DEPARTMENT OF INSURANCE
Licensee Search Details
NameMousty, Mark DonaldDOIID604144NAIC NPN969255
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
InactiveNon ResidentAgentHealth3/14/20054/2/2013  
InactiveNon ResidentAgentLife3/14/20054/2/2013  
*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
MailingBenefits Corporation of Indiana 3131 E 67th StAnderson, IN 46013
Business / Home OfficeBenefits Corporation of Indiana 3131 E 67th StAnderson, IN 46013
ResidenceNot Public Information
Internet Information
TypeAddress
Business Emailmmousty@netdirect.net - Bad Email-Correction requested
Phone Information
TypePhone
Business / Home Office(765) 643-7404

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