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Details for FORTUNE, SAMANTHA

Agent Details
Name
FORTUNE, SAMANTHA  
Address
150 PROSPECT ST APT G3 JAMESTOWN, NY 14701-6701 
Business Phone
(866) 407-7044 
Internet
 
Email
licensing@ehealthinsurance.com  
Status
Inactive  - Voluntary Surrender
Issue Date
Jun 24, 2022 
License Status Expires Number
Non-Resident Producer Inactive Jun 24, 2022 891643
      Accident and Hlth or Sickness Inactive Issued: Nov 02, 2021
Agency Affiliations City State License Number Active Date Status
No records found.
Company Affiliations City State Type Active Date
No records found.