EVAN CHARLES EISENBERG Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT-IN-CHARGE

License Number

DOAC661736

License Status

TERMINATED

Business

First Name

EVAN

Middle

CHARLES

Last Name

EISENBERG

Business Name

EVAN CHARLES EISENBERG

Original Issue Date

04/11/2016

Effective Date

04/11/2016

Expiration Date

04/11/2017

City

LUTZ

State

Zip

33558

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/11/2016