black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KERRIN T. MATOUSEK

PRODUCER NON-RESIDENT

License Number:
PRN319228
Status:
First Licensure:
10/11/2018
Cancel Date:
None

Mailing:
QUEEN CREEK, AZ 85142
Phone:
+1 (602) 609-6532
Fax:
+1 (602) 787-8040
Email:
kerrin.matousek@alliant.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/11/2018

Agency

Name Issue Date License Number Expiration Date Cancel Date
ALLIANT INSURANCE SERVICES INC
11/26/2024 AGN91433
WILLIS OF ARIZONA INC
10/11/2018 AGN53383 01/01/2020
WILLIS TOWERS WATSON INSURANCE SERVICES WEST, INC
01/01/2020 AGN37579 08/17/2021

Employer

None.

Authority

Description Issue Date Termination Date Status
HEALTH 10/11/2018 Active
LIFE 10/11/2018 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3165544

Other Addresses

Address Type
QUEEN CREEK, AZ 85142
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: 12/17/2025 02:40:02 PM