Practitioner Profile

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Maryland Dept. of Health

Practitioner New Profile Registration

If you do not have Profile Login credentials to edit your profile, you must register as a new user. Once you register, return to the login page to edit your profile.

License Number License Number Help

SSN (Last 4 digits)

Date of Birth

Email

Re-Enter Email

Enter Practitioner Password

All Passwords must be 8–20 characters long and:

Contain at least 1 numeric;
Contain at least 1 capital letter;
Contain at least 1 special character;
Allowed special characters: @ $ # ! % * ? &

New Password

Re-Enter New Password