License holder summary

PROVOST, PATRICIA PATTY L is a Pmw General Individual Occupational licensed to practice in Florida. The address on file for PROVOST, PATRICIA PATTY L is 209 12TH. AVE. N. E., ST. PETERSBURG Florida 33701. This wagering license holder license is current. The license was granted 12/27/1996 and expired on 06/30/1997.

Florida

Department of Business and Professional Regulation

PROVOST, PATRICIA PATTY L
Pmw General Individual Occupational
License number
GIN1509815
Date granted
12/27/1996
Date expires
06/30/1997
Class
Pmw General Individual Occupational
Status
Licensed
Address
209 12TH. AVE. N. E., ST. PETERSBURG Florida 33701
floridawagering.org
ID 5437265
LAST UPDATED 2026-04-25 04:18:45 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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