MALLORY PAULETTE KOSOW Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008163

License Status

ACTIVE

Business

First Name

MALLORY

Middle

PAULETTE

Last Name

KOSOW

Business Name

MALLORY PAULETTE KOSOW

Original Issue Date

01/28/2021

Effective Date

02/17/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

02/17/2026