GLEN W MODICUE Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXER

License Number

002031445-0003

License Status

NOT RENEWED

Business

First Name

GLEN W

Last Name

MODICUE

Business Name

GLEN W MODICUE

Original Issue Date

10/01/1987

Effective Date

10/01/1987

Expiration Date

09/30/1989

City

WEST MONROE

State

Zip

71291

County

LOUISIANA

Ever Disciplined

LastModifiedDate

09/18/2006