KEITH WILSON Medical Cannabis Professional License verification

Business Entity

ACTIVE

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG903335

License Status

ACTIVE

Business

First Name

KEITH

Last Name

WILSON

Business Name

KEITH WILSON

Original Issue Date

10/19/2020

Effective Date

10/19/2025

Expiration Date

10/19/2026

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

09/10/2025