Screening result
NPI 1104855576Screened 6/4/2026, 7:17:19 AM against OIG LEIE (snapshot 2026-05-08) + state board sanctions + SAM.gov + OFAC SDN + FDA Debarment.
EXCLUDED
Active federal exclusion in effect.
This NPI carries 0 active OIG exclusions. Do not employ or contract for federal-program work.
Reasons (7)
- • IL real_estate board probation (2021-09-15)
- • IL pharmacy board revocation (2017-01-23)
- • IL real_estate board revocation (2012-07-20)
- • IL real_estate board fine (2012-02-27)
- • IL real_estate board probation (2012-02-27)
- • IL private_detective board refused to renew (1996-08-15)
- • IL nursing board disciplinary action (null)
State board sanctions
| State / Board | Action | Date | Reinstated |
|---|---|---|---|
| IL real_estate | Probation | 2021-09-15 | 2022-09-15 |
| IL pharmacy | Revocation | 2017-01-23 | 2022-08-26 |
| IL real_estate | Revocation | 2012-07-20 | 2016-09-02 |
| IL real_estate | Fine | 2012-02-27 | — |
| IL real_estate | Probation | 2012-02-27 | 2012-07-20 |
| IL private_detective | Refused to Renew | 1996-08-15 | — |
| IL nursing | — |
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Source + audit trail
- NPI screened
- 1104855576
- Screen timestamp
- 6/4/2026, 7:17:19 AM
- OIG LEIE snapshot
- 2026-05-08
- State boards consulted
- (none with active adapters)
- Risk band
- EXCLUDED
- Risk score
- 150
- Matches found
- 7
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ProviderScore — Sanctions Screening Record
Record generated 6/4/2026, 7:17:19 AM
NPI 1104855576
EXCLUDED Active federal exclusion in effect.
Screened 6/4/2026, 7:17:19 AM
Lists checked
| Source list | Result | Detail |
|---|---|---|
| OIG LEIE (federal exclusions) | Clear | snapshot 2026-05-08 |
| State board sanctions | FLAGGED (7) | 40 states live: AK, AL, AR, AZ, CA, CO, CT, DE, FL, GA, HI, IA, IL, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NV, NY, OH, OR, PA, SC, TN, TX, WA, WV, WY |
| State Medicaid exclusions | Clear | — |
| SAM.gov / GSA exclusions | Clear | — |
| OFAC SDN (Treasury) | Clear | — |
| FDA debarment | Clear | — |
Findings (7)
- IL real_estate board probation (2021-09-15)
- IL pharmacy board revocation (2017-01-23)
- IL real_estate board revocation (2012-07-20)
- IL real_estate board fine (2012-02-27)
- IL real_estate board probation (2012-02-27)
- IL private_detective board refused to renew (1996-08-15)
- IL nursing board disciplinary action (null)
Source + audit trail
| NPI screened | 1104855576 |
| Screen timestamp | 6/4/2026, 7:17:19 AM |
| OIG LEIE snapshot | 2026-05-08 |
| State boards covered | AK, AL, AR, AZ, CA, CO, CT, DE, FL, GA, HI, IA, IL, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NV, NY, OH, OR, PA, SC, TN, TX, WA, WV, WY |
| Risk band | EXCLUDED |
| Risk score | 150 |
| Total matches | 7 |
This record reflects the sources and snapshot dates listed above at the time of generation. Not legal advice. ProviderScore screens exclusion/sanction lists, not primary-source license verification.
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