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This data was extracted on 9/30/2025.

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License NumberC0004240 Lincoln Keron Dover
License TypePhysician Assistant
License StatusActive  
License Issued05/27/2010  License Expiration:  06/30/2027
Licensure Pathway:  Traditional   
Special License Category:  N/A
 Medical Assistance

Accept Medicaid? N/A

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)

Virginia
 Physician Assistant Notification of Collaboration Agreements

Agreement ID: 5978 |  Submit Date: 07/29/2025
Practice Setting: Urgent Care
Facility: ExpressCare Urgent Care Center Forest Hill
Address: 2006 Rock Spring Road
           Forest Hill, MD 21050
Advanced Duties: No | Prescriptive Authority: Yes | Dispensing Authority: Yes    (Under Dr. Sitta Baby Gombeh-Alie)
View Collaboration Agreement
Active Supervisee - Delegation Agreement For Core Duties

D0070459  Olubayo Oludara-Fadare   Status: Approved  |  Approved Date:  07/29/2015  | Agreement No: 13882
Prescribe CDS: No  | Non-CDS: Yes  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
D0053745  Jamal Fadul   Status: Approved  |  Approved Date:  02/10/2016  | Agreement No: 14441
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.
 Order#: 04212016  dated 04/21/2016
 Order#: 01122016  dated 01/12/2016
 Summary of Known Disciplinary Actions by any state medical board (within the past 10 years)   Please Read Description

In Maryland:
Date of Action: 04/21/2016State: MD
Summary:
Fine Satisfied. Reprimand remains in effect. The practitioner satisfied the terms and conditions imposed under the Consent Order dated January 12, 2016.
Date of Action: 01/12/2016State: MD
Summary:
Reprimand. Monetary fine of $2,500.00; payable within six (6) months. The physician assistant is guilty of unprofessional conduct in the practice of medicine, practiced medicine without a license.
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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