License holder summary

FORNAL BRENT, BRENTEN D is a Pmw General Individual Occupational licensed to practice in Florida. The address on file for FORNAL BRENT, BRENTEN D is 7928 PIPER LANE, SAME, LAKE WORTH Florida 33461. This wagering license holder license is current. The license was granted 11/06/1991 and expired on 06/30/1992.

Florida

Department of Business and Professional Regulation

FORNAL BRENT, BRENTEN D
Pmw General Individual Occupational
License number
GIN1126660
Date granted
11/06/1991
Date expires
06/30/1992
Class
Pmw General Individual Occupational
Status
Licensed
Address
7928 PIPER LANE, SAME, LAKE WORTH Florida 33461
floridawagering.org
ID 5220475
LAST UPDATED 2026-03-15 08:30:52 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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