SHIRLEY BLACK Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED WRESTLER

License Number

002120977-0012

License Status

NOT RENEWED

Business

First Name

SHIRLEY

Last Name

BLACK

Business Name

SHIRLEY BLACK

Original Issue Date

05/20/1981

Effective Date

05/20/1981

Expiration Date

05/20/1982

City

PARKVILLE

State

Zip

64151

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/18/2006