KELLY S MIZEUR Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG192041

License Status

TERMINATED

Business

First Name

KELLY

Middle

Last Name

MIZEUR

Business Name

KELLY S MIZEUR

Original Issue Date

02/15/2017

Effective Date

02/16/2020

Expiration Date

02/15/2021

City

SPRINGFIELD

State

Zip

62704

Ever Disciplined

LastModifiedDate

12/04/2020