GABRIELLE NICOLE BAPTIST Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG461561

License Status

TERMINATED

Business

First Name

GABRIELLE

Middle

NICOLE

Last Name

BAPTIST

Business Name

GABRIELLE NICOLE BAPTIST

Original Issue Date

06/12/2018

Effective Date

06/12/2018

Expiration Date

06/12/2019

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/11/2018