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This data was extracted on 10/8/2026.

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License Number: C0008434 Rudy Anthony Lacosse
License Type: Physician Assistant
License Status: Active  
License Issued: 04/28/2022  License Expiration:  06/30/2027
Licensure Pathway:  Traditional   
Special License Category:  N/A

 Medical Assistance

Accept Medicaid? N/A

Maryland Hospital Privilege Information (as reported by licensee)

University Of Md Charles Regional Medical Center
Umd Baltimore Washington Medical Center
University Of Md Upper Chesapeake Medical Center

Medical Licenses Held in Other States (as reported by licensee)

Florida
New Jersey
Pennsylvania

 Physician Assistant Notification of Collaboration Agreements

Agreement ID: 2288 |  Submit Date: 11/26/2024
Practice Setting: Hospital
Facility: Umd Baltimore Washington Medical Center
Address: 301 Hospital Drive
           Glen Burnie, MD 21061
Advanced Duties: Yes | Prescriptive Authority: Yes | Dispensing Authority: No   
View Collaboration Agreement
Agreement ID: 7535 |  Submit Date: 10/31/2025
Practice Setting: Hospital
Facility: Frederick Health Hospital
Address: 400 West Seventh St
           Frederick, MD 21701
Advanced Duties: No | Prescriptive Authority: Yes | Dispensing Authority: No   
View Collaboration Agreement
Agreement ID: 9872 |  Submit Date: 09/16/2026
Practice Setting: Private Practice / Outpatient Clinic
Facility: Daniel Funsch Jr, M.D., P.C.
Address: 9200 Franklin Square Dr,
           Baltimore, MD 21237
Advanced Duties: No | Prescriptive Authority: Yes | Dispensing Authority: No   
View Collaboration Agreement

Active Supervisee - Delegation Agreement For Core Duties

D0069566  Ivelisse Michel   Status: Approved  |  Approved Date:  05/31/2022  | Agreement No: 30804
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
D0083427  David Nathanael Lauver   Status: Approved  |  Approved Date:  10/28/2022  | Agreement No: 31494
Prescribe CDS: Yes  | Non-CDS: No  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
D0079224  David Griffin Wholey   Status: Approved  |  Approved Date:  03/13/2024  | Agreement No: 33685
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

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

All Charges are downloaded in .pdf format.
None.

 Other Public Actions in the Practice of the Profession or Administrative Fines (including Maryland)

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.