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This data was extracted on 9/30/2025.

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License Number: C0002915 Maryam Messforosh
License Type: Physician Assistant
License Status: Active  
License Issued: 05/17/2004  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)
Licensee has not reported Maryland Hospital Privilege information for the profile site.
Medical Licenses Held in Other States (as reported by licensee)
Licensee has not reported Medical Licenses Held in Other States information for the profile site.
 Physician Assistant Notification of Collaboration Agreements
Agreement ID: 6141 |  Submit Date: 08/15/2025
Practice Setting: Urgent Care
Facility: Your Doc's In Easton
Address: 8163 Ocean Gtwy
           Easton, MD 21601
Advanced Duties: Yes | Prescriptive Authority: Yes | Dispensing Authority: No   
View Collaboration Agreement
Active Supervisee - Delegation Agreement For Core Duties
D0026835  Paul A Valle Jr.   Status: Approved  |  Approved Date:  11/15/2022  | Agreement No: 31592
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
D0058025  Jonathan Matthew Wenk   Status: Approved  |  Approved Date:  12/14/2023  | Agreement No: 33270
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
D0079271  Andrew Eric Baum   Status: Approved  |  Approved Date:  12/18/2023  | Agreement No: 33269
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.
 Order#: 11152022  dated 11/15/2022
 Order#: 05192021  dated 05/19/2021
 Summary of Known Disciplinary Actions by any state medical board (within the past 10 years)   Please Read Description
In Maryland:
Date of Action: 11/15/2022State: MD
Summary:
Termination of Probation. The physician assistant has complied with the terms and conditions of the probation imposed by the Consent Order, dated May 19, 2021. The reprimand remains in effect.
Date of Action: 05/19/2021State: MD
Summary:
Reprimand. Probation for a minimum of one year; terms and conditions. The physician assistant failed to meet appropriate standards of care, and failed to keep adequate medical records, as determined by peer review.
Other States:
Date of Action: 12/06/2021State:
Summary:
Censured. Basis for Order: Due to action taken by another board/agency.
 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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