LOZADA GAONA ALBERTO Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002164006-0010

License Status

NOT RENEWED

Business

First Name

LOZADA

Middle

GAONA

Last Name

ALBERTO

Business Name

LOZADA GAONA ALBERTO

Original Issue Date

02/23/2004

Effective Date

02/23/2004

Expiration Date

10/01/2005

City

FORT WAYNE

State

Zip

46835

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006