DEPARTMENT OF INSURANCE

Name	Fackrell, Regan Riley	DOIID	1013160	NAIC NPN	8897640

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/4/2024		1/31/2027
Active	Non Resident	Agent	Life	3/4/2024		1/31/2027
Active	Non Resident	Agent	Health	3/4/2024		1/31/2027
Active	Non Resident	Agent	Property	3/4/2024		1/31/2027
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	10/11/2018	8/18/2021

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	2500 W Executive Pkwy Ste 200 Lehi, UT 840433858
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(801) 554-9622