LIDIA S POMAVILLE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004255

License Status

ACTIVE

Business

First Name

LIDIA

Middle

Last Name

POMAVILLE

Business Name

LIDIA S POMAVILLE

Original Issue Date

12/02/2011

Effective Date

02/05/2026

Expiration Date

03/01/2028

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2026