CARRIE LYNN CLARK Medical Cannabis Professional License verification

Business Entity

ACTIVE

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG609299

License Status

ACTIVE

Business

First Name

CARRIE

Middle

LYNN

Last Name

CLARK

Business Name

CARRIE LYNN CLARK

Original Issue Date

07/20/2021

Effective Date

07/20/2025

Expiration Date

07/20/2026

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/09/2025