SHANE M PUCKETT Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002102670-0010

License Status

NOT RENEWED

Business

First Name

SHANE M

Last Name

PUCKETT

Business Name

SHANE M PUCKETT

Original Issue Date

10/01/1995

Effective Date

10/01/1995

Expiration Date

10/01/1997

City

JASPER

State

Zip

35501

County

IOWA

Ever Disciplined

LastModifiedDate

09/18/2006