BRODY JAMES BALOUSEK Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG678654

License Status

TERMINATED

Business

First Name

BRODY

Middle

JAMES

Last Name

BALOUSEK

Business Name

BRODY JAMES BALOUSEK

Original Issue Date

03/19/2021

Effective Date

03/19/2021

Expiration Date

07/03/2021

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/23/2025