EXCLUDEDPROVIDER
Individual Revocation

Charles L Sullentrup

Bartlett, TN 38134

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Charles L Sullentrup of Bartlett, TN is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of December 20, 1999.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Bartlett, TN 38134
Exclusion date
December 20, 1999
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Charles L Sullentrup appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Bartlett, Tennessee. 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 December 20, 1999, 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 dateDecember 20, 1999
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 Bartlett, TN 38134. The listed provider category is Laboratory. The listed specialty is Technician.

Other excluded providers in Bartlett, TN

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

Fannie Randolph Individual Program Crime
Bartlett, TN · Conviction of program-related crimes · Excluded Jun 2016
Jennifer L Ziemianin Individual Revocation
Bartlett, TN · License revocation, suspension, or surrender · Excluded Jul 2014
Angel Prescott Individual Revocation
Bartlett, TN · License revocation, suspension, or surrender · Excluded Sep 2012
Karole J Hays Individual Revocation
Bartlett, TN · License revocation, suspension, or surrender · Excluded Feb 2012
Barbara F Baker Individual Revocation
Bartlett, TN · License revocation, suspension, or surrender · Excluded Jul 2011
Marcia West Individual Program Crime
Bartlett, TN · Conviction of program-related crimes · Excluded May 2011
Lee Ann Hardin Individual Drug Felony
Bartlett, TN · Felony conviction relating to controlled substance · Excluded Oct 2010
Paula H Jacquez Individual Revocation
Bartlett, TN · License revocation, suspension, or surrender · Excluded Jul 2010

See all 12 excluded providers in Bartlett →

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.

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Related

More Excluded Individuals in Tennessee More Records in Bartlett More Revocation Records