RAPHAEL ASSUNCAO Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED MMA CONTESTANT

License Number

002165822-0016

License Status

NOT RENEWED

Business

First Name

RAPHAEL

Last Name

ASSUNCAO

Business Name

RAPHAEL ASSUNCAO

Original Issue Date

11/14/2008

Effective Date

11/14/2008

Expiration Date

10/01/2009

City

MARIETTA

State

Zip

30062

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/14/2009