SAMANTHA ELISABETH BALLARD Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG894052

License Status

TERMINATED

Business

First Name

SAMANTHA

Middle

ELISABETH

Last Name

BALLARD

Business Name

SAMANTHA ELISABETH BALLARD

Original Issue Date

11/30/2020

Effective Date

11/30/2022

Expiration Date

11/30/2023

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

12/16/2025