Individual Information

JAMES T LONG

Address:

LAS VEGAS, NV 89119

Status:

Active

Email:

jennijr09@hotmail.com

Date:

02/09/2016

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Res. Producer/Producer Firm	6942	10/01/2001	Active	02/09/2016	02/29/2028

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	10/01/2001	Active	02/09/2016
Health	10/01/2001	Active	02/09/2016
Life	10/01/2001	Active	02/09/2016
Property	10/01/2001	Active	02/09/2016
Casualty	10/06/1983	Inactive	10/01/2001
Health	10/06/1983	Inactive	10/01/2001
Life	10/06/1983	Inactive	10/01/2001
Property	10/06/1983	Inactive	10/01/2001
Surety	10/06/1983	Inactive	12/01/2015
Surety	10/01/2001	Inactive	12/01/2015
Var. Annuities/Var. Life	10/06/1983	Inactive	10/01/2001
Var. Annuities/Var. Life	10/01/2001	Inactive	12/01/2015

Company Name	Appointment Type	Status	Active Date
14475
PRIMERO INSURANCE COMPANY	Casualty	Active	10/09/2023
	Property	Active	10/09/2023
174120
Company Name	Appointment Type	Status	Active Date
USA UNDERWRITERS INSURANCE COMPANY	Casualty	Active	03/10/2025
	Property	Active	03/10/2025

row(s) 1 - 4 of 4

Organization	Association Type	Type	Beg dte	End dte
EAST SIDE PROFESSIONAL SERVICES	Designated Resp Lic Prdcr	Agency	10/30/2023	-

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