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Details for CLARK, DOMINIC

Agent Details
Name
CLARK, DOMINIC  
Address
1630 SPINNING WHEEL DRIVE LUTZ, FL 33559 
Business Phone
(813) 532-0120 
Internet
 
Email
CDOM1223@GMAIL.COM  
Status
Active 
Issue Date
Mar 23, 2020 
License Status Expires Number
Non-Resident Producer Active Apr 30, 2022 771074
      Accident and Hlth or Sickness Active Issued: Mar 23, 2020
      Life Active Issued: Mar 23, 2020
Agency Affiliations City State License Number Active Date Status
No records found.
Company Affiliations City State Type Active Date
NATIONAL HEALTH INSURANCE COMPANY DALLAS TX Life, Accident and Hlth or Sickness Mar 13, 2021