Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
1908 R78425 Gold Jillian Active 05/24/2021 06/11/2021 1908 R78489 Lindstrom Sorren Deanna Active 05/26/2021 06/25/2021 1908 R78496 Oni-Orisan Adeola Oladayo Active 05/03/2021 05/14/2021 Abrazo Health Network Arrowhead Campus 1908 R77916 Arias Sandra Isabel Active 07/01/2021 06/30/2022 1908 R77896 Arora Aniket Active 06/29/2021 06/28/2022 1908 R77474 Ayeni Aduragbemi Julianah Active 07/01/2021 06/30/2022 1908 R77473 Bodagh Fady Active 07/01/2021 06/30/2022 1908 R77440 Brown O'Shaine G Active 07/01/2021 06/30/2022 1908 R77891 Cherian Geo Aji Active 06/29/2021 06/28/2022 1908 R77892 Dixon Harmony B Active 06/29/2021 06/28/2022 1908 R77436 Fisher Jordan A Active 07/01/2021 06/30/2022 1908 R77434 Gomez Nina Active 07/01/2021 06/30/2022 1908 R77917 Jabassini Mostafa Tawfiq Active 07/01/2021 06/30/2022 1908 R77433 Khan Neha Active 07/01/2021 06/30/2022 1908 R77894 Kirk Mark Steven Jr Active 06/29/2021 06/28/2022 1908 R77893 Malik Leena F Active 06/29/2021 06/28/2022 1908 R77895 Menon Tushar Active 06/29/2021 06/28/2022 1908 R78770 Musallam Serene Active 06/28/2021 06/27/2022 1908 R77587 Navarro Castaneda Alejandr... Active 07/01/2021 06/30/2022 1908 R77439 Rahman Haitham Active 07/01/2021 06/30/2022 1908 R77438 Rodriguez Nylund Jorge Eva... Active 07/01/2021 06/30/2022 1908 R77435 Shah Raj B Active 07/01/2021 06/30/2022 1908 R77437 Singh Monider M Active 07/01/2021 06/30/2022 1908 R78771 Singh Sukdev Active 06/28/2021 06/27/2022 1908 R77432 Stewart Daniel J Active 07/01/2021 06/30/2022 Abrazo Health Network Central Campus 1908 R76794 Alves Clark Active 07/01/2020 06/30/2021 1908 R76795 Anderson Jason Active 07/01/2020 06/30/2021 1908 R76796 Ballanca Zerahlynn Active 07/01/2020 06/30/2021 1908 R77492 Brown-gonzalez Natali Active 07/01/2021 06/30/2022 1908 R78259 Desmarais Ashley Marie Active 07/01/2021 06/30/2022 1908 R76797 Giaquinto Shea Active 07/01/2020 06/30/2021 1908 R77486 Ikegbunam Obianaju Active 07/01/2021 06/30/2022 1908 R78260 Jimenez Linda Emperatriz Active 07/01/2021 06/30/2022
Page Number 1 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
Abrazo Health Network Central Campus 1908 R76798 Parmar Henna Active 07/01/2020 06/30/2021 1908 R78261 Peer Ann Therese Active 07/01/2021 06/30/2022 1908 R77491 Rodriguez Perez Veronica Active 07/01/2021 06/30/2022 1908 R76799 West Joshua Active 07/01/2020 06/30/2021 1908 R77493 Zablocki Christopher Active 07/01/2021 06/30/2022 Abrazo Health Network West Campus 1908 R78509 Ballard Matthew Smith Active 06/28/2021 06/27/2022 1908 R77885 Bowman Ty A. Active 07/01/2021 06/30/2022 1908 R78497 Casillas Brian Active 07/01/2021 06/30/2022 1908 R78510 Connor Denton Evald Active 06/28/2021 06/27/2022 1908 R78511 Drake Taylor Michael Active 06/28/2021 06/27/2022 1908 R78495 Francis Eileen Active 07/01/2021 06/30/2022 1908 R78335 Haque Tasmea K Active 06/29/2021 06/28/2022 1908 R78494 Joachim Elizabeth Active 07/01/2021 06/30/2022 1908 R77887 Kamer Matthew Active 07/01/2021 06/30/2022 1908 R78515 Koenig Gavin Active 07/01/2021 06/30/2022 1908 R77888 Kristensen Amy Active 07/01/2021 06/30/2022 1908 R77889 Kunas Grace Active 07/01/2021 06/30/2022 1908 R78512 Motz Alexis Rose Active 06/28/2021 06/27/2022 1908 R78336 Nguyen Uyen-nha A Active 06/29/2021 06/28/2022 1908 R78338 O'connor Colin P Active 06/29/2020 06/28/2021 1908 R78513 Patel Anjana Active 06/28/2021 06/27/2022 1908 R78334 Santiago Sueheidi Active 06/29/2020 06/28/2021 1908 R78517 Young Hayley Active 07/01/2021 06/30/2022 1908 R78516 Young Rebecca Active 07/01/2021 06/30/2022 Barrow Neurological Institute at ST. Joe's Hospital and 1908 R76876 Abbatematteo Joseph Active 07/01/2020 06/30/2021 Me... 1908 R75749 Al Hasan Yazan Mahmoud Active 07/01/2021 06/30/2022 1908 R78308 Anderson Elizabeth J Active 07/01/2021 06/30/2022 1908 R76962 Ashary Zain Abbas Active 07/01/2021 06/30/2022 1908 R75750 Balbuena-Root Melissa Rene... Active 07/01/2020 06/30/2021 1908 R74997 Baranoski Jacob Francis Active 07/01/2020 06/30/2021 1908 R74931 Barbu Shadi Vida Active 07/01/2020 06/30/2021 1908 R76195 Benet Cabero Arnau Active 07/01/2020 06/30/2021 1908 R76961 Breaux Kelly Nicole Active 07/01/2021 06/30/2022
Page Number 2 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
Barrow Neurological Institute at ST. Joe's Hospital and 1908 R78316 Breitenbucher Ada Active 07/01/2021 06/30/2022 Me... 1908 R75571 Brigeman Scott Tyler Active 07/01/2020 06/30/2021 1908 R75162 Brown Yvette Michelle Active 07/01/2021 06/30/2022 1908 R77449 Bryant Jonathan Scott Active 07/01/2021 06/30/2022 1908 R75567 Catapano Joshua Stephen Active 07/01/2020 06/30/2021 1908 R77854 Chamberlin Barry R Active 07/01/2020 06/30/2021 1908 R74921 Chan Justine Kit Active 07/01/2020 06/30/2021 1908 R75001 Chen Edward Yuder Active 06/29/2020 06/29/2021 1908 R78309 Cho Steve S Active 07/01/2020 06/30/2021 1908 R76345 Choi Kevin Sukjo Active 07/01/2021 06/30/2022 1908 R74881 Cole Tyler Scott Active 07/01/2020 06/30/2021 1908 R76879 Didomenico Joseph Active 07/01/2020 06/30/2021 1908 R78313 Elahi Cyrus Active 07/01/2020 06/30/2021 1908 R76197 Farber Samuel Harrison Active 07/01/2020 06/30/2021 1908 R78311 Fox Brandon M Active 07/01/2020 06/30/2021 1908 R76878 Furey Charuta Active 07/01/2020 06/30/2021 1908 R74648 Godzik Jakub Active 07/01/2020 06/30/2021 1908 R76347 Gonzalez Daniel Israel Active 07/01/2021 06/30/2022 1908 R77204 Gooldy Timothy Caleb Active 07/01/2020 06/30/2021 1908 R76348 Guidos Paul Anthony Active 07/01/2020 06/30/2021 1908 R77450 Hansra Harjot Kaur Active 07/01/2021 06/30/2022 1908 R77443 Hartke Joelle Nicole Active 07/01/2020 06/30/2021 1908 R75570 Hendricks Benjamin Kevin Active 07/01/2020 06/30/2021 1908 R75752 Hoskin Justin Lynn Active 07/01/2020 06/30/2021 1908 R76349 Houston Drew Michael Active 07/01/2020 06/30/2021 1908 R78319 Johnson Dejarra Active 07/01/2021 06/30/2022 1908 R75025 Jugler Tanner Kris Active 07/01/2020 06/30/2021 1908 R77855 King Brent James Active 07/01/2020 06/30/2021 1908 R75406 Labib Mohamed Ahmed Maher Active 07/01/2020 06/30/2021 1908 R77852 Logsdon Alyssa B Active 07/01/2020 06/30/2021 1908 R78317 Martin Allison Active 07/01/2021 06/30/2022 1908 R75569 Morgan Clinton David Active 07/01/2020 06/30/2021 1908 R76960 Mubarak Huiam Magzoub Active 07/01/2021 06/30/2022
Page Number 3 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
Barrow Neurological Institute at ST. Joe's Hospital and 1908 R75109 Mushtaq Raza Active 07/01/2020 06/30/2021 Me... 1908 R76350 Nicholson Alexandra Helene... Active 07/01/2021 06/30/2022 1908 R77445 Pacult Mark Alexander Active 07/01/2020 06/30/2021 1908 R76877 Paisan Gabriella Active 07/01/2020 06/30/2021 1908 R76351 Passeri Michlene Active 07/01/2020 06/30/2021 1908 R77451 Patel Jay Narendra Active 07/01/2021 06/30/2022 1908 R78321 Pauta Martinez Juan Pablo Active 07/01/2020 06/30/2021 1908 R74879 Przybylowski Colin John Active 06/08/2020 06/07/2021 1908 R76959 Ranade Tejas Sanjay Active 07/01/2021 06/30/2022 1908 R75753 Root Shane Marcus Active 07/01/2020 06/30/2021 1908 R77446 Rudy Robert Franklin Adler... Active 07/01/2020 06/30/2021 1908 R78320 Rutledge William Caleb Active 07/01/2020 06/30/2021 1908 R77853 Sale Max Carver Active 07/01/2020 06/30/2021 1908 R74880 Sarris Christina Elizabeth... Active 07/01/2020 06/30/2021 1908 R76958 Sharf Valerie L Active 07/01/2021 06/30/2022 1908 R76957 Singer Madeline Louise Active 07/01/2021 06/30/2022 1908 R76352 Tadipatri Ramya Active 07/01/2021 06/30/2022 1908 R76353 Tarzi Fawaz P Active 07/01/2020 06/30/2021 1908 R78315 Venkatesh Anita Active 07/01/2021 06/30/2022 1908 R74649 Walker Corey Tyler Active 07/01/2020 06/30/2021 1908 R78312 White Michael D Active 07/01/2020 06/30/2021 1908 R74646 Whiting Alexander Charles Active 07/01/2020 06/30/2021 1908 R77452 Wiggins Judea Paulmarie Active 07/01/2021 06/30/2022 1908 R77447 Zavala Baltazar Antonio Active 07/01/2020 06/30/2021 1908 R76198 Zhou James Jun Active 07/01/2020 06/30/2021 College of Medicine, Mayo Clinic 1908 R78486 Abdalla Abdelmohaymin Abda. Active 07/01/2021 06/30/2022 1908 R77088 Abdallah Amir Active 07/01/2021 06/30/2022 1908 R77996 Abdou Merna Active 07/01/2021 06/30/2022 1908 R77871 Abraham Bishoy Active 07/01/2021 06/30/2022 1908 R77998 Agarwal Muskan Active 07/01/2021 06/30/2022 1908 R77989 Ailts Isaak Active 07/01/2021 06/30/2022 1908 R78431 Aird Gregory Active 05/31/2021 06/25/2021 1908 R77252 Alfafara Chelsea Active 07/01/2020 06/30/2021
Page Number 4 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
College of Medicine, Mayo Clinic 1908 R76708 Anderson Justin Douglas Active 07/01/2020 06/30/2021 1908 R77262 Apolinario Michael Angelo Active 07/01/2020 06/30/2021 1908 R78732 Arguinchona Joseph Active 07/01/2021 06/30/2022 1908 R78008 Armstrong Valerie Active 07/01/2021 06/30/2022 1908 R77050 Arora Karan Active 07/01/2021 06/30/2022 1908 R77999 Ashcherkin Nikita Active 07/01/2021 06/30/2022 1908 R77260 Barendrick Lindsay Active 07/01/2020 06/30/2021 1908 R77500 Bartels Helen Active 07/01/2021 06/30/2022 1908 R78404 Benson Benjamin Active 08/01/2020 07/31/2021 1908 R78745 Bhatt Shubhang Active 07/01/2021 06/30/2022 1908 R78476 Bies Michael Active 06/01/2021 06/30/2021 1908 R78009 Binder William J Jr. Active 07/01/2021 06/30/2022 1908 R76212 Biswas Roy Sreeja Active 07/01/2020 06/30/2021 1908 R77254 Brake Daniela Ann Active 07/01/2020 06/30/2021 1908 R77456 Brake Donald Rudolph III Active 07/01/2020 06/30/2021 1908 R77994 Brinkman Joseph Active 07/01/2021 06/30/2022 1908 R78733 Broadfoot Jourdan Active 07/01/2021 06/30/2022 1908 R77982 Brown Bradly Active 07/01/2020 06/30/2021 1908 R77912 Brussels Aaron Active 07/01/2021 06/30/2022 1908 R77990 Cai Jacqueline Active 07/01/2021 06/30/2022 1908 R76397 Calderon Saa Jaramillo Est... Active 07/01/2020 06/30/2021 1908 R77259 Campagna Justin Patrick Active 07/01/2020 06/30/2021 1908 R78007 Cave Taylor Active 07/01/2021 06/30/2022 1908 R77987 Chaffin Hally Active 07/01/2021 06/30/2022 1908 R78473 Chan Stephen Active 04/26/2021 05/07/2021 1908 R78543 Chaudhary Hira Active 07/01/2021 06/30/2022 1908 R78540 Cheung Dillon Active 07/01/2021 06/30/2022 1908 R78143 Clinkenbeard Alexander Active 07/01/2020 06/30/2021 1908 R77303 Cumsky Helen Jia Liang Active 07/01/2020 06/30/2021 1908 R77562 Cumsky Jameson Lee Active 07/01/2020 06/30/2021 1908 R77255 Deckey David George Active 07/01/2020 06/30/2021 1908 R78257 DeGraaff Luke Henry Active 07/01/2021 06/30/2022 1908 R77819 Delaney Daniel Active 05/03/2021 05/28/2021
Page Number 5 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
College of Medicine, Mayo Clinic 1908 R77950 Devarajan Anusha Active 07/01/2020 06/30/2021 1908 R77248 Dunn Tyler Michael Active 07/01/2020 06/30/2021 1908 R77914 Durant Adri Active 07/01/2021 06/30/2022 1908 R78748 Edmonds Victoria Active 07/01/2021 06/30/2022 1908 R78534 Eells Annica Active 07/01/2021 06/30/2022 1908 R78002 Eldredge Richard S Active 07/01/2021 06/30/2022 1908 R78538 Eslinger Cody Active 07/01/2021 06/30/2022 1908 R78730 Fanous John Active 07/01/2021 06/30/2022 1908 R78422 Fennelly Evelyn Active 02/15/2021 08/15/2021 1908 R78482 Fragola Anthony Active 06/08/2021 06/29/2021 1908 R76387 Frederick Ross Paul Active 07/01/2020 06/30/2021 1908 R78405 Good Meghan Lyn Active 08/01/2020 07/31/2021 1908 R78478 Gow-lee Vanessa Active 05/11/2021 06/03/2021 1908 R78148 Griebel Lauren Elizabeth Active 07/01/2020 06/30/2021 1908 R77986 Griffin Emily Active 07/01/2021 06/30/2022 1908 R77078 Gritsch David Active 07/09/2021 07/08/2022 1908 R78006 Gupta Simran Active 07/01/2021 06/30/2022 1908 R78530 Habib Eiad Active 07/01/2021 06/30/2022 1908 R76752 Han Ga-ram Active 07/09/2021 07/08/2022 1908 R77462 Harahsheh Ehab Active 07/01/2021 06/30/2022 1908 R77459 Hasan Shemonti Rabeya Active 07/01/2020 06/30/2021 1908 R77995 Haug Logan Active 07/01/2021 06/30/2022 1908 R77501 He Shengliang Active 07/01/2020 06/30/2021 1908 R77057 Heyes Richard Active 07/01/2021 06/30/2022 1908 R77997 Hudson Miles Allen Active 07/01/2021 06/30/2022 1908 R77984 Huff Daniel Active 07/01/2021 06/30/2022 1908 R78337 Iqbal Sara Active 07/01/2020 06/30/2021 1908 R77266 Janeczek Monica Carolyn Active 07/01/2020 06/30/2021 1908 R78731 Jenkins John Active 07/01/2021 06/30/2022 1908 R78535 Johnson Brooks Active 07/01/2021 06/30/2022 1908 R77256 Johnson Eleanor Rose Active 07/01/2020 06/30/2021 1908 R77915 Kaufman Adrienne Active 07/01/2021 06/30/2022 1908 R77267 Khan Saira Jean Active 07/01/2020 06/30/2021
Page Number 6 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
College of Medicine, Mayo Clinic 1908 R77991 Kim Jee Active 07/01/2021 06/30/2022 1908 R78747 Kokanovich Timothy Active 07/01/2021 06/30/2022 1908 R78003 Ladd Ryan Active 07/01/2021 06/30/2022 1908 R78536 Lai Cara Active 07/01/2021 06/30/2022 1908 R78487 Lal Amos Active 05/29/2021 06/30/2021 1908 R78542 Lang Harrison Active 07/01/2021 06/30/2022 1908 R77251 Laughlin Brady Scott Active 07/01/2020 06/30/2021 1908 R77455 Lee Daniel Hyunjae Active 07/01/2020 06/30/2021 1908 R78485 Lee Eunjin Active 07/01/2021 06/30/2022 1908 R77076 Leuzinger Kahlin Josef Active 07/01/2020 06/30/2021 1908 R78503 Liu Grace Active 09/20/2021 10/15/2021 1908 R77302 Liu Michael Bolan Active 07/01/2020 06/30/2021 1908 R78727 Lorenzo Andrea Active 07/01/2021 06/30/2022 1908 R77301 Lu Patricia Gina Active 07/01/2020 06/30/2021 1908 R78454 Macken Esther Active 03/08/2021 07/11/2021 1908 R77484 Mangipudi Kartik Active 07/01/2021 06/30/2022 1908 R78728 Marshall Chelsea Active 07/01/2021 06/30/2022 1908 R77077 McBride Nolan Kelly Active 07/01/2020 06/30/2021 1908 R78479 Meaike Jesse Active 05/03/2021 07/02/2021 1908 R78729 Mecham Jeffrey Active 07/01/2021 06/30/2022 1908 R76747 Mesbah Zhubene Active 07/01/2020 06/30/2021 1908 R78541 Meyer Haley Active 07/01/2021 06/30/2022 1908 R78545 Meyer Jenna Active 07/01/2021 06/30/2022 1908 R77460 Mina Syeda Active 07/01/2021 06/30/2022 1908 R77949 Mishra Aditi Active 07/01/2020 06/30/2021 1908 R76001 Mitchell Kevin Ray Active 07/01/2020 06/30/2021 1908 R78432 Mohan Anita Active 03/01/2021 06/01/2021 1908 R78539 Morken Colleen Active 07/01/2021 06/30/2022 1908 R77983 Morris Bryn Active 07/01/2021 06/30/2022 1908 R77518 Mousa Abeer Ab Active 07/01/2020 06/30/2021 1908 R77454 Murphy Christopher Active 07/01/2020 06/30/2021 1908 R78746 Nayak Sristhi Active 07/01/2021 06/30/2022 1908 R76753 Norain Abdullah Ahmed Active 07/01/2020 06/30/2021
