WILLIE D LARK Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002164307-0010

License Status

NOT RENEWED

Business

First Name

WILLIE

Middle

Last Name

LARK

Business Name

WILLIE D LARK

Original Issue Date

05/06/2005

Effective Date

05/06/2005

Expiration Date

10/01/2005

City

BENTON HARBOR

State

Zip

49022

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/09/2006