LAVERNE G CLARK Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXER

License Number

002032132-0003

License Status

NOT RENEWED

Business

First Name

LAVERNE G

Last Name

CLARK

Business Name

LAVERNE G CLARK

Original Issue Date

10/01/1995

Effective Date

10/01/1995

Expiration Date

10/01/2003

City

DAVENPORT

State

Zip

52806

County

IOWA

Ever Disciplined

LastModifiedDate

10/09/2006