BRUCE GENE BLAIR Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002164519-0010

License Status

NOT RENEWED

Business

First Name

BRUCE

Middle

GENE

Last Name

BLAIR

Business Name

BRUCE GENE BLAIR

Original Issue Date

09/19/2005

Effective Date

09/19/2005

Expiration Date

10/01/2007

City

EGG HARBOR TOWNSHIP

State

Zip

08234

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

11/08/2007