ORTIZ A JUANA Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXER

License Number

002162669-0003

License Status

NOT RENEWED

Business

First Name

ORTIZ

Middle

Last Name

JUANA

Business Name

ORTIZ A JUANA

Original Issue Date

03/11/1999

Effective Date

03/11/1999

Expiration Date

10/01/1999

City

TAMPA

State

Zip

33624

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/18/2006