OMAR K BASS Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXER

License Number

002163403-0003

License Status

NOT RENEWED

Business

First Name

OMAR

Middle

Last Name

BASS

Business Name

OMAR K BASS

Original Issue Date

03/21/2001

Effective Date

03/21/2001

Expiration Date

10/01/2001

City

FT WAYNE

State

Zip

46803

County

INDIANA

Ever Disciplined

LastModifiedDate

09/18/2006