maryland board of physicians disciplinary actions

Dean Clatworthy, PT LN: 20214 - Date of Order (2/19/2008) Suspension of One year with all but 60 days stayed; Two years Probation. Suspension for a minimum of one year; terms and conditions. Disciplinary Actions - Public Accountancy. Oregon Medical Board : Board Actions : The Board : State of Oregon TA 0678 April 10, 2020 Final Order -Probation Suspension for a minimum of six months; Terms and conditions. Alves was listed as the medical director for The Guys Clinic, which was also known as My Mens Clinic and Metro Mens Health Clinic and advertised that its doctors would provide treatment and safely awaken your sex life in just one visit., The Board of Physicians received three complaints about the clinic between September 2020 and January 2021, with customers saying they had not been seen by a doctor; one said non-physician staff had administered an injection into his penis. Disciplinary Actions - Board of Public Accountancy - Division of License is in Good Standing, Tessa Marie Walker, PTA LN: A2879 - Date of Order (2/20/2007) Suspended for 30 days with Two year probationary period. License is in Good Standing. All rights reserved. Amy Roseman, PT LN: 17265 - Date of Order (1/25/2006) Reprimand. Assistant Attorney General Gregory Lockwood wrote in charging documents that Alves was paid $250 a week to supervise and provide guidance to Oltman, but he admitted that he never provided written instructions and only infrequently reviewed charts. License is in Good Standing, Rodonna Needles, PT LN: 19667 - Date of Order (3/4/2003) Reprimand and a Four year probationary periodriod, Joanne O'Neill Meyers, PT LN: 15493 - Date of Order (5/20/2003) One year Probation. xref This information enables the FSMB to proactively notify boards within 24 hours when one of their licensees has been disciplined in another state. See 2008 Actions. Brian P. Voith, PT LN: 16308 - Date of Order (6/15/2004) See 2002 actions. Full Time position. You may be trying to access this site from a secured browser on the server. Johnson said Martin works as a phlebotomist at the clinic and does not practice medicine. Medical boards may also impose a reciprocal action one based on the action taken by the originating board to prevent or limit the physician from practicing in their state. Suspension for a minimum of six months; terms and conditions. State police, who initially said they could not discuss the Alves situation at all, said they found out about the Board of Physicians complaint on Feb. 6. Please turn on JavaScript and try again. : $108K. Garcia, Kristina PTA, LN: A2749 - Date of Action (11/27/2012)Voluntarily Surrender of License. Alice Cheung PT, LN: 20827 - Date of Order (3/17/2009) See 2003 Actions. Conditions imposed: Physician must fulfill certain conditions to avoid further sanction by the state board. Nurse Practitioner - Neurosurgery. 6/21/2011.License is in good standing. 0000120307 00000 n Search for a Board Action regarding a particular Physician or . Alves delegation agreement with the clinic identified his primary practice areas as urology and internal medicine, but Alves told the board investigators that his primary practice area is emergency medicine, and that the agreement was errantly marked by someone other than himself. The Board investigates complaints and determines sanctions. 0000005064 00000 n Maryland license placed on . l6[6mD0:ap+)W]o;B1k/@0B=6Jsr-sX\O. TA 1094 December 13, 2011. When a board decides to take formal action against a physician, the board order stipulates which specific action will be taken. Reporting to Vice President Physician Operations or designee, provides comprehensive physician services to assess, diagnose, plan and treat a wide range of patients with health issues/illness or injury within NCH facilities or NCH Medical Group locations. You may be trying to access this site from a secured browser on the server. Probation completed June 16, 2009. Under a delegation agreement, Alves supervised a physician assistant, Carl Oltman Sr., who also is facing discipline from the board. When issues arise whether they are minor, such as failure to pay a fee, or more serious, such as inappropriate behavior with a patient a variety of formal actions may be taken by a board, allowing physicians the flexibility to apply a level