DEPARTMENT OF INSURANCE
Licensee Search Details
NameBlack, Patrick DOIID738418NAIC NPN9541847
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
InactiveNon ResidentAgentHealth9/28/202010/31/2024  
*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 Office3266 Nw 122nd Ave Coral Springs, FL 330653153
ResidenceNot Public Information
Internet Information
TypeAddress
Business Emailpblack348@gmail.com
Phone Information
TypePhone
Business / Home Office(954) 778-8420

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