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Details for MALCOLM, JUSTIN TYLER

Agent Details
Name
MALCOLM, JUSTIN TYLER 
Address
200 KNUTH RD BOYNTON BEACH, FL 33436 
Business Phone
(888) 279-1844 
Internet
 
Email
licensing@centuryagents.com  
Status
Active 
Issue Date
Dec 19, 2018 
License Status Expires Number
Non-Resident Producer Active Sep 30, 2023 703568
      Accident and Hlth or Sickness Active Issued: Dec 19, 2018
      Life Active Issued: Dec 19, 2018
Agency Affiliations City State License Number Active Date Status
HEALTH PLAN INTERMEDIARIES HOLDINGS LLC TAMPA FL 418652 Jul 11, 2019 Active
HEALTH PLAN INTERMEDIARIES HOLDINGS LLC TAMPA FL 514705 Jul 11, 2019 Active
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