License holder summary

MIRA, GRISEL is a Pmw General Individual Occupational licensed to practice in Florida. The address on file for MIRA, GRISEL is 15894 SW 21 STREET, HOLLYWOOD Florida 33024. This wagering license holder license is current. The license was granted 09/14/2001 and expired on 06/30/2004.

Florida

Department of Business and Professional Regulation

MIRA, GRISEL
Pmw General Individual Occupational
License number
GIN2001019
Date granted
09/14/2001
Date expires
06/30/2004
Class
Pmw General Individual Occupational
Status
Licensed
Address
15894 SW 21 STREET, HOLLYWOOD Florida 33024
floridawagering.org
ID 5177442
LAST UPDATED 2024-04-21 14:28:53 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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