DERRICK JAMES MEHMAN Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED MMA CONTESTANT

License Number

002165869-0016

License Status

NOT RENEWED

Business

First Name

DERRICK

Middle

JAMES

Last Name

MEHMAN

Business Name

DERRICK JAMES MEHMAN

Original Issue Date

01/12/2009

Effective Date

01/12/2009

Expiration Date

10/01/2009

City

CEDAR RAPIDS

State

Zip

52405

County

IOWA

Ever Disciplined

LastModifiedDate

10/14/2009