License Number: A0000230 Loren Cecil Shipley
License Type: Athletic Trainer
License Status: Active    
License Issued: 10/12/2011  License Expiration: 09/30/2025

Licensure Pathway:  Traditional
Special License Category:  N/A
Primary Practice Setting
N/A
Public Address
No Public Address Available
 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 Protocol

D0058956  John-Paul Harris Rue   Status: Approved | Approved Date: 10/19/2011 | Agreement No: 294
D0081136  Robert Anthony Waltz   Status: Approved | Approved Date: 08/27/2021 | Agreement No: 1955
 Known Disciplinary Actions by any state medical board (within the past 10 years)

In Maryland:

No Known Disciplinary Actions by the Maryland Board of Physicians have been reported.

Other States:

No Known Disciplinary Actions by any other state medical board have been reported.
 Download all Maryland Disciplinary Actions

All Orders are downloaded in .pdf format.
None.
 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.

Maryland Board of Physicians 4201 Patterson Avenue Baltimore, MD 21215
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