JULIA GRACE BANIA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****16

License Status

INACTIVE

Business

First Name

JULIA

Middle

GRACE

Last Name

BANIA

Business Name

JULIA GRACE BANIA

Original Issue Date

05/23/2017

Effective Date

03/23/2024

Expiration Date

05/31/2026

City

NEW LENOX

State

Zip

60451

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/28/2025