,III,IV,V,VI WILLIAM BEST E. JR CAPE COD VETERINARY RELIEF SERVICES 220 BLUEBERRY POND DRIVE BREWSTER MA 02631 12/22/2017 / / VMD II,III,IV,V,VI DAWN BINDER N CUSHING SQUARE VETERINARY CLINIC 133A TRAPELO ROAD BELMONT MA 02478 10/2/2020 / / VMD II,III,IV,V,VI ALYSSA BLAUSTEIN DANIELLE MSPCA-ANGELL WEST 293 2ND AVE WALTHAM MA 02451 7/18/2019 / / VMD II,III,IV,V,VI

Page 116 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

JENNIFER BORTREE NATHALIE EAST BRIDGEWATER VETERINARY HOSPITAL 302 NORTH BEDFORD ST EAST BRIDGEWATER MA 02333 7/23/2021 / / VMD II,III,IV,V,VI BARBARA BOWER D SOUTH BAY VETERINARY GROUP 587 TREMONT STREET BOSTON MA 02118 2/9/2019 / / VMD II,III,IV,V,VI JEAN BRESCIANI C 167 OAK HILL ROAD CHATHAM MA 02633 6/11/2021 / / VMD II,III,IV,V,VI ANDREW BRESLIN J. SOUTH STREET VETERINARY SERVICES, INC. 864 SOUTH ST. PITTSFIELD MA 01201 6/16/2020 / / VMD II,III,IV,V,VI TAYLOR BRYANT JANELLE ANGELL ANIMAL MEDICAL CENTER 350 S. HUNTINGTON AVE BOSTON MA 02130 6/24/2020 / / VMD II,III,IV,V,VI MARTHA BUGBEE E ACORN ANIMAL HOSPITAL 20 EARL'S WAY FRANKLIN MA 02038 7/30/2021 / / VMD II,III,IV,V,VI ROSEMARY BURDON L OFFSHORE ANIMAL HOSPITAL 11 CROOKED LANE NANTUCKET MA 02554 6/18/2021 / / VMD II,III,IV,V,VI SIOBHAN BURKE B. DRIFTWAY ANIMAL HOSPITAL 53 NEW DRIFTWAY SCITUATE MA 02066 4/14/2020 / / VMD II,III,IV,V,VI JULIE BUTLER ANNE WACHUSETT ANIMAL HOSPITAL & PET RETREAT 29 THEODORE DRIVE WESTMINSTER MA 01473 8/5/2020 / / VMD II,III,IV,V,VI HANAN CAINE S. 776 MAIN ST. GREAT BARRINGTON MA 01230 2/12/2019 / / VMD II,III,IV,V,VI DANA CARNE ROSE 76 MASSAPOAG AVE SHARON MA 02067 8/20/2021 / / VMD II,III,IV,V,VI DANIEL CASTILLO E FRANKLIN VETERINARY CLINIC 430 EAST CENTRAL STREET FRANKLIN MA 02038 3/4/2021 / / VMD II,III,IV,V,VI HEATHER CHALFANT ELIZABETH BLUE PEARL VETERINARY PARTNERS 180 BEAR HILL ROAD WALTHAM MA 02451 2/12/2020 / / VMD II,III,IV,V,VI DAVID CHAMPAIGNE JOHN WILMINGTON VETERINARY HOSPITAL 11 BURLINGTON AVE WILMINGTON MA 01887 1/31/2021 / / VMD II,III,IV,V,VI ALLISON CHARLIP ANN VCA ROBERTS ANIMAL HOSPITAL 516 WASHINGTON ST. HANOVER MA 02339 8/14/2021 / / VMD II,III,IV,V,VI DANIEL CLAYTON J VETERINARY DENTAL SERVICES LLC 530 MASSACHUSETTS AVE BOXBOROUGH MA 01719 1/27/2020 / / VMD II,III,IV,V,VI RICHARD COHEN M. 245 WINTHROP STREET RT 44 REHOBOTH MA 02709 10/23/2017 / / VMD II,III,IV,V,VI PETER CONSERVA S 214 RATLEY RD P.O. BOX C WEST SUFFIELD CT 06093 6/27/2020 / / VMD II,III,IV,V,VI NICOLE D'ADDEZIO MARIE VETERINARY EMERGENCY GROUP 165 NEEDHAM ST. NEWTON MA 02461 7/30/2020 / / VMD II,III,IV,V,VI SARAH D'OENCH N MASS EQUINE CLINIC, P.C. 75 LOCUST STREET UXBRIDGE MA 01569 6/3/2021 / / VMD II,III,IV,V,VI KERRI DAVIS PEPPERELL VETERINARY HOSPITAL 110 RIVER ROAD PEPPERELL MA 01463 6/28/2021 / / VMD II,III,IV,V,VI