JUSTIN K. BLIVEN Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG033740

License Status

TERMINATED

Business

First Name

JUSTIN

Middle

Last Name

BLIVEN

Business Name

JUSTIN K. BLIVEN

Original Issue Date

05/12/2017

Effective Date

05/12/2017

Expiration Date

05/12/2018

City

BARRY

State

Zip

62312

Ever Disciplined

LastModifiedDate

03/02/2018