JASON S SMITH Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXER

License Number

002164178-0003

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

SMITH

Business Name

JASON S SMITH

Original Issue Date

08/11/2004

Effective Date

08/11/2004

Expiration Date

10/01/2005

City

MUNCIE

State

Zip

47302

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006