TERRANCE D LEWIS Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXER

License Number

002163142-0003

License Status

NOT RENEWED

Business

First Name

TERRANCE

Middle

Last Name

LEWIS

Business Name

TERRANCE D LEWIS

Original Issue Date

06/02/2000

Effective Date

06/02/2000

Expiration Date

10/01/2001

City

PHILADELPHIA

State

Zip

19111

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/18/2006