CLARA EUGENIA WALTEMATE Medical Cannabis Professional License verification

Business Entity

ACTIVE

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG369475

License Status

ACTIVE

Business

First Name

CLARA

Middle

EUGENIA

Last Name

WALTEMATE

Business Name

CLARA EUGENIA WALTEMATE

Original Issue Date

11/18/2025

Effective Date

11/18/2025

Expiration Date

11/18/2026

City

ELLIS GROVE

State

Zip

62241

County

RANDOLPH

Ever Disciplined

LastModifiedDate

11/18/2025