KYLE PROVENZANO Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002166699-0010

License Status

NOT RENEWED

Business

First Name

KYLE

Last Name

PROVENZANO

Business Name

KYLE PROVENZANO

Original Issue Date

08/23/2010

Effective Date

08/23/2010

Expiration Date

10/01/2011

City

SCHENECTADY

State

Zip

12304

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/04/2011