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Details for COLLINS, LAQUANA RENE

Agent Details
Name
COLLINS, LAQUANA RENE 
Address
7440 WOODLAND DRIVE INDIANAPOLIS, IN 46278 
Business Phone
(877) 247-0209 
Internet
 
Email
wendi.grayson@remodelhealth.com  
Status
Active 
Issue Date
Nov 10, 2015 
License Status Expires Number
Non-Resident Producer Active Oct 31, 2022 551728
      Accident and Hlth or Sickness Active Issued: Aug 09, 2018
      Life Active Issued: Nov 10, 2015
      Accident & Health Inactive Issued: Nov 10, 2015
Agency Affiliations City State License Number Active Date Status
MACK INSURANCE MARKETING, INC SALT LAKE CITY UT 4579 Sep 19, 2016 Active
Company Affiliations City State Type Active Date
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STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK NEW YORK NY Accident and Hlth or Sickness Aug 09, 2018