DANIEL R MEDINA - Athletics Professional License in Illinois | # 002163427-0010

DANIEL R MEDINA

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002163427-0010

License Status

NOT RENEWED

Business

N

First Name

DANIEL

Middle

R

Last Name

MEDINA

Business Name

DANIEL R MEDINA

Original Issue Date

04/18/2001

Effective Date

04/18/2001

Expiration Date

10/01/2001

State

IL

Ever Disciplined

N

LastModifiedDate

09/18/2006