LUIS F COLLAZO Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXER

License Number

002164510-0003

License Status

NOT RENEWED

Business

First Name

LUIS

Middle

Last Name

COLLAZO

Business Name

LUIS F COLLAZO

Original Issue Date

09/19/2005

Effective Date

09/19/2005

Expiration Date

10/01/2007

City

BROOKLYN

State

Zip

11211

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/08/2007