Maryland Board of Physicians Practitioner Profile System
This data was extracted on 10/21/2017
License and Education
License No.: L00294 
License Category: Respiratory Care Practitioners 
License Status: Expired 
Date License Issued: 04/15/1992 
License Expiration: 05/30/2002 
  Primary Practice Setting
  Public Address
Known Disciplinary Actions by any state medical board (within the past 10 years)
Summary: No actions reported during the last ten year period.
Download all Maryland Disciplinary Actions
Pending Charges
Primary Supervising Physician - Delegation Agreement For Core Duties- as reported by licensee

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