Jacob William Blasingame
ActiveIllinois license 085007530
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 085007530
- Status
- Active
- First issued
- January 28, 2020
- Expires
- March 1, 2028
- License holder
- Jacob William Blasingame
- Entity type
- Individual
Classifications
- Licensed Physician Assistant Physicians & Surgeons
More from the license record
- Current term began
- 02/19/2026
Other Illinois licenses under this name
-
IL
ExpiredSt Louis, MOExpired May 31, 2016
-
IL
ActiveChampaign, ILExpires Mar 1, 2028
Contact
Monticello, IL 61856
Piatt County