ANTONIO DANIEL LOPEZ Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED FCMA SECOND

License Number

002168845-0022

License Status

NOT RENEWED

Business

First Name

ANTONIO

Middle

DANIEL

Last Name

LOPEZ

Business Name

ANTONIO DANIEL LOPEZ

Original Issue Date

03/03/2016

Effective Date

03/03/2016

Expiration Date

09/30/2017

City

ASTORIA

State

Zip

11105

Ever Disciplined

LastModifiedDate

10/11/2017