A Secure Online Service from Utah.gov

Utah.gov

Insurance Company and Agent Search

Utah Insurance Department

Details for PETRICK, KEITH DAVID

Agent Details
Name
PETRICK, KEITH DAVID 
Address
64 INVERNESS DRIVE EAST ATTN MONIKA DIAZ ENGLEWOOD, CO 80112 
Business Phone
(303) 728-7280 
Internet
 
Email
sgmudd@goodsam.com  
Status
Inactive  - Lapsed
Issue Date
Apr 30, 2021 
License Status Expires Number
Non-Resident Producer Inactive Apr 30, 2021 589659
      Casualty Inactive Issued: Sep 27, 2016
      Property Inactive Issued: Sep 27, 2016
Agency Affiliations City State License Number Active Date Status
No records found.
Company Affiliations City State Type Active Date
No records found.