LARRY W BURGESS Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED TIMEKEEPER

License Number

002110056-0011

License Status

NOT RENEWED

Business

First Name

LARRY W

Last Name

BURGESS

Business Name

LARRY W BURGESS

Original Issue Date

10/16/1975

Effective Date

10/16/1975

Expiration Date

10/16/1976

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

09/18/2006