Agency Information

Lorraine Y. Chavez Insurance Agency, Inc.

Address:

8224 LOUISIANA BLVD NE SUITE A

ALBUQUERQUE, NM 87113

Phone

505-821-7123

URL:

http://www.lycinsurance.net

Email:

lchavez@lycinsurance.com

National Producer Number:

7256976

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3353350	07/10/2018	Active	07/10/2018	07/31/2024

Qualification Type	Original Issue Date	Status	Effective Date
Health	07/10/2018	Active	07/10/2018
Life	07/10/2018	Active	07/10/2018

Company Name	Appointment Type	Status	Active Date
17687
MOLINA HEALTHCARE OF NEVADA INC	Health	Active	08/28/2023
714
Company Name	Appointment Type	Status	Active Date
WASHINGTON NATIONAL INSURANCE COMPANY	Health	Active	05/23/2019
	Life	Active	05/23/2019

row(s) 1 - 3 of 3

Name	Association Type	Agent	Begin Date	End Date
LORRAINE Y CHAVEZ-LUCERO	Designated Resp Lic Prdcr	Yes	08/02/2021	-

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