EDWIN PHILIPE LARREA Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED MMA CONTESTANT

License Number

002166209-0016

License Status

NOT RENEWED

Business

First Name

EDWIN

Middle

PHILIPE

Last Name

LARREA

Business Name

EDWIN PHILIPE LARREA

Original Issue Date

08/10/2009

Effective Date

08/10/2009

Expiration Date

10/01/2011

City

BLACK RIVER FALLS

State

Zip

54615

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/04/2011