JOSEPH MARTIN BLAKE Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED FCMA SECOND

License Number

002167329-0022

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

MARTIN

Last Name

BLAKE

Business Name

JOSEPH MARTIN BLAKE

Original Issue Date

12/21/2011

Effective Date

12/21/2011

Expiration Date

09/30/2013

City

WAUKESHA

State

Zip

53186

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/21/2013