DAINA M MALLARD Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005512

License Status

ACTIVE

Business

First Name

DAINA

Middle

Last Name

MALLARD

Business Name

DAINA M MALLARD

Original Issue Date

06/29/2015

Effective Date

02/03/2026

Expiration Date

03/01/2028

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

02/03/2026