DEPARTMENT OF INSURANCE
Licensee Search Details
NameBlack, Dawn MarieDOIID952653NAIC NPN17174768
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
ActiveNon ResidentAgentHealth4/28/2017 11/30/2025 
ActiveNon ResidentAgentLife4/28/2017 11/30/2025 
*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 Office844 N. Gentry Mesa, AZ 85213
ResidenceNot Public Information
Phone Information
TypePhone
Business / Home Office(602) 703-3654

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