TIERRE M DERRICK Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG165311

License Status

TERMINATED

Business

First Name

TIERRE

Middle

Last Name

DERRICK

Business Name

TIERRE M DERRICK

Original Issue Date

05/19/2021

Effective Date

05/19/2021

Expiration Date

05/19/2022

City

ROCKFORD

State

Zip

61104

Ever Disciplined

LastModifiedDate

05/19/2021