LUIS AST

Address:

TEMPE, AZ 85281

Status:

Active

Email:

lac@extendhealth.com

Date:

06/22/2025

ButtomHolder

License Information

License TypeLicense NumberOriginal Issue DateStatusEffective Date Expiration Date
Non-Res Producer/Producer Firm412307806/22/2025Active06/22/202506/30/2028

Qual Information

Qualification TypeOriginal Issue DateStatusEffective Date
Health06/22/2025Active06/22/2025
Life06/22/2025Active06/22/2025