MICHAEL DAVID FARAGON Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXER

License Number

002165382-0003

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

DAVID

Last Name

FARAGON

Business Name

MICHAEL DAVID FARAGON

Original Issue Date

02/04/2008

Effective Date

02/04/2008

Expiration Date

10/01/2009

City

GUILDERLAND

State

Zip

12303

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/14/2009