Individual Information

CHRISTOPHER G HARDIN

Address:

WATKINSVILLE, GA 30677-7269

Status:

Active

Email:

cghinc1@bellsouth.net

Date:

04/29/2021

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3664211	04/29/2021	Active	04/29/2021	04/30/2027

Qualification Type	Original Issue Date	Status	Effective Date
Health	04/29/2021	Active	04/29/2021
Life	04/29/2021	Active	04/29/2021

Company Name	Appointment Type	Status	Active Date
523
PHILADELPHIA AMERICAN LIFE INSURANCE COMPANY	Health	Active	05/13/2021
	Life	Active	05/13/2021

row(s) 1 - 2 of 2

Organization	Association Type	Type	Beg dte	End dte
C G HARDIN INC	Designated Resp Lic Prdcr	Agency	05/07/2021	-

1 - 1