MOUZON BASS III

Agent ID:	10139817
National Producer ID:	1091341
Mailing Address:	15305 DALLAS PKWY STE 800
	ADDISON, TX 75001-6415
Resident State:	TX
Phone:	910-401-9454

Agent License

Type	Status	Issue Date	Expiration Date
Insurance Producer	Active	12/2/2019	9/30/2025

Notice: As a result of a data conversion some licenses and qualifications reflect a 10/27/2009 issue date when in fact the license may have been held prior to this date. If you have any questions about the issue date of a license, please contact the Licensing Division of the Mississippi Insurance Department by telephone 601-359-3582 or by email at licensing@mid.ms.gov.

Agent Qualifications

Type	Issue Date
Accident & Health or Sickness	12/2/2019
Life	12/2/2019

Agent Appointments

6 Records Found

License Number	Company Name	Issue Date
8000068	Companion Life Insurance Company	3/11/2020
7700186	Fidelity Security Life Insurance Company	1/8/2020
7700325	Mutual of Omaha Insurance Company	1/15/2020
7700370	Pan-American Life Insurance Company	1/27/2022
7700529	United World Life Insurance Company	1/15/2020
7700453	United of Omaha Life Insurance Company	1/15/2020