License NumberC0008843 Rex David Stanley
License TypePhysician Assistant
License StatusActive    
License Issued03/09/2023  License Expiration:  06/30/2027

Licensure Pathway:   Traditional
Special License Category:   N/A
Public Address
5401 Old Court Rd
Randallstown , MD 21133
US
 Medical Assistance

Accept Medicaid? Yes

 Maryland Hospital Privilege Information (as reported by licensee)

Northwest Hospital-LifeBridge Health
 Medical Licenses Held in Other States (as reported by licensee)

Licensee has not reported Medical Licenses Held in Other States information for the profile site.
 Physician Assistant Notification of Collaboration Agreements

Collaboration Agreements have not been reported for the profile site.
 Active Supervisee - Delegation Agreement For Core Duties

D0099490  Joseph Jon Bennett   Status: Approved |  Approved Date: 07/25/2024 | Agreement No: 34605
Prescribe CDS: Yes | Non-CDS: Yes | Medical Devices: Yes
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.

Maryland Board of Physicians 4201 Patterson Avenue Baltimore, MD 21215
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