LEALEN A FORTNER Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002102378-0010

License Status

NOT RENEWED

Business

First Name

LEALEN A

Last Name

FORTNER

Business Name

LEALEN A FORTNER

Original Issue Date

08/27/1993

Effective Date

08/27/1993

Expiration Date

10/01/1995

City

MEMPHIS

State

Zip

38127

County

TENNESSEE

Ever Disciplined

LastModifiedDate

09/18/2006