Agency Information

PAT A MADISON INC

Address:

4024 DESERT TRACE CT

LAS VEGAS, NV 89129

Phone

432-559-5779

URL:

Email:

pat@patmadison.com

National Producer Number:

1335956

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Resident Producer Firm	4027270	07/22/2024	Active	07/22/2024	07/31/2027

Qualification Type	Original Issue Date	Status	Effective Date
Health	07/22/2024	Active	07/22/2024
Life	07/22/2024	Active	07/22/2024

Company Name	Appointment Type	Status	Active Date
972
DEARBORN LIFE INSURANCE COMPANY	Health	Active	07/10/2025
	Life	Active	07/10/2025

row(s) 1 - 2 of 2

Name	Association Type	Agent	Begin Date	End Date
PATRICIA MADISON EIMERS	Designated Resp Lic Prdcr	No	07/22/2024	-

1 - 1