EXCLUDEDPROVIDER
Individual Revocation

Stacy Ann Williams

Lake Elsinore, CA 92530

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Stacy Ann Williams of Lake Elsinore, CA is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of September 19, 2002.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Lake Elsinore, CA 92530
Exclusion date
September 19, 2002
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Stacy Ann Williams appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Lake Elsinore, California. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is September 19, 2002, and the exclusion type is 1128b4, identified by HHS-OIG as license revocation, suspension, or surrender.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateSeptember 19, 2002
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128b4 as “License revocation, suspension, or surrender.” License revocation, suspension, or surrender (permissive exclusion).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with Lake Elsinore, CA 92530. The listed provider category is Clinic. The listed specialty is Nurse / Nurses Aide.

Other excluded providers in Lake Elsinore, CA

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Lake Elsinore, CA address.

Mickie Rose Sedillo Individual Revocation
Lake Elsinore, CA · License revocation, suspension, or surrender · Excluded Mar 2024
Lauryn Cara Nelson Individual Program Crime
Lake Elsinore, CA · Conviction of program-related crimes · Excluded May 2022
Hancy Macini Abrego Individual Revocation
Lake Elsinore, CA · License revocation, suspension, or surrender · Excluded Oct 2020
William Dorvall Individual Kickbacks
Lake Elsinore, CA · Fraud, kickbacks, and other prohibited activities · Excluded Jun 2009
Solomon Lee III Burries Individual Drug Felony
Lake Elsinore, CA · Felony conviction relating to controlled substance · Excluded Mar 2004

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

Verify with HHS-OIG Remove / correct this record

Related

More Excluded Individuals in California More Records in Lake Elsinore More Revocation Records