SAMANTHA A BANEY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019754

License Status

INACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

BANEY

Business Name

SAMANTHA A BANEY

Original Issue Date

08/06/2019

Effective Date

07/06/2022

Expiration Date

05/31/2024

City

ROCKFORD

State

Zip

61107

Ever Disciplined

LastModifiedDate

07/06/2022