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 2026-05-30 16:04:12 UTC
LAST UPDATED 2026-05-30 16:04:12 UTC
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