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PROVISION BROKERAGE, LLC
Address:
3700 IMPERIAL DR
FLOWER MOUND, TX 75028-1631
Phone
972-266-8489
URL:
Email:
contracting@provisionbrokerage.com
National Producer Number:
16700708
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License Information
License Type
License Number
Original Issue Date
Status
Effective Date
Expiration Date
Non-Res. Producer Firm
873003
04/01/2013
Active
06/17/2022
06/30/2025
Qual Information
Qualification Type
Original Issue Date
Status
Effective Date
Life
04/01/2013
Active
06/17/2022
4 Appointments
153630
Company Name
Appointment Type
Status
Active Date
AMERICAN LIFE & SECURITY CORP
Life
Active
03/30/2023
164894
Company Name
Appointment Type
Status
Active Date
AMFIRST INSURANCE COMPANY
Life
Active
06/18/2024
1320
Company Name
Appointment Type
Status
Active Date
CLEAR SPRING LIFE AND ANNUITY COMPANY
Life
Active
10/09/2023
193
Company Name
Appointment Type
Status
Active Date
EQUITRUST LIFE INSURANCE COMPANY
Life
Active
10/25/2023
row(s) 1 - 4 of 4
1 Individual Associations
Name
Association Type
Agent
Begin Date
End Date
VERNON ERIC COUCH
Designated Resp Lic Prdcr
No
06/14/2022
-
1 - 1