MARK D. DE SOUZA Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED PRINCIPAL OFFICER

License Number

DOPO652015

License Status

TERMINATED

Business

First Name

MARK

Middle

Last Name

DE SOUZA

Business Name

MARK D. DE SOUZA

Original Issue Date

01/14/2019

Effective Date

01/15/2022

Expiration Date

01/14/2023

City

METTAWA

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

03/04/2022