Individual Information

DANIEL W DUBYK

WYNDMOOR, PA 19038

Active

anned@absgo.com

02/18/1999

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	58712	10/01/2001	Active	10/01/2001	02/28/2026

Qualification Type	Original Issue Date	Status	Effective Date
Health	10/01/2001	Active	10/01/2001
Life	10/01/2001	Active	10/01/2001
Health	02/18/1999	Inactive	10/01/2001
Life	02/18/1999	Inactive	10/01/2001

Company Name	Appointment Type	Status	Active Date
1670
AMERICAN EQUITY INVESTMENT LIFE INSURANCE COMPANY	Life	Active	07/05/2018
153630
Company Name	Appointment Type	Status	Active Date
AMERICAN LIFE & SECURITY CORP	Life	Active	05/03/2022
63
Company Name	Appointment Type	Status	Active Date
AMERICAN NATIONAL INSURANCE COMPANY	Life	Active	02/23/2022
239
Company Name	Appointment Type	Status	Active Date
FIDELITY & GUARANTY LIFE INSURANCE COMPANY	Life	Active	03/23/2009
132418
Company Name	Appointment Type	Status	Active Date
GCU	Life	Active	08/15/2023
372
Company Name	Appointment Type	Status	Active Date
LIFE INSURANCE COMPANY OF THE SOUTHWEST	Health	Active	02/19/2009
	Life	Active	02/19/2009
567
Company Name	Appointment Type	Status	Active Date
OCEANVIEW LIFE AND ANNUITY COMPANY	Life	Active	01/21/2020
512
Company Name	Appointment Type	Status	Active Date
PACIFIC LIFE INSURANCE COMPANY	Life	Active	03/22/2017
103
Company Name	Appointment Type	Status	Active Date
PRINCIPAL LIFE INSURANCE COMPANY	Health	Active	05/13/2004
	Life	Active	05/13/2004
549
Company Name	Appointment Type	Status	Active Date
PROTECTIVE LIFE INSURANCE COMPANY	Health	Active	02/22/2011
	Life	Active	02/22/2011
817
Company Name	Appointment Type	Status	Active Date
PRUCO LIFE INSURANCE COMPANY	Health	Active	09/29/2009
	Life	Active	09/29/2009
1451
Company Name	Appointment Type	Status	Active Date
UPSTREAM LIFE INSURANCE COMPANY	Life	Active	06/18/2020

row(s) 1 - 16 of 16

Organization	Association Type	Type	Beg dte	End dte
AMERICAN BROKERAGE SERVICES INC	Designated Resp Lic Prdcr	Agency	09/15/2020	-

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