BLAKE MATTHEW WHITE Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG426783

License Status

TERMINATED

Business

First Name

BLAKE

Middle

MATTHEW

Last Name

WHITE

Business Name

BLAKE MATTHEW WHITE

Original Issue Date

12/15/2019

Effective Date

12/15/2019

Expiration Date

12/15/2020

City

FREEBURG

State

Zip

62243

Ever Disciplined

LastModifiedDate

12/15/2020