of disciplinary response that is appropriate for the issue being addressed. Robert Boyle PT, LN: 19315 - Removed from probation effective 4/20/2010. Order for Summary Suspension, dated October 26, 2020, is terminated as moot. Probation completed 7/17/02.License is in Good Standing. These actions are generally administrative and may be issued for reasons such as failure to pay a licensing fee. Order for Summary Suspension, dated March 5, 2019, is terminated. Important information on the profile includes the fact the physician is licensed, the status of the physician's license, and whether or not the physician has had any administrative or disciplinary action taken against their license by the Board or another State or Federal Government Agency. Job specializations: Healthcare. The Board of Physicians received three complaints about the clinic between September 2020 and January 2021, with customers saying they had not been seen by a doctor; one said non-physician staff had administered an injection into his penis. Probation completed 5/16/06. Based on the time sequence of physicians receiving disciplinary actions, the total disciplined physician population is comprised of three subgroups: physicians who received initial disciplinary actions from a state board; physicians who received reciprocal actions because of actions taken by other state boards; and physicians who received follow-up or additional actions taken later. www.thebaltimorebanner.com 2023 The Baltimore Banner. Surrender of License. Contact the Discipline & Compliance Division For general inquiries (Discipline): mbon.nursingdiscipline@maryland.gov For general inquiries (Safe Practice Program): mbon.nursemonitoringdept@maryland.gov Director of Discipline & Compliance Karen E. B. Evans karene.evans@maryland.gov Administrative Officer - Discipline: Amber Havens Those guidelines included instructions to give patients injections combining non-FDA approved medicines that dilate blood vessels and carry a higher risk of permanent tissue damage than pills like Viagra, to cause the patients to obtain immediate erections.. Minimum Qualifications For Physician Assistant EDUCATION, CERTIFICATION, AND/OR LICENSURE: . 0000119741 00000 n The Maryland State Police logo emblazoned on a lectern in front a police vehicle from a separate agency before a press conference, pictured outside the Maryland State Police Glen Burnie Barracks on 11/10/22. Disciplinary Actions Taken in 2019. The University of Maryland Department of Neurosurgery is seeking an experienced Nurse Practitioner accountable to the nonsurgical management and care of adult neurosurgical patients on the cranial service in the outpatient clinical . These professionals provide seamless primary and specialty care, working together to meet the unique needs of each individual patient. Order for Summary Suspension, dated May 9, 2019 is terminated. 201 W. Preston Street, Baltimore, MD 21201-2399, The Board's records indicate the following orders and other public documents relating to Board actions taken against licenses. Maupin, Jeffrey PT, LN: 22136 - Date of Order (11/15/2011)Revocation of License, Morgan, Lisa PTA, LN: A2697 - Date of Order (11/15/2011)Reprimand, Probation minimum of two years. Alves, the medical director of the state police since 2009, joined The Guys Clinic of Lutherville-Timonium in 2016 to work one or two days a month, he told the board. Edwards, Romana W. PTA, LN: A1469 - Date of Order (12/6/2012)Removed from probation. Pamela A. Vogel, PTA LN: A2613 - Date of Order (9/19/2006) One year suspension (stayed); Two year probationary period; Fine. Attorney Disciplinary Proceedings for the State of Maryland On January 11, 2022, the MSBA hosted a continuing education program featuring Hilary Gerzhoy, Esquire, and John Grimm, Esquire, from the law firm of Harris, Wiltshire & Grannis, LLP to discuss attorney disciplinary proceedings in Maryland and the District of Maryland. Alberto Fuentes, II, PT LN: 19434 - Date of Order (6/17/2003) One year Probation. Attempts to reach him for comment were not immediately successful. License is in Good Standing. 