License holder summary

BLASINGAME, DERRICK DESHAWN is a Medical - Respiratory Care Professional licensed to practice in Georgia. The address on file for BLASINGAME, DERRICK DESHAWN is 101 WEST CRUSELLE STREET | P.O. BOX 657, Roberta 31078. This doctor license is not current. The license was granted 01/08/2015 and expired on 12/31/2015.

Georgia

Composite Medical Board

BLASINGAME, DERRICK DESHAWN
Medical - Respiratory Care Professional
License number
009771
Date granted
01/08/2015
Date expires
12/31/2015
Class
Medical - Respiratory Care Professional
Status
In Renewal
Address
101 WEST CRUSELLE STREET | P.O. BOX 657
georgiadoctors.net
ID 38103505
LAST UPDATED 2026-03-14 02:30:14 UTC

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