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Workers' Compensation Board

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

Authorized Independent Medical Examiners - License Surrender
NAME AUTHORIZATION NUMBER EFFECTIVE DATE
Rice, Roselyn 209244-3B 7/14/08
Dobson, Chauncey H. 080947-5B 6/23/09
Serviss, Allan Roger 204464-2B 10/20/09
Covey, Alan H. 081919-3B 12/29/09
Anwar, Romilla 195639-0B 4/12/10
Park, Jae Ook 130080-5B 7/31/10 *

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