NICOLE A KRUCKEBERG Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG310675

License Status

TERMINATED

Business

First Name

NICOLE

Middle

Last Name

KRUCKEBERG

Business Name

NICOLE A KRUCKEBERG

Original Issue Date

07/08/2016

Effective Date

07/08/2016

Expiration Date

07/08/2017

City

LAKE VILLA

State

Zip

60046

Ever Disciplined

LastModifiedDate

07/08/2016