HERBERT FREDRICK FORKENBROCK Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING MANAGER

License Number

002167562-0005

License Status

NOT RENEWED

Business

First Name

HERBERT

Middle

FREDRICK

Last Name

FORKENBROCK

Business Name

HERBERT FREDRICK FORKENBROCK

Original Issue Date

08/31/2012

Effective Date

09/30/2013

Expiration Date

09/30/2015

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

01/14/2016