BLACE ALBERT

Agent ID:	10904301
National Producer ID:	19708126
Mailing Address:	590 WELLS RD STE 2
	ORANGE PARK, FL 32073-2980
Resident State:	FL
Phone:	904-246-8011

Agent License

Type	Status	Issue Date	Expiration Date
Insurance Producer	Active	11/4/2022	4/30/2026

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	11/4/2022
Life	11/4/2022
Var Life and Var Ann Products	11/4/2022

Agent Appointments

2 Records Found

License Number	Company Name	Issue Date
8000094	Globe Life and Accident Insurance Company	11/11/2022
7700252	Liberty National Life Insurance Company	11/11/2022