JORGE LACIERVA Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002164467-0010

License Status

NOT RENEWED

Business

First Name

JORGE

Last Name

LACIERVA

Business Name

JORGE LACIERVA

Original Issue Date

09/14/2005

Effective Date

09/14/2005

Expiration Date

10/01/2007

City

LILBURN

State

Zip

30047

County

GEORGIA

Ever Disciplined

LastModifiedDate

11/08/2007