CLINTON BARRETT BLACKBURN Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED FCMA SECOND

License Number

002168728-0022

License Status

NOT RENEWED

Business

First Name

CLINTON

Middle

BARRETT

Last Name

BLACKBURN

Business Name

CLINTON BARRETT BLACKBURN

Original Issue Date

08/18/2015

Effective Date

08/18/2015

Expiration Date

09/30/2017

City

INGLESIDE

State

Zip

60041

County

LAKE

Ever Disciplined

LastModifiedDate

10/11/2017