MALLORY ROSE JENSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004404

License Status

ACTIVE

Business

First Name

MALLORY

Middle

ROSE

Last Name

JENSON

Business Name

MALLORY ROSE JENSON

Original Issue Date

08/14/2012

Effective Date

01/16/2026

Expiration Date

03/01/2028

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

01/16/2026