Commission Detail

Notary ID: 906990
Last Name: Brown
First Name: Laverta
Middle Name:
Birth Date: 9/26/XX
Transaction Type: NEW
Certificate: CC 920633
Status: EXP
Issue Date: 03/21/00
Expire Date: 03/20/04
Bonding Agency: General Insurance Underwriters
Mailing Address: LAWNWOOD REGIONAL MEDICAL CNTR
1700 S 23RD STREET
FORT PIERCE, FL 34950


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Florida Department of State Division of Corporations
P.O. Box 6327
Tallahassee, FL. 32314
Phone (850) 245-6975