| Type | Issue Date | Qualifying Appointment |
|---|---|---|
| AGENCY LICENSE (2105) | 1/5/2007 | Appointment not required for this license type. |
| Type | Issue Date | Status |
|---|---|---|
| AGENCY REGISTRATION (2005) | 7/12/2006 | INVALID |
| Street Address | City | State | Zip | County | Location Agent In Charge |
|---|---|---|---|---|---|
| 6267 DUPONT STATION CT | JACKSONVILLE | Florida | 32217 | BRIAN DONOVAN (E013016) |