Individual Information

FREDERICK W LEONARD

Address:

HARPER WOODS, MI 48225-1711

Status:

Active

Email:

amacivor@ltcr.com

Date:

07/03/2002

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	163589	07/03/2002	Active	07/03/2002	07/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Health	07/03/2002	Active	07/03/2002
Life	07/03/2002	Active	07/03/2002

Company Name	Appointment Type	Status	Active Date
432
MEDICO INSURANCE COMPANY	Health	Active	08/24/2016
	Life	Active	08/24/2016

row(s) 1 - 2 of 2

Organization	Association Type	Type	Beg dte	End dte
LTC AFFINITY DIRECT INC	Designated Resp Lic Prdcr	Agency	09/15/2020	-

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