LYDIA O'BANNON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009303

License Status

ACTIVE

Business

First Name

LYDIA

Last Name

O'BANNON

Business Name

LYDIA O'BANNON

Original Issue Date

10/24/2022

Effective Date

02/19/2024

Expiration Date

03/01/2026

City

ROUND ROCK

State

Zip

78681

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

12/03/2025