ANTWAN BLASSINGILL - Pharmacist License in Illinois | # 049258489

ANTWAN BLASSINGILL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049258489

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021