JENNAFER BIRNE OTTENHEIMER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****77

License Status

ACTIVE

Business

First Name

JENNAFER

Middle

BIRNE

Last Name

OTTENHEIMER

Business Name

JENNAFER BIRNE OTTENHEIMER

Original Issue Date

08/20/2014

Effective Date

01/21/2026

Expiration Date

03/01/2028

City

NORTHBROOK

State

Zip

60062

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/21/2026