License holder summary

DERKACH, SUSAN M is a Pmw General Individual Occupational licensed to practice in Florida. The address on file for DERKACH, SUSAN M is 525 S 24TH AVE, HOLLYWOOD Florida 33309. This wagering license holder license is current. The license was granted 10/22/1994 and expired on 06/30/1995.

Florida

Department of Business and Professional Regulation

DERKACH, SUSAN M
Pmw General Individual Occupational
License number
GIN1352076
Date granted
10/22/1994
Date expires
06/30/1995
Class
Pmw General Individual Occupational
Status
Licensed
Address
525 S 24TH AVE, HOLLYWOOD Florida 33309
floridawagering.org
ID 5167140
LAST UPDATED 2024-02-24 04:39:46 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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