ALLEN BRADLEY MEDINA Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXER

License Number

002164320-0003

License Status

NOT RENEWED

Business

First Name

ALLEN

Middle

BRADLEY

Last Name

MEDINA

Business Name

ALLEN BRADLEY MEDINA

Original Issue Date

05/09/2005

Effective Date

05/01/2007

Expiration Date

10/01/2007

City

ARVADA

State

Zip

80004

County

COLORADO

Ever Disciplined

LastModifiedDate

11/08/2007