SHANA L CLARK

Address:

CHELSEA, AL 35043

Status:

Active

Email:

contracting@medadvspc.com

Date:

08/05/2022

ButtomHolder

License Information

License TypeLicense NumberOriginal Issue DateStatusEffective Date Expiration Date
Non-Res Producer/Producer Firm381901808/05/2022Active08/05/202208/31/2025

Qual Information

Qualification TypeOriginal Issue DateStatusEffective Date
Health08/05/2022Active08/05/2022
Life08/05/2022Active08/05/2022