Individual Information

MARK A YOUNGBLOOD

Address:

LAKEWOOD, CO 80228

Status:

Active

Email:

mark.youngblood@dcinsurers.com

Date:

04/16/2012

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	813844	04/16/2012	Active	04/16/2012	04/30/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	04/16/2012	Active	04/16/2012
Health	04/16/2012	Active	04/16/2012
Life	04/16/2012	Active	04/16/2012
Property	04/16/2012	Active	04/16/2012

Company Name	Appointment Type	Status	Active Date
309
HARTFORD FIRE INSURANCE COMPANY	Casualty	Active	12/30/2012
	Property	Active	12/30/2012

row(s) 1 - 2 of 2

Organization	Association Type	Type	Beg dte	End dte
DIVERSIFIED COMMERCIAL INSURERS	Designated Resp Lic Prdcr	Agency	08/06/2021	-

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