KYLIE E LASALLE Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG687249

License Status

TERMINATED

Business

First Name

KYLIE

Middle

Last Name

LASALLE

Business Name

KYLIE E LASALLE

Original Issue Date

10/25/2017

Effective Date

10/25/2017

Expiration Date

10/25/2018

City

URBANA

State

Zip

61802

Ever Disciplined

LastModifiedDate

10/24/2017