Page Number 7 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
College of Medicine, Mayo Clinic 1908 R78314 Okubo Keita Active 07/01/2021 06/30/2022 1908 R77300 Orton Taylor Active 07/01/2020 06/30/2021 1908 R78158 Oswald Nathaniel Active 07/01/2021 06/30/2022 1908 R78145 Pai Manish Active 07/01/2020 06/30/2021 1908 R77349 Parker Nicholas Robert Active 07/01/2020 06/30/2021 1908 R78735 Patel Archna Active 07/01/2021 06/30/2022 1908 R78739 Paton Madeline Active 07/01/2021 06/30/2022 1908 R76946 Patra Devi Prasad Active 07/01/2021 06/30/2022 1908 R78742 Payne Nicolette Active 07/01/2021 06/30/2022 1908 R78743 Perez Rachel Active 07/01/2021 06/30/2022 1908 R78749 Pfeiffer Nicholaus Active 07/01/2021 06/30/2022 1908 R77249 Pierce Austin Taylor Active 07/01/2020 06/30/2021 1908 R78258 Pirani Yasmin Active 07/01/2020 06/30/2021 1908 R77206 Pisipati Sailaja Active 07/01/2020 06/30/2021 1908 R78456 Puiu Tudor Active 06/02/2021 06/25/2021 1908 R78001 Raman Puneet Active 07/01/2021 06/30/2022 1908 R77925 Rhee Annie Active 07/01/2021 06/30/2022 1908 R78533 Roesler Alexander Active 07/01/2021 06/30/2022 1908 R77992 Rorex Jennifer Active 07/01/2021 06/30/2022 1908 R77071 Rose Chase Douglas Active 07/01/2020 06/30/2021 1908 R77985 Salevitz Daniel Active 07/01/2021 06/30/2022 1908 R78529 Santos Toesca Diego August... Active 07/01/2021 06/30/2022 1908 R77918 Sattari Ali Reza Active 07/01/2020 06/30/2021 1908 R78738 Severson Kevin Active 07/01/2021 06/30/2022 1908 R78726 Shah Amar Active 07/01/2021 06/30/2022 1908 R77261 Shrout Max Alden Active 07/01/2020 06/30/2021 1908 R78740 Sioda Natasha Active 07/01/2021 06/30/2022 1908 R77253 Smith Cody Active 07/01/2020 06/30/2021 1908 R77509 Smith Mathew Van Active 07/01/2020 06/30/2021 1908 R77269 Smith Sean Daniel Active 07/01/2020 06/30/2021 1908 R78480 Somani Sneha Active 07/26/2021 08/20/2021 1908 R77258 Stagg Jeffrey Eric Active 07/01/2020 06/30/2021 1908 R77913 Sul Aaron Active 07/01/2021 06/30/2022
Page Number 8 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
College of Medicine, Mayo Clinic 1908 R77457 Syed Fahad Active 07/01/2021 06/30/2022 1908 R78544 Thomson Holly Active 07/01/2021 06/30/2022 1908 R78157 Tiano Benjamin Active 07/01/2021 06/30/2022 1908 R77257 Tuck Jaclyn Active 07/01/2021 06/30/2022 1908 R78005 Tummala Sailesh Active 07/01/2021 06/30/2022 1908 R76749 Turknett Toiya Nashal Active 07/01/2020 06/30/2021 1908 R77250 Ueberroth Benjamin Active 07/01/2020 06/30/2021 1908 R78741 Van Spronsen Nicole Active 07/01/2021 06/30/2022 1908 R78532 Vanood Aimen Active 07/01/2021 06/30/2022 1908 R78736 Vieira Marinelli Daniel Al... Active 07/01/2021 06/30/2022 1908 R77897 Wang Fangfang Active 07/16/2021 07/15/2022 1908 R78537 Warren Christopher Active 07/01/2021 06/30/2022 1908 R78481 Williams James Active 06/28/2021 07/23/2021 1908 R78744 Yaman Reena Active 07/01/2021 06/30/2022 1908 R78484 Zeeshan Qazi Active 07/01/2021 06/30/2022 1908 R77988 Zhang Chi Active 07/01/2021 06/30/2022 Creighton University School of Medicine (PHOENIX) 1908 R78399 Halawa Abdul Rahman Active 06/22/2021 06/21/2022 Program 1908 R77714 Aggarwal Gaurav Active 07/01/2020 06/30/2021 1908 R76243 Al-Abbadi Tabarik Khalil Active 06/23/2021 06/22/2022 1908 R74692 Alani Mustafa A Active 06/23/2021 06/22/2022 1908 R76137 Aldridge Morgan Leigh Active 06/15/2020 06/14/2021 1908 R77489 Alkhider Saad Active 07/01/2021 06/30/2022 1908 R76626 Allen Travis Active 06/23/2020 06/22/2021 1908 R77719 Ansari Zaid Active 07/01/2021 06/30/2022 1908 R78224 Arif Muhammad Zohab Active 06/22/2021 06/21/2022 1908 R76134 Armstrong Tamara Marie Active 06/15/2020 06/14/2021 1908 R76973 Arora Manpreet Active 07/01/2020 06/30/2021 1908 R76363 Arslanian Kyle Paul Active 06/23/2021 06/22/2022 1908 R77585 Aslam Shehroz Sa Active 07/01/2020 06/30/2021 1908 R75556 Bahadir Jenna Deniz Active 07/01/2021 06/30/2022 1908 R76650 Bailey Celeste V. Active 06/23/2021 06/22/2022 1908 R77720 Bao Rong Active 07/01/2021 06/30/2022 1908 R78225 Barry Hadiatou Active 07/01/2021 06/30/2022
Page Number 9 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
Creighton University School of Medicine (PHOENIX) 1908 R78318 Baskaran Janani Active 07/01/2020 06/30/2021 Program 1908 R76880 Bate Eleanor E Active 07/01/2020 06/30/2021 1908 R77541 Beaupre Randall II Active 06/22/2021 06/21/2022 1908 R76909 Bell Britney N Active 07/01/2020 06/30/2021 1908 R76974 Bhardwaj Supriya Active 07/01/2020 06/30/2021 1908 R77679 Biernacki Kaitlyn E Active 07/01/2021 06/30/2022 1908 R76259 Brichta Stefanie Handrick Active 11/01/2020 10/31/2021 1908 R76192 Brown Bryant Patrick Active 07/01/2021 06/30/2022 1908 R75558 Bryan Lynn Lisa Active 07/01/2020 06/30/2021 1908 R76810 Buchwald Zoltan Active 06/23/2020 06/22/2021 1908 R76763 Burkhart Zachary Dalton Active 06/23/2020 06/22/2021 1908 R77537 Butler James Active 06/22/2021 06/21/2022 1908 R77550 Calhoun Matthew Joseph Active 07/01/2021 06/30/2022 1908 R76631 Casper Katie A. Active 06/23/2021 06/22/2022 1908 R76129 Chalifour Stephanie Anne B... Active 06/15/2020 06/14/2021 1908 R76221 Chapman Hannah L Active 07/01/2020 06/30/2021 1908 R77564 Charley Ericka L Active 07/01/2021 06/30/2022 1908 R75427 Chaudhary Anirudh Active 07/01/2020 06/30/2021 1908 R76199 Chavez Marin A Active 07/01/2021 06/30/2022 1908 R76603 Chen Jessica Active 06/23/2020 06/22/2021 1908 R76332 Choulet Brook Renee Active 07/01/2021 06/30/2022 1908 R76201 Christiansen Eric Martin Active 07/01/2021 06/30/2022 1908 R78226 Cleary Kevin Michael Active 06/22/2021 06/21/2022 1908 R77542 Cunningham Richard Active 06/22/2021 06/21/2022 1908 R77681 Custer Victoria Elaine Active 07/01/2021 06/30/2022 1908 R76222 Danci Ioana Christiana Active 07/01/2020 06/30/2021 1908 R78140 Dasgupta Shruti Ria Active 06/22/2021 06/21/2022 1908 R76812 Davis Jesse S. Active 06/23/2020 06/22/2021 1908 R76161 Delapena Samantha Ang Active 06/23/2021 06/22/2022 1908 R76233 Determan Megan Renee Active 06/30/2020 06/29/2021 1908 R76127 Devin Kirsten Michelle Active 06/15/2020 06/14/2021 1908 R76223 Dozier Melissa Grace Active 07/01/2020 06/30/2021 1908 R77682 Duong Chanan Thuy Active 07/01/2021 06/30/2022
Page Number 10 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
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Creighton University School of Medicine (PHOENIX) 1908 R78227 Eastes Joel Guthrie Active 06/22/2021 06/21/2022 Program 1908 R76828 Edwards Jennifer L. Active 06/23/2020 06/22/2021 1908 R78141 Facer Kaden Lyde Active 06/22/2021 06/21/2022 1908 R75691 Farnworth Michael Todd Active 07/01/2020 06/30/2021 1908 R77522 Fath Ayman Active 07/01/2020 06/30/2021 1908 R77535 Feinstein Bryan Active 06/22/2021 06/21/2022 1908 R76902 Ferrel Ethan A Active 07/01/2021 06/30/2022 1908 R76669 Field Kristina A. Active 06/23/2020 06/22/2021 1908 R76613 Findakly Dawood Active 06/23/2020 06/22/2021 1908 R76627 Forlemu Arnold N. Active 06/23/2020 06/22/2021 1908 R78396 Forst Kelee Active 06/22/2020 06/21/2021 1908 R78228 Frank Zoe Charlotte Active 06/22/2021 06/21/2022 1908 R78142 Galvis Justin Albert Active 06/22/2020 06/21/2021 1908 R78229 Gandhi Sirin Active 06/22/2020 06/21/2021 1908 R78230 Garcia Michelle Active 06/22/2021 06/21/2022 1908 R78397 Garcia Ortiz Santiago Active 06/22/2021 06/21/2022 1908 R78231 Gavenas Anne Marie Active 06/22/2021 06/21/2022 1908 R77683 Germanos Marina C. Active 06/28/2021 06/27/2022 1908 R77721 Girgla Navkaran Active 07/01/2020 06/30/2021 1908 R78146 Glade Daniel Christopher Active 06/22/2020 06/21/2021 1908 R76904 Glatt Jennifer L Active 07/01/2021 06/30/2022 1908 R77696 Greenwood Benjamin W Active 07/01/2020 06/30/2021 1908 R78144 Griego Marisa V Active 06/22/2021 06/21/2022 1908 R77083 Gulati Samridhi Active 06/23/2020 06/22/2021 1908 R77547 Hall Tamlyn Marisa Active 06/22/2021 06/21/2022 1908 R78163 Hanna Abanoub Paul S Active 06/22/2021 06/21/2022 1908 R74914 Harwood Matthew Lee Active 07/01/2020 06/30/2021 1908 R76757 Hassan Syed Zubin Active 06/23/2020 06/22/2021 1908 R77710 Hayden Joel James Active 07/01/2021 06/30/2022 1908 R77539 He Luke Active 06/22/2021 06/21/2022 1908 R77540 Henry Michael Behrooz Active 06/22/2021 06/21/2022 1908 R76610 Herrera Ricardo Active 06/23/2020 06/22/2021 1908 R77536 Hintze Daniel Active 06/26/2021 06/25/2022
Page Number 11 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
Creighton University School of Medicine (PHOENIX) 1908 R75490 Ho Timothy Kenneth Active 07/01/2020 06/30/2021 Program 1908 R76817 Hoch Wyatt Active 07/01/2021 06/30/2022 1908 R78222 Hoebee Shelby M Active 06/22/2021 06/21/2022 1908 R77690 Hoerle Tess Rebecca Active 07/01/2021 06/30/2022 1908 R78232 Hollowed Timothy Eugene Active 06/22/2021 06/21/2022 1908 R76211 Hughes Brett William Active 07/01/2021 06/30/2022 1908 R76240 Hurd Frank Salvatierra Active 06/23/2021 06/22/2022 1908 R78165 Ilo Chinoso Cai Active 06/22/2020 06/21/2021 1908 R78168 Infante Sofia Active 06/22/2021 06/21/2022 1908 R76911 Irandost Maykel Active 07/01/2021 06/30/2022 1908 R76969 Israr Sharjeel Active 07/01/2021 06/30/2022 1908 R76607 Janowski Courtney Marie Active 06/23/2021 06/22/2022 1908 R76225 Jenkins Taylor Marie Active 07/01/2020 06/30/2021 1908 R77523 Johnson Benjamin Active 07/01/2021 06/30/2022 1908 R78233 Kalamaha Kadra Kyann Active 07/01/2021 06/30/2022 1908 R77549 Kamar Kharoufeh Juan Active 07/01/2020 06/30/2021 1908 R76217 Khalil Nabiha Active 07/01/2020 06/30/2021 1908 R76813 Khatib Mohammad Active 06/23/2020 06/22/2021 1908 R76705 Killeen Zachary Active 06/23/2020 06/22/2021 1908 R78170 Kim Jae K Active 06/22/2021 06/21/2022 1908 R77519 Kinahan Andrew Active 06/26/2021 06/25/2022 1908 R78221 Lampe Alicia H. Active 06/22/2021 06/21/2022 1908 R75493 Larsen Brett Robert Active 07/01/2020 06/30/2021 1908 R76202 Lee Bonnie Ka Man Active 07/01/2021 06/30/2022 1908 R77538 Lettang Katrina Active 06/22/2021 06/21/2022 1908 R78173 Liang Juliana Active 07/01/2021 06/30/2022 1908 R78234 Light Diane Victoria Active 06/22/2021 06/21/2022 1908 R78235 Lin Theodore Mo Active 06/22/2020 06/21/2021 1908 R77045 Lindsey Megan Elisabeth Active 07/01/2021 06/30/2022 1908 R75800 Lish James Robert Active 07/01/2020 06/30/2021 1908 R78175 Lythgoe Jacob K Active 06/22/2020 06/21/2021 1908 R76819 Macgregor James R. Active 06/23/2020 06/22/2021 1908 R76851 Mahelona Ryan David Keliil... Active 06/23/2020 06/22/2021
Page Number 12 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
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Creighton University School of Medicine (PHOENIX) 1908 R78223 Mahoney Amanda A Active 06/22/2021 06/21/2022 Program 1908 R77525 Marincel Steven J Active 07/01/2021 06/30/2022 1908 R78177 Masuda Zachary K Active 06/22/2021 06/21/2022 1908 R76820 Mauro Linnea T. Active 06/23/2020 06/22/2021 1908 R76730 Mayer-Hirshfeld Ilana Active 06/23/2020 06/22/2021 1908 R76224 McHenry Avory Marie Hening... Active 07/01/2020 06/30/2021 1908 R77042 McQuilkin Michelle Lynn Active 06/23/2021 06/22/2022 1908 R77684 Meermeier Nicholas Paul Active 07/01/2021 06/30/2022 1908 R78179 Meza Luis Francisco Active 06/22/2021 06/21/2022 1908 R78236 Mezher Andrew W Active 06/22/2020 06/21/2021 1908 R76242 Mihyawi Nawfal Abdullah Ja... Active 06/23/2020 06/22/2021 1908 R77553 Minder Mariah Active 06/28/2021 06/27/2022 1908 R78237 Minton Tyler Wayne Active 06/22/2021 06/21/2022 1908 R78238 Mishra Shrutisudha Active 06/22/2021 06/21/2022 1908 R76244 Miucin Aleksandra Nicole Active 07/01/2020 06/30/2021 1908 R78239 Momchev Christina Orlin Active 06/22/2021 06/21/2022 1908 R78181 Moussa Jacob Aaron Active 06/22/2021 06/21/2022 1908 R78182 Mughal Anisa Yvonne Active 06/22/2021 06/21/2022 1908 R77548 Munoz Jonathon Active 07/01/2021 06/30/2022 1908 R76883 Murphy Tyler K Active 07/01/2020 06/30/2021 1908 R76882 Naipaul Simerjeet S Active 07/01/2020 06/30/2021 1908 R76399 Nanda Alisha Active 06/23/2021 06/22/2022 1908 R76912 Nelson Darien S Active 07/01/2020 06/30/2021 1908 R76234 Nelson Erin Da Hye Active 06/15/2020 06/14/2021 1908 R76881 Nguyen Sarah T Active 07/01/2020 06/30/2021 1908 R76611 Nguyen Tiffany Ngoc Active 06/23/2021 06/22/2022 1908 R76236 Njiforfut Eric Koyilla Active 06/30/2020 06/29/2021 1908 R76247 Ohara Stephanie Yukari Active 06/15/2021 06/14/2022 1908 R78400 Olagunju Abdulbaril Active 06/22/2020 06/21/2021 1908 R75433 Osho Ayokunle Tolulope Active 07/01/2020 06/30/2021 1908 R76472 Osipov Emil Mishelovich Active 06/15/2020 06/14/2021 1908 R76615 Palermo Alvarado Frances M... Active 06/23/2020 06/22/2021 1908 R76214 Pandya Siddharth Yogen Active 07/01/2021 06/30/2022
Page Number 13 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
