Enforcement Action Details
License Number: 
PR179343
License Type: 
Insurance Producer (Agent)
Address: 
4201 NE LAKEWOOD WAY #206
LEE'S SUMMIT, MO 64064
Case Number: 
080708426C
AHC Case Number: 
N/A
Discipline: 
License revocation
Enforcement Action: 
Enforcement Date: 
National Producer License #
N/A