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DEPARTMENT OF INSURANCE
Affiliations
Name
Supreme Health Group Inc
DOIID
1133079
NAIC NPN
18791549
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Health
5/5/2021
3/31/2025
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
License Renewal Information
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
01/15/2025
03/31/2025
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Fishman, Blake
988425
Agent - Health
5/5/2021
10/10/2022
Active
Zubair, Abul
1020001
Agent - Health
10/10/2022
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