PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameFormica, Thomas TimothyDOIID1206962NAIC NPN2093956
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife5/24/202212/31/2024 
InactiveNon ResidentAgentHealth5/24/202212/31/2024 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedLPL FINANCIAL LLC399327Agent - Life  
DeniedLPL FINANCIAL LLC399327Agent - Health  

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