Mark Vincent Konicki
Temporary Medical Doctor Permit
Indiana 99054172A Superceded
This Indiana license was held by Mark Vincent Konicki. The license is no longer active. It was granted on 10/04/2012 and expired on 01/04/2013
LICENSE DETAILS
- License Number: 99054172A
- Category: Temporary MD Permit
- Status: Superceded
- Date Granted: 10/04/2012 (over 12 years ago)
- Expiry Date: 01/04/2013 (over 12 years ago)
LOCATIONS
A Address
Fort Wayne IN 46804