Maryland Board of Physicians
Practitioner Profile Portal
This data was extracted on
9/30/2025
.
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License Number
:
C0003889
Ellen Kovin
License Type
:
Physician Assistant
License Status
:
Active
License Issued
:
10/02/2008
License Expiration:
06/30/2027
Licensure Pathway:
Traditional
Special License Category:
N/A
Education
N/A
Medical Assistance
Accept Medicaid?
No
Maryland Hospital Privilege Information
(as reported by licensee)
Suburban Hospital
Medical Licenses Held in Other States
(as reported by licensee)
District of Columbia
Physician Assistant Notification of Collaboration Agreements
Collaboration Agreements have not been reported for the profile site.
Active Supervisee - Delegation Agreement For Core Duties
D0076117
Stephanie Dabulis Status: Approved |
Approved Date:
12/29/2020 | Agreement No: 21393
Prescribe CDS: Yes | Non-CDS: Yes | Medical Devices: Yes
Dispense CDS: No | Dispense NCDS: No
D0073512
Mark Adam Goldstein Status: Approved |
Approved Date:
10/22/2021 | Agreement No: 22929
Prescribe CDS: Yes | Non-CDS: Yes | Medical Devices: Yes
Dispense CDS: No | Dispense NCDS: No
D0065471
Lina Chang Hong Status: Approved |
Approved Date:
06/03/2022 | Agreement No: 30816
Prescribe CDS: Yes | Non-CDS: Yes | Medical Devices: Yes
Dispense CDS: No | Dispense NCDS: No
D0055480
Brendan James Carmody Status: Approved |
Approved Date:
08/08/2022 | Agreement No: 31075
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.
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