NATHAN FORMAN Adult Use Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Adult Use Cannabis Professional

Description

REGISTERED ADULT USE AGENT-IN-CHARGE

License Number

286721282-AUAC

License Status

TERMINATED

Business

First Name

NATHAN

Last Name

FORMAN

Business Name

NATHAN FORMAN

Original Issue Date

02/23/2023

Effective Date

02/23/2023

Expiration Date

02/23/2024

City

HAZELWOOD

State

Zip

63042

Ever Disciplined

LastModifiedDate

10/15/2024