BRAD BLACKBURN Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED MMA CONTESTANT

License Number

002166719-0016

License Status

NOT RENEWED

Business

First Name

BRAD

Last Name

BLACKBURN

Business Name

BRAD BLACKBURN

Original Issue Date

09/02/2010

Effective Date

09/02/2010

Expiration Date

10/01/2011

City

OLYMPIA

State

Zip

98513

County

WASHINGTON STATE

Ever Disciplined

LastModifiedDate

10/04/2011