BRENT LYLE BAWDEN

Address:

HILLSBORO, OR 97124-9412

Status:

Active

Email:

brent@avitaslifegroup.com

Date:

04/23/2020

ButtomHolder

License Information

License TypeLicense NumberOriginal Issue DateStatusEffective Date Expiration Date
Non-Res Producer/Producer Firm18563703/17/2004Active04/23/202004/30/2026

Qual Information

Qualification TypeOriginal Issue DateStatusEffective Date
Health03/17/2004Active04/23/2020
Life03/17/2004Active04/23/2020