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North Dakota

  1. 1. JENNY PACK 3949 SOUTH 700 EAST SUITE 450 SALT LAKE CITY UT 84107 State of North Dakota License No: 17630905 Insurance License NPN: 17630905 JENNY PACK LICENSE TYPE FIRST ACTIVE DATE LICENSE EXPIRATION DATE LINE OF AUTHORITY LOA EFFECTIVE DATE Producer 09/25/2015 10/31/2017 Accident & Health 09/25/2015 Adam Hamm, Insurance Commissioner State of North Dakota License No: 17630905 Insurance License NPN: 17630905 JENNY PACK Is licensed/authorized to engage in the business of insurance in the State of North Dakota in the capacity stated below: Non-Resident LICENSE TYPE FIRST ACTIVE DATE LICENSE EXPIRATION DATE LINE OF AUTHORITY LOA EFFECTIVE DATE Producer 09/25/2015 10/31/2017 Accident & Health 09/25/2015 This insurance license/authorization shall remain in effect until the expiration date unless suspended, revoked or forfeited. Individual insurance producers and consultants must complete continuing education, renew the license and pay fees as required by North Dakota statutes prior to the expiration date. For questions regarding a license, contact: North Dakota Insurance Department Agent Licensing Division 701-328-2440 or E-mail: ndlicensing@nd.gov Adam Hamm, Insurance Commissioner

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