MARIAH JAYNE PRUSSIA Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002169753-0010

License Status

NOT RENEWED

Business

First Name

MARIAH

Middle

JAYNE

Last Name

PRUSSIA

Business Name

MARIAH JAYNE PRUSSIA

Original Issue Date

10/26/2018

Effective Date

10/26/2018

Expiration Date

09/30/2019

City

FARGO

State

Zip

58103

County

CASS

Ever Disciplined

LastModifiedDate

10/08/2019