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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, 2022 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
Company Affiliations City State Type Active Date
FIDELITY INVESTMENTS LIFE INSURANCE COMPANY SMITHFIELD RI Variable Life/Variable Annuity Jul 29, 2019