TEGAN SIOUX BLAINE Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG947463

License Status

TERMINATED

Business

First Name

TEGAN

Middle

SIOUX

Last Name

BLAINE

Business Name

TEGAN SIOUX BLAINE

Original Issue Date

05/23/2024

Effective Date

05/23/2024

Expiration Date

05/23/2025

City

AURORA

State

Zip

60504

Ever Disciplined

LastModifiedDate

10/01/2024