MICHAEL JOHN CARUSO

Address:

MERTZTOWN, PA 19539-8733

Status:

Active

Email:

rhonda.dengler@optum.com

Date:

09/08/2023

ButtomHolder

License Information

License TypeLicense NumberOriginal Issue DateStatusEffective Date Expiration Date
Non-Res Producer/Producer Firm21029110/14/2005Active09/08/202309/30/2026

Qual Information

Qualification TypeOriginal Issue DateStatusEffective Date
Health10/14/2005Active09/08/2023