United States of America v. Dr. David Ray Cesko

Cheyenne, WY - The United States of America charge3d Dr. David Ray Cesko with illegally distributing opioid drugs.



Dr. DAVID RAY CESKO, 66, of Rawlins, Wyoming pleaded guilty on February 26, 2020 in U.S. District Court in Cheyenne to multiple charges that, as a physician, he unlawfully distributed controlled substances, primarily opiates and benzodiazepines, to his patients.



Cesko was charged by a Wyoming federal grand jury in March of 2019 in a thirty count indictment following a lengthy, collaborative investigation by the Wyoming Division of Criminal Investigation and the Drug Enforcement Administration. The charges alleged that Cesko had, without a legitimate medical purpose and outside the course of professional practice, unlawfully prescribed pain killers and other controlled substances to multiple patients. At the hearing today, pursuant to a plea agreement, Cesko pleaded guilty to twenty of the original charges, including charges that he unlawfully prescribed codeine cough syrup and opiates to minor, female patients, and, on several occasions, that he unlawfully prescribed opiates to a pregnant minor.



Cesko is scheduled to be sentenced on May 13th in U.S. District Court. He faces the possibility of decades in prison. As part of the plea agreement Cesko also agreed to forever relinquish his medical license and prescription authority.

Charges:

21 U.S.C. §§ 841(a)(1) and (b)(1)(C), and 18 U.S.C. §2(b) - Dispensing of Oxycodone

(1)

21 U.S.C. §§ 841(a)(1) and (b)(1)(C), and 18 U.S.C. §2(b) - Dispensing of Alprazolam

(2)

21 U.S.C. §§ 841(a)(1) and (b)(1)(C), and 18 U.S.C. §2(b) - Dispensing of Hydrocodone

(3-4)

21 U.S.C. §§ 841(a)(1) and (b)(1)(C), and 18 U.S.C. §2(b) - Dispensing of Oxycodone

(5-6)

21 U.S.C. §§ 841(a)(1) and (b)(1)(C), and 18 U.S.C. §2(b) - Dispensing of Alprazolam

(7-8)

21 U.S.C. §§ 841(a)(1) and (b)(1)(C), and 18 U.S.C. §2(b) - Dispensing of Hydrocodone

(9)

21 U.S.C. §§ 841(a)(1) and (b)(1)(C), and 18 U.S.C. §2(b) - Dispensing of Hydrocodone

(10-12)

21 U.S.C. §§ 841(a)(1) and (b)(1)(C), and 18 U.S.C. §2(b) - Dispensing of Tramadol

(13)

21 U.S.C. §§ 841(a)(1) and (b)(1)(C), and 18 U.S.C. §2(b) - Dispensing of Hydrocodone

(14)

21 U.S.C. §§ 841(a)(1) and (b)(1)(C), and 18 U.S.C. §2(b) - Dispensing of Oxycodone

(15-16)

21 U.S.C. §§ 841(a)(1) and (b)(1)(C), and 859(a), and 18 U.S.C. §2(b) - Dispensing of Promethazine with Codeine, and Distribution of Controlled Substance to Person Under 21

(17-22)

21 U.S.C. §§ 841(a)(1) and (b)(1)(C), and 859(a), and 18 U.S.C. §2(b) - Dispensing of Amphetamine/Dextroamphetamine, and Distribution of Controlled Substance to Person Under 21

(23)

21 U.S.C. §§ 841(a)(1) and (b)(1)(C), and 859(a), and 18 U.S.C. §2(b) - Dispensing of Oxycodone, and Distribution of Controlled Substance to Person Under 21

(24)

21 U.S.C. §§ 841(a)(1) and (b)(1)(C), and 859(a), and 861(f) and 18 U.S.C. §2(b) - Dispensing of Oxycodone, and Distribution of Controlled Substance to Person Under 21 and Pregnant

(25)

21 U.S.C. §§ 841(a)(1) and (b)(1)(C), and 859(a), and 861(f), and 18 U.S.C. §2(b) - Dispensing of Hydrocodone, and Distribution of Controlled Substance to Person Under 21 and Pregnant

(26)

21 U.S.C. §§ 841(a)(1) and (b)(1)(C), and 859(a), and 861(f), and 18 U.S.C. §2(b) - Dispensing of Oxycodone, and Distribution of Controlled Substance to Person Under 21 and Pregnant

(27)

21 U.S.C. §§ 841(a)(1) and (b)(1)(C), and 18 U.S.C. §2(b) - Dispensing of Hydrocodone

(28)

21 U.S.C. §§ 841(a)(1) and (b)(1)(C), and 18 U.S.C. §2(b) - Dispensing of Amphetamine/Dextroamphetamine

(29-30)

21 U.S.C. §§ 841(a)(1) and (b)(1)(C), and 18 U.S.C. §2(b) - Dispensing of Hydrocodone

(31-32)

RAWLINS DOCTOR PLEADS GUILTY TO UNLAWFUL DISTRIBUTION OF PRESCRIPTION PAIN PILLS.

02/26/2020 45 Minute Entry: Change of Plea Hearing as to David Ray Cesko, Guilty plea entered as to Counts 1, 2, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27. Proceedings held before Honorable Scott W Skavdahl. (Court Reporter Anne Bowline.) (Court Staff, sal) (Entered: 02/26/2020)

02/26/2020 46 NOTICE OF HEARING as to David Ray Cesko, Jury trial vacated, Sentencing set for 5/13/2020 08:15 AM in Casper Courtroom No. 2 (Room No. 204) before Honorable Scott W Skavdahl. (Court Staff, sal) (Entered: 02/26/2020)