Agenda - 05-17-2005-5b1 - Laserfiche WebLink

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/~ Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Rosemary Summers, Director, Boa~•d of Health Contact Phone: 919-245-2412 1VlI. SC8VO11 R. IVIOOIO Day Phone: 919-530-6269 Sex: Male 913 Roosevelt Dr. Evening Phone: Race: Caucasian Chapel Hilt NC 27514 FAX: Township: Chapel Hill E-mail: steve_moore@uncedu Date Applied: 10/30/2003 Skills: Pharmacist Also Serves On: Skills: Public Health Also Serves On: NIr. J2ri1e5 Stef3113C11S Day Phone: 967-3299 (h) Sex: Male 7119 Crescent Ridge Drive Evening Phone: 968-1293 (w) Race: Caucasian Chapel Hill NC 27516 FAX: 968-4284 Township: Chapel Hill E-mail: jstefanadis@earthlink net Date Applied: 08/27/2004 Ski115: Pharmacist Also Serves On: Mr Gregory B. Summerville Day Phone: 240-687-3606 Sex: Male 213 East Franklin Street Unit 13 Evening Phone: 919-338-8133 Race: Caucasian Chapel Hitt NC 27514 FAX: Township: Chapel Hill E-mail: glummer@email unc edu Dale Applied: 08/19/2004 Skills: Public Health Also Serves On: Skills: Student Also Serves On: 111. AT1I6S3 Vllle5 Day Phone: 919-643-1210 Sex: Female 610 Orchard Place Evening Phone: 919-644-0924 Race: African American Hillsborough NC 27278 FAX: Township: Hillsborough E-mail: avines@email unc edu Date Applied: Ot/23/20D4 Skills: Research Professor Also Serves On: MS. Klm Walsh Day Phone: 919-765-3145 Sex: Female 3522 Bluestone Court Evening Phone: 919-732-4607 Race: Caucasian Chapel Hitt NC 27514 FAX: Township: Eno E-mail: kwalshb@earthlilnk net Date Applied: 02/06/2004 Skills: Asst St Plan Medical Director Also Serves On: Skills: Blue Cross Blue Shield Also Serves On: Skills: Health Departmenl Director Also Serves On: Skills: Medical Doctor Also Scrves On: Friday, May D6, 2005 Page 3 of 3