0 Edgar, Dennis PTA, LN:- A1980 Date of Order (4/4/2011) - Probation for at least two years. Alves stated that he occasionally talked to Oltman on the telephone and looked at charts only infrequently, if there is a specific issue with them., In December 2021, the state Office of Controlled Substances Administration conducted an unannounced visit to the clinic and concluded that the clinic practitioners are dispensing prescription drugs, including CDS medications, directly to patients without any of the practitioners possessing a dispensing permit issued by the Maryland Board of Physicians.. Surrender of License. By submitting your email to receive this newsletter, you agree to our, Do Not Sell/Share My Personal Information. Delos Reyes, Arne PT, LN: 22846 - Date of Order (9/12/2011)Revocation of License, effective Sept. 12, 2011. Records beginin 2002. This information is not necessarily reflective of the current license status. As the departments chief medical official, he was charged with giving physicals and reviewing medical retirements, among other duties. Maryland medical board comes up short on ranking of physician The medical director of the Maryland State Police resigned Friday, as he faces discipline from a state physicians board for his involvement with a Baltimore County erectile dysfunction clinic. Suspension for ninety days (Retroactive to January 8, 2020). Revocation. 0000000016 00000 n Alves LinkedIn profile lists other side positions he has held over the years in addition to this state police duties. Mary Carter-Rucker, PTA, LN: A1222 - Date of Order (4/20/2010) Revocation for a minimum of four years. Order for Summary Suspension, dated February 11, 2020, is terminated. 08/24/2020. Harrell,Wendy,PT, LN:20373 - Date of Order (10/22/13)Reprimand, $300 fine, Rebstock,Karyn A.,PTA,LN:A3450 -Date of Order (9/20/13)Summary Suspension. One year of related clinical experience in Emergency Medicine. Pages - Discipline/Compliance - Maryland Board of Nursing Probation completed 11/19/03. The clinic followed a list of scripts and guidelines written by its owner, who is not a medical professional, according to charging documents. See disciplinary actions 2002. License is in Good Standing. Disciplinary Actions - Pa Department of State 0000001076 00000 n 0000006150 00000 n PDF AMENDMENTS OFFERED BY THE MARYLAND BOARD OF PHYSICIANS Amendment 1 Boris Yurganov, PTA LN: A3178 Date of Order (7/17/2007) Probation for a minimum of 2 years.Probation completed 7/21/09. Probation completed 5/20/04. Reprimand. Civil fine of $10,000; Payable within one year. You can unsubscribe from these alerts at anytime. Its huge collection of forms can save your time and jumpstart your efficiency massively. License is in Good Standing.Date of Order (10/24/2007) Order modification. Suspension for one year (Retroactive to March 5, 2019). 08/17/2020. The company is owned by Mark Thomas Johnson, who the Securities and Exchange Commission in 2018 called a recidivist violator of the federal securities law. In 2010, Johnson pleaded guilty and was convicted of securities fraud and conspiracy to commit securities fraud. 0000003252 00000 n Permanently Surrendered License. An appeal should state, to the extent . Baltimore Banner reporter Pamela Wood contributed to this article. 410.764.4777 | Toll Free 800.492.6836 His office accepts new patients and telehealth appointments. Croce, Darla Date of Order (10/18/2011)Practicing without a license. This information varies dramatically by state. probation, Gandhi, Nikisha PT, LN: 25258 Date of Order-(11/19/15), Anderson,Anthony, PTA,LN:A1168-Date of Order (10/26/15), Derenick,Erin E.,PT,LN:21989- Date of Order (9/21/15), Rebstock, Karyn PTA, LN: A3450 - Date of Order (8/18/15), Anderson,AnthonyPTA, LN:A1168 - Date of Order (8/13/15), Eisenhour,Michael PT LN:22279 - Date of Order (6/26/15), Boling, Jack PT LN: 23441 - Date of Order (5/28/15), Chapeyama, Ibrahim PT LN:21001 - Date of Order (5/29/15), Hickman, Michael PTA: A2387 - Date of Order (5/26/2015), Deleo, Alison PT LN: 21734 -Date of Order (5/11/15), Tamukum,Patrice PT, LN:22817 Date of Order (3/27/15), Jones,Rhonda R.PTA, LN:A2744 Date of Order (3/23/15), Schwab,Sonya PTA, LN:A3884 Date of Order (1/20/15), Martin,DerrickPT, LN:19690 Date of Order (1/20/15), Ibidun, Thompson PT, LN:18394 Date of Order (1/20/15), Goldstein,JaredPT, LN:19690 Date of Order (1/20/15), Anderson,AnthonyPTA, LN:A1168 Date of Order (1/20/15), Eyong, AlicePT, LN: 21282 Date of Order (10/27/14), Brown, Shelley D.,PTA,LN:A3141- Date of Order (7/3/2013), Darling, Jay