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DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SHALIK SIRIPATHANE

PRODUCER NON-RESIDENT

License Number:
PRN522382
Status:
First Licensure:
07/31/2025
Cancel Date:
None

Mailing:
MIDVALE, UT 84047
Phone:
+1 (385) 831-8484
Email:
bsiripathane@gmail.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 07/31/2025

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICO FINANCIAL LIFE AND ANNUITY INSURANCE COMPANY
05/01/2026 LHF139
COMBINED INSURANCE COMPANY OF AMERICA
08/25/2025 LHF144

Authority

Description Issue Date Termination Date Status
HEALTH 07/31/2025 Active
LIFE 07/31/2025 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
21361593

Other Addresses

Address Type
MIDVALE, UT 84047
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: 07/06/2026 04:39:20 PM