MALAZ ABUSHAMMA

Address:

SUNRISE, FL 33323

Status:

Active

Email:

corey.tiger@nationalmedicaregrp.com

Date:

08/02/2023

ButtomHolder

License Information

License TypeLicense NumberOriginal Issue DateStatusEffective Date Expiration Date
Non-Res Producer/Producer Firm392427108/02/2023Active08/02/202308/31/2026

Qual Information

Qualification TypeOriginal Issue DateStatusEffective Date
Health08/02/2023Active08/02/2023