Maryland Board of Physicians
Practitioner Profile Portal
This data was extracted on
9/30/2025
.
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License Number
:
C0008209
Calvin Joseph Larsen
License Type
:
Physician Assistant
License Status
:
Active
License Issued
:
10/14/2021
License Expiration:
06/30/2027
Licensure Pathway:
Traditional
Special License Category:
N/A
Education
N/A
Medical Assistance
Accept Medicaid?
No
Maryland Hospital Privilege Information
(as reported by licensee)
Northwest Hospital Center
Sinai Hospital Of Baltimore
Medstar Union Memorial Hospital
Medical Licenses Held in Other States
(as reported by licensee)
District of Columbia
Physician Assistant Notification of Collaboration Agreements
Agreement ID: 2252 | Submit Date: 11/19/2024
Practice Setting: Hospital
Facility: Sinai Hospital Of Baltimore
Address: 2401 West Belvedere Avenue
Baltimore, MD 21215
Advanced Duties: Yes | Prescriptive Authority: Yes | Dispensing Authority: No
View Collaboration Agreement
Agreement ID: 3294 | Submit Date: 12/15/2024
Practice Setting: Hospital
Facility: Medstar Union Memorial Hospital
Address: 201 East University Parkway
Baltimore, MD 21218
Advanced Duties: No | Prescriptive Authority: Yes | Dispensing Authority: No
View Collaboration Agreement
Active Supervisee - Delegation Agreement For Core Duties
D0083094
Trecia Henriques Status: Approved |
Approved Date:
07/22/2022 | Agreement No: 30998
Prescribe CDS: Yes | Non-CDS: Yes | Medical Devices: Yes
Dispense CDS: No | Dispense NCDS: Yes
D0093053
Revathi Jyothindran Status: Approved |
Approved Date:
03/23/2023 | Agreement No: 32201
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
(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.
Convictions for any crime involving moral turpitude
None reported by the courts.
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General Disclaimer
Glossary of Terms
Notice to Credential Verification Professionals