Mark Fleming

00130 
 Dr Sarah Brown, M.D. 
 Board Certified Orthopaedic Surgeon 
 Qualified Medical Evaluator 
 MAILING ADDRESS 
 7982 Wilson Pines Suite 301
Brownside, MI 09617
 PANEL QUALIFIED MEDICAL EVALUATION 
 76662 Rodriguez Avenue
Whiteborough, IA 99794
 RE: 
 Wanda Mckinney 
 date of evaluation: 
 Apr 24, 2020 
 EMPLOYER: 
 Personnel Staffing Group 
 INJURY DATE: 
 Apr 08, 2015 
 CLAIM NO: 
 009193-048319-WC-01 
 FILE NO: 
 248319-0 
 60 minutes were spent in a face to face evaluation with the examinee. 
 FEE DISCLOSURE 
 ML 102-93-95: This is a Basic Qualified Medical Evaluation. 
