JORDAN LEWIS MANGUM Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG984537

License Status

TERMINATED

Business

First Name

JORDAN

Middle

LEWIS

Last Name

MANGUM

Business Name

JORDAN LEWIS MANGUM

Original Issue Date

07/13/2022

Effective Date

07/13/2022

Expiration Date

07/13/2023

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

07/30/2025