MALLACK JABER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****57

License Status

ACTIVE

Business

First Name

MALLACK

Last Name

JABER

Business Name

MALLACK JABER

Original Issue Date

07/22/2021

Effective Date

02/27/2026

Expiration Date

03/01/2028

City

OAK LAWN

State

Zip

60453

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/27/2026