EXCLUDEDPROVIDER
Individual Revocation

Theresa L Mulligan

Saint Augustine, FL 32084

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Theresa L Mulligan of Saint Augustine, FL is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of April 19, 2012.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Saint Augustine, FL 32084
Exclusion date
April 19, 2012
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Theresa L Mulligan appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Saint Augustine, Florida. 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 April 19, 2012, 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 dateApril 19, 2012
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 Saint Augustine, FL 32084. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Nurse / Nurses Aide.

Other excluded providers in Saint Augustine, FL

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Saint Augustine, FL address.

Juan Carlos Vilchez Montiel Individual Program Crime
Saint Augustine, FL · Conviction of program-related crimes · Excluded Apr 2026
Philip James Lazzarini Individual Program Crime
Saint Augustine, FL · Conviction of program-related crimes · Excluded Jan 2026
Pamela Susan Cade Individual Revocation
Saint Augustine, FL · License revocation, suspension, or surrender · Excluded Jun 2025
Brianna Shantrice Davis Individual Patient Abuse
Saint Augustine, FL · Conviction relating to patient abuse or neglect · Excluded May 2025
Jay Edward Pietrzakowski Individual Program Crime
Saint Augustine, FL · Conviction of program-related crimes · Excluded Aug 2023
Bruce Jacob Blauer Individual Revocation
Saint Augustine, FL · License revocation, suspension, or surrender · Excluded Oct 2022
Matthew Joseph Hooker Individual Revocation
Saint Augustine, FL · License revocation, suspension, or surrender · Excluded Sep 2020
Dino Ajloni Individual Felony Fraud
Saint Augustine, FL · Felony conviction relating to health care fraud · Excluded Sep 2019

See all 17 excluded providers in Saint Augustine →

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

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