Request List of Licensees
Request List of Licensees
LICENSEE LIST REQUEST
LICENSEE LIST REQUEST
The Wyoming Board of Medicine will provide a list of licensees upon request to individuals or businesses who complete and submit the required form (found below).
Lists will be provided in Excel format and will be sent to the email address provided.
Please allow three weeks from the receipt of your request to receive the requested list(s).
Information that will be included:
Information that will be included:
Name and professional title of licensee
Public access address including city, state, zip
License number
License status
Issue date
Expiration date
Board Certification
Practice specialty
(List of available information set by W.S. § 33-26-408 and Board Rules, Ch. 6, § 3(a).)
Request Form: