TOMMY WAYNE BLACK Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG467030

License Status

TERMINATED

Business

First Name

TOMMY

Middle

WAYNE

Last Name

BLACK

Business Name

TOMMY WAYNE BLACK

Original Issue Date

07/25/2022

Effective Date

07/26/2023

Expiration Date

07/25/2024

City

SALEM

State

Zip

62881

Ever Disciplined

LastModifiedDate

07/14/2023