EXCLUDEDPROVIDER
Individual Revocation

Clifton Walter Johnson

Superior, WI 54880

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Clifton Walter Johnson of Superior, WI is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of January 20, 2002.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Superior, WI 54880
Exclusion date
January 20, 2002
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Clifton Walter Johnson appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Superior, Wisconsin. 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 January 20, 2002, 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 dateJanuary 20, 2002
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 Superior, WI 54880. The listed provider category is Hospital. The listed specialty is Nurse / Nurses Aide.

Other excluded providers in Superior, WI

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

Jordan G Olson Individual Patient Abuse
Superior, WI · Conviction relating to patient abuse or neglect · Excluded Jul 2019
Christy Mcghee Vaughan Individual Revocation
Superior, WI · License revocation, suspension, or surrender · Excluded Jan 2018
Douglas Astor Kilen Individual Revocation
Superior, WI · License revocation, suspension, or surrender · Excluded Jun 2002
Arlene R Mackie Individual Revocation
Superior, WI · License revocation, suspension, or surrender · Excluded Mar 2000
Michele J Peterson Individual Revocation
Superior, WI · License revocation, suspension, or surrender · Excluded Feb 2000

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 Wisconsin More Records in Superior More Revocation Records