Agency Information

EZ INSURANCE AGENCY 4, LLC

Address:

3460 E. SUNSET RD STE T

LAS VEGAS, NV 89120

Phone

702-444-7794

URL:

Email:

ezinsurancesunset@gmail.com

National Producer Number:

18958105

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Resident Producer Firm	3389502	10/29/2018	Active	10/29/2018	10/31/2024

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	10/29/2018	Active	10/29/2018
Health	10/29/2018	Active	10/29/2018
Life	10/29/2018	Active	10/29/2018
Property	10/29/2018	Active	10/29/2018

Company Name	Appointment Type	Status	Active Date
58
AMERICAN MODERN HOME INSURANCE COMPANY	Casualty	Active	01/14/2021
	Property	Active	01/14/2021

row(s) 1 - 2 of 2

Name	Association Type	Agent	Begin Date	End Date
SULEIMAN MEDIAN KUTOB	Designated Resp Lic Prdcr	Yes	12/03/2020	-

1 - 1