PHILLIP AUSTIN BOLTE Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG472893

License Status

TERMINATED

Business

First Name

PHILLIP

Middle

AUSTIN

Last Name

BOLTE

Business Name

PHILLIP AUSTIN BOLTE

Original Issue Date

04/20/2022

Effective Date

04/20/2022

Expiration Date

04/20/2023

City

CARTERVILLE

State

Zip

62918

Ever Disciplined

LastModifiedDate

04/20/2022