LIVIA DE SOUZA LISBOA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006328

License Status

ACTIVE

Business

First Name

LIVIA

Middle

DE SOUZA

Last Name

LISBOA

Business Name

LIVIA DE SOUZA LISBOA

Original Issue Date

08/24/2017

Effective Date

01/06/2026

Expiration Date

03/01/2028

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/06/2026