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A. 403 OF 2004 AS AMENDED AND R338. 943 AND R338. 944. CSCL/UCC-035 02/16 LICENSE OR RELICENSURE PENALTY FAILURE TO PROVIDE THIS INFORMATION MAY RESULT IN DENIAL OF THE APPLICATION AND/OR DISCIPLINARY ACTION. MMA Fee 100. O. Box 30018 Lansing MI 48909 517-241-9221 www. michigan.gov/ucc Date Approved License Number APPLICATION FOR CONTESTANT LICENSE OR RELICENSURE AUTHORITY 2004 PA 203 MCL 338. PA 0183 of 2015 effective February 10 2016 Includes MMA Amateurs Late Fee Relicensure License/...
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