ANDREW MATTHEW WAGNER Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT-IN-CHARGE

License Number

DOAC694332

License Status

TERMINATED

Business

First Name

ANDREW

Middle

MATTHEW

Last Name

WAGNER

Business Name

ANDREW MATTHEW WAGNER

Original Issue Date

03/11/2016

Effective Date

03/12/2019

Expiration Date

03/11/2020

City

MONTGOMERY

State

Zip

60538

County

KANE

Ever Disciplined

LastModifiedDate

02/15/2019