Individual Information

RAYMOND A SALAZAR

Address:

KINGS BEACH, CA 96143

Status:

Active

Email:

raysalazar1024@gmail.com

Date:

07/07/1999

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	60833	10/01/2001	Active	10/01/2001	07/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	10/01/2001	Active	10/01/2001
Health	10/01/2001	Active	10/01/2001
Life	10/01/2001	Active	10/01/2001
Property	10/01/2001	Active	10/01/2001
Casualty	05/03/2001	Inactive	10/01/2001
Health	05/03/2001	Inactive	10/01/2001
Life	07/07/1999	Inactive	10/01/2001
Property	05/03/2001	Inactive	10/01/2001

Company Name	Appointment Type	Status	Active Date
1538
HMO COLORADO INC.	Health	Active	09/01/2005
1620
Company Name	Appointment Type	Status	Active Date
ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE INC	Health	Active	09/01/2005

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Organization	Association Type	Type	Beg dte	End dte
ASC AGENCY PARTNERS LLC	Designated Resp Lic Prdcr	Agency	04/30/2024	-

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