PHILLIP LEE GOLDBERG Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED PRINCIPAL OFFICER

License Number

DOPO664107

License Status

TERMINATED

Business

First Name

PHILLIP

Middle

LEE

Last Name

GOLDBERG

Business Name

PHILLIP LEE GOLDBERG

Original Issue Date

04/11/2016

Effective Date

04/12/2020

Expiration Date

04/11/2021

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

04/21/2020