Are you currently licensed to practice medicine by the Maryland Board of Physicians? (If Yes, please submit a copy of your license or license verification with your application.)
Yes
No
2
If you answered Yes to the previous question, please provide the license number and expiration date in the box below. A copy of your current license or license verification should also accompany your application.
3
Do you currently possess a certification by an American Medical Association Specialty Board in Psychiatry? (If Yes, please submit a copy of your certification with your application.)
Yes
No
4
If you answered yes, please upload a copy of your current license or certification with your application.