License holder summary

FORMAN, WILLIE JR is a Pmw General Individual Occupational licensed to practice in Florida. The address on file for FORMAN, WILLIE JR is 5760 MAYO ST., HOLLYWOOD Florida 33023. This wagering license holder license is current. The license was granted 12/04/1996 and expired on 06/30/1997.

Florida

Department of Business and Professional Regulation

FORMAN, WILLIE JR
Pmw General Individual Occupational
License number
GIN744260
Date granted
12/04/1996
Date expires
06/30/1997
Class
Pmw General Individual Occupational
Status
Licensed
Address
5760 MAYO ST., HOLLYWOOD Florida 33023
floridawagering.org
ID 5169362
LAST UPDATED 2024-05-04 15:26:18 UTC

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