DEPARTMENT OF INSURANCE
Licensee Search Details
NameCarlson, Mark GordonDOIID1019767NAIC NPN17146116
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
ActiveNon ResidentAgentHealth11/20/2018 4/30/2026 
ActiveNon ResidentAgentLife11/20/2018 4/30/2026 
*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
Business / Home Office2081 Ne 65th St Fort Lauderdale, FL 333081016
ResidenceNot Public Information
Internet Information
TypeAddress
Business EmailCARLSONMG@AOL.COM
Phone Information
TypePhone
Business / Home Office(954) 647-1571

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