TRACY MALLORY - Physician Assistant License in Illinois | # 085008358

TRACY MALLORY

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008358

License Status

ACTIVE

Business

N

First Name

TRACY

Last Name

MALLORY

Business Name

TRACY MALLORY

Original Issue Date

06/10/2021

Effective Date

01/15/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

01/15/2026