Three middle initials?

Tech support provided this solution and it worked.  Thanks everyone.

"If the author names are already entered in the correct format, we can edit the output style to resolve the issue. Please follow the steps below:

  1. Open EndNote, click on Edit menu > Output styles > Open Style manager 
  2. Select the style you are using and click on Edit. 
  3. Then go to “Author Name” under “Bibliography”. 
  4. In the “Capitalization” field please select the option as “As Is” 
  5. Now click on click on File > Save As and save the style in the name you want."