DIMA ADI

Agent ID:	10965609
National Producer ID:	20501622
Mailing Address:	5450 BRUCE B DOWNS BLVD
	STE 173
	WESLEY CHAPEL, FL 33544
Resident State:	FL
Phone:	813-756-0331

Agent License

Type	Status	Issue Date	Expiration Date
Insurance Producer	Active	7/26/2023	1/31/2025

Notice: As a result of a data conversion some licenses and qualifications reflect a 10/27/2009 issue date when in fact the license may have been held prior to this date. If you have any questions about the issue date of a license, please contact the Licensing Division of the Mississippi Insurance Department by telephone 601-359-3582 or by email at licensing@mid.ms.gov.

Agent Qualifications

Type	Issue Date
Accident & Health or Sickness	7/26/2023

Agent Appointments

2 Records Found

License Number	Company Name	Issue Date
1700011	Care Improvement Plus South Central Insurance Company	10/11/2023
1900019	Shared Health Mississippi, Inc.	9/26/2023