License holder summary

LEWIS, SUSAN M is a Pmw General Individual Occupational licensed to practice in Florida. The address on file for LEWIS, SUSAN M is 5456 ISABELLE AVE., PORT ORANGE FL 32127. This wagering license holder license is current. The license was granted 12/29/2004 and expired on 06/30/2005.

Florida

Department of Business and Professional Regulation

LEWIS, SUSAN M
Pmw General Individual Occupational
License number
4611021
Date granted
12/29/2004
Date expires
06/30/2005
Class
Pmw General Individual Occupational
Status
Licensed
Address
5456 ISABELLE AVE., PORT ORANGE FL 32127
floridawagering.org
ID 5420646
LAST UPDATED 2024-03-08 11:16:55 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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