License holder summary

JAY KENNETH COSTANTINI is a Board Of Medicine licensed to practice in Idaho. The address on file for JAY KENNETH COSTANTINI is 2958 Fontenay Rd CLEVELAND OH 44120. This licensed professional license is current. The license was granted 03/05/2004 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

JAY KENNETH COSTANTINI
Board Of Medicine
License number
M-8999
Date granted
03/05/2004
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
2958 Fontenay Rd CLEVELAND OH 44120
idaholicensing.com
ID 48354703
LAST UPDATED 2024-02-18 13:05:37 UTC

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