Agency Information

PREMIER FINANCIAL ALLIANCE

1300 PEACHTREE INDUSTRIAL BLVD

SUWANEE, GA 30024

770-271-0443

kelly@pfaoffice.com

10903516

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3778613	03/15/2022	Active	03/15/2022	03/31/2028

Qualification Type	Original Issue Date	Status	Effective Date
Health	03/15/2022	Active	03/15/2022
Life	03/15/2022	Active	03/15/2022

Company Name	Appointment Type	Status	Active Date
193
EQUITRUST LIFE INSURANCE COMPANY	Life	Active	09/14/2022

row(s) 1 - 1 of 1

Name	Association Type	Agent	Begin Date	End Date
DAVID CLIFFORD CARROLL	Designated Resp Lic Prdcr	Yes	03/15/2022	-

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