BLAKE ANTHONY ALEXANDER Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG611819

License Status

TERMINATED

Business

First Name

BLAKE

Middle

ANTHONY

Last Name

ALEXANDER

Business Name

BLAKE ANTHONY ALEXANDER

Original Issue Date

12/17/2024

Effective Date

12/17/2024

Expiration Date

12/17/2025

City

PEORIA

State

Zip

61604

Ever Disciplined

LastModifiedDate

06/02/2025