P BRENT KOPRIVICA Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002164832-0010

License Status

NOT RENEWED

Business

First Name

Middle

BRENT

Last Name

KOPRIVICA

Business Name

P BRENT KOPRIVICA

Original Issue Date

07/07/2006

Effective Date

07/07/2006

Expiration Date

10/01/2007

City

KANSAS CITY

State

Zip

66109

County

KANSAS

Ever Disciplined

LastModifiedDate

11/08/2007