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Details for MOORE, PRENTICE

Agent Details
Name
MOORE, PRENTICE  
Address
4224 PARK PLACE CT GLEN ALLEN, VA 23060-3314 
Business Phone
(804) 588-5428 
Internet
 
Email
licensing@dominionoutsourcing.com  
Status
Active 
Issue Date
Oct 03, 2019 
License Status Expires Number
Non-Resident Producer Active Jul 31, 2022 744696
      Accident and Hlth or Sickness Active Issued: Oct 03, 2019
Agency Affiliations City State License Number Active Date Status
HEALTH PLAN INTERMEDIARIES HOLDINGS LLC TAMPA FL 514705 Dec 17, 2019 Active
HEALTH PLAN INTERMEDIARIES HOLDINGS LLC TAMPA FL 418652 Dec 17, 2019 Active
Company Affiliations City State Type Active Date
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AETNA HEALTH AND LIFE INSURANCE COMPANY HARTFORD CT Accident and Hlth or Sickness Jan 30, 2020
CONTINENTAL LIFE INS CO OF BRENTWOOD, TENNESSEE FRANKLIN TN Accident and Hlth or Sickness Jan 30, 2020