DEPARTMENT OF INSURANCE

Name	Nokham, Soukaseune	DOIID	619164	NAIC NPN	8301221

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Agent	Health	11/6/2014		10/31/2024
Active	Non Resident	Agent	Life	11/6/2014		10/31/2024

*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	08/15/2024	10/31/2024

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	7585 47th St N Pinellas Park, FL 337813501

Phone Information

Type	Phone
Business / Home Office	(727) 366-3333