LEIGH DAVIS T HEAL VETERINARY CLINIC 150 BELMONT STREET WATERTOWN MA 02472 7/23/2019 / / VMD II,III,IV,V,VI LUIS DE VIVERO E VCA EVERETT ANIMAL HOSPITAL 251 CHELSEA ST EVERETT MA 02149 12/6/2018 / / VMD II,III,IV KRISTINE DEMERS ELIZABETH BULGER VETERNARY HOSPITAL 141 WINTHROP AVENUE LAWRENCE MA 01843 8/13/2018 / / VMD II,III,IV,V,VI ALLISON DETELICH L WIGNALL ANIMAL HOSPITAL 1837 BRIDGE STREET DRACUT MA 01826 10/27/2021 / / VMD II,III,IV,V,VI MARK DEVEAU A 231 SALEM STREET MALDEN MA 021484117 2/1/2019 / / VMD II,III,IV,V,VI MARK DEVEAU A CARR ISLAND ANIMAL HOSPITAL 419 MERRIMAC ST. NEWBURYPORT MA 01950 3/30/2019 / / VMD II,III,IV,V,VI DAVID DIAMOND W VCA SOUTH SHORE ANIMAL HOSPITAL 595 COLUMBIAN STREET SOUTH WEYMOUTH MA 02190 2/21/2019 / / VMD II,III,IV,V,VI KATE DODGE E. CAPE ANN VETERINARY HOSPITAL 462 ESSEX AVE GLOUCESTER MA 01930 3/18/2019 / / VMD II,III,IV,V,VI AMANDA DONOVAN M WEYMOUTH LANDING CAT CLINIC 127 WASHINGTON ST. WEYMOUTH MA 02188 8/19/2020 / / VMD II,III,IV,V,VI SHELLEY DUBIN M CENTRAL ANIMAL HOSPITAL 1285 CENTRAL ST LEOMINSTER MA 01453 7/25/2020 / / VMD II,III,IV,V,VI LAUREN DUFFEE ROSE MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT ROAD WOBURN MA 01801 7/27/2021 / / VMD II,III,IV,V,VI COLLEEN DUGAN FRANCES SECOND CHANCE ANIMAL SERVICES 372 NORTH MAIN ST. NORTH BROOKFIELD MA 01535 7/27/2020 / / VMD II,III,IV,V,VI CHARLES DUNN SAMUEL VET'S BEST FRIEND 465 WAVERLY OAKS ROAD WALTHAM MA 02452 9/9/2019 / / VMD II,III,IV,V,VI KREIG EMBRIANO PETER CAPE COD VETERINARY SPECIALIST 11 BOURNE BRIDGE APPROACH BUZZARDS BAY MA 02532 7/16/2018 7/16/2019 VMD II,III,IV,V,VI MAHMOUD ESMAIL TUFTS UNIVERSITY SCI AND ENG COMPLEX - TUFTS CMS 200 COLLEGE AVENUE MEDFORD MA 02155 8/16/2021 / / VMD II,III,IV,V,VI STEPHANIE ESMOND ROSE OCEANSIDE ANIMAL HOSPITAL 95 ROUTE 6A SANDWICH MA 02563 2/25/2021 / / VMD II,III,IV,V,VI REBECCA EVANS ANN MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 2 CABOT ROAD WOBURN MA 01801 9/9/2019 / / VMD II,III,IV,V,VI SARA EVANS CLAIRE HURON VETERINARY HOSPITAL 70 BEACON ST. SOMERVILLE MA 02143 7/17/2021 / / VMD II,III,IV,V,VI JEANNE FICOCIELLO ELIZABETH VCA SOUTH SHORE ANIMAL HOSPITAL 595 COLUMBIAN STREET SOUTH WEYMOUTH MA 02190 9/25/2020 / / VMD II,III,IV,V,VI NANCY FIELD ELIZABETH MUDDY CREEK ANIMAL CARE CENTER 993 HAVERHILL STREET ROWLEY MA 01969 9/15/2017 / / VMD II,III,IV,V,VI SETH FINGER STERLING SHELTER CLINIC 17 LAURELWOOD ROAD STERLING MA 01564 9/14/2021 / / VMD II,III,IV,V,VI SUSAN FLOYD T HIGHLAND ANIMAL HOSPITAL 31 WELLESLEY AVE NEEDHAM MA 02494 1/24/2020 / / VMD II,III,IV,V EMILY FORLINE J ANIMAL RESCUE LEAGUE OF BOSTON 10 CHANDLER STREET BOSTON MA 02116 7/29/2021 / / VMD II,III,IV,V,VI EMILY FORLINE JOANNE ANIMAL RESCUE LEAGUE OF BOSTON 2 COMMERCE WAY UNIT D CARVER MA 02330 1/8/2020 / / VMD II,III,IV,V,VI JEAN FROST OGDEN STURBRIDGE VETERINARY HOSPITAL 6 CEDAR STREET STURBRIDGE MA 01566 12/12/2019 / / VMD II,III,IV,V,VI MARIAH GENTES ANN 498 COLLEGE HIGHWAY P.O. BOX 10 SOUTHWICK MA 01077 11/28/2018 / / VMD II,III,IV,V,VI

