License Number: A0000638 Tiffany Patrice Perry
License Type: Athletic Trainer
License Status: Active    
License Issued: 07/25/2014  License Expiration: 9/30/2025

Licensure Pathway:  Traditional
Special License Category:  N/A
Primary Practice Setting
MCPS
850 Hungerford Drive
Room 174
Rockville , MD 20850
Public Address
No Public Address Available
 Medical Assistance

Accept Medicaid? No

 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.


 Active Supervisee - Evaluation and Treatment Protocol

D0067371  Carter Wallace Mitchell   Status: Approved | Approved Date: 07/29/2014 | Agreement No: 750
D0073464  Daniel Mark Hampton   Status: Approved | Approved Date: 10/20/2017 | Agreement No: 1347
D0057027  Kenneth Michael Fine   Status: Approved | Approved Date: 03/22/2019 | Agreement No: 1611
D0060753  Wiemi Abell Douoguih   Status: Approved | Approved Date: 08/04/2023 | Agreement No: 3280
 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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