License holder summary

PETER BENSON KOZISEK is a Board Of Medicine licensed to practice in Idaho. The address on file for PETER BENSON KOZISEK is St. Luke''s Palliative Medicine Service BOISE ID 83712. This licensed professional license is current. The license was granted 03/02/1996 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

PETER BENSON KOZISEK
Board Of Medicine
License number
M-6942
Date granted
03/02/1996
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
St. Luke''s Palliative Medicine Service BOISE ID 83712
idaholicensing.com
ID 48347992
LAST UPDATED 2026-05-28 18:31:40 UTC

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