Individual Information

LARRY MARK EISENBACH

Address:

GOLDEN, CO 80402-6026

Status:

Active

Email:

leisenbach@eaiagency.com

Date:

09/20/2023

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3942079	09/20/2023	Active	09/20/2023	09/30/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	09/20/2023	Active	09/20/2023
Property	09/20/2023	Active	09/20/2023

Organization	Association Type	Type	Beg dte	End dte
EISENBACH ASSOC INC	Designated Resp Lic Prdcr	Agency	09/25/2023	-
AFFORDABLE AMERICAN INS	Designated Resp Lic Prdcr	Agency	11/03/2025	-

1 - 2