LOIS ANN THEOBALD Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXER

License Number

002164259-0003

License Status

NOT RENEWED

Business

First Name

LOIS

Middle

ANN

Last Name

THEOBALD

Business Name

LOIS ANN THEOBALD

Original Issue Date

01/05/2005

Effective Date

01/05/2005

Expiration Date

10/01/2005

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/09/2006