General: IND- LIC HC SERV PRO
Specialty: NURSE/NURSES AIDE
Address: 5 DEROMA ROAD
City: WEST ROXBURY
State: MA
Zip code: 02132
Exclusion type: License revocation, suspension, or surrender. Minimum Period: Period imposed by the state licensing authority. (Social Security Act: 1128(b)(4), 42 USC §: 1320a-7(b)(4))
Exclusion date: 2016-08-18

General: INDIVIDUAL (UNAFFILI
Specialty: NO KNOWN AFFILIATION
Address: 7125 N CHARLESWORTH ST
City: DEARBORN HEIGHTS
State: MI
Zip code: 48127
Exclusion type: Conviction of program-related crimes. Minimum Period: 5 years (Social Security Act: 1128(a)(1), 42 USC §: 1320a-7(a)(1))
Exclusion date: 2015-08-20

948.06 – Violation of probation or community control (3848) – Principal – P
893.147 1 – Drug Paraphernalia – Possession or Use Of (LEV:M DEG:F 3768) – Principal – P
893.13 6a – Possess Cntrl Sub WO Prescription (LEV F DEG T 3695) – Principal – P

893.13 6a – Possess Cntrl Sub WO Prescription (LEV F DEG T 3695) – Principal – P
893.147 1 – Drug Paraphernalia – Possession or Use Of (LEV:M DEG:F 3768) – Principal – P
810.09 2b – Trespass Failure to Leave Property Upon Order by Owner (LEV:M DEG:F 2774) – Principal – P

Name	Source	YOB
AM Andrea Mackie	USA - Health and Human Services List of Excluded Individuals and Entities	1967
KM Khalil Mackie	USA - Health and Human Services List of Excluded Individuals and Entities	1965
Rosemary Danyel Mackie	USA - mugshots.zone	1975
Mackie Brown	USA - mugshots.zone	1994
Tracy Lynn Mackie	USA - mugshots.zone	1982

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Andrea Mackie

Khalil Mackie

Rosemary Danyel Mackie

Mackie Brown

Tracy Lynn Mackie