WILLIAM J PROVOST Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXER

License Number

002031754-0003

License Status

NOT RENEWED

Business

First Name

WILLIAM J

Last Name

PROVOST

Business Name

WILLIAM J PROVOST

Original Issue Date

10/01/1991

Effective Date

10/01/1991

Expiration Date

09/30/1993

City

CHICAGO

State

Zip

60609

County

COOK

Ever Disciplined

LastModifiedDate

09/18/2006