Robert, PT Applicant - Date of Order (7/11/2013), Ibidun,Thompson,PT,LN:18394- Date of Order (6/26/2013), Chu,JenniferPT, LN:18949 - Date of Order (4/3/2013), Backe, Peter PT, LN: 17348 - Date of Order (3/22/2013), Funk,JoshuaPT, LN:23730 - Date of Order (3/22/2013), Hege-Maisel, Tanya PT, LN: 17530 - Date of Order (3/19/2013), Corbin, Andrea D. PT, LN: 14690 - Date of Order (3/1/2013), Felten, Jeremy C. PTA, LN: A3310 - Date of Order (1/18/2013), Coelho, Catherine PT, LN: 20246 - Date of Order (12/26/2012), Vaught, Tracy PT, LN: 17970 - Date of Order (12/26/2012), Edwards, Romana W. PTA, LN: A1469 - Date of Order (12/6/2012), Weil, Sharon D. PTA, LN: A1042 - Date of Order (11/28/2012), Rebstock, Karyn PTA, LN: A3450 - Date of Order (11/27/2012), Garcia, Kristina PTA, LN: A2749 - Date of Action (11/27/2012), Schwab, Sonya PTA, Applicant - Date of Order (10/3/2012), Zimmerman, Scott PTA, LN: A3257 - Date of Order (8/21/2012), Chapeyama, Ibrahim PT, LN: 21001 - Date of Order (7/17/2012), Bell III, Noel William PTA, LN: A1672 - Date of Order (7/17/2012), Irani, Adil M. PT, LN: 21496 - Effective date of action(6/19/12), Yurganov, Boris PTA, LN: A33178 - Effective date of action(6/19/12), Brown, Shelly D. PTA, LN: A3141 - Date of Order (5/2/12), Osnos, Alison PT, LN: 19587 - Date of Order (5/2/12), Reznikov, Yefim PT, LN: 19483 - Date of Order (5/2/12), Zimmerman,Scott PTA, LN: A3257 - Date of Order (4/27/12), Carpenter, Carla PT, LN: 17806 - Date of Order (12/20/2011), Naylor, Mary PT, LN: 20708 - Date of Order (12/20/2011), Maupin, Jeffrey PT, LN: 22136 - Date of Order (11/15/2011), Morgan, Lisa PTA, LN: A2697 - Date of Order (11/15/2011), Delos Reyes, Arne PT, LN: 22846 - Date of Order (9/12/2011), Katz, Gary A. PT, LN: 17497 - Date of Order (7/19/2011), Onyeji, Chinedu PT, LN: 23438 - Date of Order (6/29/2011), Osnos, Alison PT, LN: 19587 - Date of Order (3/15/2011), Jennifer Doty Frantz PTA, LN: A3081 - Date of Order (10/20/2009). 2021: DATE: COMPLAINT NO. 410.764.4777 | Toll Free 800.492.6836, Implicit Bias Training Required for 2023 License Renewal, Change my address or update my Profile page, Change my name on my license-Allied Health, Physician-Print my renewed license/receipt, Allied Health-Print my renewed license/receipt, Interstate Medical Licensure Compact (IMLC), How to Effectively Use the PDMP -- 4 Training Videos, MDH & CDC Sickle Cell / Lyme-Tickborne Disease Links. The agency is facing questions about a quota system among officers on the Eastern Shore that Gov. Suspension for a minimum of one year; Terms and conditions. Macauley, Florence PTA, LN: A3193 - Date of Order (02/21/2012)$500 Fine. Civil fine of $5,000; Payable within two years. Search. A judge ordered Thomas to pay a $1.5 million judgment in the case. See 2004 actions. %%EOF Probation: Physicians license is monitored by a state board for a specified period of time. Suspension; Terms and conditions. A 2021 site visit by the Maryland Office of Controlled Substances Administration found that the clinics practitioners were dispensing prescriptions without a permit, including giving injections in higher-than-recommended doses that were involved in medical emergencies for clinic patients. Junior Accountant - FPI PA Job in Baltimore, MD at University of Joseph J. Nichols, PT, LN: 18065 - Date of Order (5/18/2010)Reprimand, fine $500. Douglas Palmer, PT LN: 16898 - Date of Order (3/29/2007) Suspended for One year with all but 60 days stayed. So it provides them with injection therapy, Alves told board staff last April, according to charging documents. Effective March 17, 2009; License is in Good Standing, Jennifer Eyrich, PTA LN: A2763 - Date of Order (5/15/2007) Application for reinstatement is denied. Edward Muir PT,LN: 21514 - Removed from probationEffective 4/20/2010. 0000005513 00000 n Upon termination of Suspension, Probation will be imposed for a minimum of one year; Terms and conditions. 