CARLOS LOPEZ Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002165967-0010

License Status

NOT RENEWED

Business

First Name

CARLOS

Last Name

LOPEZ

Business Name

CARLOS LOPEZ

Original Issue Date

04/07/2009

Effective Date

04/07/2009

Expiration Date

10/01/2009

City

FORT WAYNE

State

Zip

46816

County

INDIANA

Ever Disciplined

LastModifiedDate

10/14/2009