License holder summary

PROVENCAL, GLEN J is a Pmw General Individual Occupational licensed to practice in Florida. The address on file for PROVENCAL, GLEN J is 5071 SESAME STREET, PALM BEACH GARDENS Florida 33418. This wagering license holder license is current. The license was granted 07/16/1993 and expired on 06/30/1994.

Florida

Department of Business and Professional Regulation

PROVENCAL, GLEN J
Pmw General Individual Occupational
License number
GIN550789
Date granted
07/16/1993
Date expires
06/30/1994
Class
Pmw General Individual Occupational
Status
Licensed
Address
5071 SESAME STREET, PALM BEACH GARDENS Florida 33418
floridawagering.org
ID 5382223
LAST UPDATED 2024-05-16 16:03:13 UTC

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