Individual Information

DENNIS MICHAEL BROWN

SOUTHFIELD, MI 48034-8221

Active

licensing@mandomarketing.com

01/28/1998

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	53078	10/01/2001	Active	10/01/2001	01/31/2028

Qualification Type	Original Issue Date	Status	Effective Date
Health	10/01/2001	Active	10/01/2001
Life	10/01/2001	Active	10/01/2001
Health	01/28/1998	Inactive	10/01/2001
Life	01/28/1998	Inactive	10/01/2001

Company Name	Appointment Type	Status	Active Date
1670
AMERICAN EQUITY INVESTMENT LIFE INSURANCE COMPANY	Life	Active	09/01/2003
1025
Company Name	Appointment Type	Status	Active Date
FORETHOUGHT LIFE INSURANCE COMPANY	Health	Active	08/20/2019
	Life	Active	08/20/2019
932
Company Name	Appointment Type	Status	Active Date
GUARANTY INCOME LIFE INSURANCE COMPANY	Health	Active	08/25/2010
	Life	Active	08/25/2010
442
Company Name	Appointment Type	Status	Active Date
NATIONAL GUARDIAN LIFE INSURANCE COMPANY	Health	Active	03/29/2005
	Life	Active	03/29/2005
457
Company Name	Appointment Type	Status	Active Date
NATIONAL WESTERN LIFE INSURANCE COMPANY	Life	Active	02/06/2002
145675
Company Name	Appointment Type	Status	Active Date
PURITAN LIFE INSURANCE COMPANY OF AMERICA	Life	Active	02/20/2024
1451
Company Name	Appointment Type	Status	Active Date
UPSTREAM LIFE INSURANCE COMPANY	Life	Active	09/01/2020

row(s) 1 - 10 of 10

Organization	Association Type	Type	Beg dte	End dte
M&O MARKETING INC	Designated Resp Lic Prdcr	Agency	10/05/2020	-

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