JEFFREY W. CLARK Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED FCMA SECOND

License Number

002166128-0022

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

CLARK

Business Name

JEFFREY W. CLARK

Original Issue Date

05/26/2009

Effective Date

04/28/2010

Expiration Date

10/01/2011

City

CARLSBAD

State

Zip

92011

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/04/2011