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This data was extracted on 11/16/2025.

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License NumberA0000963 Carlos Negron III
License TypeAthletic Trainer
License StatusActive  
License Issued07/06/2017  License Expiration:  09/30/2027
Licensure Pathway:  Traditional   
Special License Category:  N/A
Primary Practice Setting
N/A
Public Address
12793 Folly Quarter Rd
Ellicott City, NJ 21042
 Medical Assistance

Accept Medicaid? N/A

Medical Licenses Held in Other States (as reported by licensee)

Licensee has not reported Medical Licenses Held in Other States information for the profile site.
Active Supervisee - Evaluation and Treatment Protocols for Athletic Trainers

D0070821  Ralph Frank Henn III  Status: Approved  | Approved Date: 03/27/2019  | Agreement No: 1601
Download all Maryland Disciplinary Actions (not time-limited)

All Orders are downloaded in .pdf format.
 Order#: 07132020  dated 07/13/2020
 Order#: 06302020  dated 06/30/2020
 Summary of Known Disciplinary Actions by any state medical board (within the past 10 years)   Please Read Description

In Maryland:
Date of Action: 07/13/2020State: MD
Summary:
Fine of $500 Satisfied. The practitioner has paid the fine imposed under the Consent Order, dated June 30, 2020. The reprimand remains in effect.
Date of Action: 06/30/2020State: MD
Summary:
Reprimand. Civil fine of $500.00; payable within six months. The practitioner practiced as an athletic trainer without an approved Evaluation and Treatment Protocol, is guilty of unprofessional conduct in the practice of athletic training, and failed to practice under the supervision of a physician.
Other States:
No Known Disciplinary Actions by any other state medical board have been reported.
 Pending Charges   Please Read Disclaimer

All Charges are downloaded in .pdf format.
None.
 Other Public Actions in the Practice of the Profession or Administrative Fines (including Maryland)   Please Read Description

No reported Other Public Actions in the Practice of the Profession or Administrative Fines (incl. Maryland) for this licensee.
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