DALTON RAY BOELENS Medical Cannabis Professional License verification

Business Entity

CANCELLED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG021240

License Status

CANCELLED

Business

First Name

DALTON

Middle

RAY

Last Name

BOELENS

Business Name

DALTON RAY BOELENS

Original Issue Date

07/18/2016

Effective Date

07/19/2018

Expiration Date

07/18/2019

City

GENESEO

State

Zip

61254

Ever Disciplined

LastModifiedDate

06/11/2018