License holder summary

RUSSELL MARTIN KOCEMBA is a Board Of Medicine licensed to practice in Idaho. The address on file for RUSSELL MARTIN KOCEMBA is 3301 N Sawgrass Boise ID 83704. This licensed professional license is current. The license was granted 09/03/1996 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

RUSSELL MARTIN KOCEMBA
Board Of Medicine
License number
M-7077
Date granted
09/03/1996
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
3301 N Sawgrass Boise ID 83704
idaholicensing.com
ID 48342776
LAST UPDATED 2026-03-30 23:16:16 UTC

This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.

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