PATRICE M BLASSINGAME Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049294730

License Status

NOT RENEWED

Business

First Name

PATRICE

Middle

Last Name

BLASSINGAME

Business Name

PATRICE M BLASSINGAME

Original Issue Date

08/06/2022

Effective Date

03/23/2024

Expiration Date

03/31/2025

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

07/08/2025