Individual Information

DEBRA FAWN LAGRUA

Address:

VALLEY VILLAGE, CA 91607

Status:

Active

Email:

dlagruatbgagency@gmail.com

Date:

03/14/2025

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	4094468	03/14/2025	Active	03/14/2025	03/31/2028

Qualification Type	Original Issue Date	Status	Effective Date
Health	03/14/2025	Active	03/14/2025
Life	03/14/2025	Active	03/14/2025

Company Name	Appointment Type	Status	Active Date
63
AMERICAN NATIONAL INSURANCE COMPANY	Life	Active	05/20/2025
239
Company Name	Appointment Type	Status	Active Date
FIDELITY & GUARANTY LIFE INSURANCE COMPANY	Life	Active	05/06/2025

row(s) 1 - 2 of 2

Organization	Association Type	Type	Beg dte	End dte
BROKER GROUP LLC (THE)	Designated Resp Lic Prdcr	Agency	03/18/2025	-

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