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DEPARTMENT OF INSURANCE
Affiliations
Name
Black, Therese Ann
DOIID
599113
NAIC NPN
7971796
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
9/22/2006
3/31/2013
Inactive
Non Resident
Agent
Personal Lines
11/29/2004
3/31/2013
Inactive
Non Resident
Agent
Health
9/22/2006
3/31/2013
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
American Bankers Insurance Company of Florida
300360
Agent - Personal Lines
11/3/2006
3/11/2009
Inactive
Bankers Fidelity Assurance Company
554627
Agent - Health
10/10/2006
3/31/2009
Inactive
Bankers Fidelity Assurance Company
554627
Agent - Life
10/10/2006
3/31/2009
Inactive
Direct General Insurance Company of Mississippi
552453
Agent - Personal Lines
3/1/2005
3/31/2012
Inactive
Direct General Life Insurance Company
301045
Agent - Health
10/10/2006
8/10/2012
Inactive
Direct General Life Insurance Company
301045
Agent - Life
10/10/2006
8/10/2012
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Right Choice Ins Agency Inc
620070
Agent - Personal Lines
5/11/2010
3/31/2013
Inactive
Right Choice Ins Agency Inc
620070
Agent - Life
5/11/2010
8/10/2012
Inactive
Right Choice Ins Agency Inc
620070
Agent - Health
5/11/2010
7/17/2012
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