DAVID V WALLER Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002165351-0010

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

WALLER

Business Name

DAVID V WALLER

Original Issue Date

12/07/2007

Effective Date

12/08/2009

Expiration Date

10/01/2011

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

10/04/2011