GHASSAN NIZAR ABDELLATIF

Address:

IRVINE, CA 92618-1127

Status:

Active

Email:

ghassan.abdellatif@molinahealthcare.com

Date:

07/25/2022

ButtomHolder

License Information

License TypeLicense NumberOriginal Issue DateStatusEffective Date Expiration Date
Non-Res Producer/Producer Firm381452507/25/2022Active07/25/202207/31/2025

Qual Information

Qualification TypeOriginal Issue DateStatusEffective Date
Health07/25/2022Active07/25/2022
Life07/25/2022Active07/25/2022