Individual Information

PATRICK JUSTIN CROSS

Address:

DRAPER, UT 84020-5480

Status:

Active

Email:

patrick.j.cross@gmail.com

Date:

04/22/2016

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3153852	04/22/2016	Active	04/22/2016	04/30/2028

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	04/22/2016	Active	04/22/2016
Health	04/22/2016	Active	04/22/2016
Life	04/22/2016	Active	04/22/2016
Property	04/22/2016	Active	04/22/2016

Company Name	Appointment Type	Status	Active Date
1639
COAST NATIONAL INSURANCE COMPANY	Casualty	Active	09/24/2024

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Organization	Association Type	Type	Beg dte	End dte
AGENTOMNI INSURANCE SERVICES LLC	Designated Resp Lic Prdcr	Agency	06/01/2022	-

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