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Name:  GREEN, THOMAS M License Number:  89641
Address:  PREMIER INSURANCE MANAGEMENT SERVICES
13034 BALLANTYNE CORPORATE PL
NPN:  2476839
  CHARLOTTE, NC 28277-1498 Issued:  1/18/2002
    Expires:  2/28/2018
Business Phone:  (704) 733-5364 License Status: 
License Type: 
Active
Non-Resident Producer
   

Lines   Issued   Status
Casualty   1/18/2002   AC
Disability (Health)   1/18/2002   AC
Life   1/18/2002   AC
Property   1/18/2002   AC

To sort by category, click on the column header
Insurance Company State License Number Lines Appointment Date
PREMIER INSURANCE MANAGEMENT SERVICES, INC CA 89640 1/18/2002
SAFETY NATIONAL CASUALTY CORPORATION MO 1717 Casualty, Property 3/1/2004

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