PATRICE M BLASSINGAME - Pharmacist License in Illinois | # 049294730

PATRICE M BLASSINGAME

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049294730

License Status

NOT RENEWED

Business

N

First Name

PATRICE

Middle

M

Last Name

BLASSINGAME

Business Name

PATRICE M BLASSINGAME

Original Issue Date

08/06/2022

Effective Date

03/23/2024

Expiration Date

03/31/2025

State

IL

Ever Disciplined

N

LastModifiedDate

07/08/2025