NATHAN EDWARD COSTELLO Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT-IN-CHARGE

License Number

DOAC203815

License Status

TERMINATED

Business

First Name

NATHAN

Middle

EDWARD

Last Name

COSTELLO

Business Name

NATHAN EDWARD COSTELLO

Original Issue Date

08/23/2016

Effective Date

08/23/2016

Expiration Date

08/23/2017

City

SOUTH HADLEY

State

Zip

01075

Ever Disciplined

LastModifiedDate

08/22/2016