Page 117 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

JEFFREY GILES HUGH HIGHLAND ANIMAL HOSPITAL 31 WELLESLEY AVENUE NEEDHAM MA 02494 12/1/2019 / / VMD II,III,IV,V,VI AMY GIRIFALCO CATHERINE FARMS VETERINARY CLINIC 642 HALE ST. BEVERLY MA 01915 12/22/2017 / / VMD II,III,IV,V,VI LISA GOLDMAN HILLARY MEDWAY ANIMAL HOSPITAL 66 WEST STREET MEDWAY MA 02053 12/29/2019 / / VMD II,III,IV,V,VI CLAIRE GREENBAUM REBEXXA VCA SOUTH SHORE ANIMAL HOSPITAL 595 COLUMBIAN ST SOUTH WEYMOUTH MA 02190 7/30/2018 / / VMD II,III,IV,V,VI LAUREN GREENE MICHELLE 176 NORTH END RD TOWNSEND MA 01469 10/23/2020 / / VMD II,III,IV,V,VI MEGAN GRIFFIN ALEXIS VETERINARY SURGERY CENTER 175 CHARLTON ROAD STURBRIDGE MA 01566 10/13/2019 / / VMD II,III,IV,V,VI AMY HANCOCK-RONEMUS L. SANOFI-GENZYME 640 MEMORIAL DRIVE CAMBRIDGE MA 02139 8/26/2021 / / VMD II,III,IV,V,VI JAMES HARPER S III 53 HOLDEN ROAD STERLING MA 01564 9/22/2018 / / VMD II,III,IV,V,VI KATHRYN HAZZARD B THE BOSTON CAT HOSPITAL (VETCOR JAMAICA PL 3840 WASHINGTON STREET JAMAICA PLAIN MA 02130 5/12/2021 / / VMD II,III,IV,V,VI KATHRYN HEIDGERD MARIE ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 7/13/2021 / / VMD II,III,IV,V,VI PATRICIA HESS K. 189 WHITFORD CIRCLE MARSHFIELD MA 02050 10/22/2019 / / VMD II,III,IV,V,VI SARAH HICKS DRABING 129 TOWER ROAD LINCOLN MA 01773 3/17/2019 / / VMD VI SHERRY HIMMELSTEIN BETH SPRUCE HILL VETERINARY CLINIC 4 PLUMTREE RD SPRINGFIELD MA 01118 11/10/2019 / / VMD II,III,IV,V,VI HAZEL HOLMAN M. BLANDFORD ANIMAL HOSPITAL WORONOCO RD. BLANDFORD MA 01008 11/24/2020 / / VMD II,III,IV,V,VI SUSAN HOROWITZ GROTON VETERINARY HOSPITAL@SLEEPY HOLLOW 171 LOWELL ROAD GROTON MA 01450 2/28/2017 / / VMD II,III,IV,V,VI SARAH HOSKINS JANE 80 SANDWICH ST PLYMOUTH MA 02360 12/12/2016 / / VMD II,III,IV,V,VI BARBARA HUGHES JEAN 111 MAPLEWOOD TERR SPRINGFIELD MA 01108 11/15/2020 / / VMD II,III,IV,V,VI CHARLES INNIS J NEW ENGLAND AQUARIUM CENTRAL WHARF BOSTON MA 02110 2/16/2021 / / VMD II,III,IV,V,VI EVA JACOBS SHANA VCA SOUTH SHORE ANIMAL HOSPITAL (WEYMOUTH) 595 COLUMBIAN ST SOUTH WEYMOUTH MA 02190 9/12/2017 / / VMD II,III,IV,V,VI LEANNE JANKELUNAS NOELLE VCA SOUTH SHORE (WEYMOUTH) ANIMAL HOSPITAL 595 COLUMBIAN STREET SOUTH WEYMOUTH MA 02190 9/4/2020 / / VMD II,III,IV,V,VI MICHELLE JASNY GERHARD 6 YELLOW BRICK ROAD VINEYARD HAVEN MA 02568 11/10/2019 / / VMD II,III,IV,V,VI JULIA JENKINS A SOUTH BAY VETERINARY GROUP 587 TREMONT STREET BOSTON MA 02118 11/23/2019 / / VMD II,III,IV,V,VI EMMAROSE JOFFE VETERINARY EMERGENCY GROUP 