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This data was extracted on 9/30/2025.

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License Number: C0004762 Chukwuka Henry Bosah
License Type: Physician Assistant
License Status: Active  
License Issued: 05/22/2012  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
Collaboration Agreements have not been reported for the profile site.
Active Supervisee - Delegation Agreement For Core Duties
D0076832  Timothy Ryan Carle   Status: Approved  |  Approved Date:  01/29/2020  | Agreement No: 19828
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
D0018398  Raj M Manickam   Status: Approved  |  Approved Date:  08/19/2021  | Agreement No: 22552
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
D0070514  Reginald McKenzie Brown   Status: Approved  |  Approved Date:  06/08/2023  | Agreement No: 32502
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
H0048219  Norman Michael Balog   Status: Approved  |  Approved Date:  09/26/2023  | Agreement No: 32854
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: Yes  | Dispense NCDS: No
D0083018  Louis Anthony Piper Sr   Status: Approved  |  Approved Date:  07/26/2024  | Agreement No: 34649
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.
 Convictions for any crime involving moral turpitude
None reported by the courts.
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