ROBERT PAYTON LEE WALLACE Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG064152

License Status

TERMINATED

Business

First Name

ROBERT

Middle

PAYTON LEE

Last Name

WALLACE

Business Name

ROBERT PAYTON LEE WALLACE

Original Issue Date

04/13/2020

Effective Date

04/13/2020

Expiration Date

04/13/2021

City

ROSSVILLE

State

Zip

60963

Ever Disciplined

LastModifiedDate

03/07/2021