GAVIN ORION BASILE Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG334487

License Status

TERMINATED

Business

First Name

GAVIN

Middle

ORION

Last Name

BASILE

Business Name

GAVIN ORION BASILE

Original Issue Date

04/12/2024

Effective Date

04/12/2024

Expiration Date

04/12/2025

City

HIGHLAND

State

Zip

46322

Ever Disciplined

LastModifiedDate

03/24/2025