NATHANIEL LIST Medical Cannabis Professional License verification

Business Entity

ACTIVE

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG755787

License Status

ACTIVE

Business

First Name

NATHANIEL

Last Name

LIST

Business Name

NATHANIEL LIST

Original Issue Date

11/01/2024

Effective Date

11/01/2025

Expiration Date

11/01/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/30/2025