DUSTIN ANTHONY JACOBY Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED FCMA SECOND

License Number

002167961-0022

License Status

NOT RENEWED

Business

First Name

DUSTIN

Middle

ANTHONY

Last Name

JACOBY

Business Name

DUSTIN ANTHONY JACOBY

Original Issue Date

11/05/2013

Effective Date

11/05/2013

Expiration Date

09/30/2015

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2016