EXCLUDEDPROVIDER
Individual Revocation

Evangeline R Harmon

Mendota, IL 61342

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Evangeline R Harmon of Mendota, IL is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of April 20, 2005.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Mendota, IL 61342
Exclusion date
April 20, 2005
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Evangeline R Harmon appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Mendota, Illinois. 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 20, 2005, 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 20, 2005
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 Mendota, IL 61342. The listed provider category is Nursing Profession. The listed specialty is Nurse / Nurses Aide.

Other excluded providers in Mendota, IL

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

Brenda R Barkman Individual Controlled Substance
Mendota, IL · Felony conviction relating to controlled substance · Excluded Mar 2018
Traci L Piper Individual Suspension
Mendota, IL · Exclusion or suspension under a federal or state health care program · Excluded Feb 2016
Mary L Hogate Individual Revocation
Mendota, IL · License revocation, suspension, or surrender · Excluded Nov 2004
Judith A Douglass Individual Revocation
Mendota, IL · License revocation, suspension, or surrender · Excluded Jan 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 Illinois More Records in Mendota More Revocation Records