Maryland Board of Physicians
Practitioner Profile Portal
This data was extracted on
1/26/2026
.
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License Number
:
C0003644
Augusta Jane Malpass
License Type
:
Physician Assistant
License Status
:
Active
License Issued
:
10/05/2007
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)
Licensee has not reported Maryland Hospital Privilege information for the profile site.
Medical Licenses Held in Other States
(as reported by licensee)
Alabama
California
District of Columbia
Delaware
Florida
Georgia
Illinois
Indiana
Kentucky
Massachusetts
Michigan
North Carolina
New Jersey
New York
Ohio
Pennsylvania
Texas
Virginia
Physician Assistant Notification of Collaboration Agreements
Collaboration Agreements have not been reported for the profile site.
Active Supervisee - Delegation Agreement For Core Duties
H0093060
Samuel David Fam Status: Approved |
Approved Date:
10/20/2022 | Agreement No: 31432
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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Notice to Credential Verification Professionals