License holder summary

FORMAN, KATRINA is a Pmw General Individual Occupational licensed to practice in Florida. The address on file for FORMAN, KATRINA is 1410 SOUTH 22 AVE, HOLLYWOOD Florida 33020. This wagering license holder license is current. The license was granted 02/23/1999 and expired on 06/30/1999.

Florida

Department of Business and Professional Regulation

FORMAN, KATRINA
Pmw General Individual Occupational
License number
GIN1681741
Date granted
02/23/1999
Date expires
06/30/1999
Class
Pmw General Individual Occupational
Status
Licensed
Address
1410 SOUTH 22 AVE, HOLLYWOOD Florida 33020
floridawagering.org
ID 5169348
LAST UPDATED 2024-05-06 21:27:02 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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