Maryland Code, Health Occupations § 9-3A-04

(1) The name, address, and age of the applicant;

(2) The name and address of the employer or business connection of the applicant;

(3) The date of the application;

(4) Complete and current information on the educational, training, and experience qualifications of the applicant;

(5) The date the Board reviewed and acted on the application;

(6) The action taken by the Board on the application;

(7) The identifying numbers of any license or renewal license issued to the applicant; and

(8) Any other information that the Board considers necessary.