TRACY MALLORY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****06

License Status

ACTIVE

Business

First Name

TRACY

Last Name

MALLORY

Business Name

TRACY MALLORY

Original Issue Date

12/21/2021

Effective Date

01/20/2026

Expiration Date

03/01/2028

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/20/2026