Commission Detail

Notary ID: 1704370
Last Name: MILLER
First Name: BETH
Middle Name: S.
Birth Date: 1/1/XX
Transaction Type: NEW
Certificate: HH 240703
Status: ACT
Issue Date: 03/15/22
Expire Date: 03/14/26
Bonding Agency: 1st State Insurance
Mailing Address: CENTER FOR PEDIATRIC NEUROPSY.
11211 Prosperity Farms Rd C303
PALM BEACH GARDENS, FL 33410-0000


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