The profile will include the following information:
- License Number
- Name of Licensee
- License Type
- License Status (Active, Emeritus, Inactive, Expired, Probation, Suspension, Surrendered, Revoked, or Deceased)
- License Issue Date
- License Expiration Date
- Licensure Pathway
- Special License Category *
- Primary Practice Setting/Public Address
- Educational Information of Licensee (Name(s) of any medical schools the licensee attended and graduated) *
- Medical Assistance and Malpractice Insurance (yes or no) *
- Postgraduate Training Program/Area of Concentration *
- Specialty Board Certification (Self-reported by licensee) *
- Self-Designated Practice Area (Self-reported by licensee) *
- Maryland Hospital Privilege Information (may self-report) *
- Medical Licenses Held in Other States *
- Collaboration Agreements - for physician assistants *
- Collaboration and Consultation Agreements - for naturopathic doctors *
- Active Supervisor - Evaluation and Treatment Protocol for Athletic Trainers *
- Supervised Genetic Counselor - Active Supervisor *
- Maryland Disciplinary Actions (not time-limited)
- Summary of Known Disciplinary Actions by any State Medical Board (within the past 10 years)
- Pending Charges with a Disclaimer
- Consent Orders/Final Orders
- Other Public Actions in the Practice of the Profession or Administrative Fine (including Maryland)
- Malpractice Judgments and Arbitration Awards (within the past 10 years) *
- Summary of a Conviction of or Entry of a Plea of Guilty or Nolo Contendere by the Licensee for a Crime involving Moral Turpitude reported to the Board by the Court *
* Note: Items with an * are not available for Allied Health Practitioners