Individual Information

ANN R WOZNY

Address:

OMAHA, NE 68132-1115

Status:

Active

Email:

ann_wozny@premierinc.com

Date:

01/08/2007

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	520372	01/08/2007	Active	01/08/2007	01/31/2028

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	01/08/2007	Active	01/08/2007
Health	04/04/2019	Active	04/04/2019
Life	04/04/2019	Active	04/04/2019
Property	01/08/2007	Active	01/08/2007
Casualty	02/19/1991	Inactive	05/01/1997
Property	02/19/1991	Inactive	05/01/1997

Organization	Association Type	Type	Beg dte	End dte
PREMIER INSURANCE MANAGEMENT SERVICES INC (NC)	Designated Resp Lic Prdcr	Agency	06/17/2020	-
Preferred Physicians of NV RPG	Risk Purchasing Grp-Agnt/Brkr	Company	03/12/2015	-

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