SCOTT CROSBY WICKLESS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

First Name

SCOTT

Middle

CROSBY

Last Name

WICKLESS

Suffix

Business Name

SCOTT CROSBY WICKLESS DO

Original Issue Date

07/03/2006

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

TELLURIDE

State

Zip

81435

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023