Skip to main content

Practitioner Profile Portal

This data was extracted on 3/13/2026.

Top of Page

Profile

License NumberC0004755 Leolseged Legesse-Mulushewa
License TypePhysician Assistant
License StatusActive  
License Issued05/14/2012  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)


District of Columbia
Virginia

 Physician Assistant Notification of Collaboration Agreements


Agreement ID: 8207 |  Submit Date: 02/12/2026
Practice Setting: Ambulatory Surgical Facility
Facility: South Baltimore County Medical Center Asc
Address: 1701 Twin Springs Road
           Halethorpe, MD 21227
Advanced Duties: No | Prescriptive Authority: Yes | Dispensing Authority: No   
View Collaboration Agreement

Active Supervisee - Delegation Agreement For Core Duties


D0064695  Fasil Melaku Wubu   Status: Approved  |  Approved Date:  03/20/2013  | Agreement No: 11071
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: No
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.