JACK O'BRIEN Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002164149-0010

License Status

NOT RENEWED

Business

First Name

JACK

Last Name

O'BRIEN

Business Name

JACK O'BRIEN

Original Issue Date

08/03/2004

Effective Date

08/03/2004

Expiration Date

10/01/2005

City

SUPERIOR

State

Zip

54880

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006