Idaho
Division of Occupational and Professional Licenses
RICHARD KOZAKIEWICZ
Board Of Medicine
License number
M-6977
Date granted
04/17/1996
Date expires
06/30/2007
Class
Board Of Medicine
Status
Canceled
Address
PO Box 336 Chester MT 59522
idaholicensing.com
ID 48335312
LAST UPDATED 2026-04-10 20:52:25 UTC
LAST UPDATED 2026-04-10 20:52:25 UTC
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