JERRY BLACKWELL Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED WRESTLER

License Number

002120697-0012

License Status

NOT RENEWED

Business

First Name

JERRY

Last Name

BLACKWELL

Business Name

JERRY BLACKWELL

Original Issue Date

10/05/1980

Effective Date

10/05/1980

Expiration Date

10/05/1981

City

MARIETA

State

Zip

30667

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/18/2006