Agency Information

GG BLANTON LLC

Address:

6660 LUCKY STRIKE WAY

LAS VEGAS, NV 89108

Phone

702-470-9937

URL:

Email:

g.blanton@themedicarestore.com

National Producer Number:

20865371

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Resident Producer Firm	3943874	09/26/2023	Active	09/26/2023	09/30/2026

Qualification Type	Original Issue Date	Status	Effective Date
Health	09/26/2023	Active	09/26/2023
Life	09/26/2023	Active	09/26/2023

Name	Association Type	Agent	Begin Date	End Date
GWENDOLYN LUCILLE BLANTON	Designated Resp Lic Prdcr	Yes	09/26/2023	-

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