DOUGLAS JEROME PHILLIPS Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXER

License Number

002164671-0003

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

JEROME

Last Name

PHILLIPS

Business Name

DOUGLAS JEROME PHILLIPS

Original Issue Date

12/21/2005

Effective Date

12/21/2005

Expiration Date

10/01/2007

City

ATLANTA

State

Zip

30311

County

GEORGIA

Ever Disciplined

LastModifiedDate

11/08/2007