License holder summary

COSTELLO, SHIRLEY A is a Pmw General Individual Occupational licensed to practice in Florida. The address on file for COSTELLO, SHIRLEY A is 4696 LUCERNE LAKES BLVD. #102, LAKE WORTH Florida 33467. This wagering license holder license is current. The license was granted 02/08/1995 and expired on 06/30/1995.

Florida

Department of Business and Professional Regulation

COSTELLO, SHIRLEY A
Pmw General Individual Occupational
License number
GIN1357687
Date granted
02/08/1995
Date expires
06/30/1995
Class
Pmw General Individual Occupational
Status
Licensed
Address
4696 LUCERNE LAKES BLVD. #102, LAKE WORTH Florida 33467
floridawagering.org
ID 5219499
LAST UPDATED 2024-03-31 07:11:45 UTC

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