LATISHA M AFRAID OF HAWK

Address:

SANDY, UT 84070-2665

Status:

Active

Email:

slc.licensing@connexionpoint.com

Date:

10/05/2010

ButtomHolder

License Information

License TypeLicense NumberOriginal Issue DateStatusEffective Date Expiration Date
Non-Res Producer/Producer Firm72077510/05/2010Active10/05/201010/31/2022

Qual Information

Qualification TypeOriginal Issue DateStatusEffective Date
Health10/05/2010Active10/05/2010
Life12/17/2012Active12/17/2012