James Orrington II, D.D.S.
Outcome
Illinois IDFPR suspended Orrington's dental and controlled substance licenses for a minimum of 3 years and fined him $20,000 on May 23, 2024, for substandard care, false records, and fraudulent billing; DEA issued Order to Show Cause May 23, 2025, and revoked Certificate of Registration No. BO7484811, published October 20, 2025.
Details
James Orrington II, D.D.S. — Illinois License Suspension and DEA Revocation for Substandard Care and Fraud (2024–2025)
Outcome: The Illinois Department of Financial and Professional Regulation indefinitely suspended James Orrington II's dental and controlled substance licenses for a minimum of three years and fined him $20,000 on May 23, 2024, for substandard care, filing false records or reports, and fraudulent billing; the DEA issued an Order to Show Cause on May 23, 2025, and revoked his Certificate of Registration No. BO7484811 by default, published October 20, 2025.
James Orrington II, D.D.S. was a Chicago, Illinois dentist who held DEA Certificate of Registration No. BO7484811. On May 23, 2024, the Illinois Department of Financial and Professional Regulation (IDFPR) issued an order indefinitely suspending his Illinois dental license and controlled substance license for a minimum of three years, along with a $20,000 fine. The grounds for the state action included: substandard care, filing false records or reports, and fraudulent billing.
Because Orrington's dental and controlled substance licenses were suspended in Illinois, he was not currently authorized to handle controlled substances in the state in which he was registered with the DEA, rendering his DEA registration invalid. On May 23, 2025 — exactly one year after the state suspension — the DEA issued an Order to Show Cause proposing revocation.
Orrington did not request a hearing and the DEA found him to be in default. The Agency adopted the findings and ordered revocation. The Decision and Order was published in the Federal Register on October 20, 2025.
Primary Source: James Orrington, II, D.D.S.; Decision and Order (Fed. Reg. Oct. 20, 2025)
How Crucible Prevents This
IDFPR found Orrington engaged in substandard care, falsified records, and fraudulent billing — violations that Crucible's documentation audit controls and billing reconciliation workflows would have flagged. The falsified records category specifically would be detected by Crucible's immutable audit log requirement, which prevents post-hoc modification of clinical records.
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