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Details for BLAKE, DWAIN ARTHUR

Agent Details
Name
BLAKE, DWAIN ARTHUR 
Address
706 ANTLER DRIVE STATESBORO, GA 30458 
Business Phone
(912) 856-7007 
Internet
 
Email
DWAIN@CANYONRIDGEGROUP.COM  
Status
Active 
Issue Date
Oct 31, 2019 
License Status Expires Number
Non-Resident Producer Active Apr 30, 2022 751231
      Accident and Hlth or Sickness Active Issued: Oct 31, 2019
      Life Active Issued: Oct 31, 2019
Agency Affiliations City State License Number Active Date Status
CANYON RIDGE GROUP, LLC LAS VEGAS NV 760141 Jan 07, 2020 Active
Company Affiliations City State Type Active Date
LIFE INSURANCE COMPANY OF THE SOUTHWEST MONTPELIER VT Life, Accident and Hlth or Sickness Mar 26, 2020