License holder summary

JORDAN BARRIE KONCINSKY is a Board Of Medicine licensed to practice in Idaho. The address on file for JORDAN BARRIE KONCINSKY is 1640 S 1000 E APT B SALT LAKE CITY UT 84105. This licensed professional license is not current. The license was granted 04/21/2014 and expired on 06/30/2016.

Idaho

Division of Occupational and Professional Licenses

JORDAN BARRIE KONCINSKY
Board Of Medicine
License number
MSM-0373
Date granted
04/21/2014
Date expires
06/30/2016
Class
Board Of Medicine
Status
Expired
Address
1640 S 1000 E APT B SALT LAKE CITY UT 84105
idaholicensing.com
ID 48343348
LAST UPDATED 2024-03-12 13:49:48 UTC

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