MARTY LYNN SOUTHARD Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG901061

License Status

TERMINATED

Business

First Name

MARTY

Middle

LYNN

Last Name

SOUTHARD

Business Name

MARTY LYNN SOUTHARD

Original Issue Date

04/13/2021

Effective Date

04/14/2023

Expiration Date

04/13/2024

City

WOOD RIVER

State

Zip

62095

Ever Disciplined

LastModifiedDate

03/10/2023