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Details for FORREST, RITA ELAINE

Agent Details
Name
FORREST, RITA ELAINE 
Address
8560 ULMERTON RD LARGO, FL 33771-3842 
Business Phone
(813) 842-3641 
Internet
 
Email
CONTRACTING@ENSUREM.COM  
Status
Active 
Issue Date
Aug 05, 2019 
License Status Expires Number
Non-Resident Producer Active Apr 30, 2024 345852
      Accident and Hlth or Sickness Active Issued: Aug 05, 2019
      Life Active Issued: May 27, 2010
      Accident & Health Inactive Issued: May 27, 2010
Agency Affiliations City State License Number Active Date Status
ENSUREM II LLC LARGO FL 563579 Aug 05, 2019 Active
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