Name:

Lam Phan

License number:

License type:

Individual Navigator

Address:

4500 NE Vivion Road

Kansas City, MO (64119)

DCI case number:

131125599C

AHC case number:

N/A

Type of discipline:

PLMinhNAV.pdf

Enforcement Date

01/08/2014

National Producer License #:

N/A