MARK BACON

Agent ID:	10757521
National Producer ID:	19756403
Mailing Address:	1237 SE CENTERPOINTE DR
	CORVALLIS, OR 97333-3192
Resident State:	OR
Phone:	541-257-7321

Agent License

Type	Status	Issue Date	Expiration Date
Insurance Producer	Active	5/24/2021	6/30/2026

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	7/14/2021
Life	5/24/2021

Agent Appointments

1 Records Found

License Number	Company Name	Issue Date
7700062	Colonial Penn Life Insurance Company	4/19/2023