DAVID WAYNE CLARK Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED FCMA SECOND

License Number

002168498-0022

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

WAYNE

Last Name

CLARK

Business Name

DAVID WAYNE CLARK

Original Issue Date

02/10/2015

Effective Date

02/10/2015

Expiration Date

09/30/2015

City

HARRISBURG

State

Zip

57032

County

SOUTH DAKOTA

Ever Disciplined

LastModifiedDate

01/14/2016