MALLORY BETH WEBER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006013

License Status

ACTIVE

Business

First Name

MALLORY

Middle

BETH

Last Name

WEBER

Business Name

MALLORY BETH WEBER

Original Issue Date

09/27/2016

Effective Date

03/01/2026

Expiration Date

03/01/2028

City

SAINT CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

03/01/2026