Search → PHOUTTHASONG KHONGSOUVANKHAM
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
PHOUTTHASONG KHONGSOUVANKHAM
PRODUCER NON-RESIDENT
License Number:
PRN296101
Status:
First Licensure:
10/17/2017
Cancel Date:
None
Mailing:
WINTER SPRINGS, FL 32708
Phone:
+1 (407) 829-6622
Email:
phoutthasong.khongsouvankham@libertymutual.com
| License Type | Start Date | End Date |
|---|---|---|
| PRODUCER NON-RESIDENT | 10/17/2017 |
Agency
None.
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| AIG PROPERTY CASUALTY COMPANY |
03/08/2020 | PCF393 | ||
| AMERICAN STRATEGIC INSURANCE CORP |
01/23/2025 | PCF258492 | ||
| COMMERCE AND INDUSTRY INSURANCE COMPANY |
03/08/2020 | PCF413 | ||
| HOMESITE INSURANCE COMPANY OF THE MIDWEST |
10/31/2019 | PCF116371 | 11/22/2019 | |
| LIBERTY INSURANCE CORPORATION |
07/23/2018 | PCF999 | 11/22/2019 | |
| LIBERTY MUTUAL INSURANCE COMPANY |
05/24/2018 | PCF331 | 11/22/2019 | |
| LM GENERAL INSURANCE COMPANY |
12/09/2017 | PCF996 | 11/22/2019 | |
| PROGRESSIVE NORTHWESTERN INSURANCE COMPANY |
02/09/2019 | PCF27738 | 02/21/2022 |
| Description | Issue Date | Termination Date | Status |
|---|---|---|---|
| CASUALTY | 10/17/2017 | Active | |
| PROPERTY | 10/17/2017 | Active |
License/Disciplinary Action
None.
GENERAL INFORMATION
NAIC Information
National Producer Number (NPN):
16351752
| Address | Type |
|---|---|
| 3109 W DR MARTIN LUTHER KING JR BLVD TAMPA, FL 33607-6260 |
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 03:22:14 PM
