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DEPARTMENT OF INSURANCE
Affiliations
Name
Health Agency Services
DOIID
639796
NAIC NPN
8594531
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Denied
Non Resident
Agent
Health
Denied
Non Resident
Agent
Life
Denied
Non Resident
Surplus Lines Broker
Not Applicable
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Denied
Nichols, Shane Reed
639287
Agent - Health
Denied
Nichols, Shane Reed
639287
Agent - Life
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