Individual Information

REY LICON

Address:

FONTANA, CA 92336-4567

Status:

Active

Email:

rey.licon@optavise.com

Date:

02/10/2019

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3414455	02/10/2019	Active	02/10/2019	02/29/2028

Qualification Type	Original Issue Date	Status	Effective Date
Health	02/10/2019	Active	02/10/2019
Life	02/10/2019	Active	02/10/2019

Company Name	Appointment Type	Status	Active Date
714
WASHINGTON NATIONAL INSURANCE COMPANY	Health	Active	02/16/2022
	Life	Active	02/16/2022

row(s) 1 - 2 of 2

Organization	Association Type	Type	Beg dte	End dte
AAA BOYS INSURANCE SERVICES, INC.	Designated Resp Lic Prdcr	Agency	11/18/2020	-

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