165 NEEDHAM STREET NEWTON MA 02464 4/29/2019 / / VMD II,III,IV,V,VI ELIZABETH JOHNSON JO 360 SUMMER ST. SOMERVILLE MA 02144 2/12/2020 / / VMD II,III,IV,V,VI ELIZABETH JOHNSON JO LEXINGTON BEDFORD VETERINARY HOSPITAL 476 BEDFORD AVE LEXINGTON MA 02420 11/13/2019 / / VMD II,III,IV,V,VI BETTY JOHNSTON SUE ACTON ANIMAL HOSPITAL 363R MAIN STREET ACTON MA 01720 7/28/2020 / / VMD II,III,IV,V,VI MERYL KARDON H. MEDWAY ANIMAL HOSPITAL 66 WEST STREET MEDWAY MA 02053 1/27/2019 / / VMD II,III,IV,V,VI SABRINA KATZ RAIZEL ANGELL ANIMAL MEDICAL CENTER 350 S HUNTINGTON AVE JAMAICA PLAIN MA 02130 6/14/2017 / / VMD II,III,IV,V,VI BARRY KELLOGG N 248 SHORE ROAD RICHMOND MA 01201 9/19/2019 / / VMD II,III,IV,V,VI HOLLY KELSEY ANNE 334 CHESTNUT ST NEEDHAM MA 02030 4/25/2020 / / VMD II,III,IV,V,VI ELIZABETH KEMP SUGHRUE BANFIELD 114A COMMERCE WAY WOBURN MA 01801 7/24/2020 / / VMD II,III,IV,V,VI JAMES KIM J WILMINGTON VETERINARY HOSPITAL 11 BURLINGTON AVENUE WILMINGTON MA 01887 12/27/2017 / / VMD II,III,IV,V,VI BENNETT KING ELIZABETH VCA SOUTH SHORE ANIMAL HOSPITAL 595 COLUMBIAN ST. SOUTH WEYMOUTH MA 02190 7/27/2020 / / VMD II,III,IV,V,VI CLAUDIA KNAPICK P WESTON VETERINARY CLINIC 152 BOSTON POST ROAD WESTON MA 02493 4/28/2021 / / VMD II,III,IV,V,VI EDWARD KOCHIN J 11 BOURNE BRIDGE APPROACH BUZZARDS BAY MA 02532 1/24/2020 / / VMD II,III,IV,V,VI LEANNE KSIAZEK NORTHAMPTON VETERINARY CLINIC LLC 190 NONOTUCK ST SUITE 105 NORTHAMPTON MA 01062 8/24/2021 / / VMD II,III,IV,V KEVIN LANDAU SCOTT LANDAU VETERINARY SERVICES, LLC 40 DANIEL SHAYS HIGHWAY BELCHERTOWN MA 01007 1/31/2018 / / VMD II,III,IV,V,VI AMANDA LANG L. WEBSTER LAKE VET HOSPITAL 244 THOMPSON ROAD WEBSTER MA 01570 3/28/2020 / / VMD II,III,IV,V,VI RUSSELL LAPIERRE R BLANDFORD ANIMAL HOSPITAL INC 46 WORONOCO ROAD P.O. BOX 769 BLANDFORD MA 01008 2/18/2020 / / VMD II,III,IV,V,VI RUSSELL LAWSON CLARK RUSSELL C. LAWSON VDM P.C. 191 BEACH RD A305 SALISBURY MA 01952 3/21/2017 / / VMD II,III,IV,V,VI JONATHAN LEACH H LEACH ANIMAL HOSPITAL 482 MAIN ST MASHPEE MA 02649 11/7/2019 / / VMD II,III,IV,V,VI JOHN LEDOUX E RIVERSIDE VETERINARY CLINIC 664 RIVERSIDE AVENUE HAVERHILL MA 01830 4/18/2021 / / VMD II,III,IV,V,VI SARAH LEVINE E. ANDOVER ANIMAL HOSPITAL 233 LOWELL STREET ANDOVER MA 01810 1/17/2020 / / VMD II,III,IV,V,VI SURELL LEVINE GOLDEN 38 WOOD STREET HOPKINTON MA 01748 3/25/2021 / / VMD II,III,IV,V,VI DEBORA LICHTENBERG J LICHTENBERG VETERINARY HOSPITAL TWO BELCHERTOWN RD. PELHAM MA 01002 8/10/2017 / / VMD II,III,IV,V,VI HAMILTON LINCOLN III ANDOVER ANIMAL HOSPITAL 233 LOWELL STREET ANDOVER MA 01810 9/17/2021 / / VMD II,III,IV,V,VI ELLEN LINDELL M MSPCA/ANGELL ANIMAL MEDICAL CENTER 350 HUNTINGTON AVE BOSTON MA 02130 1/6/2017 / / VMD II,III,IV,V,VI

Page 118 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

