DEPARTMENT OF INSURANCE
Licensee Search Details
NameCrocker, Trystan JohnDOIID738906NAIC NPN15934683
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
InactiveNon ResidentAgentHealth10/4/20108/31/2014  
InactiveNon ResidentAgentLife10/4/20108/31/2014  
*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
TypeAddress
Business / Home OfficeExtend Health 10975 S Sterling View Dr Ste A1South Jordan, UT 840954189
ResidenceNot Public Information
Internet Information
TypeAddress
Business Emailtrystan@q.com - Bad Email-Correction requested
Phone Information
TypePhone
Business / Home Office(801) 413-0991

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