MARLO PICHARDO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009904

License Status

ACTIVE

Business

First Name

MARLO

Last Name

PICHARDO

Business Name

MARLO PICHARDO

Original Issue Date

08/01/2023

Effective Date

01/23/2026

Expiration Date

03/01/2028

City

EAGLE

State

Zip

83616

Ever Disciplined

LastModifiedDate

01/23/2026