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This data was extracted on 9/30/2025.

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License NumberC0002668 Irwin F. Pink
License TypePhysician Assistant
License StatusActive  
License Issued10/17/2002  License Expiration:  06/30/2027
Licensure Pathway:  Traditional   
Special License Category:  N/A
 Medical Assistance

Accept Medicaid? Yes

Maryland Hospital Privilege Information (as reported by licensee)

Umd Baltimore Washington Medical Center
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

Agreement ID: 4253 |  Submit Date: 05/13/2025
Practice Setting: Urgent Care-Patient First
Facility: Patient First: UC in Owings Mills
Address: 10210 Reisterstown Road
           Owings Mills, MD 21117
Advanced Duties: No | Prescriptive Authority: Yes | Dispensing Authority: Yes    (Under Dr. Melissa Denham Gage)
View Collaboration Agreement
Active Supervisee - Delegation Agreement For Core Duties

D0069981  Alisa Mae Larbalestrier   Status: Approved  |  Approved Date:  12/20/2017  | Agreement No: 16520
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
Download all Maryland Disciplinary Actions (not time-limited)

All Orders are downloaded in .pdf format.
None.
 Summary of Known Disciplinary Actions by any state medical board (within the past 10 years)   Please Read Description

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.
 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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