DALTON LEE HEATHCOCK Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED FCMA SECOND

License Number

002168194-0022

License Status

NOT RENEWED

Business

First Name

DALTON

Middle

LEE

Last Name

HEATHCOCK

Business Name

DALTON LEE HEATHCOCK

Original Issue Date

05/07/2014

Effective Date

05/07/2014

Expiration Date

09/30/2015

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

01/14/2016