License holder summary

SOUTSADA NIKKI KONESAVANH is a Physician Assistant - Physician Assistant licensed to practice in Utah. The address on file for SOUTSADA NIKKI KONESAVANH is WEST JORDAN, UT 84081. This licensed professional license is current. The license was granted 10/02/2008 and expired on 05/31/2016.

Utah

Division of Occupational and Professional Licensing

SOUTSADA NIKKI KONESAVANH
Physician Assistant - Physician Assistant
License number
7138480-1206
Date granted
10/02/2008
Date expires
05/31/2016
Class
Physician Assistant - Physician Assistant
Status
Active
Address
WEST JORDAN, UT 84081
utahlicensing.org
ID 29953953
LAST UPDATED 2026-05-30 19:21:15 UTC

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