SCOTT HOWARD PASICHOW MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151635

License Status

INACTIVE

Business

Title

First Name

SCOTT

Middle

HOWARD

Last Name

PASICHOW

Business Name

SCOTT HOWARD PASICHOW MD

Original Issue Date

01/23/2020

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

MAPLEWOOD

State

Zip

07040

Ever Disciplined

LastModifiedDate

04/26/2025