Individual Information

BRYAN VAZQUEZ

Address:

NORTH LAS VEGAS, NV 89030

Status:

Active

Email:

bryanv1389@gmail.com

Date:

07/10/2015

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Res. Producer/Producer Firm	1104609	07/10/2015	Active	07/10/2015	07/31/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	07/10/2015	Active	07/10/2015
Health	07/13/2015	Active	07/13/2015
Life	07/13/2015	Active	07/13/2015
Property	07/10/2015	Active	07/10/2015
Var. Annuities/Var. Life	06/02/2017	Active	06/02/2017

Company Name	Appointment Type	Status	Active Date
549
PROTECTIVE LIFE INSURANCE COMPANY	Health	Active	07/11/2021
	Life	Active	07/11/2021
	Var. Annuities/Var. Life	Active	07/11/2021

row(s) 1 - 3 of 3

Organization	Association Type	Type	Beg dte	End dte
BRYAN VAZQUEZ AGENCY INC	Designated Resp Lic Prdcr	Agency	07/06/2021	-

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