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Maryland Board of Physicians
Practitioner Profile Portal
This data was extracted on
5/5/2026
.
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Profile
License Number
:
A0001597
Samantha Antosiewicz
License Type
:
Athletic Trainer
License Status
:
Active
License Issued
:
08/16/2023
License Expiration:
09/30/2027
Licensure Pathway:
Traditional
Special License Category:
N/A
Primary Practice Setting
Rockville High School
2100 Baltimore Road
Rockville, MD 20851
Public Address
Rockville High School
2100 Baltimore Rd
Rockville, MD 20851-1229
Education
N/A
Medical Assistance
Accept Medicaid?
No
Medical Licenses Held in Other States
(as reported by licensee)
New York
Active Supervisee - Evaluation and Treatment Protocols for Athletic Trainers
D0060753
Wiemi Abell Douoguih Status: Approved | Approved Date: 08/22/2023 | Agreement No: 3300
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.
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