Creighton University School of Medicine (PHOENIX) 1908 R78183 Pappas Dominic Karl Active 06/22/2021 06/21/2022 Program 1908 R77526 Park Yu-Soon Aileen Active 07/01/2021 06/30/2022 1908 R78184 Pastore Carl William Active 06/22/2021 06/21/2022 1908 R77034 Patel Ravikumar Vijaykumar... Active 06/23/2021 06/22/2022 1908 R78240 Pechap Ayafor Thierry Active 06/22/2020 06/21/2021 1908 R78185 Perez Quintana Juan Manuel... Active 06/22/2021 06/21/2022 1908 R76608 Petrie Cody Walker Active 07/01/2021 06/30/2022 1908 R78241 Pham Kimberly Linh Active 06/22/2021 06/21/2022 1908 R75428 Plasto Dinko Active 07/01/2020 06/30/2021 1908 R77584 Pulivarthi Venkata Siva Kr... Active 06/26/2020 06/25/2021 1908 R76908 Putnam Tyler A Active 07/01/2020 06/30/2021 1908 R76825 Qureshi Sana M. Active 06/23/2020 06/22/2021 1908 R77563 Rabang Joshua Rey Active 07/01/2021 06/30/2022 1908 R77680 Raman Kaavya Rekha Active 07/01/2021 06/30/2022 1908 R78401 Ravella Vishal Active 06/22/2021 06/21/2022 1908 R78242 Refugio Scott Francis Raga... Active 06/22/2020 06/21/2021 1908 R76204 Rieger Rebecca Marie Active 07/01/2021 06/30/2022 1908 R78243 Rivera Cristina Active 06/22/2021 06/21/2022 1908 R77712 Robison Jeffrey Rolland Active 07/01/2021 06/30/2022 1908 R77722 Rodriguez Melo Marco Active 07/01/2021 06/30/2022 1908 R76600 Rogich Jerome John Active 06/23/2020 06/22/2021 1908 R76906 Ruane-O'Connor Devin Thoma Active 07/01/2021 06/30/2022 1908 R76913 Rusing Jack C Active 07/01/2020 06/30/2021 1908 R77723 Sadolikar Ashish Active 07/01/2021 06/30/2022 1908 R77724 Sarma Hursh Active 07/01/2021 06/30/2022 1908 R78186 Schaeffler Kelby L Active 06/22/2021 06/21/2022 1908 R77552 Schertzing William Thomas Active 06/26/2020 06/25/2021 1908 R76232 Schmieder Stephanie Nance Active 07/01/2020 06/30/2021 1908 R78187 Schwebach Courtney Ann Active 06/22/2021 06/21/2022 1908 R78244 Selting Kevin Joseph Active 06/22/2021 06/21/2022 1908 R76842 Shareef Faryal Active 07/01/2021 06/30/2022 1908 R77554 Sharma Tanuj Active 07/01/2020 06/30/2021 1908 R77066 Shay Courtney L Active 06/23/2020 06/22/2021
Page Number 14 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
Creighton University School of Medicine (PHOENIX) 1908 R78348 Shoshan Dor Shalom Active 07/01/2021 06/30/2022 Program 1908 R78245 Shringarpure Natalia Active 06/22/2021 06/21/2022 1908 R78188 Shukla Bhavesh Prakash Active 06/22/2020 06/21/2021 1908 R77706 Sian Jaspreet Active 07/01/2020 06/30/2021 1908 R78402 Singh Gauri Active 06/22/2021 06/21/2022 1908 R77113 Singh Sahibjeet Active 08/20/2020 08/19/2021 1908 R78220 Singh Saumya Active 06/22/2021 06/21/2022 1908 R78246 Skidmore Brian Dean Active 06/22/2020 06/21/2021 1908 R77521 Solsi Anup Active 06/30/2021 06/30/2022 1908 R76709 Stewart Chelsea Elisabeth Active 06/23/2021 06/22/2022 1908 R78189 Sudhindran Vineeth Active 07/01/2020 06/30/2021 1908 R76633 Sullivan Shea M. Active 06/23/2021 06/22/2022 1908 R78349 Svec Austin William Active 07/01/2021 06/30/2022 1908 R78247 Syal Vineet Active 06/22/2020 06/21/2021 1908 R77520 Talon Andrew Active 07/01/2021 06/30/2022 1908 R78248 Tang Anne Shiann Active 06/22/2021 06/21/2022 1908 R78190 Tanner Danielle Farrah Active 06/22/2020 06/21/2021 1908 R78191 Tarchione Ashley Rose Active 06/22/2021 06/21/2022 1908 R77560 Thai Diana Active 07/01/2021 06/30/2022 1908 R77565 Tharumia Jagadeesan Cindre.. Active 07/01/2021 06/30/2022 1908 R76814 Thayer Brant Robert Active 06/23/2021 06/22/2022 1908 R77687 Timm Samuel W. Active 06/26/2021 06/25/2022 1908 R78249 Tontsch Chandra Marie Active 06/22/2021 06/21/2022 1908 R76829 Townley Kateland Cobleigh ... Active 06/23/2020 06/22/2021 1908 R77534 Tucker Braden Active 06/22/2021 06/21/2022 1908 R77496 Vaccarello Anthony Active 07/01/2021 06/30/2022 1908 R78398 Valdez Espinoza Marco A. Active 06/22/2020 06/21/2021 1908 R78408 Valera Reyes Adriana C Active 07/27/2020 07/26/2021 1908 R77711 Wagner Matthew Steven Active 07/01/2021 06/30/2022 1908 R78193 Wang Melinda Active 06/22/2021 06/21/2022 1908 R77596 Warrington Nicole Victoria... Active 06/23/2021 06/22/2022 1908 R76716 Weidenbach Kimberly A. Active 06/23/2020 06/22/2021 1908 R78194 Wells Jordan Rebecca Active 06/22/2021 06/21/2022
Page Number 15 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
Creighton University School of Medicine (PHOENIX) 1908 R76821 Willey Alicia S. Active 06/20/2021 06/20/2022 Program 1908 R76759 Wilson Jacob Landis Active 06/23/2021 06/22/2022 1908 R77495 Witta Samantha Active 06/20/2021 06/19/2022 1908 R75208 Wong Tina Wai-Ting Active 06/23/2020 06/22/2021 1908 R77528 Wood Charden M Active 07/01/2021 06/30/2022 1908 R76719 Wood Chloe Anne Active 06/23/2021 06/22/2022 1908 R77700 Worthington Jessica Kendal... Active 07/01/2021 06/30/2022 1908 R77080 Yakymovych Oleg Active 06/23/2020 06/22/2021 1908 R78202 Yang Michael Active 06/22/2021 06/21/2022 1908 R77713 Youssef Nancy Shourkry Han... Active 07/01/2020 06/30/2021 1908 R76972 Yuhya Nadia Active 07/01/2020 06/30/2021 1908 R76614 Zachary Shane Eric Active 06/23/2020 06/22/2021 1908 R76651 Zappas Katerina A. Active 06/23/2021 06/22/2022 1908 R77494 Zeineddin Suhail Active 06/26/2020 06/25/2021 1908 R78204 Zlatanov Stefan N Active 06/22/2020 06/21/2021 Honor Health Rehabilitation Hospital 1908 R78024 Lopez Tenee Active 07/01/2021 06/30/2022 HonorHealth John C. Lincoln 1908 R76761 Castro Adriana E Active 07/01/2021 06/30/2022 1908 R78477 Harrold Shanisa S Active 05/01/2021 04/30/2022 1908 R76760 Kumar Dinesh Active 07/01/2020 06/30/2021 1908 R77715 McClane Nathan W Active 07/01/2021 06/30/2022 1908 R77716 Motamedi Pedram Active 07/01/2021 06/30/2022 HonorHealth Scottsdale Osborn 1908 R77478 Casey Nicole Marie Active 07/01/2021 06/30/2022 1908 R76620 Chaung Monica Active 07/01/2020 06/30/2021 1908 R77471 Choe Emily Active 07/01/2020 06/30/2021 1908 R76621 Dyer-Giaquinto Ashley Active 07/01/2020 06/30/2021 1908 R76622 Endrizzi Matthew Active 07/01/2020 06/30/2021 1908 R76623 Liang Xiao Kristin Active 07/01/2020 06/30/2021 1908 R76624 Liang Yiwen Active 07/01/2020 06/30/2021 1908 R78525 Mansour Monica Marie Active 07/01/2021 06/30/2022 1908 R78523 Pascavis Tyler Active 07/01/2021 06/30/2022 1908 R76625 Perry Jennifer Active 07/01/2020 06/30/2021 1908 R77686 Smoots Daniel Stephen Active 07/01/2021 06/30/2022 1908 R78000 Stempniak Ryan Active 07/01/2021 06/30/2022
Page Number 16 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
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HonorHealth Scottsdale Osborn 1908 R78004 Truong Lindy Active 07/01/2021 06/30/2022 1908 R77884 Wedel Derek M Active 07/01/2021 06/30/2022 1908 R76115 Wypiszynski Sarah Devora Active 07/01/2020 06/30/2021 HonorHealth Scottsdale Thompson Peak Medical Center 1908 R78122 Abid Zachary Mohammad Active 07/01/2020 06/30/2021 1908 R78453 Ali Ali Abdelmonem Active 07/01/2021 06/30/2022 1908 R78452 Ali Sanah Active 07/05/2021 07/04/2022 1908 R78457 Bond Ian D Active 07/01/2021 06/30/2022 1908 R77340 Farah Dannah Active 07/01/2020 06/30/2021 1908 R78790 Hayani Zayd Active 07/01/2021 06/30/2022 1908 R78119 James Sheridan Leigh Active 07/01/2020 06/30/2021 1908 R78413 Kalpas Edward Anthony Active 09/14/2020 09/13/2021 1908 R78025 Kerkelis Melissa Marie Active 07/01/2020 06/30/2021 1908 R78123 Kim Soo Yeon Active 07/01/2020 06/30/2021 1908 R78121 Lavigne Parker George Active 07/01/2021 06/30/2022 1908 R78787 Lemmons Joseph M Active 07/01/2021 06/30/2022 1908 R76787 McCleary Paige Active 07/01/2020 06/30/2021 1908 R78450 Morris Meghan Richelle Active 03/01/2021 02/28/2022 1908 R76786 O'Neill Jacqueline Active 07/01/2020 06/30/2021 1908 R77759 Pathak Sunil Active 09/17/2020 09/16/2021 1908 R77319 Shah Dania Aijaz Active 07/01/2020 06/30/2021 1908 R78120 Shoukry Mark Active 07/01/2020 06/30/2021 1908 R78528 Siordia Juan Arturo Active 07/01/2021 06/30/2022 1908 R76418 Taranto Lydia Marie Active 07/01/2021 06/30/2022 1908 R78788 Trotter Zachary Active 07/01/2021 06/30/2022 1908 R78791 Truong Aaron Huynh Active 07/01/2021 06/30/2022 1908 R78789 Vigil Neil H Active 07/01/2021 06/30/2022 KCU-GMEC Phoenix Derm 1908 R76630 Kessler Stephen Emerson II Active 07/01/2020 06/30/2021 1908 R74491 Sood Arun Active 07/01/2020 06/30/2021 Mountain Vista Medical Center 1908 R78392 Barbara Mary Active 07/01/2020 06/30/2021 1908 R78330 Mercado Muniz Jennifer Active 07/01/2020 06/30/2021 1908 R77699 Patel Ruchi Babubhai Active 07/01/2020 06/30/2021 1908 R77697 Roalkvam Sher Neran Naidoo.. Active 07/01/2020 06/30/2021 1908 R77698 Sundar Preeyanka Rubiana Active 07/01/2020 06/30/2021
Page Number 17 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
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MWU/AZCOM/Kingman Regional Medical Center 1908 R78375 Bowling Dawn B. Active 07/01/2020 06/30/2021 1908 R77725 Brinkerhoff Taz Active 07/01/2020 06/30/2021 1908 R78374 La Delfa Daniela N. Active 07/01/2020 06/30/2021 1908 R78373 Rondon Clavo Carlos M Active 07/01/2020 06/30/2021 1908 R78372 Sumpter Kaitie L Active 07/01/2020 06/30/2021 1908 R78371 Zito Sarah M Active 07/01/2020 06/30/2021 MWU/AZCOM/Verde Valley Medical Center 1908 R77735 Alasady Hussein Active 07/01/2020 06/30/2021 1908 R77737 Eleid Noura Active 07/01/2020 06/30/2021 1908 R77738 Hasson Samer Saeed Active 07/01/2020 06/30/2021 1908 R77739 Sekayan Tro Boghos Active 07/01/2020 06/30/2021 1908 R77736 Vargas Juan Pablo Active 07/01/2020 06/30/2021 MWU/Canyon Vista Medical Center 1908 R78389 Abu Joudeh Maxim Active 07/01/2020 06/30/2021 1908 R78395 Al-Sagban Alhareth Sagban ... Active 07/01/2021 06/30/2022 1908 R78390 Douglas Mustafa Active 07/01/2020 06/30/2021 1908 R78393 Samano Dannielle Active 07/01/2021 06/30/2022 1908 R78394 Xiao Lu Active 07/01/2021 06/30/2022 North Country Healthcare 1908 R78332 Curtiss Elizabeth Active 06/29/2020 06/29/2021 1908 R78331 Weinand Lauren M Active 06/29/2020 06/29/2021 Phoenix Children's Hospital/Maricopa Medical Center 1908 R77993 Gul Sher Active 07/06/2020 07/05/2021 1908 R77644 Abbott Isabel Colleen Active 06/23/2020 06/22/2021 1908 R78322 Adamczak Aleksandra Marie Active 07/01/2020 06/30/2021 1908 R76918 Adebamiji Adaku Akunnaya E.. Active 06/23/2020 06/22/2021 1908 R76919 Allen Chelsea Elizabeth Active 06/23/2020 06/22/2021 1908 R76920 Armstrong Joseph Robert Active 06/23/2020 06/22/2021 1908 R76427 Ashraf Zoha Haroon Active 06/23/2020 06/22/2021 1908 R78323 Baker Anna M Active 06/23/2020 06/22/2021 1908 R76921 Baker Mark Ensio Active 06/23/2020 06/22/2021 1908 R77645 Beaver Gretchen Lynn Active 06/23/2020 06/22/2021 1908 R76628 Becu Christie T. Active 06/23/2020 06/22/2021 1908 R78325 Brazell Emily L Active 06/23/2020 06/22/2021 1908 R78326 Buch Kinnari R Active 06/23/2020 06/22/2021 1908 R77746 Bundrant Nikkida Tori Active 07/16/2020 07/15/2021 1908 R78327 Callaway Jenna C Active 06/23/2020 06/22/2021
Page Number 18 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
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Phoenix Children's Hospital/Maricopa Medical Center 1908 R76425 Capili Minella Tess Active 06/23/2020 06/22/2021 1908 R77646 Castro Laura Elizabeth Active 06/23/2020 06/22/2021 1908 R78091 Chakravarthy Varshini Kris... Active 07/06/2020 07/05/2021 1908 R77647 Chang Andrea Margaret Active 06/23/2020 06/22/2021 1908 R76406 Chow Clara C Active 06/23/2020 06/22/2021 1908 R77648 Conti David Charles Active 06/23/2020 06/22/2021 1908 R76407 Craik Natalie Kirsten Active 06/23/2020 06/22/2021 1908 R75611 Delaney Dana Marie Active 06/23/2020 06/22/2021 1908 R76408 Desai Shivani Rakesh Active 06/23/2020 06/22/2021 1908 R78458 Devabhaktuni Sreya Active 03/28/2021 05/08/2021 1908 R78370 Diddle Julianna Stone Active 07/01/2020 06/30/2021 1908 R77649 Ermann Ashley Danielle Active 06/23/2020 06/22/2021 1908 R78339 Esquivel Fatima Active 06/23/2020 06/22/2021 1908 R77650 Evans Chelsea Rose Active 06/23/2020 06/22/2021 1908 R78324 Farretta Bethany K Active 06/23/2020 06/22/2021 1908 R76410 Fields Megan Faye Active 06/23/2020 06/22/2021 1908 R78340 Fife Benjamin J Active 06/23/2020 06/22/2021 1908 R77013 Fishel Ben-kenan Rotem Active 06/23/2020 06/22/2021 1908 R78341 Formoso Agatha M Active 06/23/2020 06/22/2021 1908 R77651 Franey Cara Shea Active 06/23/2020 06/22/2021 1908 R78342 Frost Kyra L Active 06/23/2020 06/22/2021 1908 R76922 Gilpatrick Maryam May Active 06/23/2020 06/22/2021 1908 R78343 Gonzalez-llanos Lucia Active 06/23/2020 06/22/2021 1908 R78414 Hakami Wejdan Salem Active 11/16/2020 11/12/2021 1908 R77654 Hale Natalie Jo Active 06/23/2020 06/22/2021 1908 R77652 Halman Erin Marissa Active 06/23/2020 06/22/2021 1908 R77653 Hamant Laura Gardner Active 06/23/2020 06/22/2021 1908 R78724 Hans Rhea Active 07/05/2021 07/04/2022 1908 R78403 Hargis-Villanueva Angela Active 07/27/2020 07/26/2021 1908 R73794 Heim Jennifer Ashley Active 06/23/2020 06/22/2021 1908 R76923 Hicks Meghan Curry Active 06/23/2020 06/22/2021 1908 R74640 Hodoba Nathaniel Blaine Active 06/23/2020 06/22/2021 1908 R77655 Kahlon Simran Active 06/23/2020 06/22/2021
Page Number 19 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
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Phoenix Children's Hospital/Maricopa Medical Center 1908 R76924 Kasilingam Aarthi Karpagam... Active 06/23/2020 06/22/2021 1908 R76925 Khoo Janice Shi Mei Active 06/23/2020 06/22/2021 1908 R76926 Khoury Vicky Christy Active 06/23/2020 06/22/2021 1908 R76927 Kim Staecy Yeonjung Active 06/23/2020 06/22/2021 1908 R76928 Krishnan Mohini Active 06/23/2020 06/22/2021 1908 R76929 Kushner Igor Olegovich Active 06/23/2020 06/22/2021 1908 R76930 Kushnir Anna Active 06/23/2020 06/22/2021 1908 R77837 Kusma Jared Andrew Active 01/22/2021 01/01/2022 1908 R77347 Lama Cheda Maria Alejandra... Active 07/08/2020 07/07/2021 1908 R77656 Lanson Matthew Eren Active 06/23/2020 06/22/2021 1908 R78524 Lewis Michael Chigoziri Active 07/05/2021 07/04/2022 1908 R78350 Leyden Brianna J Active 06/23/2020 06/22/2021 1908 R77657 Loeb Sophie Rose Active 06/23/2020 06/22/2021 1908 R77658 Long Clayton William Active 06/23/2020 06/22/2021 1908 R76431 Maenchen Molly Elizabeth Active 06/23/2020 06/22/2021 1908 R78351 Manes Brianna N Active 06/23/2020 06/22/2021 1908 R78352 March Michael S Active 06/23/2020 06/22/2021 with Limitation s 1908 R76432 Matthews Shawn Sullivan Active 06/23/2020 06/22/2021 1908 R77659 Mattia Donald John Active 06/23/2020 06/22/2021 1908 R77660 McPhee Mallory Kay Active 06/23/2020 06/22/2021 1908 R76758 McPherson Michelle Antoine... Active 07/01/2020 06/30/2021 1908 R77661 Mehic Edin Active 06/23/2020 06/22/2021 1908 R76931 Metzger Clinton Joseph Active 06/23/2020 06/22/2021 1908 R78409 Montoya Liliana Active 08/03/2020 08/02/2021 1908 R78353 Moros Maria G Active 06/23/2020 06/22/2021 1908 R78354 Namjoshi Abhijeet S Active 06/23/2020 06/22/2021 1908 R78356 Nedic Meghan C Active 06/23/2020 06/22/2021 1908 R77662 Nguyen Sarah Vu Active 06/23/2020 06/22/2021 1908 R76932 Nguyen Vinh Tran Active 06/23/2020 06/22/2021 1908 R76933 Noor Nasreen Active 06/23/2020 06/22/2021 1908 R76934 Ochoa Evelyn Active 06/23/2020 06/22/2021 Page Number 20 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
