CHAD KENNETH BERGMEIER Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002164776-0010

License Status

NOT RENEWED

Business

First Name

CHAD

Middle

KENNETH

Last Name

BERGMEIER

Business Name

CHAD KENNETH BERGMEIER

Original Issue Date

04/18/2006

Effective Date

04/18/2006

Expiration Date

10/01/2007

City

WATERLOO

State

Zip

50701

County

IOWA

Ever Disciplined

LastModifiedDate

11/08/2007