DALE RYAN BENTZ

Address:

GRANTS PASS, OR 97528-0242

Status:

Active

Email:

dbentz.admin@kclic.net

Date:

05/27/2008

ButtomHolder

License Information

License TypeLicense NumberOriginal Issue DateStatusEffective Date Expiration Date
Non-Res Producer/Producer Firm59882005/27/2008Active05/27/200805/31/2026

Qual Information

Qualification TypeOriginal Issue DateStatusEffective Date
Health05/27/2008Active05/27/2008
Life05/27/2008Active05/27/2008