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Phoenix Children's Hospital/Maricopa Medical Center 1908 R75651 Oh Ann Suen Hee Active 06/23/2020 06/22/2021 1908 R78359 Patel Heeral K Active 06/23/2020 06/22/2021 1908 R76935 Payne Gregory Lyndon Active 06/23/2020 06/22/2021 1908 R77663 Pexton Natalie Todd-Zebell... Active 06/23/2020 06/22/2021 1908 R78360 Pham Kimberly T Active 06/23/2020 06/22/2021 1908 R76936 Pham Tom Nguyen Active 06/23/2020 06/22/2021 1908 R78127 Prasher Priya Active 07/01/2020 06/30/2021 1908 R77664 Prescott Jessica Elaine Active 06/23/2020 06/22/2021 1908 R77665 Quinones Amber Jeanette Active 06/23/2020 06/22/2021 1908 R77666 Ramanathan Regi Selvanayag. Active 06/23/2020 06/22/2021 1908 R78361 Rao Anandini S Active 06/23/2020 06/22/2021 1908 R78362 Rivas Estafani M Active 06/23/2020 06/22/2021 1908 R78363 Robertson David M Active 06/23/2020 06/22/2021 1908 R76937 Roeder Victoria Jane Active 06/23/2020 06/22/2021 1908 R76938 Salvatore Christopher Anth... Active 06/23/2020 06/22/2021 1908 R76436 Santiago Jason A Active 06/23/2020 06/22/2021 1908 R76939 Savage Narry Choi Active 06/23/2020 06/22/2021 1908 R78364 Schening Jonathan G Active 06/23/2020 06/22/2021 1908 R78365 Severseike Benjamin O Active 06/23/2020 06/22/2021 1908 R76940 Sharlin Colby Scott Active 06/23/2020 06/22/2021 1908 R76941 Sherer Sarah Anne Active 06/23/2020 06/22/2021 1908 R78725 Simmons Curtis Active 07/05/2021 07/04/2022 1908 R77667 Smith Courtney Kay Active 06/23/2020 06/22/2021 1908 R76942 Smith Jaron Andrew Active 06/23/2020 06/22/2021 1908 R77668 Smith Veronica Danyelle Active 06/23/2020 06/22/2021 1908 R78444 Soon-sutton Taylor L Active 01/01/2021 06/30/2021 1908 R78366 Stremlau Sara Anne Active 06/23/2020 06/22/2021 1908 R76943 Sukhina Alona S Active 06/23/2020 06/22/2021 1908 R75653 Suleman Saher Active 06/23/2020 06/22/2021 1908 R78367 Tannenbaum Viktorya Loren Active 06/23/2020 06/22/2021 1908 R76944 Thiele Geoffrey Eric Active 06/23/2020 06/22/2021 1908 R77669 Thompson Alexandra Marie Active 06/23/2020 06/22/2021 1908 R76945 Vaidyanathan Vaishnavi Lak... Active 06/23/2020 06/22/2021
Page Number 21 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
Phoenix Children's Hospital/Maricopa Medical Center 1908 R78368 Vargas Carlos Rafael Active 06/23/2020 06/22/2021 1908 R77671 Wade Michael Dennis Active 06/23/2020 06/22/2021 1908 R78707 Walls Andrew David Active 07/05/2021 07/04/2022 1908 R77672 Williams Alyxandra Clark Active 06/23/2020 06/22/2021 1908 R78369 Yun Michelle Young Ju Active 06/23/2020 06/22/2021 Tucson Hospitals Medical Education 1908 R78708 Bergman Christian Active 06/24/2021 06/23/2022 1908 R77502 Bravo-clouzet Raquel Active 07/01/2021 06/30/2022 1908 R78709 Ciurlino Brian Active 06/24/2021 06/23/2022 1908 R78722 Danelyan Hranush Active 07/01/2021 06/30/2022 1908 R78710 Davidson Stephen Active 06/24/2021 06/23/2022 1908 R78132 Ewongwo Agnes Active 07/01/2020 06/30/2021 1908 R78133 Forbes Chalon Active 07/01/2020 06/30/2021 1908 R78134 Freeman Julia Active 07/01/2020 06/30/2021 1908 R78711 Ghanian Soha Active 06/24/2021 06/23/2022 1908 R78713 Hendricks Aleksi Active 06/24/2021 06/23/2022 1908 R77503 Hocker Katie Active 07/01/2021 06/30/2022 1908 R78716 Jecius Hunter Active 06/24/2021 06/23/2022 1908 R78137 Lagrandeur Jamie Active 07/01/2020 06/30/2021 1908 R78151 Mandhani Mansi Active 07/01/2021 06/30/2022 1908 R78717 Maxfield Jake Active 06/24/2021 06/23/2022 1908 R78718 Miller Sarah Active 06/24/2021 06/23/2022 1908 R78138 Ochieng Samwel Active 07/01/2020 06/30/2021 1908 R78139 Parikh Pooja Active 07/01/2020 06/30/2021 1908 R78719 Schwartz Darreon Active 06/24/2021 06/23/2022 1908 R78723 Siddique Miriam Active 07/01/2021 06/30/2022 1908 R78720 Taylor Kristin Active 06/24/2021 06/23/2022 1908 R78721 Tran Donovan Active 06/24/2021 06/23/2022 1908 R77505 Warhadpande Maitreyi Active 07/01/2021 06/30/2022 1908 R78527 Williams Michael U Active 05/03/2021 05/31/2021 1908 R77504 Wu Crystal Kayi Active 07/01/2021 06/30/2022 University of Arizona 1908 R78559 Anish Bhandari Active 07/01/2021 06/30/2022 1908 R78546 Abbad Hamza Active 07/01/2021 06/30/2022 1908 R77898 Abbas Mohammed Atef Active 07/01/2021 06/30/2022
Page Number 22 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
University of Arizona 1908 R78547 Abdelhady Ahmed M Active 07/01/2021 06/30/2022 1908 R78548 Aboul-Nasr Ahmed Gamal Active 07/01/2021 06/30/2022 1908 R78105 Abu Assi Anas Husni Mohama. Active 07/01/2021 06/30/2022 1908 R76069 Addams Joel Active 07/01/2020 06/30/2021 1908 R76098 Adel Eugene Active 07/01/2020 06/30/2021 1908 R76634 Agastya Manas Active 07/01/2020 06/30/2021 1908 R77087 Aguilar Salinas Pedro Active 07/01/2021 06/30/2022 1908 R77476 Ahier Joshua Alexander Active 07/01/2020 06/30/2021 1908 R76635 Ahmed Ambereen Sarwat Active 07/01/2020 06/30/2021 1908 R76093 Ahrendt Nicholas Reuben Active 07/01/2020 06/30/2021 1908 R76887 Ainapurapu Lakshmi Saritha... Active 07/01/2021 06/30/2022 1908 R76916 Ajmal Muhammad Active 07/01/2020 06/30/2021 1908 R77899 Akazawa Jennifer Akiko Active 07/01/2021 06/30/2022 1908 R78549 Akter Nasrin Active 07/01/2021 06/30/2022 1908 R78550 Alabagi Abdulla Saad Active 07/01/2021 06/30/2022 1908 R78641 Alameri Aws Muthanna Abdul.. Active 07/01/2021 06/30/2022 1908 R75671 Albasha Waseem Active 07/01/2020 06/30/2021 1908 R76072 Alizadeh Reza Active 07/01/2020 06/30/2021 1908 R78552 Alkebulan Rahotep Annu Active 07/01/2021 06/30/2022 1908 R76888 Alsadi Alexander Active 07/01/2020 06/30/2021 1908 R77866 Alshawa Anas Active 03/01/2021 02/28/2022 1908 R76762 Alswied Abdullah Active 07/01/2021 06/30/2022 1908 R77234 Anderson Colin Robert Active 07/01/2021 06/30/2022 1908 R78553 Anderson Daniel Marc Active 07/01/2021 06/30/2022 1908 R77900 Andres Brendan Anthony Fit... Active 07/01/2021 06/30/2022 1908 R77235 Anhalt Brandon P. Active 07/01/2021 06/30/2022 1908 R77529 Ansinelli Hayden Anthony Active 07/01/2021 06/30/2022 1908 R76636 Arcaris Brittany Ann Active 07/01/2020 06/30/2021 1908 R78631 Arevalo Salazar Dory Esthe... Active 07/01/2021 06/30/2022 1908 R77233 Arteaga Christopher David Active 07/01/2021 06/30/2022 1908 R77236 Ashoka Ankita Active 07/01/2021 06/30/2022 1908 R78115 Assadi Ashley Azizi Active 07/01/2021 06/30/2022 1908 R77960 Astarabadi Mariam Astaraba... Active 07/01/2021 06/30/2022
Page Number 23 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
University of Arizona 1908 R75667 Avila Guerra Mauricio Jose... Active 07/01/2021 06/30/2022 1908 R77047 Awomolo Adeola Active 07/01/2020 06/30/2021 1908 R78554 Azani Ari Ben Active 07/01/2021 06/30/2022 1908 R77263 Azzam Alexander John Active 07/01/2021 06/30/2022 1908 R76369 Babaria Radhika C Active 07/01/2021 06/30/2022 1908 R76637 Babitt David Active 07/01/2021 06/30/2022 1908 R77901 Bahr Zachary A. Active 07/01/2021 06/30/2022 1908 R76638 Baig Aurangzaib Active 07/01/2020 06/30/2021 1908 R75743 Balakrishnan Mahesh Kumarr.. Active 07/01/2021 06/30/2022 1908 R78555 Ballantyne Cassandra Beth Active 07/01/2021 06/30/2022 1908 R75465 Balogun Rilwan Abiola Active 07/01/2020 06/30/2021 1908 R78556 Banerjee Madhulika Active 07/01/2021 06/30/2022 1908 R76963 Bao Jennifer Active 07/01/2021 06/30/2022 1908 R76064 Barber Samuel Ralph Active 07/01/2021 06/30/2022 1908 R77902 Barbosa Alexandra J. Active 07/01/2021 06/30/2022 1908 R76652 Barbour Nicolette Active 07/01/2020 06/30/2021 1908 R77310 Barbour Rachel Active 07/01/2021 06/30/2022 1908 R77806 Barry Ibrahim Babbay Active 10/01/2020 09/30/2021 1908 R76639 Barton Dane Active 07/01/2021 06/30/2022 1908 R77312 Beck Geoffrey E. Active 07/01/2021 06/30/2022 1908 R78557 Behrens Alana Renee Active 07/01/2021 06/30/2022 1908 R76031 Bellacose Carmel S Active 07/01/2020 06/30/2021 1908 R78558 Beltran Karen Alexa Active 07/01/2021 06/30/2022 1908 R77905 Bennett Steven Eric Active 07/01/2020 06/30/2021 1908 R75723 Benton Lauren Deanna Active 07/01/2020 06/30/2021 1908 R77036 Bergin Edward Patrick Active 07/01/2020 06/30/2021 1908 R77265 Bergren Kela M. Active 07/01/2021 06/30/2022 1908 R77313 Bernaba Mario Basem Active 07/01/2021 06/30/2022 1908 R76890 Bernaba Michael Basem Active 07/01/2020 06/30/2021 1908 R78152 Berry Trevor David Active 07/01/2021 06/30/2022 1908 R77963 Bickle Lauren Teresa Active 07/01/2021 06/30/2022 1908 R77906 Billings Shelby Paige Active 07/01/2021 06/30/2022 1908 R76846 Biscoe Keri Active 07/01/2021 06/30/2022
Page Number 24 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
University of Arizona 1908 R76889 Blackstone Nicholas Gerald... Active 07/01/2020 06/30/2021 1908 R76362 Blumenkron Fernando Active 07/01/2020 06/30/2021 1908 R77416 Bobka Thomas Active 07/01/2020 06/30/2021 1908 R77314 Bodine Sarah Nicole Active 07/01/2020 06/30/2021 1908 R76640 Bohman Bradley Active 07/01/2020 06/30/2021 1908 R78560 Boothe Kandis Wright Active 07/01/2021 06/30/2022 1908 R77907 Borchardt Gesca Helene Active 07/01/2021 06/30/2022 1908 R78561 Boros Daniella C Active 07/01/2021 06/30/2022 1908 R76142 Borra Nikhil Raj Active 07/01/2020 06/30/2021 1908 R76641 Bosler Ryan Active 07/01/2020 06/30/2021 1908 R77967 Boyll Piper Savannah Active 07/01/2021 06/30/2022 1908 R77903 Bozdogan Erol Active 07/01/2020 06/30/2021 1908 R74884 Brasiliense Leonardo Bruno... Active 07/01/2021 06/30/2022 1908 R78562 Brickner Evan Drew Active 07/01/2021 06/30/2022 1908 R76642 Brock Kate Active 07/01/2020 06/30/2021 1908 R78563 Brown Daniel Elliott Active 07/01/2021 06/30/2022 1908 R78153 Brown Taylor Active 07/01/2021 06/30/2022 1908 R77350 Bruckman Rachel Sue Active 07/01/2021 06/30/2022 1908 R76643 Brucks Eric Snodgrass Active 07/01/2020 06/30/2021 1908 R77403 Bruhns Ryan P. Active 07/01/2021 06/30/2022 1908 R77399 Budden Emily A. Active 07/01/2021 06/30/2022 1908 R78564 Budenske Joseph William Active 07/01/2021 06/30/2022 1908 R78565 Buel Taylor Colby Active 07/01/2021 06/30/2022 1908 R75510 Buff Michelle Ann Active 07/01/2020 06/30/2021 1908 R76644 Bull Mathew Michael Active 07/01/2020 06/30/2021 1908 R78566 Bullock Brenna Lena Active 07/01/2021 06/30/2022 1908 R76982 Buns Mary Szczurek Active 07/01/2020 06/30/2021 1908 R75539 Burke Patrick Rian Active 07/01/2020 06/30/2021 1908 R77965 Cabalatungan Shadd Nathan Active 07/01/2021 06/30/2022 1908 R76645 Cabrera-Ramirez Jacobo Abr... Active 07/01/2020 06/30/2021 1908 R78567 Calodney Paige Elise Active 07/01/2021 06/30/2022 1908 R78568 Calton Joshua Bryce Active 07/01/2021 06/30/2022 1908 R77062 Campbell Jonathon Active 07/01/2021 06/30/2022
Page Number 25 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
University of Arizona 1908 R78251 Campion Vincent Michael Active 07/01/2020 06/30/2021 1908 R76646 Canales Francisco Javier Active 07/01/2020 06/30/2021 1908 R78569 Cantu Kristina Aileen Active 07/01/2021 06/30/2022 1908 R76731 Carlo Adiel Active 07/01/2021 06/30/2022 1908 R77326 Castle Paul M. Active 07/01/2021 06/30/2022 1908 R77417 Cendrowski Emily E. Active 07/01/2021 06/30/2022 1908 R78706 Cerbon Danielle Alexandra Active 07/01/2021 06/30/2022 1908 R76710 Chacon Portillo Martin Ale... Active 07/01/2020 06/30/2021 1908 R76121 Champion Connor Marcel Active 07/01/2020 06/30/2021 1908 R76891 Chan Yuet-Ming Active 07/01/2020 06/30/2021 1908 R77468 Chand Arista S. Active 07/01/2021 06/30/2022 1908 R76004 Chang Michelle E Active 07/01/2021 06/30/2022 1908 R78026 Charlton Casey Leonard Active 07/01/2021 06/30/2022 1908 R77953 Chau Bach-Ngan Phan Active 07/01/2021 06/30/2022 1908 R77268 Chauhan Malini B. Active 07/01/2021 06/30/2022 1908 R75450 Chaus Fahad Mohammedamin Active 07/01/2020 06/30/2021 1908 R76066 Chen Winsor P Active 07/01/2021 06/30/2022 1908 R78104 Chineke Iloabueke Active 07/01/2021 06/30/2022 1908 R77270 Choi Daniel M. Active 07/01/2021 06/30/2022 1908 R76025 Chopde Rakesh N Active 07/01/2021 06/30/2022 1908 R75201 Chopra Madhav Active 07/01/2020 06/30/2021 1908 R76815 Christopher Megan Ann Active 07/01/2020 06/30/2021 1908 R76647 Chun Zachary Hutchison Active 07/01/2020 06/30/2021 1908 R78697 Cipri Leah Anne Active 07/01/2021 06/30/2022 1908 R77315 Cisneroz Martin R. Active 07/01/2021 06/30/2022 1908 R77964 Cobell Jesse Thompson Active 07/01/2021 06/30/2022 1908 R78570 Cochrane Katherine Active 07/01/2021 06/30/2022 1908 R77316 Codling Amanda A. Active 07/01/2021 06/30/2022 1908 R77955 Cohen Michael Robertson Active 07/01/2021 07/31/2021 1908 R77958 Coleman Nicolaus Adrianus Active 07/01/2020 06/30/2021 1908 R77966 Conrad Hope Active 07/01/2021 06/30/2022 1908 R78571 Contreras Jaime Ricardo Active 07/01/2021 06/30/2022 1908 R78027 Coss Jonathan Patrick Active 07/01/2021 06/30/2022
Page Number 26 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
University of Arizona 1908 R78572 Costello Sean M Active 07/01/2021 06/30/2022 1908 R76694 Couso Megan Catherine Active 07/01/2021 06/30/2022 1908 R77954 Cragun Benjamin Newel Active 07/01/2020 06/30/2021 1908 R76975 Crawford Paul Russell Active 07/01/2020 06/30/2021 1908 R77481 Cress Juliya Active 07/01/2021 06/30/2022 1908 R76892 Curtis Mariah Ruth Active 07/01/2020 06/30/2021 1908 R78574 D'andrea Melissa Marie Active 07/01/2021 06/30/2022 1908 R77317 Dale Jennifer K. Active 07/01/2021 06/30/2022 1908 R78573 Dale Zack Joseph Active 07/01/2021 06/30/2022 1908 R78575 Darzi Brian Active 07/01/2021 06/30/2022 1908 R76816 Dauch Jacqueline Active 07/01/2021 06/30/2022 1908 R78576 Davila Guadalupe Ibanez Active 07/01/2021 06/30/2022 1908 R77039 Davin Marikah Isabel Active 07/01/2020 06/30/2021 1908 R78577 Davis Natalie Marie Active 07/01/2021 06/30/2022 1908 R78094 Davis Savannah Nicole Active 07/01/2020 06/30/2021 1908 R78411 De Andrada Pereira Bernard... Active 07/01/2021 06/30/2022 1908 R77422 De Souza Filgueiras Pinto ... Active 07/01/2021 06/30/2022 1908 R77957 Dean Sky Hannah Active 07/01/2021 06/30/2022 1908 R78578 Delu Ava Amalia Active 07/01/2021 06/30/2022 1908 R75756 Demant Martin Thomas Active 07/01/2021 06/30/2022 1908 R78579 Demirjian Joseph Anthony Active 07/01/2021 06/30/2022 1908 R78580 Deonarain Arian Chandra Active 07/01/2021 06/30/2022 1908 R78124 Dersch Anne Merrylees Active 07/01/2021 06/30/2022 1908 R76648 DeVito Peter Michael Jr Active 07/01/2021 06/30/2022 1908 R78107 Dhaliwal Armaan Active 07/01/2021 06/30/2022 1908 R78581 Digiacinto Wendy Rae Active 07/01/2021 06/30/2022 1908 R76702 DiMaggio Brittney Leigh Active 07/01/2020 06/30/2021 1908 R77318 Dimcheff David Eric Active 07/01/2021 06/30/2022 1908 R76078 Djabiras Christina Active 07/01/2020 06/30/2021 1908 R78582 Do Michelle Thuy-Vi Active 07/01/2021 06/30/2022 1908 R78583 Dobbin Elizabeth Anne Active 07/01/2021 06/30/2022 1908 R78276 Doshi Akash Mukeshchandra Active 07/01/2021 06/30/2022 1908 R78584 Doty Benjamin Kent Active 07/01/2021 06/30/2022
