| Type | Issue Date | Qualifying Appointment |
|---|---|---|
| AGENCY LICENSE (2105) | 8/25/2016 | Appointment not required for this license type. |
| Street Address | City | State | Zip | County | Location Agent In Charge |
|---|---|---|---|---|---|
| 6451 N FEDERAL HWY STE 1001 | FT LAUDERDALE | Florida | 33308 | CASEY LOVE (W141144) |