MARK LAWRENCE WALLEN Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED FCMA SECOND

License Number

002167343-0022

License Status

NOT RENEWED

Business

First Name

MARK

Middle

LAWRENCE

Last Name

WALLEN

Business Name

MARK LAWRENCE WALLEN

Original Issue Date

12/28/2011

Effective Date

12/28/2011

Expiration Date

09/30/2013

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

11/21/2013