Ohio Department of Insurance Individual License Details

Name:
NPN#:
 
Contact Information
Business Location Phone
610-420-5577
Mailing Licensing Address
382 NE 191ST ST # 54441
MIAMI, FL 33179-3899
Business Licensing Address
382 NE 191ST ST # 54441
MIAMI, FL 33179-3899
Business Email Address
INSDEPTEMAIL@GMAIL.COM
Additional Contact Information
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Agent Printable License
* Uppercase Only

License Information
License # License (Lines of Authority) Status Reason Originally Issued Effective Date End/Expiration Date
1740551 Individual - Non-Resident - Major Lines Active Initial Approval 05/04/2026 05/04/2026 06/30/2028
  • Accident & Health
Active 05/04/2026 05/04/2026  

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Version: Release-30