Please note that your answer on the supplemental questionnaire must correspond to the information that is provided on your resume to receive credit.
1
Are you licensed by the Maryland Board of Physicians to practice medicine under Maryland State Law? If so, please attach copy of license to application.
Yes
No
2
Do you possess a current Maryland Controlled Dangerous Substance Registration?
Yes
No
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
Are you Board Certified in Forensic Psychiatry? Please submit a copy of your certification with your application.