DUSTIN ANTHONY JACOBY Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED MMA CONTESTANT

License Number

002166894-0016

License Status

NOT RENEWED

Business

First Name

DUSTIN

Middle

ANTHONY

Last Name

JACOBY

Business Name

DUSTIN ANTHONY JACOBY

Original Issue Date

02/18/2011

Effective Date

05/09/2012

Expiration Date

09/30/2013

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/21/2013