VIC BERTHOLM Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002102195-0010

License Status

NOT RENEWED

Business

First Name

VIC

Last Name

BERTHOLM

Business Name

VIC BERTHOLM

Original Issue Date

10/01/1989

Effective Date

10/01/1989

Expiration Date

09/30/1991

City

INDIANAPOLIS

State

Zip

46205

County

INDIANA

Ever Disciplined

LastModifiedDate

09/18/2006