MALLORY CATHERINE ROUSHAR Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011468

License Status

ACTIVE

Business

First Name

MALLORY

Middle

CATHERINE

Last Name

ROUSHAR

Business Name

MALLORY CATHERINE ROUSHAR

Original Issue Date

07/25/2025

Effective Date

02/02/2026

Expiration Date

03/01/2028

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

02/02/2026