| Type | Issue Date | Qualifying Appointment |
|---|---|---|
| AGENCY LICENSE (2105) | 2/12/2018 | Appointment not required for this license type. |
| Street Address | City | State | Zip | County | Location Agent In Charge |
|---|---|---|---|---|---|
| 12724 GRAN BAY PARKWAY WEST SUITE 410 UNIT 408 | JACKSONVILLE | Florida | 32258 | JERRY BRAATZ (W328989) | |
| 444 EAST KINGS HWY #100 | MAPLE SHADE | New Jersey | 08052 | ROBERT BARTHOLOMEW (W132111) |