KIRK WAYNE BLAKELY Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002163805-0010

License Status

NOT RENEWED

Business

First Name

KIRK

Middle

WAYNE

Last Name

BLAKELY

Business Name

KIRK WAYNE BLAKELY

Original Issue Date

01/10/2003

Effective Date

01/10/2003

Expiration Date

10/01/2005

City

WYOMING

State

Zip

49509

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/09/2006