HEITH MIXON Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002102490-0010

License Status

NOT RENEWED

Business

First Name

HEITH

Last Name

MIXON

Business Name

HEITH MIXON

Original Issue Date

10/01/1993

Effective Date

10/01/1993

Expiration Date

10/01/1995

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

09/18/2006