JUSTIN BRYCE CASTONGUAY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085734

License Status

ACTIVE

Business

Title

First Name

JUSTIN

Middle

BRYCE

Last Name

CASTONGUAY

Business Name

JUSTIN BRYCE CASTONGUAY MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/02/2025