0000119481 00000 n Another staffer, DeWayne Martin, was ordered to cease and desist from activities associated with the practice of medicine. Staff at the clinic did not contact Alves during the patients treatment, according to charging documents. You may be trying to access this site from a secured browser on the server. Each action is reviewed carefully and categorized based on the state boards report before it is added to the database. License is in Good Standing. Maryland Board of Physicians 1/9/2023 Physician Licensure by Endorsement is now available. The FSMB has collected and shared information about state medical board disciplinary actions since its founding in 1912, maintaining a comprehensive repository of national disciplinary data. Reprimand. CONSENT ORDERProbation with Terms & Conditions, ORDER FOR SUMMARY SUSPENSION OF LICENSE TO PRACTICE PODIATRY, ORDER FOR TERMINATION OF PROBATION AND REINSTATEMENT WITHOUT CONDITIONS, ORDER STAYING SUSPENSION AND REINSTATEMENT WITH CONDITIONS. All rights reserved. TYPE OF ORDER: ACTION SUMMARY . Probation completed 6/15/04. A disciplinary action is a decision of the medical board after following up a complaint about the doctor. State medical boards discipline physicians by issuing mandates known as board orders. Richard A. Bosworth, PT LN: 15801 - Date of Order (02/15/2005) 30 day suspension, stayed; One year probationary period. Reinstatement to Activestatus, with terms and conditions, 201 W. Preston Street, Baltimore, MD 21201-2399. He said he was an attending emergency medicine faculty member at Johns Hopkins University from 2007 until 2020, and has been an adjunct emergency health services assistant professor at the University of Maryland Baltimore County for 22 years. American Identity Solutions is trained and authorized to process for the Maryland Board of Physicians fingerprinting requirement. Brown, Shelly D. PTA, LN: A3141 - Date of Order (5/2/12) Summary Suspension. It looks like your browser does not have JavaScript enabled. Applications are being accepted through April 1, 2023, Please click Board Recruitment for more information, For more information, visit the OCSA website. Burns, Jessica PTA, LN: A3343 - Date of Order (02/21/2012)Released from probation. License is in Good Standing. Eyong, Alice, PT, LN:21282 - Date of Order (9/6/2013)$250 fine, 1 year probation. A third complaint in 2021 alleged that a staff member who was not a doctor had given him an injection. At various times throughout the year, the FSMB conducts quality control audits to give state medical boards the opportunity to reconcile their data with the disciplinary information maintained by the FSMB. Maryland Board of Physicians 4201 Patterson Avenue Baltimore, Maryland 21215 Phone: 410.764.4777 or 1.800.492.6836 Fax: 410.358.2252 Email: mbpmail@rcn.com View the complete regulations for the Board of Physicians. This section provides a listing of all physicians, physician assistants, specialist assistants, and professional medical corporations who have been disciplined since 1990, or who are subject to a non-disciplinary Board Order, or upon whom charges of misconduct have been served. Troops who refused COVID vaccine still may face discipline Board of Medicine - Disciplinary Action List Alphabetical Disciplinary Action List To view the Alphabetical Disciplinary Action List, click HERE. Board Actions | 2023 Disciplinary Alerts Probation completed 5/20/04. License is in Good Standing, Monica McNeil, PT LN: 17069 - Date of Order (5/20/2003) One year Probation. Kristina Garcia, PTA, LN: A2749 - Date of Order (7/16/2010) Suspended for one year. 0000002404 00000 n Probation begins 7/1/09. Civil fine of $15,000.00; Payable within one year. Importantly, the physician had already been in a long-standing relationship with the individual before the prescribing ever occurred. Another customer said their insurance company said the clinic was a "scam company." Reprimand. Malpractice and discipline do not always go hand in hand. Nursing. 410.764.4777 | Toll Free 800.492.6836, Administrative Actions / Civil Penalties / Fines. Katherine Mills, PT LN: 21871 - Date of Order (10/20/2009)Probation for one year. Martin could not be reached for comment Friday. Salary. 