Agency Information

MARKETPLACE HEALTH LIFE LLC

38706 N 27TH AVE

DESERT HILLS, AZ 85086-9195

510-676-4500

kbirtch@forbesadvisor.com

20753525

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3917379	07/13/2023	Active	07/13/2023	07/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Life	07/13/2023	Active	07/13/2023

Name	Association Type	Agent	Begin Date	End Date
KATHERINE A BIRTCH	Designated Resp Lic Prdcr	Yes	07/13/2023	-

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