GARY T BRUSH OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****10

License Status

ACTIVE

Business

First Name

GARY T

Last Name

BRUSH

Suffix

Business Name

GARY T BRUSH OD

Original Issue Date

02/11/1997

Effective Date

03/12/2026

Expiration Date

03/31/2028

City

METROPOLIS

State

Zip

62960

County

MASSAC

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/12/2026