DEPARTMENT OF INSURANCE

Name	Roger Bouchard Ins Inc	DOIID	546775	NAIC NPN	2098221

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	6/5/2002	9/28/2021
Inactive	Non Resident	Agent	Property	6/5/2002	9/28/2021
Inactive	Non Resident	Agent	Life	2/19/2007	9/28/2021
Inactive	Non Resident	Agent	Health	2/19/2007	9/28/2021

*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	101 Starcrest Dr Clearwater, FL 33765
Mailing	P.O. Box 6090 Clearwater, FL 337586090

Internet Information

Type	Address
Business Email	mail@bouchardfnb.com - Bad Email-Correction requested
Internet	www.bouchardfnb.com

Phone Information

Type	Phone
Business / Home Office	(727) 447-6481