VAN D SHRIVES Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002102218-0010

License Status

NOT RENEWED

Business

First Name

VAN D

Last Name

SHRIVES

Business Name

VAN D SHRIVES

Original Issue Date

10/01/1991

Effective Date

10/01/1991

Expiration Date

09/30/1993

City

NEWTOWN

State

Zip

47969

County

INDIANA

Ever Disciplined

LastModifiedDate

09/18/2006