JAVIER SANTIAGO FORTUNA Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002169729-0010

License Status

NOT RENEWED

Business

First Name

JAVIER

Middle

SANTIAGO

Last Name

FORTUNA

Business Name

JAVIER SANTIAGO FORTUNA

Original Issue Date

10/18/2018

Effective Date

10/18/2018

Expiration Date

09/30/2019

City

BRONX

State

Zip

10458

Ever Disciplined

LastModifiedDate

10/08/2019