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Details for BLACK, DAVID

Agent Details
Name
BLACK, DAVID  
Address
49 NORTH 400 WEST SALT LAKE CITY, UT 84101 
Business Phone
(800) 555-1234 
Internet
 
Email
david.black2@fmr.com  
Status
Active 
Issue Date
Jul 25, 2019 
License Status Expires Number
Resident Producer Active May 31, 2024 732206
      Accident and Hlth or Sickness Active Issued: Jul 25, 2019
      Life Active Issued: Jul 25, 2019
      Variable Life/Variable Annuity Active Issued: Jul 25, 2019
Agency Affiliations City State License Number Active Date Status
FIDELITY INSURANCE AGENCY, INC WESTLAKE TX 3580 Jul 30, 2019 Active
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