JILL ANN BANEY

Apn Prescriptive Authority

Indiana  71000588A   Active

This Indiana license is held by JILL ANN BANEY. The license is currently active. It was granted on 02/08/1999 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 71000588A
  • Category: APN Prescriptive Authority
  • Status: Active
  • Date Granted: 02/08/1999 (about 26 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

FORT WAYNE IN 46804