DANE ALEXANDER BASHTA Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED FCMA SECOND

License Number

002169547-0022

License Status

NOT RENEWED

Business

First Name

DANE

Middle

ALEXANDER

Last Name

BASHTA

Business Name

DANE ALEXANDER BASHTA

Original Issue Date

07/25/2018

Effective Date

07/25/2018

Expiration Date

09/30/2019

City

SALLISAW

State

Zip

74955

Ever Disciplined

LastModifiedDate

10/08/2019