TIMOTHY BLACK

Agent ID: 10677505
National Producer ID: 19069405
Mailing Address: 17717 MASONIC
FRASER, MI 48026-3158
Resident State: MI
Phone: 248-886-9604

Agent License

TypeStatusIssue DateExpiration Date
Insurance Producer Active 5/4/20204/30/2026
Notice: As a result of a data conversion some licenses and qualifications reflect a 10/27/2009 issue date when in fact the license may have been held prior to this date. If you have any questions about the issue date of a license, please contact the Licensing Division of the Mississippi Insurance Department by telephone 601-359-3582 or by email at licensing@mid.ms.gov.

Agent Qualifications

TypeIssue Date
Accident & Health or Sickness 5/4/2020
Life 5/4/2020

Agent Appointments

8 Records Found

License NumberCompany NameIssue Date
1400016 Ambetter of Magnolia Inc.8/26/2024
7700089 Celtic Insurance Company12/18/2024
8900031 Continental Life Insurance Company of Brentwood, Tennessee12/27/2023
7900050 Golden Rule Insurance Company10/5/2020
8100114 LifeSecure Insurance Company3/13/2024
7700318 Loyal American Life Insurance Company5/11/2023
1700015 Molina Healthcare of Mississippi, Inc.12/3/2023
7700505 Washington National Insurance Company4/18/2023