LEA M GINDVILLE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009374

License Status

ACTIVE

Business

First Name

LEA

Middle

Last Name

GINDVILLE

Business Name

LEA M GINDVILLE

Original Issue Date

11/05/2022

Effective Date

12/10/2025

Expiration Date

03/01/2028

City

BOURBONNAIS

State

Zip

60914

Ever Disciplined

LastModifiedDate

12/10/2025