JEROME BLAZEK Medical Cannabis Professional License verification

Business Entity

TERMINATED

License Type

Medical Cannabis Professional

Description

REGISTERED AGENT

License Number

DOAG768584

License Status

TERMINATED

Business

First Name

JEROME

Last Name

BLAZEK

Business Name

JEROME BLAZEK

Original Issue Date

08/10/2020

Effective Date

08/11/2024

Expiration Date

08/10/2025

City

MT PLEASANT

State

Zip

53403

Ever Disciplined

LastModifiedDate

03/05/2026