MICHAEL CHRISTOPHER CICCOTTI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

CHRISTOPHER

Last Name

CICCOTTI

Business Name

MICHAEL CHRISTOPHER CICCOTTI MD

Original Issue Date

06/17/2020

Effective Date

06/17/2020

Expiration Date

07/31/2023

City

VAIL

State

Zip

81657

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023