SAMANTHA A BANEY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****83

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

BANEY

Business Name

SAMANTHA A BANEY

Original Issue Date

10/06/2024

Effective Date

10/06/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/02/2026