Individual Information

TERRI L WALLACE

Address:

RICHARDSON, TX 75080-7407

Status:

Active

Email:

terri@wallacesig.com

Date:

04/13/2018

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3331509	04/13/2018	Active	04/13/2018	04/30/2027

Qualification Type	Original Issue Date	Status	Effective Date
Health	04/13/2018	Active	04/13/2018
Life	04/13/2018	Active	04/13/2018

Company Name	Appointment Type	Status	Active Date
396
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY	Health	Active	08/22/2024
103
Company Name	Appointment Type	Status	Active Date
PRINCIPAL LIFE INSURANCE COMPANY	Health	Active	06/26/2018
	Life	Active	06/26/2018

row(s) 1 - 3 of 3

Organization	Association Type	Type	Beg dte	End dte
WALLACE SPECIALTY INSURANCE GROUP LLC	Designated Resp Lic Prdcr	Agency	02/12/2021	-

1 - 1