Discipline Details

Discipline Information

Case Number	15-118
Number	S39348000
Full Name	Mrs. Tisha Marie Bousselot
Issued Date	5/7/2015
Discipline Type	Other - Failure to accurately disclose professional disciplinary history and criminal history as requested by questions 9c and 10a on the license application form.
Action Taken	$500 civil penalty
Reason for Action	Failure to accurately disclose professional disciplinary history and criminal history as requested by questions 9c and 10a on the license application form.
Status	Satisfied
Date Satisfied (If Applicable)
Disciplinary Index (If Applicable)	View Disciplinary Index