PATRICK H MUKUSHINA Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002167863-0010

License Status

NOT RENEWED

Business

First Name

PATRICK

Middle

Last Name

MUKUSHINA

Business Name

PATRICK H MUKUSHINA

Original Issue Date

09/12/2013

Effective Date

09/12/2013

Expiration Date

09/30/2015

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

01/14/2016