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TERA FORTIN
Address:
DAYTONA BEACH, FL 32124-3828
Status:
Active
Email:
teratown@hotmail.com
Date:
07/29/2019
ButtomHolder
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License Information
License Type
License Number
Original Issue Date
Status
Effective Date
Expiration Date
Non-Res Producer/Producer Firm
3459079
07/29/2019
Active
07/29/2019
07/31/2028
Qual Information
Qualification Type
Original Issue Date
Status
Effective Date
Health
07/29/2019
Active
07/29/2019
Life
07/29/2019
Active
07/29/2019
1 Organization Associations
Organization
Association Type
Type
Beg dte
End dte
LASSITERWARE, LLC
Designated Resp Lic Prdcr
Agency
04/29/2020
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1 - 1