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Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Encounter Date: 07/09/2019 12:35
Sex: M
Race: WHITE
Reg #: 76318-054
Provider: (b)(6); (b)(7)(C) MLP
Facility: NYM
Unit: H01
Immunizations:
Hepatitis A and B (TwinRx) Series Administration: History Unknown, Not Administered
Documented Date: 07/09/2019 12:51 EST
Immunization Date:
Provider: (b)(6); (b)(7)(C) MLP
Location:
Drug Mfg:
Lot Number:
Dosage:
Route:
Exp Dt:
Comments:
Measles/Mumps/Rubella Series Administration: History Unknown, Not Administered
Documented Date: 07/09/2019 12:51 EST
Immunization Date:
Provider: (b)(6); (b)(7)(C) MLP
Location:
Drug Mfg:
Lot Number:
Dosage:
Route:
Exp Dt:
Comments:
Smallpox Series Administration: History Unknown, Not Administered
Documented Date: 07/09/2019 12:51 EST
Immunization Date:
Provider: (b)(6); (b)(7)(C) MLP
Location:
Drug Mfg:
Lot Number:
Dosage:
Route:
Exp Dt:
Comments:
Tetanus Administration: History Unknown, Not Administered
Documented Date: 07/09/2019 12:51 EST
Generated 07/09/2019 13:03 by (b)(6); (b)(7)(C) MLP Bureau of Prisons - NYM
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