License holder summary

FORMAN, LOUISE L is a Pmw General Individual Occupational licensed to practice in Florida. The address on file for FORMAN, LOUISE L is 1410 SOUTH 22 AV., HOLLYWOOD Florida 33020. This wagering license holder license is current. The license was granted 02/28/2000 and expired on 06/30/2000.

Florida

Department of Business and Professional Regulation

FORMAN, LOUISE L
Pmw General Individual Occupational
License number
GIN2005807
Date granted
02/28/2000
Date expires
06/30/2000
Class
Pmw General Individual Occupational
Status
Licensed
Address
1410 SOUTH 22 AV., HOLLYWOOD Florida 33020
floridawagering.org
ID 5169356
LAST UPDATED 2024-04-07 04:26:21 UTC

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