Maryland Board of Physicians
Physician Profile Portal
This data was extracted on
9/30/2025
.
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License Number
:
D0069981
Dr. Alisa Mae Larbalestrier
License Type
:
Physician-Medical Doctor
License Status
:
Active
License Issued
:
11/12/2009
License Expiration:
09/30/2026
Licensure Pathway:
Traditional
Special License Category:
N/A
Primary Practice Setting
BALTIMORE WASHINGTON MEDICAL CENTER
301 HOSPITAL DRIVE
BALTIMORE, MD 21061
Public Address
Baltimore Washington Medical Center
301 Hospital Drive
Glen Burnie, MD 21061
Education
UNIV OF MD SCH OF MED
Graduation Year: 2007
Medical Assistance and Malpractice Insurance
Accept Medicaid?
Yes
Maintains Malpractice Insurance?
Yes
Postgraduate Training Program
School
Concentration
University of Maryland, Baltimore, MD
Medicine, Emergency or Trauma
Specialty Board Certification
(as reported by licensee)
by
American Board of Medical Specialties (ABMS)
,
American Osteopathic Association (AOA)
,
Royal College of Physicians and Surgeons of Canada (RCPSC)
, or the
College of Family Physicians of Canada (CFPOC)
.
Emergency Medicine
Self-Designated Practice Area
(as reported by licensee)
Emergency Medicine
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.
Collaboration and Consultation Agreements for Naturopathic Doctors
Collaboration and Consultation Agreements have not been reported for the profile site.
Active Supervisor - Evaluation and Treatment Protocols for Athletic Trainers
Evaluation and Treatment protocols have not been reported for the profile site.
Supervised Genetic Counselor - Active Supervisor
Supervisor Agreements have not been reported for the profile site.
Active Supervisor - Delegation Agreement For Core Duties
C0004984
Allison Michele Butler Status: Approved |
Approved Date:
12/20/2017 | Agreement No: 16470
C0002668
Irwin F. Pink Status: Approved |
Approved Date:
12/20/2017 | Agreement No: 16520
C0007262
Danielle Faith Cox Status: Approved |
Approved Date:
09/17/2019 | Agreement No: 19462
C0006281
Jacob Gavin Siner Status: Approved |
Approved Date:
09/25/2019 | Agreement No: 19348
C0007610
Emily Elizabeth Hebel Status: Approved |
Approved Date:
08/25/2021 | Agreement No: 22623
C0007875
Samantha Corrine Souhrada Status: Approved |
Approved Date:
11/17/2021 | Agreement No: 22903
C0007317
Benjamin Justin Youngs Status: Approved |
Approved Date:
12/15/2021 | Agreement No: 23212
C0008584
Kourtney Danielle Newman Status: Approved |
Approved Date:
08/18/2022 | Agreement No: 31133
C0005671
Kelsey Brianna Suppa Status: Approved |
Approved Date:
06/27/2023 | Agreement No: 32572
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.
MALPRACTICE
(Information to be taken into consideration when reviewing a licensee's profile)
Please Read Malpractice Disclosure
Malpractice Judgments and Arbitration Awards
(within the past 10 years)
None Reported
Malpractice Settlements
(If there are 3 or more settlements of $150,000 or greater within the past 5 years)
None Reported
Convictions for any crime involving moral turpitude
None reported by the courts.
Appendix
General Disclaimer
Glossary of Terms
Notice to Credential Verification Professionals