BLAKE ANTHONY SHAUGHNESSY Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG268558

License Status

TERMINATED

Business

First Name

BLAKE

Middle

ANTHONY

Last Name

SHAUGHNESSY

Business Name

BLAKE ANTHONY SHAUGHNESSY

Original Issue Date

11/04/2019

Effective Date

11/05/2020

Expiration Date

07/02/2021

City

OTTAWA

State

Zip

61350

Ever Disciplined

LastModifiedDate

10/23/2020