TRAVIS ANDREW BALLARD Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG862927

License Status

TERMINATED

Business

First Name

TRAVIS

Middle

ANDREW

Last Name

BALLARD

Business Name

TRAVIS ANDREW BALLARD

Original Issue Date

11/05/2021

Effective Date

11/05/2021

Expiration Date

11/05/2022

City

PEORIA

State

Zip

61606

Ever Disciplined

LastModifiedDate

11/05/2021