KEITH ERIC WISNIEWSKI Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED FCMA SECOND

License Number

002166609-0022

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

ERIC

Last Name

WISNIEWSKI

Business Name

KEITH ERIC WISNIEWSKI

Original Issue Date

05/11/2010

Effective Date

07/27/2016

Expiration Date

09/30/2017

City

CHESTERTON

State

Zip

46304

Ever Disciplined

LastModifiedDate

10/11/2017