MICHELLE NICOLE ADAME Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002164635-0010

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

NICOLE

Last Name

ADAME

Business Name

MICHELLE NICOLE ADAME

Original Issue Date

12/19/2005

Effective Date

12/19/2005

Expiration Date

10/01/2007

City

WAUKESHA

State

Zip

53186

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/08/2007