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Details for WALLER, THERESA J

Agent Details
Name
WALLER, THERESA J 
Address
8711 UNIVERSITY EAST DR STE 200 CHARLOTTE, NC 28213-4204 
Business Phone
(888) 322-7557 
Internet
 
Email
licensing@gohealth.com  
Status
Active 
Issue Date
Sep 26, 2019 
License Status Expires Number
Non-Resident Producer Active Sep 30, 2023 394085
      Accident and Hlth or Sickness Active Issued: Sep 26, 2019
      Life Active Issued: Oct 28, 2011
      Accident & Health Inactive Issued: Oct 28, 2011
      Personal Lines Inactive Issued: Aug 08, 2014
Agency Affiliations City State License Number Active Date Status
GOHEALTH LLC CHICAGO IL 299772 Dec 12, 2019 Active
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