THERON M NEISIUS Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED FCMA SECOND

License Number

002167492-0022

License Status

NOT RENEWED

Business

First Name

THERON

Middle

Last Name

NEISIUS

Business Name

THERON M NEISIUS

Original Issue Date

06/25/2012

Effective Date

06/25/2012

Expiration Date

09/30/2013

City

JANESVILLE

State

Zip

53546

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/21/2013