EXCLUDEDPROVIDER
Individual Revocation

Gwendolyn B Clark

Fairfax, VA 22033

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Gwendolyn B Clark of Fairfax, VA is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of March 20, 2016.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Fairfax, VA 22033
Exclusion date
March 20, 2016
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Gwendolyn B Clark appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Fairfax, Virginia. 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 March 20, 2016, 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 dateMarch 20, 2016
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 Fairfax, VA 22033. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Nurse / Nurses Aide.

Other excluded providers in Fairfax, VA

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

Amanda Lynn Jones Individual Revocation
Fairfax, VA · License revocation, suspension, or surrender · Excluded Jan 2025
John Crescent Ndunguru Individual Program Crime
Fairfax, VA · Conviction of program-related crimes · Excluded Apr 2021
Carolina Galicia Deberrios Individual Program Crime
Fairfax, VA · Conviction of program-related crimes · Excluded May 2020
Luis James Rocha Individual Program Crime
Fairfax, VA · Conviction of program-related crimes · Excluded Jan 2016
Silvie Sylvie Nomeny Individual Revocation
Fairfax, VA · License revocation, suspension, or surrender · Excluded Oct 2008
Claudia A Campbell Individual Patient Abuse
Fairfax, VA · Conviction relating to patient abuse or neglect · Excluded Feb 2008
Marilyn M Hong Individual Revocation
Fairfax, VA · License revocation, suspension, or surrender · Excluded Feb 2006
Zenawi Kabato Individual Revocation
Fairfax, VA · License revocation, suspension, or surrender · Excluded Feb 2003

See all 13 excluded providers in Fairfax →

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 Virginia More Records in Fairfax More Revocation Records