MALLORY CATHERINE ROUSHAR Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****08

License Status

ACTIVE

Business

First Name

MALLORY

Middle

CATHERINE

Last Name

ROUSHAR

Business Name

MALLORY CATHERINE ROUSHAR

Original Issue Date

10/07/2025

Effective Date

02/02/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

02/02/2026