GRACE N MIEDEMA Medical Cannabis Professional License verification

Business Entity

CANCELLED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG205495

License Status

CANCELLED

Business

First Name

GRACE

Middle

Last Name

MIEDEMA

Business Name

GRACE N MIEDEMA

Original Issue Date

08/07/2017

Effective Date

08/08/2018

Expiration Date

08/07/2019

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/07/2018