JENNIFER B OTA MD Medical Doctor License verification

JENNIFER B OTA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

Title

First Name

JENNIFER

Middle

Last Name

OTA

Business Name

JENNIFER B OTA MD

Original Issue Date

07/19/1996

Effective Date

09/29/2020

Expiration Date

07/31/2023

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023

Case Number

2019011926

Action

Suspension

Discipline Start Date

08/19/2022

Discipline Reason

controlled substance license placed on indefinite probation for a minimum of three years with multiple conditions and must complete 70 hours of Continued Medical Education for inappropriately prescribing controlled substances to several patients at Capt. James Lovell Federal Health Care Center.