Maryland Board of Physicians
Practitioner Profile Portal
This data was extracted on
9/30/2025
.
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License Number
:
C0003544
Vipaporn Millard
License Type
:
Physician Assistant
License Status
:
Active
License Issued
:
07/03/2007
License Expiration:
06/30/2027
Licensure Pathway:
Traditional
Special License Category:
N/A
Education
N/A
Medical Assistance
Accept Medicaid?
Yes
Maryland Hospital Privilege Information
(as reported by licensee)
Adventist Healthcare Shady Grove Medical Center
Holy Cross Hospital
Holy Cross Germantown Hospital
Medical Licenses Held in Other States
(as reported by licensee)
New Jersey
Virginia
Physician Assistant Notification of Collaboration Agreements
Agreement ID: 3581 | Submit Date: 01/23/2025
Practice Setting: Hospital
Facility: Adventist Healthcare Shady Grove Medical Center
Address: 9901 Medical Center Drive
Rockville, MD 20850
Advanced Duties: No | Prescriptive Authority: Yes | Dispensing Authority: No
View Collaboration Agreement
Active Supervisee - Delegation Agreement For Core Duties
D0038061
Louis Anthony Damiano Status: Approved |
Approved Date:
12/20/2017 | Agreement No: 17001
Prescribe CDS: Yes | Non-CDS: Yes | Medical Devices: Yes
Dispense CDS: No | Dispense NCDS: No
D0035004
Judith Anne Gurdian Status: Approved |
Approved Date:
02/27/2019 | Agreement No: 18460
Prescribe CDS: Yes | Non-CDS: Yes | Medical Devices: Yes
Dispense CDS: No | Dispense NCDS: No
D0064222
Joshua Jeremy Felsher Status: Approved |
Approved Date:
02/22/2024 | Agreement No: 33627
Prescribe CDS: Yes | Non-CDS: Yes | Medical Devices: Yes
Dispense CDS: No | Dispense NCDS: No
D0070014
Janis Lynn Green Status: Approved |
Approved Date:
06/07/2024 | Agreement No: 34213
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.
Convictions for any crime involving moral turpitude
None reported by the courts.
Appendix
General Disclaimer
Glossary of Terms
Notice to Credential Verification Professionals