LISSETTE ACEVEDO

Address:

ALLENTOWN, PA 18103-4036

Status:

Active

Email:

candace.cappello@optum.com

Date:

04/14/2020

ButtomHolder

License Information

License TypeLicense NumberOriginal Issue DateStatusEffective Date Expiration Date
Non-Res Producer/Producer Firm353733404/14/2020Active04/14/202004/30/2026

Qual Information

Qualification TypeOriginal Issue DateStatusEffective Date
Health04/14/2020Active04/14/2020