Utah
Division of Occupational and Professional Licensing
KENNETH CHARLES JACKIMCZYK, JR
Physician - Physician & Surgeon
License number
7434334-1205
Date granted
12/29/2009
Date expires
01/31/2014
Class
Physician - Physician & Surgeon
Status
Expired
Address
SCOTTSDALE, AZ 85251
utahlicensing.org
ID 29928045
LAST UPDATED 2024-04-09 20:41:40 UTC
LAST UPDATED 2024-04-09 20:41:40 UTC
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