SCOTT HOWARD PASICHOW MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

INOPERATIVE

Business

Title

First Name

SCOTT

Middle

HOWARD

Last Name

PASICHOW

Business Name

SCOTT HOWARD PASICHOW MD

Original Issue Date

02/03/2020

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

MAPLEWOOD

State

Zip

07040

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2023