KEITH ERIC WISNIEWSKI Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED MMA CONTESTANT

License Number

002166636-0016

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

ERIC

Last Name

WISNIEWSKI

Business Name

KEITH ERIC WISNIEWSKI

Original Issue Date

06/09/2010

Effective Date

06/09/2010

Expiration Date

10/01/2011

City

HOBART

State

Zip

46342

County

INDIANA

Ever Disciplined

LastModifiedDate

10/04/2011