ANDRE W. MILLER Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002165185-0010

License Status

NOT RENEWED

Business

First Name

ANDRE

Middle

Last Name

MILLER

Business Name

ANDRE W. MILLER

Original Issue Date

08/10/2007

Effective Date

08/10/2007

Expiration Date

10/01/2009

City

RIVERDALE

State

Zip

60827

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2009