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Details for ETHERIDGE, SHANNON A

Agent Details
Name
ETHERIDGE, SHANNON A 
Address
212 FALLING LEAF WAY MASCOUTAH, IL 62258 
Business Phone
(801) 833-6683 
Internet
 
Email
Shansrmed@icloud.com  
Status
Active 
Issue Date
Aug 02, 2016 
License Status Expires Number
Non-Resident Producer Active Oct 31, 2023 581156
      Accident and Hlth or Sickness Active Issued: Aug 09, 2018
      Accident & Health Inactive Issued: Aug 02, 2016
Resident Producer Inactive Aug 02, 2016 529408
      Accident & Health Inactive Issued: May 28, 2015
Agency Affiliations City State License Number Active Date Status
No records found.
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