DAVID LOGAN SLACK Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT-IN-CHARGE

License Number

DOAC038105

License Status

TERMINATED

Business

First Name

DAVID

Middle

LOGAN

Last Name

SLACK

Business Name

DAVID LOGAN SLACK

Original Issue Date

10/21/2019

Effective Date

10/21/2019

Expiration Date

10/21/2020

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/27/2020