EDAN AZULAY

Address:

HOLLYWOOD, FL 33024

Status:

Active

Email:

edan@bluenilehealthplans.com

Date:

02/11/2021

ButtomHolder

License Information

License TypeLicense NumberOriginal Issue DateStatusEffective Date Expiration Date
Non-Res Producer/Producer Firm82236706/05/2012Active02/11/202102/29/2024

Qual Information

Qualification TypeOriginal Issue DateStatusEffective Date
Health06/05/2012Active02/11/2021
Life06/05/2012Inactive07/01/2015