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Details for LARSEN, BRENT D

Agent Details
Name
LARSEN, BRENT D 
Address
526 W CENTER ST APT C205 PLEASANT GROVE, UT 84062-3363 
Business Phone
(801) 904-3926 
Internet
 
Email
brentlarsen15@gmail.com  
Status
Inactive  - Data Conversion
Issue Date
Aug 31, 2022 
License Status Expires Number
Resident Producer Inactive Aug 31, 2022 13696
      Accident & Health Inactive Issued: May 16, 2002
      Accident and Hlth or Sickness Inactive Issued: Aug 09, 2018
      Life Inactive Issued: May 16, 2002
Resident Agent/Agency Inactive Apr 30, 2004 13696
      Accident & Health Inactive Issued: Apr 01, 1968
      Life Inactive Issued: Apr 01, 1968
Agency Affiliations City State License Number Active Date Status
No records found.
Company Affiliations City State Type Active Date
No records found.