Individual Information

BRENT R WAGNER

Address:

NAPERVILLE, IL 60563-1266

Status:

Active

Email:

corporatelicensing@bbins.com

Date:

10/04/2019

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3482247	10/04/2019	Active	10/04/2019	10/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	10/04/2019	Active	10/04/2019
Health	10/04/2019	Active	10/04/2019
Life	10/04/2019	Active	10/04/2019
Property	10/04/2019	Active	10/04/2019

Company Name	Appointment Type	Status	Active Date
965
ACUITY A MUTUAL INSURANCE COMPANY	Casualty	Active	01/08/2021
	Property	Active	01/08/2021
724
Company Name	Appointment Type	Status	Active Date
WESTERN SURETY COMPANY	Casualty	Active	09/08/2023

row(s) 1 - 3 of 3