LACEY R BAKER Medical Cannabis Professional License verification

Business Entity

ACTIVE

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG148772

License Status

ACTIVE

Business

First Name

LACEY

Middle

Last Name

BAKER

Business Name

LACEY R BAKER

Original Issue Date

11/12/2019

Effective Date

11/12/2025

Expiration Date

11/12/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/22/2025