Agency Information

ALLIANCE ADMINISTRATIVE SERVICE LLC

1510 SAMOLIAN PLACE

BIRMINGHAM, AL 35205

205-222-5967

rick@lakeshore-benefits.com

20721828

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3904205	05/31/2023	Active	05/31/2023	05/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Health	05/31/2023	Active	05/31/2023
Life	05/31/2023	Active	05/31/2023

Company Name	Appointment Type	Status	Active Date
164894
AMFIRST INSURANCE COMPANY	Health	Active	06/22/2023

row(s) 1 - 1 of 1

Name	Association Type	Agent	Begin Date	End Date
RICHARD KIMBROUGH HOLMES	Designated Resp Lic Prdcr	No	05/31/2023	-

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