Individual Information

LESLIE B CASANOVA

Address:

ORMOND BEACH, FL 32174-8447

Status:

Active

Email:

lescasanova@bellsouth.net

Date:

02/27/2012

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	805522	02/27/2012	Active	02/27/2012	02/28/2027
Non-Res. Surplus Lines Broker	4027077	07/19/2024	Active	07/19/2024	07/31/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	02/27/2012	Active	02/27/2012
Health	01/06/2020	Active	01/06/2020
Property	02/27/2012	Active	02/27/2012
Surplus Lines	07/19/2024	Active	07/19/2024

Company Name	Appointment Type	Status	Active Date
1295
PHILADELPHIA INDEMNITY INSURANCE COMPANY	Casualty	Active	09/13/2024
	Property	Active	09/13/2024
1753
Company Name	Appointment Type	Status	Active Date
T.H.E. INSURANCE COMPANY	Casualty	Active	06/10/2014
	Property	Active	06/10/2014

row(s) 1 - 4 of 4

Organization	Association Type	Type	Beg dte	End dte
SPORTSMAN'S INSURANCE AGENCY, INC	Designated Resp Lic Prdcr	Agency	02/21/2025	-

1 - 1