Agency Information

BROKER GROUP LLC (THE)

Address:

5254 CANOGA AVE

LOS ANGELES, CA 91367

Phone

201-317-0706

URL:

Email:

lagrua19@gmail.com

National Producer Number:

21516543

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	4094894	03/18/2025	Active	03/18/2025	03/31/2028

Qualification Type	Original Issue Date	Status	Effective Date
Health	03/18/2025	Active	03/18/2025
Life	03/18/2025	Active	03/18/2025

Company Name	Appointment Type	Status	Active Date
63
AMERICAN NATIONAL INSURANCE COMPANY	Life	Active	05/20/2025
239
Company Name	Appointment Type	Status	Active Date
FIDELITY & GUARANTY LIFE INSURANCE COMPANY	Life	Active	05/06/2025
473
Company Name	Appointment Type	Status	Active Date
NORTH AMERICAN COMPANY FOR LIFE & HEALTH INSURANCE	Life	Active	05/04/2025

row(s) 1 - 3 of 3

Name	Association Type	Agent	Begin Date	End Date
DEBRA FAWN LAGRUA	Designated Resp Lic Prdcr	No	03/18/2025	-

1 - 1