MELISSA JEAN COSTA

Address:

LONG BEACH, CA 90803

Status:

Active

Email:

priscilla.lozano@ntalife.com

Date:

04/08/2022

ButtomHolder

License Information

License TypeLicense NumberOriginal Issue DateStatusEffective Date Expiration Date
Non-Res Producer/Producer Firm378544104/08/2022Active04/08/202204/30/2025

Qual Information

Qualification TypeOriginal Issue DateStatusEffective Date
Health04/08/2022Active04/08/2022
Life04/08/2022Active04/08/2022