JARED L. DEGROOT Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED MMA CONTESTANT

License Number

002166880-0016

License Status

NOT RENEWED

Business

First Name

JARED

Middle

Last Name

DEGROOT

Business Name

JARED L. DEGROOT

Original Issue Date

02/18/2011

Effective Date

02/18/2011

Expiration Date

10/01/2011

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

10/04/2011