0000120430 00000 n The State of Maryland pledges to provide constituents, businesses, customers, and stakeholders with friendly and courteous, timely and responsive, accurate and consistent, accessible and convenient, and truthful and transparent services. National Human Trafficking Hotline - 24/7 Confidential. Revocation. Yurganov, Boris PTA, LN: A33178 - Effective date of action(6/19/12) Suspension of thirty days, all stayed. Sheila Schaffer, PT LN: 16039 - Date of Order (5/20/2003) Two year Probation or until completion of certain conditions; Probation completed 5/20/05. Company. Suspension of 60 days, stayed; Two year probationary period subject to certain conditions.Probation completed 9/17/04 License is in Good Standing, Jonas Tapangan, PT LN: 18854 - Date of Order (1/15/2002), Reprimand, One year Probation, must take Board approved Law course. Patrena Caldwell, PT LN: 18087 - Date of Order (12/5/2006) Two year probationary period following 60 day suspension. Surrender of License. Click to learn more: Licensure by Endorsement Attention Renewing Practitioners Implicit Bias Training Required for 2023 License Renewal File a Complaint Look up a license COVID-19 Resources Please click: Provider Resources In reality, Owings had only an untested idea and an inexperienced team, and the only thing Owings did successfully was raise money from investors through fraudulent means.. JavaScript is required to use content on this page. License is in Good Standing, Glendalyn Fodra, PT LN: 17842 - Date of Order (3/4/2003) One year suspension with all but Three months stayed; then a Four year probationary period.Probation completed 3/18/2008. Theres a script for everything. Suspension for a minimum of six months; terms and conditions. Physician Extender Work Group 1977 Session Laws of the State of Minnesota - Minnesota 2009 Illinois Pharmacy Laws and Regulations 2021 Edition - LexisNexis Editorial Staff 2021-09-03 This report is not intended to provide detailed, comprehensive and comparative data about medical board disciplinary activities on a state-by-state basis. See 2006 actions, Khepera Y. Iandiataiyero (name change) - see order under Karen SheltonCarol L. Shelton, PT LN: 16300 - Date of Order (10/15/2002). Reznikov, Yefim PT, LN: 19483 - Date of Order (5/2/12) Reprimand, Probationary period of two years. Collaborates with inter-disciplinary healthcare team to provide comprehensive clinical coordination of patient care resulting in integrated . License is in Good Standing, Steven Steinberg, PT LN: 16801 - Date of Order (5/20/2003) One year Probation. Learn more about supporting local journalism. Onyeji, ChineduPT,LN:23438 -Date of Order (8/23/13)Removed from probation. Alves said he was paid a flat rate of $250 a week to review the physicians assistants practice via chart review, observation of clinical practice and provide supervision via-on site, electronic means and written instructions, but Alves admitted that he never provided written instructions to Oltman. Modification of Order Effective February 19, 2008. See 2005 Actions. The national regulatory information included in this report has been compiled using 2021 data from the FSMBs PDC(Table 5). The Respondent stated as an ER doctor its within my scope to do the rescue procedures for priapism, a term for a prolonged erection. and Andrew T. Scheid Funeral Home, license numbers FD013388L, FS015683, FO013388L, and FB014562 of Millersville, Lancaster County, were revoked based License Reinstated, Probation for Two years. Probation completed 4/17/07. Based on a 3/5/19 Maryland action regarding sexual . 2021 Lominac, Michael, PT LN: 26275 Date of Order (11/29/2021) - One Year Probation, Fine Jones, Cameron, PT LN:22379 Medical Practice Public Disciplinary Actions - Delaware Christine D. Grasso, PTA LN: A1655 - Date of Order (4/17/2006) Reprimand; One year probationary period. Another customer said their insurance company called the clinic a scam company.. Job. Emergency Medicine Nurse Practitioner Job in Baltimore, MD at Johns See 2007 Actions. Our nonprofit news organization is made possible by, Select the type of alerts youd like to receive, Browsers such as Chrome, Safari, and Firefox, Get text messages from The Banner in urgent situations (message and data rates may apply). Karen Shelton, PT LN: 17169 - Date of Order (6/1/2002) One year suspension with all but 60 days stayed, then a Two year probationary period;must take Board-approved law course and quarterly employer reports. All rights reserved. Arne Delos Reyes PT, LN: 22846 - Summary Suspension - Date of Order 11/4/2009. Coelhi, Catherine PT, LN: 20246 - Date of Order (12/20/2011)Reprimanded, one year probation. To prevent them from changing jurisdictions undetected, medical boards voluntarily share licensee data with the FSMBs PDC. Primary Care Physician Needed Near Chesapeake Bay in Maryland in