BREANNA RUSTERHOLZ Medical Cannabis Professional License verification

Business Entity

ACTIVE

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG004463

License Status

ACTIVE

Business

First Name

BREANNA

Last Name

RUSTERHOLZ

Business Name

BREANNA RUSTERHOLZ

Original Issue Date

05/03/2022

Effective Date

05/03/2025

Expiration Date

05/03/2026

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

02/05/2026