BENJAMIN ROSS BAXTER Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED FCMA SECOND

License Number

002167447-0022

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

ROSS

Last Name

BAXTER

Business Name

BENJAMIN ROSS BAXTER

Original Issue Date

05/09/2012

Effective Date

05/09/2012

Expiration Date

09/30/2013

City

SPRINGFIELD

State

Zip

97477

County

OREGON

Ever Disciplined

LastModifiedDate

11/21/2013