Department of Budget and Management
#16-004609-0005
Supplemental Questionnaire
Please note that your answer on the supplemental questionnaire must correspond to the information that is provided on your resume to receive credit.
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1. Do you have a current license to practice medicine in the State of Maryland? Please submit a copy of your license with your application.
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Yes
No
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2. Please describe your experience working as a psychiatrist in a medical practice. Include dates of employment and name of employer(s).
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