C11-0000238-LIC
License County
Sacramento
License Address
Not Published,
Data Not Available,
CA,
Data Not Available
License
Expired
Number: C11-0000238-LIC
Issued: Jun 4, 2019 @ 1:00 AM PDT
Expires: Jun 3, 2020 @ 1:00 AM PDT
Last Status Update: Jul 15, 2020 @ 1:00 AM PDT
Term: Provisional
Type: Commercial - Distributor
Designation: Adult-Use and Medicinal
Status
Legal Name: Mediform Ltd
DBA Name: Data Not Available
Owner Name: Adrian Veiga, Jason Conas-Van Dyke, Jeff Stafford, Paddie Jo Kilgore, Zach Chavez
Structure: Corporation
Email: 1mediform@gmail.Com
Phone: (168) 793-5337
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