The Commissioner shall deny a certificate to an applicant if the Commissioner finds that the initial application does not meet the requirements of this chapter. The Commissioner may revoke the certification of a medical director: Who violates any provision of this chapter; Who fails to meet the requirements for certification under Regulation .04B of this chapter; Who obtains certification based on inaccurate information; Who fraudulently or deceptively obtains, attempts to obtain, or uses a certificate; or If the Commissioner finds a pattern that the utilization management procedures and policies used by the medical director in making utilization review decisions or used by a private review agent employed by or under contract with the health maintenance organization over whose utilization review decisions the medical director has responsibility are not: Objective; Clinically valid; Compatible with established principles of health care; or Flexible enough to allow deviations from the norms when justified on a case by case basis. Before denying an initial application for certification or revoking an issued certificate, the Commissioner shall provide the applicant or certificate holder with: Reasonable time to supply additional information which demonstrates compliance with the requirements of this chapter and the opportunity to request a hearing; Written notice of the reasons for the denial or revocation; and 30 days in which to request a hearing in accordance with State Government Article, Title 10, Subtitle 2, Annotated Code of Maryland.