JERRY DENGMANIVANH Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG453963

License Status

TERMINATED

Business

First Name

JERRY

Last Name

DENGMANIVANH

Business Name

JERRY DENGMANIVANH

Original Issue Date

11/16/2023

Effective Date

11/17/2024

Expiration Date

11/16/2025

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/27/2025