License holder summary

FALLAH-MOGHADDAM, JEANNETTE is a Pmw General Individual Occupational licensed to practice in Florida. The address on file for FALLAH-MOGHADDAM, JEANNETTE is 20256 HACIENDA CT, BOCA RATON Florida 33498. This wagering license holder license is current. The license was granted 01/14/1995 and expired on 06/30/1995.

Florida

Department of Business and Professional Regulation

FALLAH-MOGHADDAM, JEANNETTE
Pmw General Individual Occupational
License number
GIN1346570
Date granted
01/14/1995
Date expires
06/30/1995
Class
Pmw General Individual Occupational
Status
Licensed
Address
20256 HACIENDA CT, BOCA RATON Florida 33498
floridawagering.org
ID 5001617
LAST UPDATED 2021-11-15 14:41:08 UTC

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