EXCLUDEDPROVIDER
Individual Revocation

Thomas J Conklin

Manchester, CT 06040

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Thomas J Conklin of Manchester, CT is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of September 1, 1994.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Manchester, CT 06040
Exclusion date
September 1, 1994
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Thomas J Conklin appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Manchester, Connecticut. 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 1, 1994, 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 1, 1994
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
UPINE08488
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 Manchester, CT 06040. The listed provider category is Medical Practice, MD. The listed specialty is General Practice / FP.

Other excluded providers in Manchester, CT

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Manchester, CT address.

Julie A Francis Individual Revocation
Manchester, CT · License revocation, suspension, or surrender · Excluded Feb 2018
Earle Lerner Individual Program Suspension
Manchester, CT · Exclusion or suspension under a federal or state health care program · Excluded May 2013
R G Pharmacy Entity Program Suspension
Manchester, CT · Exclusion or suspension under a federal or state health care program · Excluded Mar 2010
Amy Perez Individual Revocation
Manchester, CT · License revocation, suspension, or surrender · Excluded May 2001
Janet Laforest Individual Revocation
Manchester, CT · License revocation, suspension, or surrender · Excluded Mar 2001
Janice E Camp Individual Revocation
Manchester, CT · License revocation, suspension, or surrender · Excluded Feb 2001
Catherine Cooney Individual Revocation
Manchester, CT · License revocation, suspension, or surrender · Excluded Apr 2000
Donald Pet Individual Revocation
Manchester, CT · License revocation, suspension, or surrender · Excluded Nov 1991

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 Connecticut More Records in Manchester More Revocation Records