KISHUANA MARIE SLATER Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG713717

License Status

TERMINATED

Business

First Name

KISHUANA

Middle

MARIE

Last Name

SLATER

Business Name

KISHUANA MARIE SLATER

Original Issue Date

04/13/2021

Effective Date

04/14/2022

Expiration Date

04/13/2023

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/30/2023