MARK THOMAS LEWIS Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT-IN-CHARGE

License Number

DOAC433912

License Status

TERMINATED

Business

First Name

MARK

Middle

THOMAS

Last Name

LEWIS

Business Name

MARK THOMAS LEWIS

Original Issue Date

01/11/2016

Effective Date

01/11/2016

Expiration Date

01/11/2017

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/11/2016