Enforcement Action Details
License Number:
8032718
License Type:
Insurance Producer (Agent)
Address:
2408 W. Myrtle Ave., Apt. 15
Phoenix, AZ 85021
Case Number:
120224226C
AHC Case Number:
12-2002DI
Discipline:
License revocation
Enforcement Action:
Enforcement Date:
National Producer License #
N/A