Maryland Health - General Section 21-418
§ 21-418.
  (a)   Subject to the hearing provisions of § 21-419 of this subtitle, the Secretary shall suspend a permit issued under this subtitle if:
    (1)   The holder of the permit has obtained the permit fraudulently or deceptively;
    (2)   The holder of the permit has violated this subtitle or a rule or regulation adopted under this subtitle;
    (3)   A violation of this subtitle or a rule or regulation adopted under this subtitle exists at the place for which the permit has been issued under this subtitle;
    (4)   A health hazard exists at the place for which the permit has been issued or exists as to the individual who holds the permit; or
    (5)   The holder of the permit has interfered with the Secretary in the performance of the Secretary's duties.
  (b)   (1)   Except as otherwise provided in this section, before suspending a permit, the Secretary shall give to the holder of the permit notice of intent to suspend.
    (2)   The notice shall:
      (i)   Specify with particularity the condition or violation that the Secretary believes to justify the suspension; and
      (ii)   State that the holder has an opportunity to correct the condition or violation before a time that is:
        1.   At least 48 hours after the holder receives the notice of intent to suspend; and
        2.   Agreed on by the parties or set by the Secretary.
  (c)   The Secretary is not required to give notice of intent to suspend a permit if:
    (1)   The violation creates an imminent hazard to public health; or
    (2)   The holder of the permit has willfully refused to permit an authorized inspection.
  (d)   If a permit has been suspended more than once, the Secretary may revoke the permit.