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Judicial Watch • Mateen certification documents pg 34

Mateen certification documents pg 34

Mateen certification documents pg 34

Page 1: Mateen certification documents pg 34

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Number of Pages:1

Date Created:June 22, 2016

Date Uploaded to the Library:June 22, 2016

Tags:psychologist, psychiatrist, wackenhut, Statutes, produced, certification, Mateen, AGENCY, documents, Florida, document


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FLORIDA DEPARTMENTOF AGRICULTURE AND CONSUMER SERVICES
DIVISION LICENSING
POst Office Box 6687 Tallahassee, 32314-6687 (850} 487-0486
Internet Address: http://Jicgweb.doacs.state.fl.us/lndex.html
Chapter ~93, Florida Statutes
CIIAJIL.ES BRONSON
COMMISSIONER
TEMPORARY CLASS LICENSE
AGENCY CHARACTER CERTIFICATION
INSTRUCTIONS:
Print type all information. Answer all questions. Submit proper 1e~ money ord~r,
cashiers check company check.
Agency Name:
THE WACKENHUT CORPORATION
Agency Address:
4200 WACKENHUT DRIVE, SUITE 102 ,...-PAi,rr::BEACH GARDENS, FL33410
License No: --~A,.B.,9;c60001-2---- Telephone No: 27-0068
Date Test Evaluation
Name psychologist, psychiatrist representative agency who
administered test
7800 RED ROAD, SUITE 210, SOUTH MIAMI, 33143
Address psychologist, psychiatrist agency administering tesVevaluation Presentation