DEPARTMENT OF INSURANCE
Licensee Search Details
NameThomas, Roy DDOIID563425NAIC NPN6983013
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
InactiveNon ResidentAgentLife7/16/20098/31/2010  
InactiveNon ResidentAgentHealth7/16/20098/31/2010  
*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.
No License Renewal Information
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
TypeAddress
ResidenceNot Public Information
Business / Home Office4426 Independence Ave N New Hope, MN 55428
Internet Information
TypeAddress
Business Emailfadhila.backstrom@fiservhealth.com - Bad Email-Correction requested
Phone Information
TypePhone
Business / Home Office(763) 569-3210

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