1. A. This regulation pertains to the surrender of a license when:

   1. (1) A licensee is under investigation by the Board; or
   2. (2) Charges have been issued by the Board against a licensee.
2. B. The surrender of a licensee’s license may be rejected by the Board.

3. C. Letter of Surrender.

   1. (1) The language of the Letter of Surrender is subject to the approval of the Board.
   2. (2) If the Letter of Surrender is approved by the Board, it shall be signed by the respondent and the Board’s Executive Director.

   3. (3) The Letter of Surrender may include, but is not limited to:

      1. (a) The circumstances that resulted in the surrender;
      2. (b) The time period before the respondent may apply for reinstatement if the surrender is not permanent; and
      3. (c) Conditions before the respondent may apply for reinstatement.

   4. (4) The Letter of Surrender is a final order that is the result of formal discipline, and a public document, under:

      1. (a) General Provisions Article, §4-333, Annotated Code of Maryland; and
      2. (b) Health Occupations Article, §1-607, Annotated Code of Maryland.

Authority: Health-General Article, §§2-104 and 19-1809; Health Occupations Article, §§1-212, 1-602—1-609, 9-205, 9-313—9-316.1, 9-3A-11—9-3A-17, and
9-401—9-407; State Government Article, §§10-201—10-226; Annotated Code of Maryland

Effective date: January 19, 2026 (53:1 Md. R 22)