EMILY MARIE PETAK Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG923735

License Status

TERMINATED

Business

First Name

EMILY

Middle

MARIE

Last Name

PETAK

Business Name

EMILY MARIE PETAK

Original Issue Date

12/11/2020

Effective Date

12/11/2020

Expiration Date

12/11/2021

City

MATTOON

State

Zip

61938

Ever Disciplined

LastModifiedDate

12/11/2020