JACOB WILLIAM BLASINGAME Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007530

License Status

ACTIVE

Business

First Name

JACOB

Middle

WILLIAM

Last Name

BLASINGAME

Business Name

JACOB WILLIAM BLASINGAME

Original Issue Date

01/28/2020

Effective Date

02/19/2026

Expiration Date

03/01/2028

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

02/19/2026