The Washington State Department of Health has issued a permanent ban on a Clallam County resident who served as a certified medical assistant-phlebotomist. The regulatory action follows the individual’s admission that he provided inaccurate information on his original licensing application roughly ten years ago.

In January 2026, the department and the practitioner reached a settlement that required the immediate return of his professional credential.

Records from the Stipulated Findings of Fact and Conclusions of Law indicate that the credential was first granted on September 5, 2017. The license remained in effect for several years until it expired on December 19, 2023.

On May 10, 2025, the practitioner voluntarily notified the department that he had knowingly submitted false details in his initial application, which had been filed on August 24, 2017.

Regulatory Violations

The official statement of charges identified the practitioner’s actions as unprofessional conduct under state statutes. The findings determined that he violated RCW 18.130.180(2), a provision that characterizes such conduct as the concealment or misrepresentation of significant facts during the process of obtaining or reinstating a license.

Terms of the Order

A health law judge signed the agreed order on February 2, 2026, formalizing the practitioner’s commitment to surrender his credential.

The documentation specifies that the individual agrees to cease all practice as a certified medical assistant-phlebotomist within Washington state. This prohibition extends to any form of temporary, emergency, or volunteer work.

Additionally, the state ruled that the practitioner is ineligible to reapply for a license or seek renewal, reinstatement, or reactivation of his credential. The disciplinary body noted that because the individual was nearing the end of his active practice period, the surrender of the credential was deemed sufficient to safeguard patient safety and public health.