Search → MALLORY LYNN PENTICOFF
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
MALLORY LYNN PENTICOFF
PRODUCER NON-RESIDENT
License Number:
PRN497163
Status:
First Licensure:
10/01/2024
Cancel Date:
None
Mailing:
SURPRISE, AZ 85388
Phone:
+1 (951) 231-5639
Fax:
+1 (951) 735-9301
Email:
mallorypenticoff@gmail.com
| License Type | Start Date | End Date |
|---|---|---|
| PRODUCER NON-RESIDENT | 03/11/2025 | |
| *** NOT ACTIVE *** | 11/15/2024 | 03/10/2025 |
| PRODUCER NON-RESIDENT | 10/01/2024 | 11/14/2024 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| FETCH INS SERVICES LLC |
10/21/2025 | AGN137169 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| AXIS INSURANCE COMPANY |
04/04/2025 | PCF134278 |
| Description | Issue Date | Termination Date | Status |
|---|---|---|---|
| CASUALTY | 03/11/2025 | Active | |
| PROPERTY | 03/11/2025 | Active | |
| CASUALTY | 10/01/2024 | 11/15/2024 | Terminated |
| PROPERTY | 10/01/2024 | 11/15/2024 | Terminated |
License/Disciplinary Action
None.
GENERAL INFORMATION
NAIC Information
National Producer Number (NPN):
18514765
| Address | Type |
|---|---|
| SURPRISE, AZ 85388 |
Office |
An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.
Date: 12/11/2025 05:28:43 AM
