mrbrownmors

Why do you want a policy? Family Inheritance
Social Security Number Hidden
Driver’s License Number Hidden
Occupation / Duties: Head Urologist
Name of Employer: LA Medical Center
Tobacco Use?: Chewing Tabaco
Have you Ever Used Tobaco?: Yes
Has anyone in your immediate family passed away from stroke, cancer or heart attack prior to age 60?
Are you on disability?: No
Have you been hospitalized within the last few years? Yes (Car crash minor injuries, non permanent)
Are you diagnosed with any illness/diseases?: No
Do you use any type of electronic cigarettes?: No
Have you suffered from Cholesterol in the past or presnt?: No
Currently on any medication or drugs?: No medication, occasional use of CBD Oil Marijuana
Ever had a stroke: No
Any DUI's in the past 5 years?: No
Annual Income: $,500,000/annually
When was your last Dr visit?: 06/17/2019 Routine checkup NO diagnosis
Who is your primary doctor?: Dr. Gardner