JONATHAN DWAIN WIEZOREK Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED FCMA SECOND

License Number

002166303-0022

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

DWAIN

Last Name

WIEZOREK

Business Name

JONATHAN DWAIN WIEZOREK

Original Issue Date

10/23/2009

Effective Date

10/23/2009

Expiration Date

10/01/2011

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/04/2011