ELISE MARIE SCOGGIN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146947

License Status

ACTIVE

Business

Title

First Name

ELISE

Middle

MARIE

Last Name

SCOGGIN

Business Name

ELISE MARIE SCOGGIN DO

Original Issue Date

07/18/2018

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

63454

Ever Disciplined

LastModifiedDate

06/29/2023