Maryland Board of Physicians Practitioner Profile System
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This data was extracted on 11/18/2017
Burgess, Lisa Ann
License and Education
License No.: D46625 
Special License Category  
Accepts Medicaid: No 
Maintains Malpractice Ins: data not available 
Graduated: 1989 
License Status: Active 
Date License Issued: 10/01/1994 
License Expiration: 09/30/2018 
  Primary Practice Setting
STATE OF MARYLAND 
201 W@. PRESTON STREET 
 
BALTIMORE 
MD  21201
  Public Address
201 West Preston St. 
Office of Medicaid CMO 
 
Baltimore 
MD  21201
        Graduated from: UNIV OF KY COLL OF MED
Postgraduate Training Program Concentration
Medical College of Virginia, Richmond, VA Psychiatry and Neurology, Psychiatry
University of Kentucky Medical Center, Lexington, KY Psychiatry and Neurology, Psychiatry
Johns Hopkins University School of Medicine, Baltimore, MD Psychiatry and Neurology, Child and Adolescent Psychiatry
Specialty Board Certification
by ABMS/AOA - as reported by licensee
Psychiatry and Neurology, Psychiatry
Psychiatry and Neurology, Child and Adolescent Psychiatry
Self-Designated Practice Area
Psychiatry and Neurology, Psychiatry
Psychiatry and Neurology, Child and Adolescent Psychiatry
Maryland Hospital Privilege Information- as reported by licensee
Licensee has not reported privilege information for the profile site pursuant to HO 14-413.
Medical Licenses Held in Other States- as reported by licensee
Licensee has not reported this information for the profile site.
Active Supervisee - Delegation Agreement For Core Duties- as reported by licensee
 
 
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
None
Pending Charges
None
Malpractice   (Information to be taken into consideration when reviewing a Licensee's profile)
      Malpractice Judgments and Arbitration Awards (within the past 10 years)
None Reported

      Malpractice Settlements
      (If there are 3 or more settlements of $150,000 or greater within the past 5 years)
None Reported
Convictions for any crime involving moral turpitude
None reported by the courts

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