BETHANY LUCAS LEE VCA SOUTH SHORE ANIMAL HOSPITAL 595 COLUMBIAN STREET WEYMOUTH MA 02190 6/26/2017 / / VMD II,III,IV,V,VI JAMES LUNIG SCOTT SPINNAKER VETERINARY CLINIC 167 COUNTY STREET SOMERSET MA 02726 10/7/2021 / / VMD II,III,IV,V,VI BRENDAN MACFADGEN MICHAEL BANFIELD PET HOSPITAL 265 CHELMSFORD STREET CHELMSFORD MA 01824 8/15/2018 / / VMD II,III,IV,V,VI SUZANNE MAHER GROSKOPH MARBLEHEAD ANIMAL HOSPITAL 19 ATLANTIC AVENUE MARBLEHEAD MA 01945 12/27/2017 / / VMD II,III,IV,V,VI RONALD MAJDALANY SEEKONK VETERINARY HOSPITAL 92 ALFORD RD GREAT BARRINGTON MA 01230 11/17/2019 / / VMD II,III,IV,V,VI MARTIN MAKETANSKY I STURBRIDGE VETERINARY HOSPITAL SIX CEDAR ST. STURBRIDGE MA 01566 11/29/2019 / / VMD II,III,IV,V,VI ANA MALONE OLIVER K EAST BAY ANIMAL HOSPITAL 643 FALL RIVER AVE SEEKONK MA 02771 10/8/2019 / / VMD II,III,IV,V,VI KATHRYN MARCO ANNE FELDMAN NEW ENGLAND VETERINARY CLINIC 204 HIGHLAND AVE SALEM MA 01970 6/22/2019 / / VMD II,III,IV,V,VI ABIGAIL MARIANO DONAHUE CAPE COD VETERINARY SPECIALISTS 11 BOURNE BRIDGE APPROACH BUZZARDS BAY MA 02532 7/24/2019 / / VMD II,III,IV,V,VI PAUL MARINO V WOBURN ANIMAL HOSPITAL 65 CRESSBROOK RD CONCORD MA 01742 7/15/2021 / / VMD II,III,IV,V,VI ALISHA MARTIN 10 PLEASANT ST REVERE MA 02451 9/29/2019 / / VMD II,III,IV,V,VI ELIZEBETH MARTIN P CAPE COD VETERINARY SPECIALIST 11 BOURNE BRIDGE APPROACH BUZZARDS BAY MA 02532 1/11/2019 / / VMD II,III,IV,V,VI CHAD MC GEE SPENCER 176 NORTH END ROAD TOWNSEND MA 01469 8/4/2020 / / VMD II,III,IV,V,VI THOMAS MCGRATH ANIMAL HOSPITAL 31 LEXINGTON RD BILLERICA MA 01821 6/20/2017 / / VMD II,III,IV,V,VI CASEY MCMAHON A VCA HANSON ANIMAL HOSPITAL 705 MAIN ST HANSON MA 02341 7/17/2018 / / VMD II,III,IV,V,VI MICHELLE MCPARTLAN A HUDSON ANIMAL HOSPITAL 30 HIGH STREET HUDSON MA 01749 10/14/2019 / / VMD II,III,IV,V,VI MELISSA MIELE BULGER VETERINARY HOSPITAL 141 WINTHROP AVE LAWRENCE MA 01841 1/17/2020 / / VMD II,III,IV,V,VI KENDALL MILKEY HACKOS ESSEX EQUINE 96 HUDSON ROAD BOLTON MA 01740 9/22/2021 / / VMD II,III,IV,V,VI ASHLEY MILLER BABFIELD PET HOSPITAL 70 WORCESTER PROVIDENCE TPK #240 MILLBURY MA 01527 5/6/2019 / / VMD II,III,IV,V,VI MICHELLE MILLER A 277 FARM STREET BLACKSTONE MA 01504 3/18/2019 / / VMD II,III,IV,V,VI KAREN MOCKLER M MIDDLESEX VETERINARY CENTER 31 STEVENS STREET LITTLETON MA 01460 12/12/2019 / / VMD II,III,IV,V,VI LISA MOSES ANGELL MEMORIAL ANIMAL HOSPITAL 350 S. HUNTINGTON AVE JAMAICA PLAIN MA 02130 1/17/2018 / / VMD VI KAREN MOULIN A VCA ROBERTS ANIMAL HOSITAL 84 WALNUT STREET WALPOLE MA 02081 1/13/2020 / / VMD II,III,IV,V,VI SCOTT MUNSON E. CAPE COD ANIMAL HOSPITAL 1415 OSTERVILLE ROAD WEST BARNSTABLE MA 02668 11/24/2020 / / VMD II,III,IV,V,VI CHRISTINA MURPHY LOUISE MSPCA-ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 