Agency Information

FSIS, LLC

Address:

167 S SPRING LAKE WAY

STAR, ID 83669-5629

Phone

702-682-0321

URL:

www.fsisllc.com

Email:

bill@fsisllc.com

National Producer Number:

19996947

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3712943	08/24/2021	Active	08/24/2021	08/31/2024

Qualification Type	Original Issue Date	Status	Effective Date
Health	08/24/2021	Active	08/24/2021
Life	08/24/2021	Active	08/24/2021

Company Name	Appointment Type	Status	Active Date
279
GLOBE LIFE AND ACCIDENT INSURANCE COMPANY	Health	Active	08/18/2023
	Life	Active	08/18/2023

row(s) 1 - 2 of 2

Name	Association Type	Agent	Begin Date	End Date
WILLIAM M GRAHAM	Designated Resp Lic Prdcr	No	08/24/2021	-

1 - 1