DEREK R ENNIS Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002164151-0010

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

Last Name

ENNIS

Business Name

DEREK R ENNIS

Original Issue Date

08/03/2004

Effective Date

09/11/2014

Expiration Date

09/30/2015

City

PHILADELPHIA

State

Zip

19115

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

01/14/2016