Individual Information

PATRICK BET DAVID

Address:

ADDISON, TX 75001-5748

Status:

Active

Email:

licensing@phpagency.com

Date:

02/08/2017

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	219514	05/05/2006	Active	02/08/2017	02/28/2026

Qualification Type	Original Issue Date	Status	Effective Date
Health	05/05/2006	Active	02/08/2017
Life	05/05/2006	Active	02/08/2017
Var. Annuities/Var. Life	05/05/2006	Inactive	06/01/2009

Company Name	Appointment Type	Status	Active Date
239
FIDELITY & GUARANTY LIFE INSURANCE COMPANY	Life	Active	01/30/2020
457
Company Name	Appointment Type	Status	Active Date
NATIONAL WESTERN LIFE INSURANCE COMPANY	Life	Active	05/20/2020

row(s) 1 - 2 of 2

Organization	Association Type	Type	Beg dte	End dte
PHP AGENCY, LLC	Designated Resp Lic Prdcr	Agency	09/15/2020	-

1 - 1