ANTWAN BLASSINGILL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049258489

License Status

NOT RENEWED

Business

First Name

ANTWAN

Last Name

BLASSINGILL

Business Name

ANTWAN BLASSINGILL

Original Issue Date

06/11/2018

Effective Date

03/19/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021