SUZANNE A ORTEGA Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002170257-0010

License Status

NOT RENEWED

Business

First Name

SUZANNE

Middle

Last Name

ORTEGA

Business Name

SUZANNE A ORTEGA

Original Issue Date

04/08/2023

Effective Date

04/08/2023

Expiration Date

09/30/2023

City

PHOENIX

State

Zip

85029

Ever Disciplined

LastModifiedDate

10/16/2023