GRACE-MARIE MARTINA OTTOMANELLI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****28

License Status

ACTIVE

Business

First Name

GRACE-MARIE

Middle

MARTINA

Last Name

OTTOMANELLI

Business Name

GRACE-MARIE MARTINA OTTOMANELLI

Original Issue Date

12/03/2014

Effective Date

02/09/2026

Expiration Date

03/01/2028

City

BATAVIA

State

Zip

60510

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/09/2026