License holder summary

STATEN, DERRICK R is a Pmw General Individual Occupational licensed to practice in Florida. The address on file for STATEN, DERRICK R is RT. 2 BOX 65, GREENVILLE Florida 32331. This wagering license holder license is current. The license was granted 07/12/1994 and expired on 06/30/1995.

Florida

Department of Business and Professional Regulation

STATEN, DERRICK R
Pmw General Individual Occupational
License number
GIN1273293
Date granted
07/12/1994
Date expires
06/30/1995
Class
Pmw General Individual Occupational
Status
Licensed
Address
RT. 2 BOX 65, GREENVILLE Florida 32331
floridawagering.org
ID 5106688
LAST UPDATED 2024-02-06 02:47:39 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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