GAYLAN W MOUSHON Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****12

License Status

ACTIVE

Business

First Name

GAYLAN W

Last Name

MOUSHON

Business Name

GAYLAN W MOUSHON

Original Issue Date

03/19/2007

Effective Date

03/25/2026

Expiration Date

03/31/2028

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/25/2026