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
LAST UPDATED 2024-05-04 15:26:18 UTC
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