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JACKIE DOUGLAS WOODBURN

Debarred entity

JACKIE DOUGLAS WOODBURN is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	JACKIE DOUGLAS WOODBURN · Jack Woodburn				[sources]
Birth date	1954-07-30				[sources]
Nationality	not available				[sources]
Country	United States				[sources]
First name	JACKIE · Jack				[sources]
Last name	Woodburn				[sources]
Middle name	DOUGLAS				[sources]
NPI	`1306009196`				[sources]
Sector	Counselor				[sources]
Unique Entity ID	`E1PEUD27ZTJ4`				[sources]
Position	COUNSELOR (IND- LIC HC SERV PRO)				[sources]
Address	LISBON, OH 44432 · P O BOX 10, #56626-039, LISBON, OH 44432 · Port Huron, MI				[sources]
Last change	2025-12-29	Last processed	2025-12-29	First seen	2024-05-08

Sanctions
Country	Authority	Program	Start date	End date
United States	OPM		2022-08-30	-

A database of suppliers who have been excluded from participating in US federal procurement.

United States · GSA

People and companies excluded from Federally funded health care programs

United States · OIG

Providers who have been terminated for cause from Michigan's Medicaid program.

United States · MDHHS

Source data IDs: us-medmi-46f108a38015d1a51557f9347cabb1e7f5c94daf · us-fed-excl-jackie-douglas-woodburn-44432-lisbon

OpenSanctions is free for non-commercial users. Businesses must acquire a data license to use the dataset.