CLARA EUGENIA WALTEMATE Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG876882

License Status

TERMINATED

Business

First Name

CLARA

Middle

EUGENIA

Last Name

WALTEMATE

Business Name

CLARA EUGENIA WALTEMATE

Original Issue Date

12/08/2023

Effective Date

12/09/2024

Expiration Date

12/08/2025

City

ELLIS GROVE

State

Zip

62241

County

RANDOLPH

Ever Disciplined

LastModifiedDate

11/18/2025