PETER BENSON KOZISEK
Idaho SPHY-6942 Canceled
This Idaho license was held by PETER BENSON KOZISEK. The license is no longer active. It was granted on 03/02/1996 and expired on 12/31/2008
LICENSE DETAILS
- License Number: SPHY-6942
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 03/02/1996 (about 29 years ago)
- Expiry Date: 12/31/2008 (over 16 years ago)
LOCATIONS
A Residential
St. Luke''s Palliative Medicine Service BOISE ID 83712