DERRICK LAVON JEFFERSON Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002167017-0010

License Status

NOT RENEWED

Business

First Name

DERRICK

Middle

LAVON

Last Name

JEFFERSON

Business Name

DERRICK LAVON JEFFERSON

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

10/01/2011

City

OAK PARK

State

Zip

48237

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/04/2011