black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KATHLEEN RAE MANTEY

PRODUCER NON-RESIDENT

License Number:
PRN418770
Status:
First Licensure:
05/18/2022
Cancel Date:
None

Mailing:
SURPRISE, AZ 85374
Phone:
+1 (866) 774-8570 x788127
Fax:
+1 (585) 440-9443
Email:
sgsinslic@sutherlandglobal.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/18/2022

Agency

Name Issue Date License Number Expiration Date Cancel Date
SUTHERLAND GLOBAL SERVICES INC
05/18/2022 AGN111757

Employer

Name Issue Date License Number Expiration Date Cancel Date
HISCOX INSURANCE COMPANY INC
05/23/2022 PCF985

Authority

Description Issue Date Termination Date Status
CASUALTY 05/18/2022 Active
PROPERTY 05/18/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18388201

Other Addresses

Address Type
17791 W STRAIGHT ARROW LN
SURPRISE, AZ 85387-2279
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: 02/03/2026 10:09:18 PM