AMANDA MARY GOSTIGIAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081875

License Status

ACTIVE

Business

Title

First Name

AMANDA

Middle

MARY

Last Name

GOSTIGIAN

Business Name

AMANDA MARY GOSTIGIAN DO

Original Issue Date

06/26/2026

Effective Date

06/26/2026

Expiration Date

06/25/2028

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

03/15/2026