License NumberC0003070 De'Quincey Stewart
License TypePhysician Assistant
License StatusActive    
License Issued03/14/2008  License Expiration06/30/2025

Licensure Pathway:   Traditional
Special License Category:   N/A
Primary Practice Setting
Velocity Clinical Research
1201 Seven Locks Rd
St 214
Rockville, MD 20854
Public Address
.

US
 Medical Assistance

Accept Medicaid? No

 Maryland Hospital Privilege Information (as reported by licensee)

Licensee has not reported Maryland Hospital Privilege information for the profile site.
 Medical Licenses Held in Other States (as reported by licensee)

District of Columbia
Virginia


 Active Supervisee - Delegation Agreement For Core Duties

D0055119  Thomas Genuit   Status: Approved |  Approved Date: 01/26/2011 | Agreement No: 9185
Prescribe CDS: Yes | Non-CDS: Yes | Medical Devices: Yes
Dispense CDS: No | Dispense NCDS: No
D0024512  Alan Steven Davis   Status: Approved |  Approved Date: 09/25/2013 | Agreement No: 11622
Prescribe CDS: Yes | Non-CDS: Yes | Medical Devices: Yes
Dispense CDS: No | Dispense NCDS: No
D0072906  Mark Richard Katlic   Status: Approved |  Approved Date: 07/29/2015 | Agreement No: 13771
Prescribe CDS: Yes | Non-CDS: Yes | Medical Devices: Yes
Dispense CDS: No | Dispense NCDS: No
D0082113  William Wallace Ashley Jr   Status: Approved |  Approved Date: 04/26/2017 | Agreement No: 15912
Prescribe CDS: Yes | Non-CDS: Yes | Medical Devices: Yes
Dispense CDS: No | Dispense NCDS: No
D0051874  Adrian Javier Goldszmidt   Status: Approved |  Approved Date: 12/12/2017 | Agreement No: 17120
Prescribe CDS: Yes | Non-CDS: Yes | Medical Devices: Yes
Dispense CDS: No | Dispense NCDS: No
D0071045  Jonathan Sidney Thierman   Status: Approved |  Approved Date: 05/17/2022 | Agreement No: 30750
Prescribe CDS: No | Non-CDS: No | Medical Devices: No
Dispense CDS: No | Dispense NCDS: No
D0067285  Natalya Danilyants   Status: Approved |  Approved Date: 07/19/2022 | Agreement No: 30945
Prescribe CDS: Yes | Non-CDS: No | Medical Devices: No
Dispense CDS: No | Dispense NCDS: No
D0061630  Shishir Kumar Khetan   Status: Approved |  Approved Date: 05/16/2023 | Agreement No: 32425
Prescribe CDS: No | Non-CDS: No | Medical Devices: No
Dispense CDS: No | Dispense NCDS: No
 Known Disciplinary Actions by any state medical board (within the past 10 years)

In Maryland:

No Known Disciplinary Actions by the Maryland Board of Physicians have been reported.

Other States:

No Known Disciplinary Actions by any other state medical board have been reported.
 Download all Maryland Disciplinary Actions

All Orders are downloaded in .pdf format.
None.
 Pending Charges  Please Read Disclaimer

All Charges are downloaded in .pdf format.
None.
 Other Public Actions in the Practice of the Profession or Administrative Fines (including Maryland)  Please Read Description

No reported Other Public Actions in the Practice of the Profession or Administrative Fines (incl. Maryland) for this licensee.

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