KEITH D JACKSON Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002163370-0010

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

JACKSON

Business Name

KEITH D JACKSON

Original Issue Date

12/06/2000

Effective Date

12/06/2000

Expiration Date

10/01/2001

City

TAYLOR

State

Zip

48180

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/18/2006