| Type | Issue Date | Qualifying Appointment |
|---|---|---|
| AGENCY LICENSE (2105) | 6/19/2012 | Appointment not required for this license type. |
| Type | Issue Date | Status |
|---|---|---|
| AGENCY LICENSE (2105) | 5/31/2006 | INVALID |
| Company Name | Issue Date | Exp Date | Status Date |
|---|---|---|---|
| CHURCH MUTUAL INSURANCE COMPANY, S.I. | 5/14/2019 | 5/31/2021 | 3/2/2020 |
| Street Address | City | State | Zip | County | Location Agent In Charge |
|---|---|---|---|---|---|
| 208 EAST PARK STREET | AUBURNDALE | Florida | 33823 | JAMES MULLING (A186746) |