MARK W WALLARAB Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002102589-0010

License Status

NOT RENEWED

Business

First Name

MARK W

Last Name

WALLARAB

Business Name

MARK W WALLARAB

Original Issue Date

10/01/1995

Effective Date

10/01/1995

Expiration Date

10/01/1997

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/18/2006