Athletics Professional
ATHLETICS - LICENSED BOXING SECOND
002101910-0010
NOT RENEWED
N
STANLEY E
JOHNSON
STANLEY E JOHNSON
10/01/1985
10/01/2003
WI
Y
09/18/2006
2001004104
Suspension
09/18/2003
03/17/2004
Submitted a falsified medical examination report to the Department.