GREGORY BLAZ

Agent ID:	11025406
National Producer ID:	20748919
Mailing Address:	6790 N GREEN BAY AVE
	GLENDALE, WI 53209-3456
Resident State:	WI
Phone:	414-228-7555

Agent License

Type	Status	Issue Date	Expiration Date
Insurance Producer	Active	3/25/2024	8/31/2025

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	3/25/2024
Life	3/25/2024

Agent Appointments

2 Records Found

License Number	Company Name	Issue Date
8300077	Humana Insurance Company	4/26/2024
8600056	Medico Corp Life Insurance Company	4/30/2024