FREDERICK NATHANAEL MOORE Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT-IN-CHARGE

License Number

DOAC973630

License Status

TERMINATED

Business

First Name

FREDERICK

Middle

NATHANAEL

Last Name

MOORE

Business Name

FREDERICK NATHANAEL MOORE

Original Issue Date

03/18/2022

Effective Date

03/18/2022

Expiration Date

03/18/2023

City

VALPARAISO

State

Zip

46385

Ever Disciplined

LastModifiedDate

03/18/2022