Individual Information

AJAY GUPTA

Address:

NORTHRIDGE, CA 91327-7957

Status:

Active

Email:

ajay@guptains.com

Date:

02/06/2021

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3633459	02/06/2021	Active	02/06/2021	02/28/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	02/06/2021	Active	02/06/2021
Health	02/06/2021	Active	02/06/2021
Life	02/06/2021	Active	02/06/2021
Property	02/06/2021	Active	02/06/2021

Company Name	Appointment Type	Status	Active Date
469
HARTFORD UNDERWRITERS INSURANCE COMPANY	Casualty	Active	10/09/2024
	Property	Active	10/09/2024

row(s) 1 - 2 of 2

Organization	Association Type	Type	Beg dte	End dte
ADYA, INC.	Designated Resp Lic Prdcr	Agency	02/08/2021	-

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