Mia St. John has a long career as a fighter. In college, she started in tae kwon do and compiled a 27-1 record. She then got into boxing and kicked it off professionally in 1997. Mia St. John regularly fought four-round contests for Top Rank Boxing on the undercard of De La Hoya bouts. This earned her the nickname "Queen of the Four-Rounders". In 1999, she posed nude for Playboy, which won her plenty of attention. She retired from Top Rank Boxing in 2001 with an 18-3-1 record, but still boxed in other arenas. In 2005, she won the IFBA Lightweight World Title and in 2008 she won the WBC International Female Welterweight title. Her current record is 44-9-2.

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