ROBERT CLARK COUILLARD Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED MMA CONTESTANT

License Number

002167327-0016

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

CLARK

Last Name

COUILLARD

Business Name

ROBERT CLARK COUILLARD

Original Issue Date

12/20/2011

Effective Date

12/20/2011

Expiration Date

09/30/2013

City

MILWAUKEE

State

Zip

53204

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/21/2013