MALLORY ROSE JENSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****74

License Status

ACTIVE

Business

First Name

MALLORY

Middle

ROSE

Last Name

JENSON

Business Name

MALLORY ROSE JENSON

Original Issue Date

09/06/2012

Effective Date

01/16/2026

Expiration Date

03/01/2028

City

EVANSTON

State

Zip

60201

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/16/2026