Page Number 27 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
University of Arizona 1908 R77467 Dowling Genevieve Elise Active 07/01/2021 06/30/2022 1908 R77299 Downing Brittany N. Active 07/01/2021 06/30/2022 1908 R76649 Du Peter Active 07/01/2021 06/30/2022 1908 R76732 Duerden Michael Active 07/01/2021 06/30/2022 1908 R77271 Duong Trung T. Active 07/01/2021 06/30/2022 1908 R78585 Duque Stephanie Active 07/01/2021 06/30/2022 1908 R76181 Duran Rincon Juanita Active 07/01/2020 06/30/2021 1908 R75506 Durando Michael Luca Active 07/01/2020 06/30/2021 1908 R77320 Durham Collin Trevor Active 07/01/2021 06/30/2022 1908 R76852 Durojaye Samuel Active 07/17/2021 07/16/2022 1908 R78586 Dykes Jorrie Taylor Active 07/01/2021 06/30/2022 1908 R78587 Eells Austin James Active 07/01/2021 06/30/2022 1908 R77272 El Ghouayel Maya Active 07/01/2021 06/30/2022 1908 R77959 Elhassan Sagi Hassan Active 07/01/2021 06/30/2022 1908 R78125 Elliott Alexis Sasha Active 07/01/2020 06/30/2021 1908 R77029 Eremija Jelena Active 07/01/2020 06/30/2021 1908 R77938 Esparza Martha Active 07/01/2021 06/30/2022 1908 R76160 Espinoza Olortegui Eduardo... Active 07/01/2021 06/30/2022 1908 R75551 Etter Micah Active 07/01/2020 06/30/2021 1908 R76739 Evans Patrick Active 07/01/2021 06/30/2022 1908 R78588 Fadel Haind M. Active 07/01/2021 06/30/2022 1908 R77237 Falero-pomales Jose P. Active 07/01/2021 06/30/2022 1908 R75576 Falgout David Matthew Active 07/01/2020 06/30/2021 1908 R76317 Favaloro Ercole A III Active 07/01/2021 06/30/2022 1908 R77956 Fazel Audrey Irene Active 07/01/2020 06/30/2021 1908 R76653 Fazel Mohammad Active 07/01/2021 06/30/2022 1908 R78589 Fehr Austin Robert Active 07/01/2021 06/30/2022 1908 R78590 Fellows Katelyn Marie Active 07/01/2021 06/30/2022 1908 R76788 Fernandez Marisa Active 07/01/2021 06/30/2022 1908 R77952 Fernandez Valeria Yliana Active 07/01/2021 06/30/2022 1908 R78591 Ferng Jonathan Junren Active 07/01/2021 06/30/2022 1908 R76654 Fiddler Gavin Active 07/01/2021 06/30/2022 1908 R77943 Filon Jessica Ray Active 07/01/2021 06/30/2022
Page Number 28 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
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University of Arizona 1908 R78010 Finkelstein Tom Isaac Active 07/01/2021 06/30/2022 1908 R77961 Finnell Brendan Christophe... Active 07/01/2021 06/30/2022 1908 R77239 Fisher Tyrel K. Active 07/01/2021 06/30/2022 1908 R78012 Fitzgerald Zachary Todd Active 07/01/2020 06/30/2021 1908 R77321 Flowers Caroline E. Active 07/01/2021 06/30/2022 1908 R78011 Fong Dennis Active 07/01/2021 06/30/2022 1908 R78592 Fontes Jessica Lee Active 07/01/2021 06/30/2022 1908 R77424 Forbes Brayden R. Active 07/01/2021 06/30/2022 1908 R76041 Forrestel Andrew Christoph... Active 07/01/2020 06/30/2021 1908 R76656 Fox Nathaniel Active 07/01/2021 06/30/2022 1908 R76764 Francis Ross Active 07/01/2021 06/30/2022 1908 R76949 Free Sara Active 07/01/2020 06/30/2021 1908 R77927 Freedman Samuel M. Active 07/01/2021 06/30/2022 1908 R78594 Friday Tony Chibuike Active 07/01/2021 06/30/2022 1908 R77322 Frome David K. Active 07/01/2021 06/30/2022 1908 R77163 Gabra Martina Gad Active 07/01/2020 06/30/2021 1908 R77323 Gahn Greggory M. Active 07/01/2021 06/30/2022 1908 R78595 Galouzis Nicholas Stephen ... Active 07/01/2021 06/30/2022 1908 R77273 Gamez Ricardo Active 07/01/2021 06/30/2022 1908 R76657 Garcia Jorge Active 07/01/2021 06/30/2022 1908 R77351 Garcia Kyle S. Active 07/01/2021 06/30/2022 1908 R76149 Garcia Trent Austin Active 07/01/2020 06/30/2021 1908 R73241 Garza Hyon-he Kim Active 07/01/2020 06/30/2021 1908 R77324 Gasper Dillon M. Active 07/01/2021 06/30/2022 1908 R77469 Gause Justin W. Active 07/01/2021 06/30/2022 1908 R78597 Gay Christopher James Active 07/01/2021 06/30/2022 1908 R78013 Ge Tianzhu Active 07/01/2021 06/30/2022 1908 R78598 Gebreili Danial Active 07/01/2021 06/30/2022 1908 R78102 Ghanavati Kavian Active 07/01/2021 06/30/2022 1908 R78599 Ghantasala Raja Sireesha Active 07/01/2021 06/30/2022 1908 R78600 Ghosh Arko Active 07/01/2021 06/30/2022 1908 R77402 Gibbs Angela M. Active 07/01/2021 06/30/2022 1908 R78014 Gilman Jared Benjamin Active 07/01/2020 06/30/2021
Page Number 29 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
University of Arizona 1908 R77327 Giron Rivas Fatima Y. Active 07/01/2020 06/30/2021 1908 R75588 Glasser Joshua Anders Active 07/01/2020 06/30/2021 1908 R78015 Gleadhill Claire Marguerit... Active 07/01/2021 06/30/2022 1908 R77426 Gneck Jeremey W. Active 07/01/2021 06/30/2022 1908 R78016 Goeken Brittney Michelle Active 07/01/2021 06/30/2022 1908 R78017 Goitom Benyam Desta Active 07/01/2020 06/30/2021 1908 R76079 Golconda Umamaheshwari Active 07/01/2020 06/30/2021 1908 R78601 Goldstein Hillary Dora Active 07/01/2021 06/30/2022 1908 R77274 Gomes Jerald P. Active 07/01/2020 06/30/2021 1908 R78632 Gomez Christopher George Active 07/01/2021 06/30/2022 1908 R77404 Gomez Francisco Esteban Active 07/01/2021 06/30/2022 1908 R78602 Gomez Micaela Kathleen Active 07/01/2021 06/30/2022 1908 R78108 Gondal Farva Razia Active 07/01/2021 06/30/2022 1908 R74554 Gonzales Christopher Josep... Active 07/01/2020 06/30/2021 1908 R78252 Gonzalez Negrete Elvira Active 07/01/2021 06/30/2022 1908 R77328 Gopalakrishnan Siddesh Active 07/01/2021 06/30/2022 1908 R75582 Gosey Gregory Maxwell Active 07/01/2020 06/30/2021 1908 R78603 Govalla Nina Kahyoh Active 07/01/2021 06/30/2022 1908 R77275 Grant Mark A. Active 07/01/2021 06/30/2022 1908 R78117 Grossart Elizabeth Ann Active 07/01/2021 06/30/2022 1908 R78604 Groysman Matthew Joseph Active 07/01/2021 06/30/2022 1908 R77678 Gudi Harish Active 07/01/2020 06/30/2021 1908 R78695 Gupta Kanika Active 07/01/2021 06/30/2022 1908 R78605 Gutama Barite Wako Active 07/01/2021 06/30/2022 1908 R78606 Gutierrez Hillary Active 07/01/2021 06/30/2022 1908 R78607 Haddad Paul Alexander Active 07/01/2021 06/30/2022 1908 R77330 Halder Ritika Active 07/01/2021 06/30/2022 1908 R77352 Hamblin David J. Active 07/01/2021 06/30/2022 1908 R77276 Hamidi Mohammad K. Active 07/01/2021 06/30/2022 1908 R76831 Hamilton David Spencer Active 07/01/2020 06/30/2021 1908 R78028 Han Hanh Ai Active 07/01/2021 06/30/2022 1908 R78608 Han Jonathan Active 07/01/2021 06/30/2022 1908 R78062 Hansen Alex J. Active 07/01/2021 06/30/2022
Page Number 30 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
University of Arizona 1908 R77427 Hansen Smith Mary A. Active 07/01/2021 06/30/2022 1908 R75583 Hanzlik Thomas Pinkas Active 07/01/2021 06/30/2022 1908 R77037 Harkins Joseph M Active 07/01/2020 06/30/2021 1908 R78218 Harris Kindred Kiara Active 07/01/2020 06/30/2021 1908 R77364 Harris Timothy R. Active 07/01/2021 06/30/2022 1908 R76950 Hastings Cassandra Active 07/01/2020 06/30/2021 1908 R77277 Hatfield Derek A. Active 07/01/2021 06/30/2022 1908 R76964 Heller Paul Andrew Active 07/01/2020 06/30/2021 1908 R78039 Hendricks Sarah Elizabeth Active 07/01/2021 06/30/2022 1908 R77924 Herold Mitchell Schoen Active 07/01/2021 06/30/2022 1908 R77005 Herrera Connie Active 07/01/2020 06/30/2021 1908 R75446 Higham-kessler Richard Aug... Active 07/01/2020 06/30/2021 1908 R75585 Hill Michael Cary Active 07/01/2020 06/30/2021 1908 R76060 Hinkel Cameron J Active 07/01/2021 06/30/2022 1908 R77040 Ho Quoc-anh Active 07/01/2021 06/30/2022 1908 R78040 Hocker Nicholas Henry Active 07/01/2021 06/30/2022 1908 R78609 Hoffman Jaquelyn Rose Active 07/01/2021 06/30/2022 1908 R78129 Holley Jared Scott Active 07/01/2021 06/30/2022 1908 R77408 Horn Evan A. Active 07/01/2021 06/30/2022 1908 R76659 Hosseini Seyedeh Maryam Active 07/01/2020 06/30/2021 1908 R77278 Howard Dagnie C. Active 07/01/2021 06/30/2022 1908 R77279 Howe Michelle Active 07/01/2021 06/30/2022 1908 R77353 Howell Caronae Marta Reza Active 07/01/2021 06/30/2022 1908 R76792 Huang Carolyn Active 07/01/2021 06/30/2022 1908 R78610 Huff Trevor Jordon Active 07/01/2021 06/30/2022 1908 R78038 Hurbon Audriana Nicole Active 07/01/2021 06/30/2022 1908 R78109 Hussain Nadeem Active 07/01/2021 06/30/2022 1908 R78037 Hutchinson Marcus Joseph Active 07/01/2021 06/30/2022 1908 R78704 Huynh Vinson Dien Vinh Active 07/01/2021 06/30/2022 1908 R78611 Ibrahim Ramzi Wahid Active 07/01/2021 06/30/2022 1908 R78612 Ibrahim Samir Jamal Active 07/01/2021 06/30/2022 1908 R76985 Iftikhar Ahmad Active 07/01/2020 06/30/2021 1908 R78613 Iqbal Kashif Mujibi Active 07/01/2021 06/30/2022
Page Number 31 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
University of Arizona 1908 R77280 Isidro Kevin Clark Active 07/01/2021 06/30/2022 1908 R77929 Jackson Tyler P. Active 07/01/2021 06/30/2022 1908 R77921 Jagadish Pooja Sona Active 07/01/2021 06/30/2022 1908 R76660 Jang Hyun Soo Active 07/01/2021 06/30/2022 1908 R76661 Janicki Andrew Active 07/01/2020 06/30/2021 1908 R78041 Jaramillo Mario Vincenzo Active 07/01/2021 06/30/2022 1908 R77543 Jaramillo Quiroz Sofia Del... Active 07/01/2021 06/30/2022 1908 R74898 Jarrett II Benjamin Jay Active 07/01/2021 06/30/2022 1908 R77331 Jarrett Kirstie E. Active 07/01/2021 06/30/2022 1908 R78614 Jaw Stacey Janet Active 07/01/2021 06/30/2022 1908 R76416 Jayagurunathan Usha Active 07/01/2020 06/30/2021 1908 R78135 Jedlowski Mahdieh Active 07/01/2021 06/30/2022 1908 R78136 Jedlowski Patrick Active 07/01/2021 06/30/2022 1908 R76893 John Jabez B Active 07/01/2020 06/30/2021 1908 R77354 Johnson Andrew J. Active 07/01/2021 06/30/2022 1908 R77281 Joshi Neil D. Active 07/01/2021 06/30/2022 1908 R78635 Jothi SWathi Active 07/01/2021 06/30/2022 1908 R77332 Judd Alex C Active 07/01/2021 06/30/2022 1908 R75448 Junna Shilpa Active 07/01/2021 06/30/2022 1908 R78128 Kadlec Eric Daniel Active 07/01/2020 06/30/2021 1908 R78615 Kaplan Samuel Aaron Active 07/01/2021 06/30/2022 1908 R76663 Kaplanek Melanie Active 07/01/2020 06/30/2021 1908 R77922 Kashif Mohammad Active 07/01/2021 06/30/2022 1908 R77333 Kathi Pradeep R Active 07/01/2021 06/30/2022 1908 R78616 Kaveti Ashwini Active 07/01/2021 06/30/2022 1908 R77238 Keller Lindsay E. Active 07/01/2021 06/30/2022 1908 R76894 Kelley Ross Goodall Active 07/01/2020 06/30/2021 1908 R77428 Kendall Michael R. Active 07/01/2021 06/30/2022 1908 R77334 Kersjes Eric J Active 07/01/2021 06/30/2022 1908 R76664 Khan Farhan Active 07/01/2020 06/30/2021 1908 R78617 Khludenev George Lev Active 07/01/2021 06/01/2022 1908 R76667 Khosa Dilshan Active 07/01/2021 06/30/2022 1908 R75494 Khwaja Ansab Mohammad Active 07/01/2021 06/30/2022
Page Number 32 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
University of Arizona 1908 R76018 Kim Jaehyun Active 07/01/2020 06/30/2021 1908 R76668 Kim Robert Active 07/01/2020 06/30/2021 1908 R76670 Kinoshita Erik Active 07/01/2020 06/30/2021 1908 R78618 Kirkpatrick Scott Baxter Active 07/01/2021 06/30/2022 1908 R76671 Klaus Suzanne Active 07/01/2021 06/30/2022 1908 R78619 Klewer Jacob Allan Active 07/01/2021 06/30/2022 1908 R78042 Klimberg Nicholas Irving Active 07/01/2021 06/30/2022 1908 R78620 Kness-knezinskis Erika Mar... Active 07/01/2021 06/30/2022 1908 R78043 Knight Spencer Jeffrey Active 07/01/2021 06/30/2022 1908 R76672 Knisley Melissa Active 07/01/2020 06/30/2021 1908 R77412 Knotts Mary C. Active 07/01/2021 06/30/2022 1908 R76673 Kops Samantha Active 07/01/2020 06/30/2021 1908 R77409 Kramer Jennifer Melissa Active 07/01/2020 06/30/2021 1908 R76675 Krase Ifat Active 07/01/2020 06/30/2021 1908 R78045 Kreutzfeldt Jordyn Active 07/01/2021 06/30/2022 1908 R76678 Krulisky Kathryn Active 07/01/2021 06/30/2022 1908 R77065 Kumar Sooraj Active 07/01/2020 06/30/2021 1908 R78044 Kusupati Vinita Active 07/01/2021 06/30/2022 1908 R77001 Kuyumcu Gokhan Active 07/01/2020 06/30/2021 1908 R76896 La Grandeur Weston J Active 07/01/2020 06/30/2021 1908 R76897 Laguillo Javier E Active 07/01/2020 06/30/2021 1908 R78621 Lakshmanan Vishalakshi Active 07/01/2021 06/30/2022 1908 R76090 Landreth Hannah J Active 07/01/2021 06/30/2022 1908 R77282 Lang Alexander P. Active 07/01/2021 06/30/2022 1908 R75475 Larkin Kevin Eugene Active 07/01/2020 06/30/2021 1908 R75701 Lawrence Charles David Active 07/01/2021 06/30/2022 1908 R78622 Le Cam Elise Marie Active 07/01/2021 06/30/2022 1908 R76043 Lee Ashton Aileen Active 07/01/2021 06/30/2022 1908 R78046 Lee Dylan Harris Active 07/01/2021 06/30/2022 1908 R77962 Lee Eric Steven Active 07/01/2021 06/30/2022 1908 R78623 Lee Eudoria Shu Lian Active 07/01/2021 06/30/2022 1908 R78047 Lee Hillary Chenry Active 07/01/2021 06/30/2022 1908 R77335 Lee Jason J Active 07/01/2021 06/30/2022
Page Number 33 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
