BENJAMIN MILLER Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED MMA CONTESTANT

License Number

002165953-0016

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Last Name

MILLER

Business Name

BENJAMIN MILLER

Original Issue Date

03/10/2009

Effective Date

03/10/2009

Expiration Date

10/01/2009

City

ROCKFORD

State

Zip

61126

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/14/2009