How to Appeal a Missouri Nursing Board Decision

When the MSBN issues a disciplinary order, nurses have the right to seek judicial review under RSMo § 621.145. An appeal is not a new trial—it’s a review to ensure the Board followed proper procedures, respected your rights, and based its decision on substantial evidence.

The 30-Day Rule

Timing is critical. You must file your petition for review in circuit court within 30 days of the Board’s decision. Missing this window makes the decision final. Many nurses lose their appeal rights simply because they didn’t realize how short the timeline was.

What the Court Reviews

The court examines the administrative record: the hearing transcript, exhibits, and written findings. It looks for procedural errors, abuse of discretion, or conclusions unsupported by evidence. For instance, if the Board relied on hearsay testimony or denied your opportunity to present witnesses, the court may remand the case for reconsideration.

How an Attorney Can Help

Appeals require meticulous legal briefing and familiarity with administrative-law standards. I review the full case file, identify appealable issues, and prepare written arguments showing how the Board overstepped its authority. Success doesn’t always mean total reversal—sometimes we obtain remand for a lighter sanction or new hearing.

Call Sanger Law Office, LLC Today
If you believe the Missouri Board of Nursing’s decision was unfair or unlawful, call Sanger Law Office, LLC at (816) 520-8040. We help nurses in St. Louis, Kansas City, and Springfield pursue timely appeals and protect their right to practice.