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Details for PARK, LISA LANETTE

Agent Details
Name
PARK, LISA LANETTE 
Address
27285 LAS RAMBLAS STE 120 MISSION VIEJO, CA 92691-8553 
Business Phone
(949) 297-2232 
Internet
 
Email
goofy01girl@gmail.com  
Status
Active 
Issue Date
Sep 18, 2015 
License Status Expires Number
Non-Resident Producer Active Oct 31, 2023 543589
      Accident and Hlth or Sickness Active Issued: Aug 09, 2018
      Life Active Issued: Sep 18, 2015
      Accident & Health Inactive Issued: Sep 18, 2015
Agency Affiliations City State License Number Active Date Status
CUSTOM BENEFIT CONSULTANTS INC LAS VEGAS NV 321386 Sep 18, 2015 Active
Company Affiliations City State Type Active Date
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