TAREQ S AZIM Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED FCMA SECOND

License Number

002166331-0022

License Status

NOT RENEWED

Business

First Name

TAREQ

Middle

Last Name

AZIM

Business Name

TAREQ S AZIM

Original Issue Date

11/23/2009

Effective Date

08/04/2015

Expiration Date

09/30/2017

City

SAN FRANCISCO

State

Zip

94111

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/11/2017