LYDIA ESTHER VANNATTA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005552

License Status

ACTIVE

Business

First Name

LYDIA

Middle

ESTHER

Last Name

VANNATTA

Business Name

LYDIA ESTHER VANNATTA

Original Issue Date

07/14/2015

Effective Date

02/02/2026

Expiration Date

03/01/2028

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

03/23/2026