Individual Information

DAVID KRISTIAN ANDERSEN

Address:

CHUBBUCK, ID 83202-5329

Status:

Active

Email:

davecrms@gmail.com

Date:

12/24/2012

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	859324	12/24/2012	Active	12/24/2012	12/31/2024

Qualification Type	Original Issue Date	Status	Effective Date
Health	12/24/2012	Active	12/24/2012
Life	12/24/2012	Active	12/24/2012
Var. Annuities/Var. Life	04/01/2014	Active	04/01/2014

Company Name	Appointment Type	Status	Active Date
37
AMERICAN FIDELITY ASSURANCE COMPANY	Health	Active	01/02/2013
	Life	Active	01/02/2013
	Var. Annuities/Var. Life	Active	04/02/2014
1433
Company Name	Appointment Type	Status	Active Date
TEXAS LIFE INSURANCE COMPANY	Life	Active	01/17/2013

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