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

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

BURGLARY OF BUILDING
BURGLARY OF BUILDING
BURGLARY OF BUILDING
BURGLARY OF BUILDING
THEFT PROP <$300K ATM
CRIMINAL MISCHIEF >=$750<$2,500
CRIMINAL MISCHIEF >=$100<$750

General: HOSPITAL
Specialty: NURSE/NURSES AIDE
Address: 701 ROOSEVELT AVE
City: SUPERIOR
State: WI
Zip code: 54880
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: 2000-03-20

General: PHYSICIAN (MD, DO)
Specialty: OTORHINOLARYNGOLOGY
Medical license number: 1407801103
Address: 1902 ROCHESTER STREET
City: EDINBURG
State: TX
Zip code: 78539
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: 2024-01-18

Name	Source	YOB
KM Khalil Mackie	USA - Health and Human Services List of Excluded Individuals and Entities	1965
AM Andrea Mackie	USA - Health and Human Services List of Excluded Individuals and Entities	1967
Kennith Hayes Mackie	USA - mugshots.zone	1998
AR Arlene R Mackie	USA - Health and Human Services List of Excluded Individuals and Entities	1970
ES Eugene Scott Mackie	USA - Health and Human Services List of Excluded Individuals and Entities	1953

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Khalil Mackie

Andrea Mackie

Kennith Hayes Mackie

Arlene R Mackie

Eugene Scott Mackie