JUSAF J MACK Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXER

License Number

002164053-0003

License Status

NOT RENEWED

Business

First Name

JUSAF

Middle

Last Name

MACK

Business Name

JUSAF J MACK

Original Issue Date

07/09/2004

Effective Date

07/09/2004

Expiration Date

10/01/2005

City

PHILADELPHIA

State

Zip

19104

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

10/09/2006