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Glossary of WCB Terms

License Surrender
(Inactivated and/or Expired Medical License/Registration)

Authorized Health Care Providers - License Surrender
NAME AUTHORIZATION NUMBER EFFECTIVE DATE
Lee, Sukoo 111387-7W 3/31/01
Leather, Samuel G. 202325-7W 9/01/03
Tulier-Pastewski, Waleska 197311-4W 11/4/03
Berkowitz, Howard M 124679-2W 9/11/04
Conti, Anthony N. 167918-2W 9/30/04
Banchs, Richard Jorge 196091-3W 1/1/08
Garcia, Rafael 098458-3W 2/6/08
Gerstenzang, Martin 100922-4W 4/25/08
Rice, Roselyn 209244-3B 7/14/08
Henriquez, Carlos L. 095347-1W 7/18/08
Hyppolite, Fritz 133283-2W 10/7/08
Edmondson, James C. 185580-8W 11/13/08
Baskoff, Joel D. 147453-5W 1/1/09
Pellin, Juan Carlos 119604-7W 1/5/09
Waheed, Abdul 132931-7W 1/20/09
Minkoff, Arthur M. P03104-8W 2/18/09
Black, Harry R. 119574-2W 3/12/09
Deperio, Jose 103168-1W 5/6/09
Dobson, Chauncey H. 080947-5B 6/23/09
Medina, Walter Andrew Sr. 206169-5W 6/30/09
Schoenwald, Robert C. 158409-3W 7/1/09
Biberman, Leonard 110565-9W 7/6/09
Klindt, Joyce A. 135440-6W 7/14/09
Kaufman, Orin S. 131288-3W 7/15/09
Durell, Robert 082448-2W 7/29/09
Park, Jae Ook 130080-5B 7/31/09 ***
Jakubiak, Jerome V. 090341-9W 8/24/09
Hopper, Kenneth 096365-2W 9/1/09
Delaleu, Serge 123061-4W 9/16/09
Serviss, Allan Roger 204464-2B 10/20/09
Graber, Edward J. 086970-1W 10/30/09
Romero, Angel M. 136478-5W 10/30/09
King, Christopher C09461-7W 11/02/09
Choi, Jae Hong 115586-0W 11/25/09 *
Horowitz, Michael J. C07885-9W 11/30/09 **
Lash, James 079482-6W 12/4/09
Feldmar, Gabriel G. S08381-6W 12/23/09
Covey, Alan H. 081919-3B 12/29/09
Detorres, III, William J. 187115-1W 1/7/10
Beasley, Joseph Diehl 144938-8W 2/1/10
Charno, Steven Howard 116271-8W 2/1/10
Azeb, Ashraf 196243-0W 2/18/10
O'Connell, David William 138181-3W 2/23/10
Anwar, Romilla 195639-0B 4/12/10
Akyuz, Michael P05241-6W 5/26/10
Madupu, Gangadhar 216519-9W 5/27/10

* Dr. Choi's license was also inactivated 9/21/05 - 11/21/05.

** Dr. Horowitz also had his license temporarily suspended 1/18/08- 1/17/09

*** Dr. Park's WCB authorization was removed effective 5/23/10.