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Details for DERRICK, SAMUEL SHANE

Agent Details
Name
DERRICK, SAMUEL SHANE 
Address
1553 E 11245 S SANDY, UT 84092 
Business Phone
(801) 706-4489 
Internet
 
Email
DERRICKINSURANCE@GMAIL.COM  
Status
Active 
Issue Date
Dec 04, 2013 
License Status Expires Number
Resident Producer Active Nov 30, 2021 318530
      Accident and Hlth or Sickness Active Issued: Aug 09, 2018
      Casualty Active Issued: Mar 31, 2014
      Life Active Issued: Jun 08, 2009
      Property Active Issued: Mar 31, 2014
      Variable Life/Variable Annuity Active Issued: Sep 16, 2021
      Accident & Health Inactive Issued: Jun 08, 2009
Agency Affiliations City State License Number Active Date Status
STONE HILL NATIONAL SLC UT 4915 Dec 04, 2013 Active
Company Affiliations City State Type Active Date
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