DEPARTMENT OF INSURANCE
Licensee Search Details
NameBlack, Latoya DOIID852222NAIC NPN17371080
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
InactiveResidentAgentHealth9/17/20143/1/2025  
*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 Office4000 Fort Campbell Blvd Ste D3 Hopkinsville, KY 42240
ResidenceNot Public Information
Internet Information
TypeAddress
Business Emaillatoya.black.barnhill@choicehealthins.com - Bad Email-Correction requested
Business Emailbhillm1981@gmail.com
Phone Information
TypePhone
Business / Home Office(270) 887-5424

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