MARK LAWRENCE WALLEN Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED FCMA REFEREE

License Number

002167825-0021

License Status

NOT RENEWED

Business

First Name

MARK

Middle

LAWRENCE

Last Name

WALLEN

Business Name

MARK LAWRENCE WALLEN

Original Issue Date

08/06/2013

Effective Date

02/23/2018

Expiration Date

09/30/2019

City

CROWN POINT

State

Zip

46307

County

LAKE

Ever Disciplined

LastModifiedDate

10/08/2019