University of Arizona 1908 R77283 Lee Sean H. Active 07/01/2021 06/30/2022 1908 R78700 Lemaster Chelsey Morgan Active 07/01/2021 06/30/2022 1908 R77007 Lencinas Mattie Henry Active 07/01/2020 06/30/2021 1908 R77431 Lencinas Sanabria Alejandr... Active 07/01/2021 06/30/2022 1908 R78110 Lenka Jyotirmayee Active 07/01/2021 06/30/2022 1908 R78624 Lever Austin Ronald Active 07/01/2021 06/30/2022 1908 R77919 Lewis Christopher Paul Active 07/01/2021 06/30/2022 1908 R76743 Li Luna Active 07/01/2021 06/30/2022 1908 R78625 Lim Alex Eden Active 07/01/2021 06/30/2022 1908 R78063 Lim James Ray Mata Active 07/01/2021 06/30/2022 1908 R76951 Loh Tiffany Active 07/01/2020 06/30/2021 1908 R73479 Lokhandwala Adil Mohamadal.. Active 07/01/2020 06/30/2021 1908 R78029 Lopes Namita N. Active 07/01/2021 06/30/2022 1908 R78116 Losada Philip Andrew Active 07/01/2020 06/30/2021 1908 R78111 Lougheed Christy Marie Active 07/01/2021 06/30/2022 1908 R78626 Loveland Macklin Gardner Active 07/01/2021 06/30/2022 1908 R78053 Lu Edward Tony Active 07/01/2021 06/30/2022 1908 R78050 Lu Kevin Active 07/01/2021 06/30/2022 1908 R78049 Lu Martin Wi-Han Active 07/01/2021 06/30/2022 1908 R77285 Luccock Daniel J Active 07/01/2021 06/30/2022 1908 R78051 Lucio Paredes Aulestia Mar... Active 07/01/2021 06/30/2022 1908 R78052 Luke Sabra Simindra Active 07/01/2020 06/30/2021 1908 R78627 Luna Wong Lucia Alejandra Active 07/01/2021 06/30/2022 1908 R78054 Luois Samantha Active 07/01/2021 06/30/2022 1908 R75505 Lwin Aye Aung Active 07/01/2020 06/30/2021 1908 R78675 M Evan Michael Sommer Active 07/01/2021 06/30/2022 1908 R77470 Maarouf Melody Active 07/01/2021 06/30/2022 1908 R76081 Mahoney William A Active 07/01/2021 06/30/2022 1908 R77008 Maiolo Sean A Active 07/01/2020 06/30/2021 1908 R77944 Maler Paul Andrew Active 07/01/2021 06/30/2022 1908 R77247 Malik Mustafa Active 07/01/2021 06/30/2022 1908 R76976 Manmohan Rajan Active 07/01/2020 06/30/2021 1908 R75043 Mann Dushyant Singh Active 07/01/2020 06/30/2021
Page Number 34 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
University of Arizona 1908 R76030 Manoharan Aditya Active 07/01/2021 06/30/2022 1908 R77336 Manuelito Lacy N. Active 07/01/2021 06/30/2022 1908 R78647 Marian Julia Active 07/01/2021 06/30/2022 1908 R77415 Mariscal Marisela F. Active 07/01/2021 06/30/2022 1908 R75452 Martin Adriana Adiana Theo... Active 07/01/2021 06/30/2022 1908 R77337 Martin Travis Patrick Active 07/01/2021 06/30/2022 1908 R76768 Martinez Francisco Active 07/01/2020 06/30/2021 1908 R78192 McAllister Mark A. Active 07/01/2021 06/30/2022 1908 R78130 McCandless Sean Patrick Active 07/01/2021 06/30/2022 1908 R78642 McCormick Kyle Dean Active 07/01/2021 06/30/2022 1908 R78643 McDougall Riley Patrick Active 07/01/2021 06/30/2022 1908 R77240 McEvoy Sean P. Active 07/01/2021 06/30/2022 1908 R76793 McHugh Ryan Active 07/01/2020 06/30/2021 1908 R78644 McKeith Amanda Mae Active 07/01/2021 06/30/2022 1908 R77002 McKeown Kyle Active 07/01/2020 06/30/2021 1908 R77479 McWhirter Amanda M. Active 07/01/2021 06/30/2022 1908 R77411 Mehra Ashwin Active 07/01/2020 06/30/2021 1908 R77286 Mehramiz Neema J. Active 07/01/2021 06/30/2022 1908 R76158 Meiklejohn Karleen Michell... Active 07/01/2020 06/30/2021 1908 R76848 Memmott Trevor Active 07/01/2020 06/30/2021 1908 R77951 Menon Hari Active 07/01/2020 06/30/2021 1908 R74941 Miller Heather Lea Anne Active 07/01/2020 06/30/2021 1908 R78645 Miller Matthew Steven Active 07/01/2021 06/30/2022 1908 R77497 Misra Suresh K. Active 07/01/2021 06/30/2022 1908 R77288 Mitra Natasha Active 07/01/2021 06/30/2022 1908 R76682 Moedano Leticia Active 07/01/2020 06/30/2021 1908 R78391 Mohammed Shaymaa S. Active 07/01/2021 06/30/2022 1908 R78055 Moore Spencer Active 07/01/2020 06/30/2021 1908 R77338 Moreno Christopher M. Active 07/01/2021 06/30/2022 1908 R77241 Moreno-Ortiz Juan Pablo Active 07/01/2021 06/30/2022 1908 R75696 Morrison Christopher Micha... Active 07/01/2020 06/30/2021 1908 R76167 Morrison Tiffany T Active 07/01/2020 06/30/2021 1908 R76008 Mortel Maria Dominique Jea... Active 07/01/2020 06/30/2021
Page Number 35 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
University of Arizona 1908 R77289 Moses Sylvestor Andrea Active 07/01/2021 06/30/2022 1908 R78423 Moskowitz Carly R Active 11/02/2020 11/01/2021 1908 R78056 Moynahan Kevin Joseph Active 07/01/2021 06/30/2022 1908 R77904 Mullett Patrick Hugh Active 07/01/2021 06/30/2022 1908 R76688 Munoz Fernando Active 07/01/2020 06/30/2021 1908 R78022 Munson Aron Active 07/01/2021 06/30/2022 1908 R76689 Munugala Nishant Active 07/01/2020 06/30/2021 1908 R78092 Musmar Ahmad Active 07/01/2021 06/30/2022 1908 R77365 Nagy Nadia M. Active 07/01/2021 06/30/2022 1908 R78126 Nair Nirmal Active 07/01/2021 06/30/2022 1908 R76690 Nasir Imaad Active 07/01/2021 06/30/2022 1908 R76691 Ndifor Anisah Active 07/01/2021 06/30/2022 1908 R78250 Neilson Jon Hyrum II Active 07/01/2021 06/30/2022 1908 R75022 Nejad Andrew Ashkahn Active 07/01/2020 06/30/2021 1908 R76898 Nemanova Darima I Active 07/01/2020 06/30/2021 1908 R77366 Neves Coulter D. Active 07/01/2021 06/30/2022 1908 R78648 Nguyen Lucia Hoang Active 07/01/2021 06/30/2022 1908 R78416 Nguyen Steven Minh Active 07/01/2021 06/30/2022 1908 R76692 Nguyen Tu Thanh Active 07/01/2021 06/30/2022 1908 R76977 Nguyen Veronica Active 07/01/2020 06/30/2021 1908 R77212 Nicholson Alexander Joseph... Active 07/01/2021 06/30/2022 1908 R77517 Nisbet Bryn M. Active 07/01/2021 06/30/2022 1908 R78112 Nwagbara Chioma Active 07/01/2020 06/30/2021 1908 R77367 Oatmen Kelsie E. Active 07/01/2021 06/30/2022 1908 R74982 Oats Samuel Holland Active 07/01/2020 06/30/2021 1908 R78650 Obagi Zaidal Aseel Active 07/01/2021 06/30/2022 1908 R78651 Obert Piyathida Active 07/01/2021 06/30/2022 1908 R76789 Obrand Ling Yi Active 07/01/2020 06/30/2021 1908 R78652 Ogren Danielle Johanna Active 07/01/2021 06/30/2022 1908 R75011 Okolo-Taku Onyemaechi Nwan Active 07/01/2020 06/30/2021 1908 R78653 Olson April Lynn Active 07/01/2021 06/30/2022 1908 R78057 Oluwo Omowunmi Active 07/01/2021 06/30/2022 1908 R74971 Omesiete Nkechinye Pamela Active 07/01/2020 06/30/2021
Page Number 36 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
University of Arizona 1908 R77968 Onaka Naomi R. Active 07/01/2021 06/30/2022 1908 R78703 Oskouie Suzanne Kiani Active 07/01/2021 06/30/2022 1908 R76711 Otero Tiffany Active 07/01/2020 06/30/2021 1908 R75474 Otsuji Janelle J K Active 07/01/2020 06/30/2021 1908 R78654 Paine Quinci May Active 07/01/2021 06/30/2022 1908 R78058 Palsma Ryan Active 07/01/2021 06/30/2022 1908 R78655 Paree Joshua Howard Active 07/01/2021 06/30/2022 1908 R77945 Parry Hannah Eleanor Active 07/01/2021 06/30/2022 1908 R76790 Patel Bhargav Active 07/01/2020 06/30/2021 1908 R78696 Patel Chirag Active 07/01/2021 06/30/2022 1908 R78656 Patel Kishan Jagdish Active 07/01/2021 06/30/2022 1908 R77937 Penquite Sara Ashlyn Active 07/01/2021 06/30/2022 1908 R76027 Pereira Benedict R Active 07/01/2020 06/30/2021 1908 R75711 Perovic Viktor Active 07/01/2020 06/30/2021 1908 R78131 Pierce David Michael Active 07/01/2020 06/30/2021 1908 R76952 Pierre Cubby Active 07/01/2020 06/30/2021 1908 R78657 Pigeon Dylan Mark Active 07/01/2021 06/30/2022 1908 R77544 Polisetty Sanjay Active 07/01/2021 06/30/2022 1908 R76697 Pollack Nina Active 07/01/2021 06/30/2022 1908 R76849 Pollock Christina Active 07/01/2021 06/30/2022 1908 R76100 Pollock Grant R Active 07/01/2021 06/30/2022 1908 R78658 Pomerantz Austin Stuart Active 07/01/2021 06/30/2022 1908 R77339 Pope Hadley Active 07/01/2021 06/30/2022 1908 R77342 Powell Natondra L. Active 07/01/2021 06/30/2022 1908 R78660 Pryor Joshua Marshall Active 07/01/2021 06/30/2022 1908 R77290 Quan Wei Active 07/01/2021 06/30/2022 1908 R78699 Rafi Taaha Sultana Active 07/01/2021 06/30/2022 1908 R77931 Rahimian Amir Rombod Active 07/01/2021 06/30/2022 1908 R78661 Rajendran Iniya Active 07/01/2021 06/30/2022 1908 R74463 Ramey Wyatt Langdon Active 07/01/2020 06/30/2021 1908 R77545 Randhawa Reubender Singh Active 07/01/2021 06/30/2022 1908 R76966 Rao Ramsha Active 07/01/2021 06/30/2022 1908 R78692 Rashid Asma Active 07/01/2021 06/30/2022
Page Number 37 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
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University of Arizona 1908 R78154 Rathbun John Tyler Active 07/01/2021 06/30/2022 1908 R77242 Relton Obert Michele A Active 07/01/2021 06/30/2022 1908 R78059 Rendon Casey Benjamin Active 07/01/2021 06/30/2022 1908 R78060 Renteria Oswaldo Francisco... Active 07/01/2021 06/30/2022 1908 R76765 Resnick Jamie Active 07/01/2020 06/30/2021 1908 R76818 Reyes Dave Joseph Active 07/01/2020 06/30/2021 1908 R77946 Reyes Ricardo Active 07/01/2021 06/30/2022 1908 R76010 Reyes Ruel J Active 07/01/2021 06/30/2022 1908 R78061 Richard Brian Taylor Active 07/01/2021 06/30/2022 1908 R76701 Richards John Active 07/01/2021 06/30/2022 1908 R78662 Richardson Kelsey Kay Active 07/01/2021 06/30/2022 1908 R77344 Richardson Kyle L Active 07/01/2021 06/30/2022 1908 R78663 Ricker Alexandra Elizabeth... Active 07/01/2021 06/30/2022 1908 R78531 Riney Thomas W. Active 05/03/2021 05/27/2021 1908 R77291 Ring Sarah J. Active 07/01/2021 06/30/2022 1908 R78665 Roberson Dana Nicole Active 07/01/2021 06/30/2022 1908 R75437 Roberts Haydn John Active 07/01/2020 06/30/2021 1908 R76230 Robinson Jaclyn Michaela Active 07/01/2020 06/30/2021 1908 R78095 Robles Danny Gabriel Active 07/01/2021 06/30/2022 1908 R76070 Rodriguez Juan Vitelio Active 07/01/2020 06/30/2021 1908 R76463 Rodriguez Restrepo Andrea ... Active 07/01/2020 06/30/2021 1908 R77932 Roehr Mark Trevor Active 07/01/2021 06/30/2022 1908 R78666 Roemer James M Active 07/01/2021 06/30/2022 1908 R78080 Rollo Gabriella Jo Ann Active 07/01/2020 06/30/2021 1908 R78667 Rolshoven John Gabriel Active 07/01/2021 06/30/2022 1908 R78155 Romito Nicholas Joseph Active 07/01/2020 06/30/2021 1908 R77933 Rose Lucas Active 07/01/2021 06/30/2022 1908 R77368 Ross Kymberly Ann May Active 07/01/2021 06/30/2022 1908 R77920 Rossi Gustave John Jr Active 07/01/2021 06/30/2022 1908 R78081 Ruiz Maria Active 07/01/2021 06/30/2022 1908 R77947 Ruiz Maria Guadalupe Active 07/01/2021 06/30/2022 1908 R78149 Rukh Sana Active 07/01/2021 06/30/2022 1908 R78082 Runke Stephanie Anne Active 07/01/2021 06/30/2022
Page Number 38 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
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University of Arizona 1908 R77292 Russell Samantha Jane Active 07/01/2021 06/30/2022 1908 R77341 Rust Jacob Active 07/01/2021 06/30/2022 1908 R77293 Ryazanova Alina Active 07/01/2021 06/30/2022 1908 R78156 Saarela Aleksi V. Active 07/01/2021 06/30/2022 1908 R78086 Sabottke Carl Frederick Active 07/01/2020 06/30/2021 1908 R77369 Sadovnikov Irina Active 07/01/2021 06/30/2022 1908 R75719 Saha Sujata Active 07/01/2020 06/30/2021 1908 R78668 Sahrapour Taha Ali Active 07/01/2021 06/30/2022 1908 R76083 Salomone Scott M Active 07/01/2020 06/30/2021 1908 R77480 Samson Brittany D Active 07/01/2021 06/30/2022 1908 R78669 Sanchez Cynthia Francis Active 07/01/2021 06/30/2022 1908 R78101 Sarairah Sakher Yousef Mah... Active 07/01/2021 06/30/2022 1908 R77294 Sarazen Marni Rae Active 07/01/2021 06/30/2022 1908 R76598 Sardar Muhammad Adil Active 07/01/2021 06/30/2022 1908 R78672 Sareini Medina Ahmed Active 07/01/2021 06/30/2022 1908 R78087 Savani Malvi Bipin Active 07/01/2021 06/30/2022 1908 R76153 Sawyer David Miles Active 07/01/2021 06/30/2022 1908 R78079 Sazegar Parastou Active 07/01/2021 06/30/2022 1908 R77244 Schmoll Ryan W. Active 07/01/2021 06/30/2022 1908 R77370 Scholtes Erika I Active 07/01/2021 06/30/2022 1908 R78100 Scott Ashley Marie Active 07/01/2020 06/30/2021 1908 R76154 Scott Gabriel Rene Active 07/01/2020 06/30/2021 1908 R76833 Scott Zeni Active 07/01/2020 06/30/2021 1908 R78030 Seaman Jonathan A Active 07/01/2021 06/30/2022 1908 R76712 Searcy Benjamin Active 07/01/2020 06/30/2021 1908 R76844 Sears Derek Active 07/01/2020 06/30/2021 1908 R78113 Sekhon Jasmeet Kaur Active 07/01/2021 06/30/2022 1908 R76744 Sekhon Sahira Active 07/01/2020 06/30/2021 1908 R76177 Sellers Blake A Active 07/01/2021 06/30/2022 1908 R78671 Sells Colleen Elizabeth Active 07/01/2021 06/30/2022 1908 R78075 Sessinou Delali Afiwa Active 07/01/2020 06/30/2021 1908 R78077 Shane Bradley Active 07/01/2021 06/30/2022 1908 R76713 Sharman Reya Active 07/01/2020 06/30/2021
Page Number 39 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
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University of Arizona 1908 R78096 Sharp Daniel Williar Active 07/01/2021 06/30/2022 1908 R77245 Sherman Nathan C Active 07/01/2021 06/30/2022 1908 R77295 Shi Aishan Active 07/01/2021 06/30/2022 1908 R78488 Shibuya Kelly S Active 04/12/2021 05/07/2021 1908 R77378 Shihab Ali S. Active 07/01/2021 06/30/2022 1908 R77382 Shockey David Ivan Active 07/01/2021 06/30/2022 1908 R77413 Shoua Basel Bs Active 07/01/2021 06/30/2022 1908 R76715 Silva Sebastian Active 07/01/2020 06/30/2021 1908 R78596 Singh Amy Garcia Active 07/01/2021 06/30/2022 1908 R78673 Singh Sanjog Active 07/01/2021 06/30/2022 1908 R76965 Sivilli Rose Active 07/01/2021 06/30/2022 1908 R76194 Skovgaard Samuel R Active 07/01/2021 06/30/2022 1908 R77379 Smith Alexis L. Active 07/01/2021 06/30/2022 1908 R78072 Smith Brandon Tyler Active 07/01/2021 06/30/2022 1908 R76717 Smith Jasmine Active 07/01/2020 06/30/2021 1908 R77296 Smith Keely T Active 07/01/2021 06/30/2022 1908 R74509 Smith Nicole Eleanor Active 07/01/2021 06/30/2022 1908 R78701 Smith Savion Javoney Active 07/01/2021 06/30/2022 1908 R77297 Smitt James Holger Active 07/01/2021 06/30/2022 1908 R77298 So Mei Lai Active 07/01/2021 06/30/2022 1908 R76733 Sohail Sarah Active 07/01/2021 06/30/2022 1908 R77381 Son Michelle M. Active 07/01/2021 06/30/2022 1908 R75584 Son Tiffany Gihae Active 07/01/2020 06/30/2021 1908 R77410 Spasovski Jana Active 07/01/2020 06/30/2021 1908 R76091 Spiker Jason A Active 07/01/2021 06/30/2022 1908 R77383 Srinivasan Sharanyah Active 07/01/2021 06/30/2022 1908 R77003 Stanko Sarah Dee Active 07/01/2020 06/30/2021 1908 R77380 Stanley Kelly M. Active 07/01/2021 06/30/2022 1908 R78676 Stapleton Darren Patrick Active 07/01/2021 06/30/2022 1908 R76049 Stavrakis Demetrios G Active 07/01/2021 06/30/2022 1908 R76105 Steinmeyer Laura A Active 07/01/2020 06/30/2021 1908 R77939 Stephens Abigail Esther Active 07/01/2021 06/30/2022 1908 R77940 Stepp Jennifer Michelle Be... Active 07/01/2021 06/30/2022
Page Number 40 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
