How To Handle Illegal Drug Abuse Allegations in Missouri

/in /by

Protecting Your Nursing License and Career from Devastating Consequences

Allegations of illegal drug abuse can be one of the most serious threats to your professional nursing license in Missouri. Whether the claim comes from an employer, a colleague, or the result of a failed drug test, the consequences can extend far beyond disciplinary action. Nurses facing these allegations often deal with job loss, Board investigations, public license restrictions, and even criminal charges.

At Sanger Law Office, LLC, we represent Missouri nurses under investigation for drug abuse and substance-related violations. We understand the complex emotions and professional consequences tied to these cases. If you’re facing an allegation like this, the way you respond can determine whether you keep your license—or lose it for good.

Let’s walk through what you need to know, what steps to take, and how we help nurses protect their license and reputation during drug-related investigations.

Why the Missouri State Board of Nursing Takes Drug Allegations Seriously

Under RSMo § 335.066, the Missouri State Board of Nursing has the authority to discipline nurses who:

  • Are chemically impaired while practicing
  • Engage in the illegal use or possession of controlled substances
  • Have a substance use disorder that may impair safe practice
  • Fail to comply with treatment or monitoring orders
  • Receive a criminal conviction related to drug possession, use, or diversion

Even if you are never criminally charged, the Board can investigate and impose discipline based on evidence of drug misuse. That includes failed drug tests, workplace behavior, or complaints from supervisors, coworkers, or patients. Nurses are held to a high standard of trust, and any suspicion of impairment can trigger a formal review.

How Drug Abuse Allegations Are Reported and Investigated

In Missouri, employers are legally required to report certain conduct to the Board of Nursing, including suspected substance abuse or positive drug tests. Other reports can come from anonymous sources, coworkers, or law enforcement.

The process typically starts with a written complaint, followed by a notice of investigation from the Board. From that point, the investigation may include:

  • Requests for written responses
  • Interviews or depositions
  • Requests for medical records, including treatment history
  • Drug screening and evaluation referrals
  • Review of employment discipline or termination documents

Your license may be temporarily suspended while the investigation is pending, especially if the Board believes public safety is at risk.

Immediate Steps You Should Take

The most important thing to remember: do not respond to the Board on your own. Your response becomes part of the investigation file and can be used against you, even if your intent was to be honest and cooperative.

Instead:

  • Contact a Missouri nursing license defense attorney immediately.
  • Avoid signing consent agreements or admitting fault without legal review.
  • Save copies of all communication from the Board or your employer.
  • Comply with drug tests and medical evaluations if ordered, but do so under legal guidance.

At Sanger Law Office, we protect our clients from overreach, help develop strong legal and medical defenses, and advocate for the least restrictive outcome available.

Understanding the Missouri Alternative Program

Missouri offers a non-disciplinary alternative program for nurses struggling with substance abuse. Participation can help you:

  • Avoid public discipline
  • Receive structured treatment and support
  • Maintain your license under monitoring terms

However, this program is not right for everyone. Admittance requires you to meet specific criteria, including acknowledgment of impairment and agreement to strict conditions. An attorney can help assess whether this program is a good option—or whether a legal challenge is better.

Possible Outcomes of Drug Allegations

If you do not have proper representation, outcomes may include:

  • Public reprimand
  • License probation with drug monitoring
  • Suspension
  • License revocation
  • Referral to law enforcement for criminal charges

With legal help, however, nurses may be able to avoid formal discipline altogether, especially if the case lacks strong evidence, involves a first-time allegation, or if you are receiving treatment.

How Sanger Law Office, LLC Builds a Strong Defense

Each case requires a tailored strategy based on the facts and allegations. We may:

  • Challenge the legality or reliability of a drug test
  • Provide medical or treatment records to support recovery
  • Negotiate with the Board for probation instead of suspension
  • Seek entry into the alternative program with safeguards
  • Represent you in formal hearings
  • Appeal any adverse Board decision

Our role is to protect your ability to continue practicing and preserve your long-term career options.

Call Danielle Sanger For a Free Consultation

If you’re facing allegations of illegal drug abuse in Missouri, your nursing license and livelihood are on the line. Don’t face the Board alone.

📞 Contact Sanger Law Office, LLC today for a free, confidential consultation at (816) 520-8040. With decades of experience defending nurses across Missouri, we know how to protect your rights, your reputation, and your future. Let us guide you through the defense process with the legal support you deserve.