License holder summary

SHORT, DERRICK M is a Pmw General Individual Occupational licensed to practice in Florida. The address on file for SHORT, DERRICK M is 3761 W HILLSBORO BLVD. APT C201, COCONUT CREEK Florida 33073. This wagering license holder license is current. The license was granted 10/29/2014 and expired on 06/30/2017.

Florida

Department of Business and Professional Regulation

SHORT, DERRICK M
Pmw General Individual Occupational
License number
10599961
Date granted
10/29/2014
Date expires
06/30/2017
Class
Pmw General Individual Occupational
Status
Current
Address
3761 W HILLSBORO BLVD. APT C201, COCONUT CREEK Florida 33073
floridawagering.org
ID 27544617
LAST UPDATED 2024-03-09 18:16:33 UTC

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