License Verification

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GARY W. MOUSSEAU

License Number: PA9112347

Data As Of 5/14/2025

Profession
Physician Assistant
License
PA9112347
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
07/22/2019
Address of Record
White-Wilson Medical Center
Pulmonary Medicine
FORT WALTON BEACH, FL 32547
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
BARNES, RONALD LEE Supervising Prescribing Practitioner Medical Doctor 113886 02/19/2020
HANSEN, CHRISTOPHER MICHAEL Supervising Prescribing Practitioner Medical Doctor 82426 09/13/2019
MANUEL, ANA MAY MAGDALEN PASCUAL Supervising Prescribing Practitioner Medical Doctor 123192 09/13/2019
MILLS, JOHN EDWIN Supervising Prescribing Practitioner Medical Doctor 94038 09/13/2019
MOLINA, CLAUDIA MARCELA Supervising Prescribing Practitioner Medical Doctor 94241 02/19/2020
STEPP, GREGORY JAMES Supervising Prescribing Practitioner Medical Doctor 128948 09/13/2019
VAN, CHINH VIEN Supervising Prescribing Practitioner Medical Doctor 112971 09/13/2019

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 5/14/2025



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** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


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