Individual Information

TONI MARISA FRANCIS

Address:

NEWBURY PARK, CA 91320

Status:

Active

Email:

tfrancis@patracorp.com

Date:

04/22/2021

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3661485	04/22/2021	Active	04/22/2021	04/30/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	04/22/2021	Active	04/22/2021
Health	10/18/2021	Active	10/18/2021
Life	10/18/2021	Active	10/18/2021
Property	04/22/2021	Active	04/22/2021

Company Name	Appointment Type	Status	Active Date
564
RELIANCE STANDARD LIFE INSURANCE COMPANY	Health	Active	06/22/2022
	Life	Active	06/22/2022

row(s) 1 - 2 of 2

Organization	Association Type	Type	Beg dte	End dte
PATRA CORPORATION	Designated Resp Lic Prdcr	Agency	10/31/2021	-
SELECTSOLUTIONS INS SERVICES INC	Designated Resp Lic Prdcr	Agency	12/12/2021	-

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