DESIREE CASTONGUAY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005377

License Status

ACTIVE

Business

First Name

DESIREE

Last Name

CASTONGUAY

Business Name

DESIREE CASTONGUAY

Original Issue Date

01/08/2015

Effective Date

12/28/2025

Expiration Date

03/01/2028

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

12/28/2025