EBERTO ALFREDO MEDINA Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXER

License Number

002164998-0003

License Status

NOT RENEWED

Business

First Name

EBERTO

Middle

ALFREDO

Last Name

MEDINA

Business Name

EBERTO ALFREDO MEDINA

BusinessDBA

TITO MEDINA

Original Issue Date

12/06/2006

Effective Date

12/06/2006

Expiration Date

10/01/2007

City

IRVINGTON

State

Zip

07111

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

11/08/2007