Maryland Code, HEALTH – GENERAL 4-202

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County: means a county of the State or Baltimore City. See
state: means :

(1) a state, possession, territory, or commonwealth of the United States; or

(2) the District of Columbia. See

(a) The Secretary shall appoint a State registrar of vital records, who shall be in the skilled service of the State Personnel Management System.

(b) The health officer for a county is the registrar of vital records for the county.