License holder summary

FORTI-GUTIERREZ, CARMEN T is a Pmw General Individual Occupational licensed to practice in Florida. The address on file for FORTI-GUTIERREZ, CARMEN T is 200 WALKER AVE, LAKE WORTH Florida 33463. This wagering license holder license is current. The license was granted 07/03/2004 and expired on 06/30/2005.

Florida

Department of Business and Professional Regulation

FORTI-GUTIERREZ, CARMEN T
Pmw General Individual Occupational
License number
7063544
Date granted
07/03/2004
Date expires
06/30/2005
Class
Pmw General Individual Occupational
Status
Licensed
Address
200 WALKER AVE, LAKE WORTH Florida 33463
floridawagering.org
ID 5220519
LAST UPDATED 2024-03-09 16:35:17 UTC

This website is unaffiliated with the Department of Business and Professional Regulation. Please verify all information directly with the relevant official government authority.

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