Jacob William Blasingame

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

096003389

Status

Expired (Not Renewed)

First issued

August 7, 2012

Expired

May 31, 2016

License holder

Jacob William Blasingame

Entity type

Individual

Classifications

• Licensed Athletic Trainer Therapy & Rehabilitation

More from the license record

Current term began

04/08/2014

Other Illinois licenses under this name

• IL
  Jacob William Blasingame

  License 085007530

  Licensed Physician Assistant
  Active

  Monticello, IL

  Expires Mar 1, 2028
• IL
  Jacob William Blasingame

  License 38*****14

  Physician Assistant Controlled Substance
  Active

  Champaign, IL

  Expires Mar 1, 2028

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