JILL ANN BANEY

Nursing Board - Csr Prescriptive Authority

Indiana  71000588B   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: 71000588B
  • Category: CSR-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

Lutheran Medical Group LLC, 7916 West Jefferson Blvd., Fort Wayne IN 46804