JOSE M RUBALCAVA Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002164047-0010

License Status

NOT RENEWED

Business

First Name

JOSE

Middle

Last Name

RUBALCAVA

Business Name

JOSE M RUBALCAVA

Original Issue Date

07/08/2004

Effective Date

07/08/2004

Expiration Date

10/01/2005

City

SIOUX CITY

State

Zip

51108

County

IOWA

Ever Disciplined

LastModifiedDate

10/09/2006