THERESA ANNE DAVILA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011269

License Status

ACTIVE

Business

First Name

THERESA

Middle

ANNE

Last Name

DAVILA

Business Name

THERESA ANNE DAVILA

Original Issue Date

05/20/2025

Effective Date

02/24/2026

Expiration Date

03/01/2028

City

LADY LAKE

State

Zip

32159

Ever Disciplined

LastModifiedDate

02/24/2026