JULIA ANNA BANACH RANDALL Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149029196

License Status

ACTIVE

Business

First Name

JULIA

Middle

ANNA BANACH

Last Name

RANDALL

Business Name

JULIA ANNA BANACH RANDALL

Original Issue Date

04/08/2025

Effective Date

11/29/2025

Expiration Date

11/30/2027

City

SAINT CHARLES

State

Zip

60174

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/29/2025