$re = '/^([^\W_]+)(?:_[^\W_]+)*_([^\W_])[^\W_]*$/m';
$str = 'Thomas_J_Perkins
Jennifer_Scanner
Amanda_K_Loso
Aaron_Cole
Mark_L_Lamb';
$subst = "\1_\2";
$result = preg_replace($re, $subst, $str);
echo "The result of the substitution is ".$result;
Please keep in mind that these code samples are automatically generated and are not guaranteed to work. If you find any syntax errors, feel free to submit a bug report. For a full regex reference for PHP, please visit: http://php.net/manual/en/ref.pcre.php