DEPARTMENT OF INSURANCE
Licensee Search Details
NameDougall, Thomas DOIID1039566NAIC NPN18304328
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
ActiveNon ResidentAgentHealth8/26/2024 3/31/2026 
InactiveNon ResidentAgentLife9/27/20213/31/2022  
InactiveNon ResidentAgentPersonal Lines5/8/20193/31/2022  
*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 Office546 Ballough Rd Daytona Beach, FL 32114
ResidenceNot Public Information
Internet Information
TypeAddress
Business EmailCONTRACTING@MEDICAREINSURANCE.COM
Phone Information
TypePhone
Business / Home Office(800) 985-9449

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