LUIS MANUEL VIVEROS-BALDERAS Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG574432

License Status

TERMINATED

Business

First Name

LUIS

Middle

MANUEL

Last Name

VIVEROS-BALDERAS

Business Name

LUIS MANUEL VIVEROS-BALDERAS

Original Issue Date

04/16/2018

Effective Date

04/17/2023

Expiration Date

04/16/2024

City

MONMOUTH

State

Zip

61462

County

WARREN

Ever Disciplined

LastModifiedDate

02/08/2024