DEPARTMENT OF INSURANCE
Licensee Search Details
NameBurgett, Antasia NacoleDOIID1056827NAIC NPN19039238
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
InactiveNon ResidentAgentHealth9/18/201910/31/2021  
*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. 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 Office4639 Edgewood St Dearborn Heights, MI 48125
ResidenceNot Public Information
Internet Information
TypeAddress
Business EmailBURGETTANTASIA@YAHOO.COM
Phone Information
TypePhone
Business / Home Office(313) 629-0629

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