Maryland Board of Physicians
Physician Profile Portal
This data was extracted on
11/16/2025
.
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License Number
:
D0069566
Dr. Ivelisse Michel
License Type
:
Physician-Medical Doctor
License Status
:
Active
License Issued
:
07/14/2009
License Expiration:
09/30/2027
Licensure Pathway:
Traditional
Special License Category:
N/A
Primary Practice Setting
University of Maryland Charles Regional
5 Garrett Avenue
La Plata, MD 20646
Public Address
7250 Parkway Drive
Suite 500
Hanover, MD 21076
Education
MED COLL OF WI
Graduation Year: 2006
Medical Assistance and Malpractice Insurance
Accept Medicaid?
No
Maintains Malpractice Insurance?
Yes
Postgraduate Training Program
School
Concentration
Bayfront Medical Center, St Petersburg, FL
Family Medicine
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)
.
Licensee has not reported Specialty Board Certification information for the profile site.
Self-Designated Practice Area
(as reported by licensee)
Family Medicine
Maryland Hospital Privilege Information
(as reported by licensee)
University Of Md Charles Regional Medical Center
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
C0003406
Ann-Marie Cobb Status: Approved |
Approved Date:
04/25/2012 | Agreement No: 10346
C0003926
Hollie Lynn Hurner Status: Approved |
Approved Date:
04/25/2012 | Agreement No: 10350
C0005272
Dana Hunter Status: Approved |
Approved Date:
12/06/2013 | Agreement No: 12075
C0005260
Mary Elizabeth Boone Status: Approved |
Approved Date:
07/30/2014 | Agreement No: 12540
C0005185
Deborah Lynn Araya Status: Approved |
Approved Date:
03/11/2016 | Agreement No: 14876
C0006649
Chelsea Dawn Hughes Status: Approved |
Approved Date:
11/14/2017 | Agreement No: 17013
C0006809
Mamata Blon Status: Approved |
Approved Date:
06/27/2018 | Agreement No: 17634
C0005712
Andrea Jean Donohoe Status: Approved |
Approved Date:
06/24/2020 | Agreement No: 20498
C0008434
Rudy Anthony Lacosse Status: Approved |
Approved Date:
05/31/2022 | Agreement No: 30804
C0008342
Melissia Elisa Grosjean Status: Approved |
Approved Date:
11/23/2022 | Agreement No: 31580
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.
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