391.45B — Expired medical examiner's certificate
FMCSA violation code under Driver Fitness. 1,782 events recorded in roadside inspections. Severity weight: N/A.
Violation Description
Expired medical examiner's certificate
About This Violation Code
Code 391.45B falls under the Driver Fitness BASIC category in FMCSA's Safety Measurement System (SMS).
When this violation is cited during a roadside inspection, it contributes to the carrier's Driver Fitness BASIC score. Carriers with high BASIC percentiles may be prioritized for FMCSA interventions including warning letters, investigations, or compliance reviews.
Regulatory Reference
Federal Motor Carrier Safety Regulations
This violation references 49 CFR 391.45B in the Federal Motor Carrier Safety Regulations.
Top Enforcing States
Where 391.45B is most commonly cited (last 180 days)
Click a state to see roadside inspection activity, top stations, and carrier profiles in that jurisdiction.
Citation Trend (12 months)
Monthly count of 391.45B citations. Red bars mark months with OOS-triggering citations.
Most Active Stations
Inspection stations citing 391.45B most often (last 180 days)
Often Cited Together
Other violations commonly found on the same inspection (last 90 days)
Citation patterns suggest related root causes (e.g., HOS violations paired with logbook errors).
Top Carriers Cited
Ranked by frequency • 1,710 carriers total • Page 1 of 69
Top Carriers with 391.45B Violations
Showing 25 of 1,710
| # | Carrier | USDOT | # Violations |
|---|---|---|---|
| #1 | WEST TEXAS TRUCK SOLUTION LLC | 4287116 | 5 |
| #2 | GARZA SAND & CONSTRUCTION LLC | 3328440 | 4 |
| #3 | CURTIS BAY ENERGY INC | 1692213 | 3 |
| #4 | BAUTISTA TERRA GARDEN INC | 3599741 | 3 |
| #5 | MSV TRANSPORT LLC | 2474188 | 3 |
| #6 | TRANSPORTES LORO SA DE CV | 881925 | 3 |
| #7 | JUAN CARLOS RAMOS | 3639352 | 3 |
| #8 | N1 TRUCKING TRANSPORTATION LLC | 4159383 | 3 |
| #9 | GONCO LOGISTICS LLC | 3057362 | 2 |
| #10 | MAX CARGO LLC | 3055122 | 2 |
| #11 | NORTH CAROLINA HARVESTING LLC | 3450745 | 2 |
| #12 | TIRMEX LOGISTICS LLC | 4142701 | 2 |
| #13 | DESTINY'S TRANSPORTATION SERVICE LLC | 3997119 | 2 |
| #14 | TOP TIER ENERGY LLC | 3999208 | 2 |
| #15 | GARZA & SONS TRANSPORT INC | 1834846 | 2 |
| #16 | ATLAS TRUCKING LLC | 2950206 | 2 |
| #17 | PAUL N TRAHAN | 1282573 | 2 |
| #18 | ATLACO LLC | 1844803 | 2 |
| #19 | RAPIDO CARGO HONDURAS CORPORATION | 3856173 | 2 |
| #20 | PHOENIX ENERGY LLC | 4116353 | 2 |
| #21 | DENALI TRANSPORTATION LLC | 4018797 | 2 |
| #22 | JUAN LOPEZ ZAVALA | 2174792 | 2 |
| #23 | JUAN ANDRES QUINTANA JIMBO | 3152479 | 2 |
| #24 | M & VK TRANSPORTATION INC | 2510589 | 2 |
| #25 | MDW TRUCKING LLC | 3788576 | 2 |
Recent Inspections
Latest inspections where 391.45B was cited • 1,782 total events • Page 1 of 72
Recent Inspections with 391.45B
Showing 25 of 1,782
| Date | Report # | State | Level | OOS |
|---|---|---|---|---|
| Mar 31, 2026 | 87460076 | NC | Level 3 | Yes |
| Mar 31, 2026 | 87452957 | NC | Level 3 | No |
| Mar 30, 2026 | 87453601 | IL | Level 2 | Yes |
| Mar 27, 2026 | 87465966 | IL | Level 2 | Yes |
| Mar 26, 2026 | 87420855 | IL | Level 3 | Yes |
| Mar 25, 2026 | 87407138 | NC | Level 2 | No |
| Mar 24, 2026 | 87395655 | NC | Level 1 | Yes |
| Mar 21, 2026 | 87370819 | NC | Level 3 | Yes |
| Mar 19, 2026 | 87371142 | IA | Level 3 | No |
| Mar 18, 2026 | 87332691 | KY | Level 3 | No |
| Mar 17, 2026 | 87322479 | NC | Level 2 | No |
| Mar 17, 2026 | 87322436 | NC | Level 3 | Yes |
| Mar 11, 2026 | 87274478 | NC | Level 3 | No |
| Mar 11, 2026 | 87274467 | NC | Level 3 | No |
| Mar 11, 2026 | 87274395 | NC | Level 3 | No |
| Mar 10, 2026 | 87261744 | NC | Level 3 | Yes |
| Mar 9, 2026 | 87251878 | IA | Level 3 | No |
| Mar 5, 2026 | 87214327 | NC | Level 2 | No |
| Mar 4, 2026 | 87225787 | IL | Level 2 | Yes |
| Feb 27, 2026 | 87190633 | IL | Level 1 | Yes |
| Feb 26, 2026 | 87163420 | NC | Level 2 | Yes |
| Feb 26, 2026 | 87189900 | NM | Level 3 | No |
| Feb 26, 2026 | 87190605 | IL | Level 1 | Yes |
| Feb 25, 2026 | 87149137 | NC | Level 2 | No |
| Feb 24, 2026 | 87139231 | IA | Level 3 | No |