PHANNY JUNE KHAMNIBOUTH Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG287403

License Status

TERMINATED

Business

First Name

PHANNY

Middle

JUNE

Last Name

KHAMNIBOUTH

Business Name

PHANNY JUNE KHAMNIBOUTH

Original Issue Date

05/11/2021

Effective Date

05/12/2022

Expiration Date

05/11/2023

City

ROCKFORD

State

Zip

61108

Ever Disciplined

LastModifiedDate

05/11/2023