JACQUELINE ANDREA CAPATULA

Address:

WEST PALM BEACH, FL 33411-1473

Status:

Active

Email:

agentinfo@healthplanone.com

Date:

10/08/2012

ButtomHolder

License Information

License TypeLicense NumberOriginal Issue DateStatusEffective Date Expiration Date
Non-Res Producer/Producer Firm84489410/08/2012Active10/08/201210/31/2024

Qual Information

Qualification TypeOriginal Issue DateStatusEffective Date
Health10/08/2012Active10/08/2012
Life07/08/2016Active07/08/2016