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C11-0000021-LIC
Distributor
License County
San Luis Obispo
License Address
Not Published,
Data Not Available,
CA,
Data Not Available
License
Surrendered
Number: C11-0000021-LIC
Issued: Apr 28, 2019 @ 1:00 AM PDT
Expires: Apr 27, 2024 @ 1:00 AM PDT
Last Status Update: Sep 6, 2023 @ 1:00 AM PDT
Term: Annual
Type: Commercial - Distributor
Designation: Adult-Use and Medicinal
Status
Legal Name: Lab Tested Grover Beach LLC
DBA Name: Nepenthe Extracts
Owner Name: Maxwell Poswillo
Structure: Limited Liability Company
Email: Labtestedgroverbeach@gmail.Com
Phone: (805) 835-5364