CARLA EILEEN WITHERSPOON Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXER

License Number

002164172-0003

License Status

NOT RENEWED

Business

First Name

CARLA

Middle

EILEEN

Last Name

WITHERSPOON

Business Name

CARLA EILEEN WITHERSPOON

Original Issue Date

08/11/2004

Effective Date

08/11/2004

Expiration Date

10/01/2005

City

PHILADELPHIA

State

Zip

15425

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

10/09/2006