RUSSELL SCOTT TABAKA Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED FCMA SECOND

License Number

002168169-0022

License Status

NOT RENEWED

Business

First Name

RUSSELL

Middle

SCOTT

Last Name

TABAKA

Business Name

RUSSELL SCOTT TABAKA

Original Issue Date

04/09/2014

Effective Date

04/09/2014

Expiration Date

09/30/2015

City

ISLAND LAKE

State

Zip

60042

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2016