Physician's First Report
WorRK BC y P

IHOLAND, MARK Electronic Form 8 Submitted by Physician
Claim number

Physician Information

Payee number: 15019 Practitioner Number: 68199
Payee name: F KARA HOLDINGS LOWER LTD Practitioner Name: ADEMILUY| GBOGBOADE
ADEBO ,
Phone number: 604 5222206
ddress: 420 COLUMBIA ST
City: NEW WESTMINSTER BC
Postal code: V3L 1B1
(Country: CA
Date Received: 2026-01-30

Electronic Form & Page 2 of 2