Maryland Board of Physicians
Practitioner Profile Portal
This data was extracted on
9/30/2025
.
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License Number
:
C0004001
Kathleen May Woodward
License Type
:
Physician Assistant
License Status
:
Active
License Issued
:
07/01/2009
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)
Meritus Medical Center
Northwest Hospital Center
U P M C Western Maryland
Frederick Health Hospital
Medical Licenses Held in Other States
(as reported by licensee)
North Carolina
Oklahoma
Pennsylvania
Texas
Virginia
Physician Assistant Notification of Collaboration Agreements
Agreement ID: 5920 | Submit Date: 07/23/2025
Practice Setting: Hospital
Facility: Northwest Hospital Center
Address: 5401 Old Court Road
Randallstown, MD 21133
Advanced Duties: Yes | Prescriptive Authority: Yes | Dispensing Authority: No
View Collaboration Agreement
Agreement ID: 6472 | Submit Date: 09/18/2025
Practice Setting: Hospital
Facility: University Of Md Shore Medical Center At Easton
Address: 219 South Washington Street
Easton, MD 21601
Advanced Duties: Yes | Prescriptive Authority: Yes | Dispensing Authority: No
View Collaboration Agreement
Active Supervisee - Delegation Agreement For Core Duties
D0093053
Revathi Jyothindran Status: Approved |
Approved Date:
06/26/2024 | Agreement No: 34355
Prescribe CDS: Yes | Non-CDS: Yes | Medical Devices: Yes
Dispense CDS: No | Dispense NCDS: Yes
D0090518
Sreelakshmi Kooragayalu Status: Approved |
Approved Date:
06/26/2024 | Agreement No: 34356
Prescribe CDS: Yes | Non-CDS: Yes | Medical Devices: Yes
Dispense CDS: No | Dispense NCDS: No
D0082771
Jonathan Aryeh Henesch Status: Approved |
Approved Date:
07/11/2024 | Agreement No: 34516
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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