License holder summary

Kenneth Douglas Koncilja is a Medical Board - 57.Md Training Certificate licensed to practice in Ohio. The address on file for Kenneth Douglas Koncilja is Cleveland Clinic Foundation, c/o GME-NA23, 9500 Euclid Avenue, Cleveland, OH 44195. This licensed professional license is current. The license was granted 09/27/2013 and expired on 06/30/2015.

Ohio

Board of Licensing

Kenneth Douglas Koncilja
Medical Board - 57.Md Training Certificate
License number
57.022965
Date granted
09/27/2013
Date expires
06/30/2015
Class
Medical Board - 57.Md Training Certificate
Status
Active
Address
Cleveland Clinic Foundation, c/o GME-NA23, 9500 Euclid Avenue, Cleveland, OH 44195
ohiolicensing.org
ID 29542498
LAST UPDATED 2024-03-17 08:44:24 UTC

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