DEQUARIUS D BEVERLY

Address:

LAS VEGAS, NV 89142-2842

Status:

Active

Email:

licensing@platinumchoicehealthcare.com

Date:

07/27/2021

ButtomHolder

License Information

License TypeLicense NumberOriginal Issue DateStatusEffective Date Expiration Date
Res. Producer/Producer Firm370006307/27/2021Active07/27/202107/31/2027

Qual Information

Qualification TypeOriginal Issue DateStatusEffective Date
Health07/27/2021Active07/27/2021
Life07/27/2021Active07/27/2021