Individual Information

JUAN CRUZ DIAZ

Address:

LAS VEGAS, NV 89107-2623

Status:

Active

Email:

juan.diaz.mrra@statefarm.com

Date:

02/04/2003

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Res. Producer/Producer Firm	169867	02/04/2003	Active	02/04/2003	02/28/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	02/04/2003	Active	02/04/2003
Health	02/04/2003	Active	02/04/2003
Life	02/04/2003	Active	02/04/2003
Property	02/04/2003	Active	02/04/2003
Var. Annuities/Var. Life	03/20/2008	Active	04/03/2020
Surety	02/04/2003	Inactive	01/01/2020

Company Name	Appointment Type	Status	Active Date
105464
AMERICAN PET INSURANCE COMPANY	Property	Active	12/29/2020
613
Company Name	Appointment Type	Status	Active Date
STATE FARM FIRE & CASUALTY COMPANY	Casualty	Active	03/16/2020
	Property	Active	03/16/2020
615
Company Name	Appointment Type	Status	Active Date
STATE FARM LIFE INSURANCE COMPANY	Life	Active	03/16/2020
	Var. Annuities/Var. Life	Active	04/02/2024
616
Company Name	Appointment Type	Status	Active Date
STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY	Casualty	Active	03/16/2020
	Health	Active	03/16/2020
	Property	Active	03/16/2020

row(s) 1 - 8 of 8

Organization	Association Type	Type	Beg dte	End dte
JUAN DIAZ AGENCY, INC	Designated Resp Lic Prdcr	Agency	03/27/2020	-

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