DEPARTMENT OF INSURANCE

Name	Fairmont Financial Services Inc	DOIID	1050550	NAIC NPN	1995164

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Health	8/7/2019	3/1/2021
Inactive	Non Resident	Agent	Life	8/7/2019	3/1/2021

*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.

Address Information

Type	Address
Business / Home Office	1600 60th Street Brooklyn, NY 112042138

Phone Information

Type	Phone
Business / Home Office	(718) 232-3300 Ext-167