DEPARTMENT OF INSURANCE

Name	Fasce, Tasha D	DOIID	936668	NAIC NPN	17798692

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Independent Adjuster	Property & Casualty	11/14/2016	9/30/2022

*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	C/O Axa Xl 200 Liberty St Fl 22New York, NY 102811037
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(212) 915-6374