License holder summary

CROCKETT, JEFFREY D is a Pmw General Individual Occupational licensed to practice in Florida. The address on file for CROCKETT, JEFFREY D is 1104 B SOUTHAMPTON DR, DAYTONA BCH Florida 32119. This wagering license holder license is current. The license was granted 09/19/1997 and expired on 06/30/1998.

Florida

Department of Business and Professional Regulation

CROCKETT, JEFFREY D
Pmw General Individual Occupational
License number
GIN1563448
Date granted
09/19/1997
Date expires
06/30/1998
Class
Pmw General Individual Occupational
Status
Licensed
Address
1104 B SOUTHAMPTON DR, DAYTONA BCH Florida 32119
floridawagering.org
ID 5057248
LAST UPDATED 2026-04-30 23:07:34 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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