DANIEL TIMOTHY BLENCOE Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG955004

License Status

TERMINATED

Business

First Name

DANIEL

Middle

TIMOTHY

Last Name

BLENCOE

Business Name

DANIEL TIMOTHY BLENCOE

Original Issue Date

01/05/2021

Effective Date

01/06/2022

Expiration Date

01/05/2023

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

08/07/2025