MADELYN COLLEEN PERCEFULL Medical Cannabis Professional License verification

Business Entity

ACTIVE

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG704102

License Status

ACTIVE

Business

First Name

MADELYN

Middle

COLLEEN

Last Name

PERCEFULL

Business Name

MADELYN COLLEEN PERCEFULL

Original Issue Date

09/18/2023

Effective Date

09/18/2025

Expiration Date

09/18/2026

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/03/2025