TIMOTHY BALLARD Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED FCMA SECOND

License Number

002166057-0022

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Last Name

BALLARD

Business Name

TIMOTHY BALLARD

Original Issue Date

04/22/2009

Effective Date

04/22/2009

Expiration Date

10/01/2009

City

MOUNT OLIVE

State

Zip

62069

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/14/2009