Maryland Board of Physicians
Physician Profile Portal
This data was extracted on
9/30/2025
.
Top of Page
License Number
:
D0063374
Dr. Clark Herbert Willis
License Type
:
Physician-Medical Doctor
License Status
:
Active
License Issued
:
06/23/2005
License Expiration:
09/30/2027
Licensure Pathway:
Traditional
Special License Category:
N/A
Primary Practice Setting
Emergency Services Associates
100 E Carroll Street
Salisbury, MD 21801
Public Address
PRMC
Emergency Department
100 East Carrol Street
Salisbury, MD 21801
Education
UNIV OF MD SCH OF MED
Graduation Year: 1992
Medical Assistance and Malpractice Insurance
Accept Medicaid?
No
Maintains Malpractice Insurance?
Yes
Postgraduate Training Program
School
Concentration
Riverside Family Practice, Newport News, VA
Medicine, Emergency or Trauma
Specialty Board Certification
(as reported by licensee)
by
American Board of Medical Specialties (ABMS)
,
American Osteopathic Association (AOA)
,
Royal College of Physicians and Surgeons of Canada (RCPSC)
, or the
College of Family Physicians of Canada (CFPOC)
.
Family Medicine
Self-Designated Practice Area
(as reported by licensee)
Emergency Medicine
Maryland Hospital Privilege Information
(as reported by licensee)
Tidalhealth Peninsula Regional, Inc
Atlantic General Hospital
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.
Collaboration and Consultation Agreements for Naturopathic Doctors
Collaboration and Consultation Agreements have not been reported for the profile site.
Active Supervisor - Evaluation and Treatment Protocols for Athletic Trainers
Evaluation and Treatment protocols have not been reported for the profile site.
Supervised Genetic Counselor - Active Supervisor
Supervisor Agreements have not been reported for the profile site.
Active Supervisor - Delegation Agreement For Core Duties
C0004183
Jessica Karmel Cecil Status: Approved |
Approved Date:
04/10/2013 | Agreement No: 11317
C0005073
Michael G. Simpson Status: Approved |
Approved Date:
08/28/2013 | Agreement No: 11536
C0005502
Amanda Matarese Prather Status: Approved |
Approved Date:
09/23/2014 | Agreement No: 12921
C0005987
Deanna C Kotzur Status: Approved |
Approved Date:
03/22/2016 | Agreement No: 14904
C0004266
Timothy Noble Sparta Status: Approved |
Approved Date:
12/20/2017 | Agreement No: 16994
C0004697
Brandon Robert McMullen Status: Approved |
Approved Date:
02/28/2018 | Agreement No: 17190
C0006827
Laura Nicole Yales Status: Approved |
Approved Date:
07/20/2018 | Agreement No: 17820
C0002049
Kevin R. Mull Status: Approved |
Approved Date:
07/25/2018 | Agreement No: 17659
C0006880
Kathryn Marie Melore Status: Approved |
Approved Date:
08/13/2018 | Agreement No: 17933
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.
MALPRACTICE
(Information to be taken into consideration when reviewing a licensee's profile)
Please Read Malpractice Disclosure
Malpractice Judgments and Arbitration Awards
(within the past 10 years)
None Reported
Malpractice Settlements
(If there are 3 or more settlements of $150,000 or greater within the past 5 years)
None Reported
Convictions for any crime involving moral turpitude
None reported by the courts.
Appendix
General Disclaimer
Glossary of Terms
Notice to Credential Verification Professionals