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This data was extracted on 11/5/2025.

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License Number: C0008525 Jacky Kim Chun
License Type: Physician Assistant
License Status: Active  
License Issued: 07/11/2022  License Expiration:  06/30/2027
Licensure Pathway:  Traditional   
Special License Category:  N/A
 Medical Assistance

Accept Medicaid? Yes

Maryland Hospital Privilege Information (as reported by licensee)
Suburban Hospital
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.
 Physician Assistant Notification of Collaboration Agreements
Collaboration Agreements have not been reported for the profile site.
Active Supervisee - Delegation Agreement For Core Duties
D0035162  Michael Scott Schindler   Status: Approved  |  Approved Date:  05/29/2024  | Agreement No: 34153
Prescribe CDS: No  | Non-CDS: No  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
D0091510  Jeffrey Young Kim   Status: Approved  |  Approved Date:  05/29/2024  | Agreement No: 34134
Prescribe CDS: No  | Non-CDS: No  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
H0092882  Soorya Namboodiri Aggarwal   Status: Approved  |  Approved Date:  05/30/2024  | Agreement No: 34127
Prescribe CDS: No  | Non-CDS: No  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
D0076499  Zone-En Lee   Status: Approved  |  Approved Date:  05/30/2024  | Agreement No: 34126
Prescribe CDS: No  | Non-CDS: No  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
D0081112  Olanma Yvonne Okoji   Status: Approved  |  Approved Date:  05/30/2024  | Agreement No: 34125
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
D0077877  Stephen David Humm   Status: Approved  |  Approved Date:  06/03/2024  | Agreement No: 34187
Prescribe CDS: No  | Non-CDS: No  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
D0097133  Scott Friedberg   Status: Approved  |  Approved Date:  06/03/2024  | Agreement No: 34152
Prescribe CDS: No  | Non-CDS: No  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
D0094412  Paola A Esparragoza   Status: Approved  |  Approved Date:  06/03/2024  | Agreement No: 34166
Prescribe CDS: No  | Non-CDS: No  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
D0043414  Robert Gregg Finkel   Status: Approved  |  Approved Date:  06/11/2024  | Agreement No: 34363
Prescribe CDS: No  | Non-CDS: No  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
D0066888  David Lawrence Jager   Status: Approved  |  Approved Date:  06/11/2024  | Agreement No: 34412
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
D0096297  Akriti Pradeep Saxena   Status: Approved  |  Approved Date:  06/11/2024  | Agreement No: 34402
Prescribe CDS: No  | Non-CDS: No  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
D0072288  Leigh Bornstein Lurie   Status: Approved  |  Approved Date:  06/11/2024  | Agreement No: 34344
Prescribe CDS: No  | Non-CDS: No  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
D0097338  Sneha Jayanti Patel   Status: Approved  |  Approved Date:  06/11/2024  | Agreement No: 34323
Prescribe CDS: No  | Non-CDS: Yes  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
D0062987  Roderick Burns Kreisberg   Status: Approved  |  Approved Date:  06/11/2024  | Agreement No: 34292
Prescribe CDS: No  | Non-CDS: No  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
D0083007  Brian Peter Ciampa   Status: Approved  |  Approved Date:  06/11/2024  | Agreement No: 34282
Prescribe CDS: No  | Non-CDS: No  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
D0047215  Robert Francis Musselman   Status: Approved  |  Approved Date:  06/11/2024  | Agreement No: 34214
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
D0059978  James Arthur Butler   Status: Approved  |  Approved Date:  07/02/2024  | Agreement No: 34450
Prescribe CDS: No  | Non-CDS: Yes  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
H0076875  Ann Marie Stephenson Thomas   Status: Approved  |  Approved Date:  07/02/2024  | Agreement No: 34444
Prescribe CDS: No  | Non-CDS: No  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
D0059775  Zaifi Shanavas   Status: Approved  |  Approved Date:  07/02/2024  | Agreement No: 34202
Prescribe CDS: No  | Non-CDS: No  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
D0059854  Lawrence Alan Bassin   Status: Approved  |  Approved Date:  07/10/2024  | Agreement No: 34492
Prescribe CDS: No  | Non-CDS: No  | 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.
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