TAVAE DARNELL LEWIS Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED MMA CONTESTANT

License Number

002169364-0016

License Status

NOT RENEWED

Business

First Name

TAVAE

Middle

DARNELL

Last Name

LEWIS

Business Name

TAVAE DARNELL LEWIS

Original Issue Date

11/29/2017

Effective Date

11/29/2017

Expiration Date

09/30/2019

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/08/2019