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Details for SOURIYAVONGSA, SALEUMPHON

Agent Details
Name
SOURIYAVONGSA, SALEUMPHON  
Address
3326 61ST ST DES MOINES, IA 50322-3622 
Business Phone
(800) 749-3970 
Internet
 
Email
sal.souriyavongsa@mercer.com  
Status
Active 
Issue Date
Jul 07, 2015 
License Status Expires Number
Non-Resident Producer Active Feb 28, 2022 533250
      Accident and Hlth or Sickness Active Issued: Aug 09, 2018
      Life Active Issued: Jul 07, 2015
      Personal Lines Active Issued: Apr 17, 2017
      Accident & Health Inactive Issued: Jul 07, 2015
Agency Affiliations City State License Number Active Date Status
MERCER HEALTH & BENEFITS ADMINISTRATION LLC NEW YORK NY 456057 Jul 07, 2015 Active
MERCER HEALTH & BENEFITS ADMINISTRATION LLC NEW YORK NY 327765 Jul 07, 2015 Active
MERCER HEALTH & BENEFITS ADMINISTRATION LLC NEW YORK NY 456057 Apr 17, 2017 Active
MERCER HEALTH & BENEFITS ADMINISTRATION LLC NEW YORK NY 377420 Apr 17, 2017 Active
MERCER HEALTH & BENEFITS ADMINISTRATION LLC NEW YORK NY 327765 Apr 17, 2017 Active
MERCER HEALTH & BENEFITS ADMINISTRATION LLC NEW YORK NY 377420 Jul 07, 2015 Active
MERCER HEALTH & BENEFITS LLC NORWALK CT 104856 Jan 22, 2019 Active
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