License holder summary

DORMAN, KEITH A is a Pmw General Individual Occupational licensed to practice in Florida. The address on file for DORMAN, KEITH A is 2258 AUTUMN WAY, MELBOURNE Florida 32935. This wagering license holder license is current. The license was granted 05/07/1997 and expired on 06/30/1997.

Florida

Department of Business and Professional Regulation

DORMAN, KEITH A
Pmw General Individual Occupational
License number
GIN1537250
Date granted
05/07/1997
Date expires
06/30/1997
Class
Pmw General Individual Occupational
Status
Licensed
Address
2258 AUTUMN WAY, MELBOURNE Florida 32935
floridawagering.org
ID 5240724
LAST UPDATED 2024-02-26 23:42:51 UTC

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