| Type | Issue Date | Qualifying Appointment |
|---|---|---|
| AGENCY LICENSE (2105) | 3/8/2016 | Appointment not required for this license type. |
| Type | Issue Date | Status |
|---|---|---|
| AGENCY LICENSE (2105) | 12/18/2014 | INVALID |
| Street Address | City | State | Zip | County | Location Agent In Charge |
|---|---|---|---|---|---|
| 4801 N HABANA AVE | TAMPA | Florida | 33614 | MABEL GONZALEZ (P169612) |