ROXANNE VINCENTA MODAFFERI Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED FCMA SECOND

License Number

002169917-0022

License Status

NOT RENEWED

Business

First Name

ROXANNE

Middle

VINCENTA

Last Name

MODAFFERI

Business Name

ROXANNE VINCENTA MODAFFERI

Original Issue Date

07/02/2019

Effective Date

07/02/2019

Expiration Date

09/30/2021

City

LAS VEGAS

State

Zip

89103

County

CLARK

Ever Disciplined

LastModifiedDate

11/22/2021