MALLORY PAULETTE KOSOW Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****36

License Status

ACTIVE

Business

First Name

MALLORY

Middle

PAULETTE

Last Name

KOSOW

Business Name

MALLORY PAULETTE KOSOW

Original Issue Date

11/02/2021

Effective Date

02/17/2026

Expiration Date

03/01/2028

City

OAK LAWN

State

Zip

60453

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/17/2026