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DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DESSO HUEN FORMAN

PRODUCER NON-RESIDENT

License Number:
PRN316361
Status:
First Licensure:
09/06/2018
Cancel Date:
None

Mailing:
TALLAHASSEE, FL 32312
Phone:
+1 (727) 266-6636
Email:
dessoforman@beneport.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/06/2018

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
BOSTON MUTUAL LIFE INSURANCE COMPANY
07/10/2020 LHF135
COMBINED INSURANCE COMPANY OF AMERICA
09/21/2018 LHF144
STANDARD INSURANCE COMPANY
06/26/2019 LHF991

Authority

Description Issue Date Termination Date Status
HEALTH 09/06/2018 Active
LIFE 09/06/2018 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
443805

Other Addresses

Address Type
TALLAHASSEE, FL 32312
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: 05/15/2025 04:29:32 AM