black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

THOMAS WESLEY COOPER

PRODUCER NON-RESIDENT

License Number:
PRN402863
Status:
First Licensure:
11/09/2021
Cancel Date:
None

Mailing:
JACKSONVILLE, FL 32216
Phone:
+1 (800) 735-0080
Fax:
+1 (904) 737-0280
Email:
tcooper@usenrollments.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 11/09/2021

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY
11/22/2021 LHF100

Authority

Description Issue Date Termination Date Status
HEALTH 11/09/2021 Active
LIFE 11/09/2021 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
7685025

Other Addresses

Address Type
JACKSONVILLE, FL 32216
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 05/13/2025 11:17:28 PM