License holder summary

DERHAM, RANDI S is a Pmw General Individual Occupational licensed to practice in Florida. The address on file for DERHAM, RANDI S is 1629 TAFT ST, HOLLYWOOD Florida 33020. This wagering license holder license is current. The license was granted 06/30/2012 and expired on 06/30/2015.

Florida

Department of Business and Professional Regulation

DERHAM, RANDI S
Pmw General Individual Occupational
License number
GIN230683
Date granted
06/30/2012
Date expires
06/30/2015
Class
Pmw General Individual Occupational
Status
Current
Address
1629 TAFT ST, HOLLYWOOD Florida 33020
floridawagering.org
ID 5167134
LAST UPDATED 2024-01-20 11:22:33 UTC

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