MICHAEL EARL RUSSOW Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED MMA CONTESTANT

License Number

002165875-0016

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

EARL

Last Name

RUSSOW

Business Name

MICHAEL EARL RUSSOW

Original Issue Date

01/12/2009

Effective Date

05/09/2012

Expiration Date

09/30/2013

City

CHICAGO

State

Zip

60655

County

COOK

Ever Disciplined

LastModifiedDate

11/21/2013