NEIL LEBALLO Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED FCMA SECOND

License Number

002165767-0022

License Status

NOT RENEWED

Business

First Name

NEIL

Last Name

LEBALLO

Business Name

NEIL LEBALLO

Original Issue Date

10/31/2008

Effective Date

10/31/2008

Expiration Date

10/01/2009

City

GLOUCESTER

State

Zip

01930

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

10/14/2009