PHILLIP COOK

Address:

AMERICAN FORK, UT 84003-3113

Status:

Active

Email:

licensing@primemedicaresolutions.com

Date:

02/26/2020

ButtomHolder

License Information

License TypeLicense NumberOriginal Issue DateStatusEffective Date Expiration Date
Non-Res Producer/Producer Firm352495602/26/2020Active02/26/202002/28/2029

Qual Information

Qualification TypeOriginal Issue DateStatusEffective Date
Health02/26/2020Active02/26/2020