Individual Information

THERESA E DIXON

Address:

HENRICO, VA 23233-7525

Status:

Active

Email:

tdixon@memberfy.com

Date:

01/23/2022

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3765362	01/23/2022	Active	01/23/2022	01/31/2028

Qualification Type	Original Issue Date	Status	Effective Date
Health	01/23/2022	Active	01/23/2022
Life	11/02/2024	Active	11/02/2024

Company Name	Appointment Type	Status	Active Date
310
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY	Health	Active	05/23/2022
142
Company Name	Appointment Type	Status	Active Date
MANHATTANLIFE INSURANCE AND ANNUITY COMPANY	Health	Active	12/07/2022

row(s) 1 - 2 of 2

Organization	Association Type	Type	Beg dte	End dte
MEMBERFY, LLC	Designated Resp Lic Prdcr	Agency	01/28/2022	-

1 - 1