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Details for BROWN, BTAKA

Agent Details
Name
BROWN, BTAKA  
Address
1801 S EXTENSION RD STE 111 MESA, AZ 85210-5969 
Business Phone
(812) 650-5807 
Internet
 
Email
licensing@bloominsuranceagency.com  
Status
Active 
Issue Date
Oct 30, 2019 
License Status Expires Number
Non-Resident Producer Active Aug 31, 2022 750976
      Accident and Hlth or Sickness Active Issued: Oct 30, 2019
Agency Affiliations City State License Number Active Date Status
BLOOM INS AGENCY LLC BLOOMINGTON IN 265045 Nov 07, 2019 Active
Company Affiliations City State Type Active Date
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SILVERSCRIPT INSURANCE COMPANY HARTFORD CT Accident and Hlth or Sickness Nov 08, 2019