University of Arizona 1908 R77936 Stilson Bryan Michael Zimm... Active 07/01/2021 06/30/2022 1908 R78098 Stockton Douglas Active 07/01/2021 06/30/2022 1908 R77398 Strah Danielle D Active 07/01/2021 06/30/2022 1908 R77978 Stratton Darien Lee Active 07/01/2021 06/30/2022 1908 R75052 Stroud Steven Chase Active 07/01/2020 06/30/2021 1908 R78677 Stuerman Sierra Christine Active 07/01/2021 06/30/2022 1908 R76111 Stupinski John A Active 07/01/2021 06/30/2022 1908 R77345 Su Chang Active 07/01/2021 06/30/2022 1908 R77941 Suhale Sameer Active 07/01/2021 06/30/2022 1908 R78071 Sumdani Hasan Active 07/01/2020 06/30/2021 1908 R74538 Surapur Kawanjit Kaur Active 07/01/2020 06/30/2021 1908 R78099 Swanson Magnolia Rose Active 07/01/2021 06/30/2022 1908 R75550 Symms John Thomas Active 07/01/2020 06/30/2021 1908 R76368 Szewczyk Marlena Marie Active 07/01/2020 06/30/2021 1908 R78093 Tadakamalla Anirudh Active 07/01/2021 06/30/2022 1908 R78078 Takamatsu Chelsea Active 07/01/2021 06/30/2022 1908 R78074 Tan Rachel Vix Active 07/01/2021 06/30/2022 1908 R76053 Tandyasraya Prita Maria Active 07/01/2020 06/30/2021 1908 R76979 Tanoue Nathan Active 07/01/2021 06/30/2022 1908 R76735 Taraskiewicz Daniel Active 07/01/2021 06/30/2022 1908 R75827 Tariq Sarah Active 07/01/2020 06/30/2021 1908 R78678 Taylor Serena Mikhal Active 07/01/2021 06/30/2022 1908 R76980 Thiede Rebecca Marie Active 07/01/2020 06/30/2021 1908 R78693 Thomas Aaron Active 07/01/2021 06/30/2022 1908 R76845 Thomas Ashley Active 07/01/2020 06/30/2021 1908 R77420 Thompson Cameron M Active 07/01/2021 06/30/2022 1908 R78447 Thuraisingam Ravina Devi Active 01/01/2021 12/31/2021 1908 R78679 Tigner Alyssa Leigh Active 07/01/2021 06/30/2022 1908 R78293 Tomesch Alexander Joseph Active 07/01/2020 06/30/2021 1908 R77346 Tomkins Julie M Active 07/01/2021 06/30/2022 1908 R77025 Torabi Ramyar Active 07/01/2021 06/30/2022 1908 R77923 Tran Jeffrey Show Active 07/01/2021 06/30/2022 1908 R77388 Tran Jessica H. Active 07/01/2021 06/30/2022
Page Number 41 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
University of Arizona 1908 R77948 Tran Joan Thanh Active 07/01/2021 06/30/2022 1908 R76736 Tran Tommy Active 07/01/2021 06/30/2022 1908 R76766 Trang Andy Active 07/01/2021 06/30/2022 1908 R78680 Trieu Richard Jay Active 07/01/2021 06/30/2022 1908 R75495 Trinidad Bradley James Active 07/01/2020 06/30/2021 1908 R76012 Truong Danh C Active 07/01/2021 06/30/2022 1908 R76023 Tsang Victoria Lj Active 07/01/2020 06/30/2021 1908 R77934 Tsao Ray-Young Active 07/01/2021 06/30/2022 1908 R78073 Tseng Roger Sean Active 07/01/2021 06/30/2022 1908 R78147 Tudor Bryson Active 07/01/2021 06/30/2022 1908 R76342 Turnock Adam R Active 07/01/2020 06/30/2021 1908 R78097 Uhland Cole Willson Active 07/01/2021 06/30/2022 1908 R77389 Unegbu Fortune Chimdindu Active 07/01/2021 06/30/2022 1908 R78694 Upson Sarah Marie Active 07/01/2021 06/30/2022 1908 R77425 Vahdani Golnaz Active 07/01/2020 06/30/2021 1908 R78681 Valdez John Roman Active 07/01/2021 06/30/2022 1908 R76718 Van Orden Kimberlee Active 07/01/2021 06/30/2022 1908 R78070 Vanderslice Michael Alexan... Active 07/01/2020 06/30/2021 1908 R78069 Vangala Adarsh Sai Active 07/01/2021 06/30/2022 1908 R76737 Vasic Jelena Active 07/01/2020 06/30/2021 1908 R76745 Vassaur John Active 07/01/2020 06/30/2021 1908 R76720 Veaco Jennifer Active 07/01/2020 06/30/2021 1908 R78682 Vedamurthy Amar Active 07/01/2021 06/30/2022 1908 R76721 Veeravelli Sumana Active 07/01/2020 06/30/2021 1908 R76722 Velazco Yulemi Active 07/01/2020 06/30/2021 1908 R78114 Vennelaganti Nikarika Active 07/01/2021 06/30/2022 1908 R76767 Verkhovsky Eugene Active 07/01/2020 06/30/2021 1908 R76723 Verson Joshua Michael Active 07/01/2020 06/30/2021 1908 R77390 Villalvazo Yadira Active 07/01/2021 06/30/2022 1908 R78683 Villanueva Marie Bernadett... Active 07/01/2021 06/30/2022 1908 R77546 Villatoro Villar Michel Active 07/01/2020 06/30/2021 1908 R78684 Villegas Manuel Michael Active 07/01/2021 06/30/2022 1908 R78068 Vines Andrew Phillip Active 07/01/2021 06/30/2022
Page Number 42 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
University of Arizona 1908 R78106 Vittoria De Martini Ilaria... Active 07/01/2021 06/30/2022 1908 R77423 Vlahu Alexander C. Active 07/01/2021 06/30/2022 1908 R78685 Vu Lynn Hoang Active 07/01/2021 06/30/2022 1908 R76824 Wadeea Rita Mundher Active 07/01/2020 06/30/2021 1908 R78090 Wadood Audrey Active 07/01/2021 06/30/2022 1908 R77391 Wagner Jacquelyn C Active 07/01/2021 06/30/2022 1908 R78036 Wagoner Jackson Stark Active 07/01/2021 06/30/2022 1908 R78067 Walker Emily Page Active 07/01/2021 06/30/2022 1908 R77935 Wallace Neil Daniel Active 07/01/2021 06/30/2022 1908 R77401 Wanes Peter Active 07/01/2021 06/30/2022 1908 R78118 Wang Dawei David Active 07/01/2021 06/30/2022 1908 R78705 Wang Kelly Kwok Ho Active 07/01/2021 06/30/2021 1908 R78686 Wang Kevin John Active 07/01/2021 06/30/2022 1908 R75513 Wannemacher Jacob Paul Active 07/01/2020 06/30/2021 1908 R75664 Warhadpande Devdutta Sanja. Active 07/01/2020 06/30/2021 1908 R76103 Warner Joshua D Active 07/01/2020 06/30/2021 1908 R77246 Warner Zachary Claude Active 07/01/2021 06/30/2022 1908 R77392 Wasiak David Active 07/01/2021 06/30/2022 1908 R77393 Wasiak Karissa Active 07/01/2021 06/30/2022 1908 R78066 Wathieu Donald Etienne Active 07/01/2021 06/30/2022 1908 R77421 Weiner Lee G. Active 07/01/2021 06/30/2022 1908 R78687 Welch Andrew Martin Active 07/01/2021 06/30/2022 1908 R76725 Wheat Stefan Kale Active 07/01/2020 06/30/2021 1908 R78076 Wheeler Tyler Wayne Active 07/01/2021 06/30/2022 1908 R78688 Whiteley Adam Scott Active 07/01/2021 06/30/2022 1908 R76726 Whittaker Meredith Active 07/01/2021 06/30/2022 1908 R78639 Wig Rebecca Active 07/01/2021 06/30/2022 1908 R76422 Williams Mark T Active 07/01/2020 06/30/2021 1908 R77394 Williamson Brianna N. Active 07/01/2021 06/30/2022 1908 R78689 Wilson Megan Nicole Active 07/01/2021 06/30/2022 1908 R76727 Winget Veronica Active 07/01/2021 06/30/2022 1908 R76981 Winkel Trenton Active 07/01/2021 06/30/2022 1908 R76728 Witt Kyle Active 07/01/2020 06/30/2021
Page Number 43 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
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University of Arizona 1908 R78089 Worswick Erica Lee Active 07/01/2021 06/30/2022 1908 R76729 Wright Ashley Active 07/01/2020 06/30/2021 1908 R77395 Wu Andrew Lu-Jang Active 07/01/2021 06/30/2022 1908 R77396 Wyers Andrew Jackson-Riley... Active 07/01/2021 06/30/2022 1908 R76900 Wyman Michael Thornton Active 07/01/2020 06/30/2021 1908 R78150 Xing Bohan Active 07/01/2021 06/30/2022 1908 R78048 Xing Jessica Lin Active 07/01/2021 06/30/2022 1908 R78690 Xiong Bei Active 07/01/2021 06/30/2022 1908 R78691 Yang Georgiana Zong Xin Active 07/01/2021 06/30/2022 1908 R77482 Yoshino Kenji Yukio Active 07/01/2021 06/30/2022 1908 R77063 Yousefian Omid Active 07/01/2020 06/30/2021 1908 R76850 Yousif Ammar Active 07/01/2020 06/30/2021 1908 R75747 Yousman Wina P Active 07/01/2020 06/30/2021 1908 R76823 Zeng Jiping Active 07/01/2021 06/30/2022 1908 R77429 Zepeda Ignacio A. Active 07/01/2021 06/30/2022 1908 R76088 Zhang Bo Active 07/01/2021 06/30/2022 1908 R78088 Zhang Jenny Active 07/01/2021 06/30/2022 1908 R77430 Zhang Jin Active 07/01/2021 06/30/2022 1908 R76955 Zhang Pei Active 07/01/2020 06/30/2021 1908 R76901 Ziccarelli Mario Paolo Active 07/01/2020 06/30/2021 1908 R76143 Zimmerman Steven A Active 07/01/2020 06/30/2021 1908 R77030 Zong Yue Active 07/01/2021 06/30/2022 University of Arizona College of Medicine-Phoenix 1908 R77566 Abdelhabib Mohamed Active 07/01/2020 06/30/2021 1908 R78498 Abudan Anas A Active 07/01/2021 06/30/2022 1908 R77567 Adrete Karissa Leanne Active 07/01/2020 06/30/2021 1908 R78499 Ajibawo Temitope O Active 07/01/2021 06/30/2022 1908 R78295 Al Maradni Ahmad A Active 07/01/2020 06/30/2021 1908 R78159 Alattar Zana Active 06/22/2020 06/21/2021 1908 R76257 Alekseeva Yana Aleksandrov... Active 07/01/2020 06/30/2021 1908 R77603 Alholm Zachary James Active 06/23/2020 06/22/2021 1908 R76322 Alley Addison William Active 06/23/2020 06/22/2021 1908 R78758 Alvarez Jacqueline N Active 06/21/2021 06/20/2022 1908 R78307 Anantha Narayanan Mahesh Active 07/01/2020 06/30/2021
Page Number 44 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
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University of Arizona College of Medicine-Phoenix 1908 R77598 Anderson-Terhune Dustin Ma.. Active 07/01/2020 06/30/2021 1908 R78500 Arce Gutierrez Victor H Active 07/01/2021 06/30/2022 1908 R78759 Arend Robert J Active 06/21/2021 06/20/2022 1908 R75829 Arreola Angela Sabrina Active 06/21/2020 06/20/2021 1908 R78381 Arshad Mahreen Active 07/01/2020 06/30/2021 1908 R78161 Ashcherkin Mahala R Active 06/23/2020 06/22/2021 1908 R77569 Atallah Ahmad Atallah Active 07/01/2020 06/30/2021 1908 R76191 Auran Richard Lawrence Active 06/23/2020 06/22/2021 1908 R78162 Awwad Issam M Active 06/23/2020 06/22/2021 1908 R77604 Bachofer Ryan Jacob Active 06/24/2020 06/23/2021 1908 R78164 Bachofer Tara M Active 06/23/2020 06/22/2021 1908 R78765 Barnett Daniel M Active 06/23/2021 06/22/2022 1908 R76986 Barratt Harriet Elizabeth ... Active 06/25/2020 06/24/2021 1908 R77222 Bayoumi Mahmoud Active 07/01/2020 06/30/2021 1908 R78166 Bean Christopher D Active 06/23/2020 06/22/2021 1908 R78167 Begaye Antontrey I Active 06/23/2020 06/22/2021 1908 R76336 Beienburg Cassandra Leigh Active 06/23/2020 06/22/2021 1908 R76372 Bekkedahl Ryder Scott Active 06/23/2020 06/22/2021 1908 R78296 Berling Stephen E Active 08/01/2020 07/31/2021 1908 R78297 Beydoun Hassan Active 07/01/2020 06/30/2021 1908 R77703 Bhagat Abhishek Kumar Active 07/01/2020 06/30/2021 1908 R78377 Bhalla Vikas Active 07/01/2020 06/30/2021 1908 R76853 Biller Emily Ann Active 06/23/2020 06/22/2021 1908 R78766 Biringen Erin K Active 06/23/2021 06/22/2022 1908 R76373 Black Kyler Matt Active 07/01/2020 06/30/2021 1908 R76323 Bletsis Panagiotis Active 06/19/2020 06/18/2021 1908 R77605 Blystra David Jon Active 07/01/2020 06/30/2021 1908 R78169 Bockstruck Robert T Active 06/23/2020 06/22/2021 1908 R78171 Boczar Bethany R Active 06/23/2020 06/22/2021 1908 R76305 Bohannan Colin James Tobia.. Active 06/19/2020 06/18/2021 1908 R78172 Borchart Matthew R Active 06/23/2020 06/22/2021 1908 R76389 Bourikian Seda Active 06/19/2020 06/18/2021 1908 R77009 Bowker Jocelyn N Active 07/01/2020 06/30/2021
Page Number 45 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
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University of Arizona College of Medicine-Phoenix 1908 R77010 Bowker Weston Eugene Active 07/01/2020 06/30/2021 1908 R76324 Boyd Kassidy Randell Active 07/01/2020 06/30/2021 1908 R78760 Braunreuther Elizabeth A Active 06/21/2021 06/20/2022 1908 R77571 Brigoli Michael Lani Active 07/01/2020 06/30/2021 1908 R77607 Broden Nicole Marie Active 06/24/2020 06/23/2021 1908 R77599 Brown Dalan Ray Active 07/01/2020 06/30/2021 1908 R76988 Burbank Roberts Raquel R Active 07/01/2020 06/30/2021 1908 R76375 Campbell David Hunter Active 06/23/2020 06/22/2021 1908 R77572 Cao Thanh Van Active 07/01/2020 06/30/2021 1908 R78761 Caruso Kayla R Active 06/21/2021 06/20/2022 1908 R76231 Casey Daniel J Active 07/01/2020 06/30/2021 1908 R78174 Casper David J Active 06/23/2020 06/22/2021 1908 R78298 Castaneda Jorge L Active 07/01/2020 06/30/2021 1908 R78176 Castaneda Paulo Active 06/23/2020 06/22/2021 1908 R77608 Chadha Gurleen Active 07/01/2020 06/30/2021 1908 R76854 Chang Tae Y Active 07/01/2020 06/30/2021 1908 R78501 Chauhan Piryank Active 07/01/2021 06/30/2022 1908 R78178 Cheng Lucy Active 06/23/2020 06/22/2021 1908 R78180 Chhetri Diksha Active 06/23/2020 06/22/2021 1908 R78195 Colburn Luc A Active 06/22/2020 06/21/2021 1908 R76769 Coleman Ivorie C Active 07/01/2020 06/30/2021 1908 R78299 Conant Scott H Active 08/01/2020 07/31/2021 1908 R76333 Cordray Ann Morris Active 07/01/2020 06/30/2021 1908 R78196 Cordy Benjamin J Active 06/23/2020 06/22/2021 1908 R75780 Crigger Morgan Joseph Active 06/21/2020 06/20/2021 1908 R78502 Cruz Dana L Active 08/01/2021 07/31/2022 1908 R78197 Curley Kathleen L Active 06/23/2020 06/22/2021 1908 R77573 Cushman Taylor Reid Active 07/01/2020 06/30/2021 1908 R78198 Damghani Faraz Active 06/23/2020 06/22/2021 1908 R78199 De Tranaltes Kaylee R Active 06/23/2020 06/22/2021 1908 R77574 Dienhart Jason Allen Active 07/01/2020 06/30/2021 1908 R75781 Digiovanni Ryan McClean Active 06/22/2020 06/21/2021 1908 R77620 Dominick Lauren Nicole Active 07/01/2020 06/30/2021
Page Number 46 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
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University of Arizona College of Medicine-Phoenix 1908 R76261 Ekunwe Akua Boatemaa Active 07/01/2020 06/30/2021 1908 R77575 Elizalde Diana Isabel Active 07/01/2020 06/30/2021 1908 R76390 Engler Lauren Alyssa Active 06/23/2020 06/22/2021 1908 R76771 Epstein Greg Lewis Active 06/23/2020 06/22/2021 1908 R76772 Espinosa Kiana Marisol Active 07/01/2020 06/30/2021 1908 R78200 Etman Ali A Active 06/23/2020 06/22/2021 1908 R77012 Fakhar Malik Active 07/01/2020 06/30/2021 1908 R76773 Fanning Emily Caroline Active 06/23/2020 06/22/2021 1908 R76391 Farber Julia Gray Active 07/01/2020 06/30/2021 1908 R78767 Farhat Ryan M Active 06/23/2021 06/22/2022 1908 R78768 Fernandez Jennifer M Active 06/23/2021 06/22/2022 1908 R78201 Finch Amara Active 06/23/2020 06/22/2021 1908 R77576 Fuher Cordel Emerson Active 07/01/2020 06/30/2021 1908 R78355 Fung Brian M Active 07/01/2020 06/30/2021 1908 R77577 Gandhi Anand Dipakkumar Active 07/01/2020 06/30/2021 1908 R77578 Gandhi Kavisha Devang Active 07/01/2020 06/30/2021 1908 R78300 Gao Yuqing A Active 07/01/2020 06/30/2021 1908 R78306 Gibbons Laura E Active 07/01/2020 06/30/2021 1908 R76326 Grogan Scott William Active 07/01/2020 06/30/2021 1908 R78203 Grover Bryan W Active 06/23/2020 06/22/2021 1908 R77634 Haddad Nael Nabeel Saleem Active 07/01/2020 06/30/2021 1908 R78205 Hamman Justin N Active 06/22/2020 06/21/2021 1908 R76269 Hoang Tiffany Kim Active 07/01/2020 06/30/2021 1908 R77676 Hodis Brendan Active 07/01/2020 06/30/2021 1908 R78206 Hogan Madeline B. Active 06/23/2020 06/22/2021 1908 R75791 Hoidal Kelsey Elizabeth Su... Active 06/21/2020 06/20/2021 1908 R78207 Hoyt Dylan James Active 06/23/2020 06/22/2021 1908 R78208 Hyun Byung Hun Active 06/23/2020 06/22/2021 1908 R77728 Ibrahim Zulianna Active 07/01/2020 06/30/2021 1908 R77611 Indart Mary Caitlin Active 06/23/2020 06/22/2021 1908 R78209 Janajreh Nicknaz N Active 06/23/2020 06/22/2021 1908 R77637 Jarnagin Lisa Nicole Active 07/01/2020 06/30/2021 1908 R78210 Johnson Kirsten M Active 06/23/2020 06/22/2021
