BENJAMIN L. SHEPHERD Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG960649

License Status

TERMINATED

Business

First Name

BENJAMIN

Middle

Last Name

SHEPHERD

Business Name

BENJAMIN L. SHEPHERD

Original Issue Date

02/08/2022

Effective Date

06/23/2023

Expiration Date

02/08/2024

City

WASHINGTON

State

Zip

61571

Ever Disciplined

LastModifiedDate

01/23/2023