VIVIANNA BAUTISTA Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG806000

License Status

TERMINATED

Business

First Name

VIVIANNA

Last Name

BAUTISTA

Business Name

VIVIANNA BAUTISTA

Original Issue Date

04/22/2020

Effective Date

04/22/2021

Expiration Date

07/26/2021

City

PLAINFIELD

State

Zip

60586

Ever Disciplined

LastModifiedDate

03/17/2021