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Name:  BIRCH, LEE CONRAD License Number:  51672
Address:  315 MIDVALE AVE
NPN:  2883557
  CALDWELL, ID 83605-6187 Issued:  8/5/1996
    Expires:  11/30/2017
Business Phone:  (208) 739-0039 License Status: 
License Type: 
Active
Resident Producer
   

Lines   Issued   Status
Disability (Health)   8/5/1996   AC
Life   8/5/1996   AC

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Insurance Company State License Number Lines Appointment Date
COLUMBIAN LIFE INSURANCE COMPANY IL 3122 Life 1/27/2016

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