JASON KENT VAN DONSELAAR Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002164781-0010

License Status

NOT RENEWED

Business

First Name

JASON

Middle

KENT

Last Name

VAN DONSELAAR

Business Name

JASON KENT VAN DONSELAAR

Original Issue Date

04/18/2006

Effective Date

04/18/2006

Expiration Date

10/01/2007

City

EDDYVILLE

State

Zip

52553

County

IOWA

Ever Disciplined

LastModifiedDate

11/08/2007