Search → SALEUMPHON SOURIYAVONGSA
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
SALEUMPHON SOURIYAVONGSA
PRODUCER NON-RESIDENT
License Number:
PRN252451
Status:
First Licensure:
07/08/2015
Cancel Date:
None
Mailing:
CHARLOTTE, NC 28273
Phone:
+1 (913) 624-9206
Fax:
+1 (913) 624-9206
Email:
agentlicensing@selectquote.com
| License Type | Start Date | End Date |
|---|---|---|
| PRODUCER NON-RESIDENT | 07/08/2015 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| MERCER HEALTH & BENEFITS ADMINISTRATION LLC |
07/08/2015 | AGN189659 |
| Description | Issue Date | Termination Date | Status |
|---|---|---|---|
| HEALTH | 07/08/2015 | Active | |
| LIFE | 07/08/2015 | Active | |
| PERSONAL LINES | 04/14/2017 | Active |
License/Disciplinary Action
None.
GENERAL INFORMATION
NAIC Information
National Producer Number (NPN):
17636019
| Address | Type |
|---|---|
| 6800 W 115TH ST OVERLAND PARK, KS 66211-2420 |
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: 05/14/2025 07:54:10 PM
