TODD MICHAEL ANDERSON Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002163599-0010

License Status

NOT RENEWED

Business

First Name

TODD

Middle

MICHAEL

Last Name

ANDERSON

Business Name

TODD MICHAEL ANDERSON

Original Issue Date

03/13/2002

Effective Date

12/28/2006

Expiration Date

10/01/2007

City

OXNARD

State

Zip

93030

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/08/2007