DEPARTMENT OF INSURANCE
Licensee Search Details
NameCountryman, Samantha TeighDOIID1109476NAIC NPN19632067
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
InactiveNon ResidentAgentLife11/7/20209/30/2023  
InactiveNon ResidentAgentHealth11/7/20209/30/2023  
*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 Office5402 W Laurel St Suite 109Tampa, FL 33607
ResidenceNot Public Information
Internet Information
TypeAddress
Business EmailSTCOUNTRYMAN@GMAIL.COM
Phone Information
TypePhone
Business / Home Office(603) 988-5614

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