DEPARTMENT OF INSURANCE
Licensee Search Details
NameDerege, Fasil DOIID1464562NAIC NPN21149902
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
ActiveNon ResidentAgentProperty5/29/2026 10/31/2028 
ActiveNon ResidentAgentCasualty5/29/2026 10/31/2028 
*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 Office1718 W Brown St Phoenix, AZ 850212038
ResidenceNot Public Information
Internet Information
TypeAddress
Business Emailfasilderege30@gmail.com
Phone Information
TypePhone
Business / Home Office(602) 919-8419

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