EFTA00110343

# Bureau of Prisons
Health Services
Cosign/Review

<table border="1"><tr><td>Inmate Name:</td><td colspan="3">EPSTEIN, JEFFREY EDWARD</td><td>Reg #:</td><td>76318-054</td></tr><tr><td>Date of Birth:</td><td>01/20/1953</td><td>Sex:</td><td>M</td><td>Race:</td><td>WHITE</td></tr><tr><td>Encounter Date:</td><td>07/10/2019 16:58</td><td>Provider:</td><td>Lab Result Receive</td><td>Facility:</td><td>NYM</td></tr></table>

Bureau of Prisons - NYM