Individual Information

ABRAHAM DANIEL FOROUZAN

BEVERLY HILLS, CA 90211

Active

abraham@forouzanins.com

05/10/2005

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	203354	05/10/2005	Active	05/10/2005	05/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	05/10/2005	Active	05/10/2005
Health	05/10/2005	Active	05/10/2005
Life	05/10/2005	Active	05/10/2005
Property	05/10/2005	Active	05/10/2005

Company Name	Appointment Type	Status	Active Date
924
ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY	Casualty	Active	07/10/2006
	Property	Active	07/10/2006
19
Company Name	Appointment Type	Status	Active Date
ALLSTATE INDEMNITY COMPANY	Casualty	Active	12/15/2005
	Property	Active	12/15/2005
20
Company Name	Appointment Type	Status	Active Date
ALLSTATE INSURANCE COMPANY	Casualty	Active	12/15/2005
	Property	Active	12/15/2005
166780
Company Name	Appointment Type	Status	Active Date
ALLSTATE NORTH AMERICAN INSURANCE COMPANY	Casualty	Active	10/06/2023
	Property	Active	10/06/2023
1366
Company Name	Appointment Type	Status	Active Date
ALLSTATE PROPERTY & CASUALTY INSURANCE COMPANY	Casualty	Active	12/15/2005
	Property	Active	12/15/2005
1447
Company Name	Appointment Type	Status	Active Date
ALLSTATE VEHICLE AND PROPERTY INSURANCE COMPANY	Casualty	Active	02/02/2015
	Property	Active	02/02/2015
1099
Company Name	Appointment Type	Status	Active Date
ANTHEM LIFE INSURANCE COMPANY	Health	Active	06/01/2005

row(s) 1 - 13 of 13

Organization	Association Type	Type	Beg dte	End dte
ABRAHAM D FOROUZAN INS AND FINANCIAL SERVICES INC	Designated Resp Lic Prdcr	Agency	03/05/2021	-

1 - 1