6/14/2019 / / VMD II,III,IV,V,VI KATE MURPHY V PORTER SQUARE VETERINARIAN 360 SUMMER STREET SOMERVILLE MA 02144 3/28/2020 / / VMD II,III,IV,V,VI SAMUEL NEILL PATRICK HESS MCWILLIAMS VETERINARY SERVICES 143 N EAST STREET AMHERST MA 01002 9/13/2019 / / VMD II,III,IV,V,VI HELEN NOBLE O SRH VETERINARY SERVICES 295 HIGH STREET IPSWICH MA 01938 1/20/2021 / / VMD II,III,IV,V,VI ELIZABETH O'BRIEN-MEANS A. 42 BRIAR HILL ROAD WILLIAMSBURG MA 01096 10/17/2019 / / VMD II,III,IV,V,VI JANE O'DONNELL A. 3 STINSON COURT CAMBRIDGE MA 02139 4/26/2018 / / VMD II,III,IV,V,VI NANCY OWEN LEWIS NORTH KING ANIMAL CLINIC, INC. 436 NORTH KING ST. NORTHAMPTON MA 01060 1/20/2021 / / VMD II,III,IV,V,VI THOMAS PARSONS 140 MILL VALLEY RD HADLEY MA 01035 1/28/2021 / / VMD II,III,IV,V,VI PRIYA PATEL NEW ENGLAND WILDLIFE CENTER, INC DBA CAPE WILDLIFE CENTER 4011 MAIN STREET BARNSTABLE MA 02630 10/8/2019 / / VMD II,III,IV,V,VI SCOTT PERKINS E TUFTS UNIVERSITY DIV OF LAB ANIMAL MEDICINE 136 HARRISON AVE BOSTON MA 02111 3/9/2019 / / VMD II,III,IV,V,VI SCOTT PERKINS EDWARD TUFTS COMPARATIVE MEDICINE SERVICE 136 HARRISON AVENUE BOSTON MA 02111 9/4/2019 / / VMD II,III,IV,V,VI MARIE PETROPOULOS ALEXIS WESTWOOD VETERINARY CARE 1451 HIGH STREET WESTWOOD MA 02090 11/12/2019 / / VMD II,III,IV,V,VI GERALD PIETSCH EDWARD 750 STATE RD NORTH DARTMOUTH MA 02747 12/19/2019 / / VMD II,III,IV,V,VI JOSEPH POCHER N POST ROAD VETERINARY HOSPITAL 154 STURBRIDGE ROAD CHARLTON MA 01507 4/17/2019 / / VMD II,III,IV,V,VI CARYN PORTER L PLEASANT VALLEY ANIMAL HOSPITAL 21 JACKSON STREET METHUEN MA 01844 9/24/2021 / / VMD II,III,IV,V,VI ASHLEY POWER MARIE MASS VET REFERRAL HOSPITAL 20 CABOT ROAD WOBURN MA 01801 5/14/2020 / / VMD II,III,IV,V,VI EMMA PRICE RACHEL BOSTON CAT HOSPITAL 3840 WASHINGTON STREET JAMAICA PLAIN MA 02130 1/14/2021 / / VMD II,III,IV,V,VI KATHERINE PRUETT SINCLAIR FENTON RIVER VETERINARY HOSPITAL 9F FIELDSTONE COMMONS TOLLAND CT 06084 7/15/2020 / / VMD II,III,IV,V,VI CHRISTA REGAN M TUFTS VETS 525 SOUTH ST WALPOLE MA 02081 12/19/2019 / / VMD II,III,IV,V,VI RAYMOND REINERS C SOUTH STREET VETERINARY SERVICES 864 SOUTH ST. PITTSFIELD MA 01201 9/6/2019 / / VMD II,III,IV,V,VI VIRGINIA RENTKO T. TUFTS CUMMINGS SCHOOL OF VETERINARY MED 200 WESTBORO ROAD NORTH GRAFTON MA 01539 3/23/2018 / / VMD II,III,IV,V,VI BRONWYN RIGGS ANNIE MASS VETERINARY REFERRAL HOSPITAL DEPT OF NEUROLOGY 20 CABOT ROAD WOBURN MA 01801 5/23/2017 / / VMD II,III,IV,V,VI BRONWYN RIGGS ANNIE MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT RD. WOBURN MA 01801 7/14/2020 / / VMD II,III,IV,V,VI

Page 119 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

