Sarah Brown

 .3 
 I declare under penalty of perjury that this report is true and correct to the best of my knowledge and that I have not 
 violated Labor Code 139.3. 
 Primary Treating Physician: Emily Liu, MD 
 Date of Exam: 01-27-2017
 CA License #: A24311 
 Specialty: Urgent Care 
 Address: 
 558 ABBOTT ST STE A 
 Telephone: 
 Phone: 831-Random_7_digit_number 
 SALINAS CA 93901-4378 
 Dept: 831-Random_7_digit_number 
 Dept Fax: 831-755-7886 
 Signature: Steven Schumann 
 Date: 10-28-2016 
 241 
 GB IA Recv 2021121066894
 Received 11-26-2023
