Commission Detail
| Notary ID: | 973984 |
| Last Name: | Jackson |
| First Name: | Colin |
| Middle Name: | |
| Birth Date: | 6/3/XX |
| Transaction Type: | REN |
| Certificate: | DD 681759 |
| Status: | EXP |
| Issue Date: | 06/05/07 |
| Expire Date: | 06/04/11 |
| Bonding Agency: | 1st State Insurance |
| Mailing Address: | Florida Medical Inc 3600 S. State Rd 7 Ste 353 HOLLYWOOD, FL 33023-0000 |
[Department
of State][Notary
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Florida
Department of State Division of Corporations
P.O. Box 6327
Tallahassee, FL. 32314
Phone (850) 245-6975