MACKENZIE ROACH VCA SOUTH SHORE WEYMOUTH 595 COLUMBIAN STREET WEYMOUTH MA 02190 9/14/2021 / / VMD II,III,IV,V,VI CLEO ROGATKO PIASSA NEW ENGLAND ANIMAL MEDICAL CENTER 595 WEST CENTER ST WEST BRIDGEWATER MA 02379 11/20/2017 / / VMD II,III,IV,V,VI DANIELLE ROSENBERG ELYSE BOSTON VETERINARY CLINIC 363 TREMONT STREET BOSTON MA 02116 8/21/2019 / / VMD II,III,IV,V,VI MARK RUSSO E 192 MAIN STREET KINGSTON MA 02364 3/17/2020 / / VMD II,III,IV,V,VI SEAN SAWYER D. PAWSTEPS VETERINARY CENTER 18 GRANITE ST. WHITINSVILLE MA 01588 3/14/2019 / / VMD II,III,IV,V,VI TRINITY SCANLON BANFIELD PET HOSPITAL 70 WORCESTER -PROVIDENCE TURNPIKE #240 MILLBURY MA 01527 3/25/2021 / / VMD II,III,IV,V,VI AINE SCHANCHE FOXBORO ANIMAL HOSPITAL 200 MECHANIC STREET FOXBOROUGH MA 02035 11/5/2020 / / VMD II,III,IV,V,VI JENNIFER SCHICKLER L ARLINGTON ANIMAL CLINIC 191 BROADWAY ARLINGTON MA 02474 11/15/2019 / / VMD II,III,IV,V,VI ANNE-GHILAINE SCHLESS WOBURN ANIMAL HOSPITAL 373 RUSSELL STREET WOBURN MA 01801 3/14/2019 / / VMD II,III,IV,V,VI ALEXANDER SCHOELKOPF CHASE MSPCA ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVE JAMAICA PLAIN MA 02130 6/18/2019 / / VMD II,III,IV,V,VI SUSAN SCHOEN BAYARD 1446 WEST ST. PITTSFIELD MA 01201 2/24/2020 / / VMD II,III,IV,V,VI AMALIA SEGGOS-MARTIN ESTHER BANFIELD PET HOSPITAL 1174 WASHINGTON STREET SUITE 210 NORTH ATTLEBORO MA 02760 3/11/2021 / / VMD II,III,IV,V,VI CAROLYN SELAVKA M 9 HOLLYWOOD DRIVE CHARLTON MA 01507 5/9/2019 / / VMD II,III,IV,V,VI ALEXANDRA SHAILOR CLAIRE MIDDLESEX COUNTY ANIMAL HOSPITAL 330 BOSTON RD BILLERICA MA 01862 7/6/2020 / / VMD II,III,IV,V,VI BONNIE SHOPE HAYES VETERINARY DENTAL SERVICES, LLC 530 MASSACHUSETTS AVE BOXBOROUGH MA 01719 6/22/2021 / / VMD II,III,IV,V,VI AMY SHROFF ANN 22 COOLIDGE RD WAYLAND MA 01778 12/6/2019 / / VMD II,III,IV,V,VI BETSY SINNIGEN ALLEN SUDBURY ANIMAL HOSPITAL 662 BOSTON POST RD. P. O. BOX 477 SUDBURY MA 01776 8/5/2021 / / VMD II,III,IV,V,VI ELIZABETH SINNIGEN SMITH 7 VALLEY LANE EASTHAMPTON MA 01027 11/16/2019 / / VMD II,III,IV,V,VI JOHN SINNIGEN K SUDBURY ANIMAL HOSPITAL 662 BOSTON POST RD P O BOX 477 SUDBURY MA 01776 10/5/2021 / / VMD II,III,IV,V,VI CRAIG SMITH M NASHOBA VALLEY VET HOSPITAL 347 LITTLETON ROAD WESTFORD MA 01886 8/31/2020 / / VMD II,III,IV,V,VI KEVIN SMITH P HYANNIS ANIMAL HOSPITAL 102 ANSEL HALLET RD WEST YARMOUTH MA 02673 1/27/2020 / / VMD II,III,IV,V,VI KIRK SMITH T. AMESBURY ANIMAL HOSPITAL 277 ELM STREET AMESBURY MA 01913 7/8/2021 / / VMD II,III,IV,V,VI AMY SNEDAKER KATHLEEN 89 COMMERCIAL ROAD LEOMINSTER MA 01453 11/4/2019 / / VMD II,III,IV,V,VI KATHRYN SNEIDER M BLUE RIBBON VETERINARY SERVICES LLC 75 COLLEGE POND ROAD PLYMOUTH MA 02360 4/28/2021 / / VMD II,III,IV,V,VI CARL SPIELVOGEL FREDERICK NEW ENGLAND ANIMAL MEDICAL CENTER 595 W CENTER ST WEST BRIDGEWATER MA 02379 7/2/2018 / / VMD II,III,IV,V,VI ALEXANDRA ST. PIERRE MERRILL HAMILTON WENHAM VETERINARY HOSPITAL 31 RAILROAD