AMILCAR O BRUSA Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002164372-0010

License Status

NOT RENEWED

Business

First Name

AMILCAR

Middle

Last Name

BRUSA

Business Name

AMILCAR O BRUSA

Original Issue Date

06/22/2005

Effective Date

06/22/2005

Expiration Date

10/01/2005

City

HOLLYWOOD

State

Zip

90036

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/09/2006