Page Number 47 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
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University of Arizona College of Medicine-Phoenix 1908 R75797 Johnson Pierce Cameron Active 06/22/2020 06/21/2021 1908 R76698 Jones Nathan Alan Active 07/01/2020 06/30/2021 1908 R76327 Jordan Kelli Christine Active 07/01/2020 06/30/2021 1908 R76774 Jubair Shaiban Khaleel Active 07/01/2020 06/30/2021 1908 R78211 Kamal Ahsan S Active 06/23/2020 06/22/2021 1908 R78212 Kanani Zia W Active 06/23/2020 06/22/2021 1908 R76274 Kano Daiji Active 06/19/2020 06/18/2021 1908 R78213 Kapadia Chirag V Active 06/23/2020 06/22/2021 1908 R77612 Karodeh Cina Rohi Active 06/23/2020 06/22/2021 1908 R76699 Kaur Gurmehr Active 07/01/2020 06/30/2021 1908 R78504 Kellerhals Sarah E Active 07/15/2021 07/14/2022 1908 R78214 Kelly Megan C Active 06/23/2020 06/22/2021 1908 R76775 Khan Abdul Ahad Active 07/01/2020 06/30/2021 1908 R76776 Khan Maryam Idrees Active 06/25/2020 06/24/2021 1908 R78522 Khan Mohammad Ahmad Active 07/01/2021 06/30/2022 1908 R78215 Kitchell Eleanor F Active 06/22/2020 06/21/2021 1908 R78344 Kohn Samantha O Active 06/23/2020 06/22/2021 1908 R77613 Kumar Sabhya Active 07/01/2020 06/30/2021 1908 R78345 Kumra Rma Active 06/23/2020 06/22/2021 1908 R76857 Labruzzo Krista Regina Active 07/01/2020 06/30/2021 1908 R78262 Lafarga Derek Grady Active 06/23/2020 06/22/2021 1908 R76777 Lambert Genevieve Active 07/01/2020 06/30/2021 1908 R76700 Lao-Wilson Ronna Raye Te Active 07/01/2020 06/30/2021 1908 R76858 Lee Anne Merriman Active 06/23/2020 06/22/2021 1908 R77614 Leon-Risemberg Valeria Active 06/24/2020 06/23/2021 1908 R78263 Lewien Pierce M Active 06/23/2020 06/22/2021 1908 R78508 Lewis Brian Gerald Active 07/01/2021 06/30/2022 1908 R78264 Lin Carrie Active 06/23/2020 06/22/2021 1908 R78762 Locher Ione L Active 06/21/2021 06/20/2022 1908 R76778 Loi Ee-lynn Active 07/01/2020 06/30/2021 1908 R78265 Lopez Nancy Active 06/22/2020 06/21/2021 1908 R76329 Magee Maxwell Raleigh Active 06/23/2020 06/22/2021 1908 R75803 Maher Robert Lawrence Active 06/21/2020 06/20/2021
Page Number 48 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
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University of Arizona College of Medicine-Phoenix 1908 R76330 Makarova Natasha Active 06/23/2020 06/22/2021 1908 R76859 Malik Kashif Munir Active 06/25/2020 06/24/2021 1908 R78301 Maradana Sandhya Active 07/01/2020 06/30/2021 1908 R76331 Marquez Francisco J Active 07/01/2021 06/30/2022 1908 R78266 Martin Cayman Jonna Active 06/23/2020 06/22/2021 1908 R76379 Martin John Robert Active 06/23/2020 06/22/2021 1908 R76779 Martin Maria Christine Active 07/01/2020 06/30/2021 1908 R76703 Martinez Melissa Ashley Ma... Active 07/01/2020 06/30/2021 1908 R78267 McCann Lelan Dao Active 06/23/2020 06/22/2021 1908 R77615 McDonald Donnell Bernard Active 06/23/2020 06/22/2021 1908 R76780 McFarlane Robin Laurie Active 07/01/2020 06/30/2021 1908 R78763 McMinn Jessi R Active 06/21/2021 06/20/2022 1908 R75107 Mehrotra Anchit Pratap Active 06/19/2020 06/18/2021 1908 R76781 Mesa Amanda Toshiko McAlis. Active 06/25/2020 06/24/2021 1908 R78493 Meyer Bria R Active 04/01/2021 05/31/2021 1908 R77600 Modi Meet Sanjay Active 07/01/2020 06/30/2021 1908 R76860 Molina Cris Jacob Reyes Active 06/23/2020 06/22/2021 1908 R78269 Morley Carson Vince Active 06/23/2020 06/22/2021 1908 R78270 Morrison Zachary Tyler Active 06/23/2020 06/22/2021 1908 R78505 Mosleh Wassim Active 07/01/2021 06/30/2022 1908 R77674 Mudiyam Chethan Ram Active 06/23/2020 06/22/2021 1908 R76863 Munley Daniel Joshua Active 07/01/2020 06/30/2021 1908 R76400 Murray Akanksha Saxena Active 06/23/2020 06/22/2021 1908 R77705 Murtaza Malik Duraiz Active 07/01/2020 06/30/2021 1908 R77015 Naclerio Emily Hope Active 06/23/2020 06/22/2021 1908 R76865 Nayyar Ankur Active 07/01/2020 06/30/2021 1908 R78506 Neal James E Active 08/01/2021 07/31/2022 1908 R77589 Newman Naomi Catton Active 07/01/2020 06/30/2021 1908 R78271 Nguyen George Van Active 06/23/2020 06/22/2021 1908 R77016 Nguyen Michelle Kimberly Active 06/23/2020 06/22/2021 1908 R76334 Norton Taylor Jeffery Active 06/23/2020 06/22/2021 1908 R77621 Norton Taylor Wilson Active 06/24/2020 06/23/2021 1908 R77616 Ochoa Andrew Joseph Active 07/01/2020 06/30/2021
Page Number 49 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
University of Arizona College of Medicine-Phoenix 1908 R76866 Omer Anam Active 07/01/2020 06/30/2021 1908 R78272 Omid Shaida Banoo Active 06/23/2020 06/22/2021 1908 R77601 Ortiz Alexander Charles Active 07/01/2020 06/30/2021 1908 R76335 Ouyang Yafei Active 06/19/2020 06/18/2021 1908 R78302 Panday Deepika Active 07/01/2020 06/30/2021 1908 R78273 Pandya Arati Babaria Active 06/23/2020 06/22/2021 1908 R77590 Pandya Shaunak Kirankumar Active 07/01/2020 06/30/2021 1908 R75112 Parina Ralitza Petrova Active 06/22/2020 06/21/2021 1908 R77701 Park Janice Haesun Active 06/23/2020 06/22/2021 1908 R77591 Patel Divya Vikram Active 07/01/2020 06/30/2021 1908 R76867 Patel Falak Jayesh Active 06/25/2020 06/24/2021 1908 R78274 Patel Kreena Karishma Active 06/23/2020 06/22/2021 1908 R77032 Patel Midhat Active 06/23/2020 06/22/2021 1908 R77592 Patel Sumit J Active 07/01/2020 06/30/2021 1908 R75113 Petersen Eric Hoang Active 06/07/2020 06/06/2021 1908 R78275 Peterson Juliana Elizabeth... Active 06/23/2020 06/22/2021 1908 R78277 Phan Michael Van Active 06/23/2020 06/22/2021 1908 R77017 Picone Amy Catherine Active 07/01/2020 06/30/2021 1908 R77617 Pierce Clayton Timothy Active 07/01/2020 06/30/2021 1908 R78310 Polito Andrea Active 06/23/2020 06/22/2021 1908 R78278 Pousti Sara Active 06/23/2020 06/22/2021 1908 R77018 Pradhan Faruq Active 07/01/2020 06/30/2021 1908 R78410 Puri Aishwarya Active 06/23/2020 06/22/2021 1908 R78279 Ralston-Ripple Bridget Nic... Active 06/23/2020 06/22/2021 1908 R78507 Rehman Hasan Active 07/01/2021 06/30/2022 1908 R75117 Reichert William Byron Active 07/01/2020 06/30/2021 1908 R78521 Rihawi Anas Active 07/01/2021 06/30/2022 1908 R76414 Roache William Kennedy Active 06/23/2020 06/22/2021 1908 R76868 Robaina Jr Jose Antonio Active 06/23/2020 06/22/2021 1908 R78280 Rodriguez Janelle Atalie Active 06/22/2020 06/21/2021 1908 R77618 Romo Ryan Elisabeth Active 07/01/2020 06/30/2021 1908 R76869 Rosenthal Meredith Kay Active 07/01/2020 06/30/2021 1908 R77688 Rowland Elizabeth Anne Active 07/01/2020 06/30/2021
Page Number 50 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
University of Arizona College of Medicine-Phoenix 1908 R77593 Ruiz Gabriel Stephen Active 07/01/2020 06/30/2021 1908 R77622 Rupp Kelsey Elizabeth Active 06/24/2020 06/23/2021 1908 R75212 Saeed Zahid Mohammad Active 07/01/2020 06/30/2021 1908 R78281 Sainz Katelyn Marie Active 06/22/2020 06/21/2021 1908 R77623 Saitta Timothy Joseph Active 07/01/2020 06/30/2021 1908 R78518 Saleem Marwa Active 07/01/2021 06/30/2022 1908 R78282 Sandoval-menendez Amber M Active 06/22/2020 06/21/2021 1908 R77624 Saunders Patrick Edward Active 06/23/2020 06/22/2021 1908 R76338 Savilo Christine Elaine Active 06/23/2020 06/22/2021 1908 R77594 Schriber Aleksandra Elizab... Active 07/01/2020 06/30/2021 1908 R77020 Shah Neet Ashok Active 07/01/2020 06/30/2021 1908 R78519 Shah Tanvi Active 07/01/2021 06/30/2022 1908 R77625 Shain Kara Davita Active 06/23/2020 06/22/2021 1908 R77689 Shekar Chandana Chandra Active 07/01/2020 06/30/2021 1908 R76704 Sherer Jeremy David Active 07/01/2020 06/30/2021 1908 R77610 Sherman Jayme Lyn Active 07/01/2020 06/30/2021 1908 R76870 Shirey Lora Anna Active 06/25/2020 06/24/2021 1908 R78303 Singh Harneet Active 07/01/2020 06/30/2021 1908 R78305 Singh Herman Kaur Active 07/01/2020 06/30/2021 1908 R77840 Sisterna Nuria Active 07/01/2020 06/30/2021 1908 R77731 Sivakumar Angiela Active 07/01/2020 06/30/2021 1908 R78520 Sleiman Elsa Active 07/01/2021 06/30/2022 1908 R77626 Smith Gabriella Lynne Active 06/23/2020 06/22/2021 1908 R77627 Smith Melanie Renee Active 06/23/2020 06/22/2021 1908 R77602 Smith Trevor Wayne Active 07/01/2020 06/30/2021 1908 R76873 Sobhanian Nura Sarah Active 06/23/2020 06/22/2021 1908 R78304 Soliman Mohanad Active 07/01/2020 06/30/2021 1908 R76075 Speirs Shane Ryan Active 07/01/2020 06/30/2021 1908 R77035 Spencer Nicole Marie Pothe... Active 06/23/2020 06/22/2021 1908 R77054 Sridhar Meenakshi Active 07/01/2020 06/30/2021 1908 R77021 Stockdale Graham Gruber Active 07/01/2020 06/30/2021 1908 R77022 Stoll John Connor Active 07/01/2020 06/30/2021 1908 R77023 Subei Obada Active 07/01/2020 06/30/2021
Page Number 51 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
University of Arizona College of Medicine-Phoenix 1908 R76339 Subramaniam Venkat Narayan Active 07/01/2020 06/30/2021 1908 R77635 Suchartlikitwong Sakolwan Active 07/01/2020 06/30/2021 1908 R77628 Svec Claire Jordan Active 07/01/2020 06/30/2021 1908 R78283 Sweet Serenity Graceann Active 06/23/2020 06/22/2021 1908 R77024 Taase Alicia Moana Active 06/25/2020 06/24/2021 1908 R76471 Tabarsi Hooman Active 07/01/2020 06/30/2021 1908 R78284 Talukder Nawar Ferdous Active 06/23/2020 06/22/2021 1908 R77638 Tandon Aysha Agarwal Active 07/01/2020 06/30/2021 1908 R78285 Tatem Alexia Rae Active 06/23/2020 06/22/2021 1908 R75838 Thornley Caitlin Jayne Active 06/21/2020 06/20/2021 1908 R78268 Torrez Kimberly Active 06/23/2020 06/22/2021 1908 R77630 Tran Tram Active 06/23/2020 06/22/2021 1908 R77704 Tripathi Byomesh Kumar Active 07/01/2020 06/30/2021 1908 R77026 Tufano Stephanie Yvette Active 06/23/2020 06/22/2021 1908 R77027 Vaicius Alexey Victor Active 06/25/2020 06/24/2021 1908 R77595 Venkat Divya Active 07/01/2020 06/30/2021 1908 R78286 Vonasek Morgan Tylor Active 06/22/2020 06/21/2021 1908 R78357 Vorakunthada Yuttiwat Active 07/01/2020 06/30/2021 1908 R78287 Vukomanovic Damir Active 06/23/2020 06/22/2021 1908 R78764 Wainwright Jennifer Active 06/21/2021 06/20/2022 1908 R75821 Walker Robert Stephen Active 06/22/2020 06/21/2021 1908 R78358 Warpinski George Patrick Active 07/01/2020 06/30/2021 1908 R78288 Weigel Rachel A Active 06/23/2020 06/22/2021 1908 R77043 Welsh Ian Jayson Active 07/01/2020 06/30/2021 1908 R77631 Weston Alexandra Jean Active 06/24/2020 06/23/2021 1908 R76384 Wheelock Brittany Nicolle Active 06/19/2020 06/18/2021 1908 R77028 White Anthony Michael Active 06/23/2020 06/22/2021 1908 R78289 White Bernadette Noelle Active 06/22/2020 06/21/2021 1908 R77597 Wilson Zachary Terrence Active 07/01/2020 06/30/2021 1908 R77729 Womack Ashley Megan Active 07/01/2020 06/30/2021 1908 R78290 Worhacz Kellen Michael Active 06/23/2020 06/22/2021 1908 R78291 Xa Collin Active 06/23/2020 06/22/2021 1908 R78292 Xie Daniel Yuzhe Active 06/23/2020 06/22/2021
Page Number 52 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
University of Arizona College of Medicine-Phoenix 1908 R78380 Yenigalla Sowjanya Active 07/01/2020 06/30/2021 1908 R77031 Yu Daniel Kyongsoo Active 07/01/2020 06/30/2021 1908 R77675 Zeng Katie Wu Active 06/23/2020 06/22/2021 1908 R77633 Zhou Michael Active 06/24/2020 06/23/2021 WBAMC/Chandler Regional Medical Center 1908 R76476 Climaco Kevin Jude Matthe... Active 12/01/2020 11/30/2021 1908 R78417 Cooley Jennifer L Active 11/18/2020 11/17/2021 1908 R77119 Davis Elizabeth M Active 09/01/2020 08/31/2021 1908 R77141 Ellis Oriana Venniese Active 11/01/2020 10/31/2021 1908 R78418 Glahn Bethanny R Active 12/01/2020 11/30/2021 1908 R75397 Halgas Barret James Active 10/01/2020 06/30/2021 1908 R76415 McKinnon Chelsey Anne Active 04/01/2021 03/31/2022 1908 R78419 Patrick Danielle M. Active 01/13/2021 01/12/2022 1908 R75892 Reitz Cara Leigh Active 06/01/2020 05/31/2021 1908 R75891 Schultz Susan Phebe Active 06/01/2021 05/31/2022 Yuma Regional Medical Center 1908 R77908 Amurao Kristianne Marie Active 07/01/2020 06/30/2021 1908 R76804 Ayvazian Arthur Mark Active 07/01/2020 06/30/2021 1908 R77909 Bacon Marjorie Dina Active 07/01/2020 06/30/2021 1908 R77926 Barnwell Lee Thomas Active 07/01/2020 06/30/2021 1908 R77556 Bishop Matthew Active 07/01/2020 06/30/2021 1908 R77910 Clark Stephanie Donoso Active 07/01/2020 06/30/2021 1908 R78065 Guobadia Osa Active 07/01/2020 06/30/2021 1908 R76805 Kozinski Richard Patrick Active 07/01/2020 06/30/2021 1908 R76806 Lizarraga Kelley Lynn Active 07/01/2020 06/30/2021 1908 R77942 Mancilla Carlos A Jr Active 07/01/2020 06/30/2021 1908 R78406 McCullagh Michael Active 07/01/2020 06/30/2021 1908 R76807 Mottl Steffano Active 07/01/2020 06/30/2021 1908 R78064 Naqvi Nafisah Active 07/01/2020 06/30/2021 1908 R76808 Ng Kelvin K Active 07/01/2020 06/30/2021 1908 R76809 Novitskie Lauren Ashley Active 07/01/2020 06/30/2021 1908 R76811 Placik Daniel Alexander Active 07/01/2020 06/30/2021 1908 R77557 Sanderson-dissanayake Tama. Active 07/01/2020 06/30/2021 1908 R77709 Satija Palak Active 07/01/2020 06/30/2021 1908 R77911 Sharif Surur Nader Active 07/01/2020 06/30/2021
Page Number 53 of 54 Arizona Medical Board Resident List Revised: 05/07/2021
Facility Lictype License Num Licensee Status Start Date End Date
Yuma Regional Medical Center 1908 R77558 Shumway Aaron Active 07/01/2020 06/30/2021 1908 R77928 Tawadrous Mina Magdy Active 07/01/2020 06/30/2021 1908 R77559 Taylor Wesley Luke Active 07/01/2020 06/30/2021 1908 R76185 Tellez Alfonso II Active 07/01/2020 06/30/2021 1908 R77732 Wiefelspuett Silas Active 07/01/2020 06/30/2021
Page Number 54 of 54 Revised: 05/07/2021