AVE. SOUTH HAMILTON MA 01982 7/15/2020 / / VMD II,III,IV,V,VI JUDITH STANKIEWICZ M 593 TURNPIKE ST S. EASTON MA 02375 3/9/2021 / / VMD II,III,IV,V,VI LAURIE STEWART J VETERINARY DERMATOLOGY OF NEW ENGLAND 25 CARLISLE ROAD WESTFORD MA 01886 7/27/2020 / / VMD II,III,IV,V,VI JOSEPH STOYAK M 277 VALLEY DRIVE WESTFIELD MA 01085 7/13/2017 / / VMD II,III,IV,V,VI NATHALIE SUCIU ANGELL ANIMAL MEDICAL CENTER 350 SOUTH HUNTINGTON AVENUE BOSTON MA 02130 9/22/2021 / / VMD II,III,IV,V,VI DAVID SWEET CARROLL BAY STATE VETERINARY EMERGENCY SERVICES 76 BAPTIST ST SWANSEA MA 02777 5/5/2020 / / VMD II,III,IV,V,VI KATARZYNA SZYMANSKA ANNA NEW ENGLAND VETERINARY CLINC 204 HIGHLAND AVE SALEM MA 01970 7/30/2018 / / VMD II,III,IV,V,VI MEREDITH TAYLOR LYNNE 245 ROBERT GRAY AVENUE TIVERTON RI 02878-1826 9/22/2019 / / VMD II,III,IV,V,VI MACY TROSCLAIR RAE NATICK ANIMAL CLINIC 121 W CENTRAL STREET NATICK MA 01760 10/14/2020 / / VMD II,III,IV,V,VI CHRISTINA VALIANT E MASS VETERINARY REFERRAL HOSPITAL 20 CABOT ROAD WOBURN MA 01801 6/10/2019 / / VMD II,III,IV,V,VI STEPHANIE VASSAR LAING GREAT FALLS EQUINE & VETERINARY SERVICES 294 FRENCH KING HIGHWAY GILL MA 01354 12/27/2017 / / VMD II,III,IV,V,VI KRISTA VERNALEKEN MICHELE BULGER VETERINARY HOSPITAL 141 WINTHROP AVE LAWRENCE MA 01843 9/29/2021 / / VMD II,III,IV,V,VI ABIGAIL VIOLIN SMITH ACORN ANIMAL HOSPITAL 20 EARL'S WAY FRANKLIN MA 02038 6/3/2021 / / VMD II,III,IV,V,VI PATRICIA WALTERS C. NEW ENGLAND ANIMAL MEDICAL CENTER 595 W CENTER ST WEST BRIDGEWATER MA 02379 6/23/2017 / / VMD II,III,IV,V,VI KARIE WALTON LYNN CAPE COD VETERINANTY SPECIALISTS 11 BOURNE BRIDGE APPROACH BUZZARDS BAY MA 02532 4/28/2020 / / VMD II,III,IV,V,VI EMILY WALZ CITY OF BOSTON ANIMAL CARE AND CONTROL 26 MAHLER ROAD ROSLINDALE MA 02131 11/19/2020 / / VMD II,III,IV,V,VI BRUCE WEINER R LORIENT PET LLC DBA VETS BEST FRIEND 1724 MASS AVENUE CAMBRIDGE MA 02138 8/15/2020 / / VMD II,III,IV,V,VI SHARON WESTPHAL B 78 DEERFOOT ROAD SOUTHBORO MA 01772 10/3/2020 / / VMD II,III,IV,V,VI CHARLES WILLIAMS ROGERS 276 EDGARTOWN VINEYARD HAVEN ROAD PO BOX 1289 EDGARTOWN MA 02539 8/23/2020 / / VMD II,III,IV,V,VI JILLIAN WIT MARIE MASSACHUSETTS VETERINARY REFERRAL HOSPITAL 20 CABOT ROAD WOBURN MA 01801 7/1/2019 / / VMD II,III,IV,V,VI JENNIFER WU B GREAT ROAD VETERINARY HOSPITAL 272 GREAT ROAD ACTON MA 01720 9/17/2020 / / VMD II,III,IV,V,VI ESTER YANG MSPCA ANGELL 350 SOUTH HUNTINGTON AVE BOSTON MA 02130 7/8/2019 / / VMD II,III,IV,V,VI

Page 120 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233

CATHERINE YOUNG BUCK ELIZABETH 245 COUNTY ROAD OAK BLUFFS MA 02557 1/9/2020 / / VMD II,III,IV,V,VI KAITLIN ZELMAN PAULINE VCA HYANNIS ANIMAL HOSPITAL 102 ANSEL HALLET RD WEST YARMOUTH MA 02673 7/5/2021 / / VMD II,III,IV,V,VI

As of 10/01/21

Page 121 of 121