KEITH BRIAN MARTIN Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002162996-0010

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

BRIAN

Last Name

MARTIN

Business Name

KEITH BRIAN MARTIN

Original Issue Date

01/21/2000

Effective Date

08/26/2009

Expiration Date

10/01/2011

City

SAINT LOUIS

State

Zip

63115

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/04/2011