| Type | Issue Date | Qualifying Appointment |
|---|---|---|
| AGENCY LICENSE (2105) | 6/30/2015 | Appointment not required for this license type. |
| Company Name | Issue Date | Exp Date |
|---|---|---|
| UNITED STATES FIRE INSURANCE COMPANY | 6/23/2020 | 6/30/2026 |
| Company Name | Issue Date | Exp Date | Status Date |
|---|---|---|---|
| ATHENE ANNUITY AND LIFE COMPANY | 5/22/2020 | 5/31/2022 | 1/12/2022 |
| Street Address | City | State | Zip | County | Location Agent In Charge |
|---|---|---|---|---|---|
| 3043 JOHNSON STREET | HOLLYWOOD | Florida | 33021 | JOSEPH GANNON (W052188) |