NICHOLAS PHILLIP RUSSO Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG888567

License Status

TERMINATED

Business

First Name

NICHOLAS

Middle

PHILLIP

Last Name

RUSSO

Business Name

NICHOLAS PHILLIP RUSSO

Original Issue Date

08/27/2019

Effective Date

08/27/2019

Expiration Date

08/27/2020

City

PHOENIX

State

Zip

85015

Ever Disciplined

LastModifiedDate

08/27/2020