Name:

Todd Black

License number:

290688

License type:

Insurance Producer (Agent)

Address:

17303 E 48TH ST CT 5

INDEPENDENCE, MO (64055)

DCI case number:

09A000242

AHC case number:

N/A

Type of discipline:

ToddBlack10-6-9.pdf

Enforcement Date

10/06/2009

National Producer License #:

N/A