JENNAFER BIRNE OTTENHEIMER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005056

License Status

ACTIVE

Business

First Name

JENNAFER

Middle

BIRNE

Last Name

OTTENHEIMER

Business Name

JENNAFER BIRNE OTTENHEIMER

Original Issue Date

05/19/2014

Effective Date

01/21/2026

Expiration Date

03/01/2028

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

01/21/2026