MATTHEW DAVID GANTENBEIN Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT-IN-CHARGE

License Number

DOAC092150

License Status

TERMINATED

Business

First Name

MATTHEW

Middle

DAVID

Last Name

GANTENBEIN

Business Name

MATTHEW DAVID GANTENBEIN

Original Issue Date

06/23/2021

Effective Date

06/23/2021

Expiration Date

06/23/2022

City

EAST DUBUQUE

State

Zip

61025

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

06/23/2021