ANTONIA FORMENTINI Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG992631

License Status

TERMINATED

Business

First Name

ANTONIA

Last Name

FORMENTINI

Business Name

ANTONIA FORMENTINI

Original Issue Date

05/23/2016

Effective Date

05/23/2016

Expiration Date

05/23/2017

City

STEGER

State

Zip

60425

Ever Disciplined

LastModifiedDate

05/18/2016