Individual Information

MARTHA LOUISA HART CARLSON

Address:

HOLLIS, NH 03049

Status:

Active

Email:

martha.hart@protective.com

Date:

12/01/2022

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3856832	12/01/2022	Active	12/01/2022	12/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Health	09/24/2024	Active	09/24/2024
Life	12/01/2022	Active	12/01/2022
Var. Annuities/Var. Life	12/01/2022	Active	12/01/2022

Company Name	Appointment Type	Status	Active Date
283
BANNER LIFE INSURANCE COMPANY	Life	Active	11/14/2024

row(s) 1 - 1 of 1

Organization	Association Type	Type	Beg dte	End dte
INVESTMENT DISTRIBUTORS, INC.	Designated Resp Lic Prdcr	Agency	02/17/2023	-
CONCOURSE DISTRIBUTORS, INC.	Designated Resp Lic Prdcr	Agency	11/05/2024	-

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