Enforcement Action Details
License Number:
0106522
License Type:
Insurance Producer (Agent)
Address:
Eastern Reception Diagnostic & Correctional Center
2727 Highway K
Bonne Terre, MO 63628 3430
Case Number:
141201750C
AHC Case Number:
N/A
Discipline:
License revocation
Enforcement Action:
Enforcement Date:
National Producer License #
N/A