DEPARTMENT OF INSURANCE

Name	Greene, David Fontaine	DOIID	328570	NAIC NPN	548740

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/2/2018		11/30/2024
Active	Non Resident	Agent	Property	10/20/2021		11/30/2024
Active	Non Resident	Agent	Casualty	10/20/2021		11/30/2024
Active	Non Resident	Agent	Life	3/2/2018		11/30/2024
Inactive	Resident	Temporary Agent	Debit (Temporary Health)	5/8/1998	8/25/1998
Inactive	Resident	Temporary Agent	Ordinary Life (Temporary Life)	5/8/1998	8/25/1998

*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	09/15/2024	11/30/2024

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Residence	Not Public Information
Business / Home Office	10850 Nw 21st Street Icc 3107 #100Doral, FL 33172

Phone Information

Type	Phone
Business / Home Office	(863) 223-2768