KEITH EDWIN TAPIA Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXER

License Number

002168523-0003

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

EDWIN

Last Name

TAPIA

Business Name

KEITH EDWIN TAPIA

Original Issue Date

05/13/2015

Effective Date

05/13/2015

Expiration Date

09/30/2015

City

MALVERNE

State

Zip

11565

County

NEW YORK

Ever Disciplined

LastModifiedDate

01/14/2016