Search → JUAN CARLOS MEDINA MANCISIDOR
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
JUAN CARLOS MEDINA MANCISIDOR
PRODUCER NON-RESIDENT
License Number:
PRN481465
Status:
First Licensure:
04/11/2024
Cancel Date:
None
Mailing:
ELLENSBURG, WA 98926
Phone:
+1 (949) 521-9347
Fax:
+1 (949) 521-9347
Email:
carlos.medina.2@alight.com
| License Type | Start Date | End Date |
|---|---|---|
| PRODUCER NON-RESIDENT | 04/11/2024 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| HODGES-MACE LLC |
01/16/2025 | AGN111803 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY |
07/02/2024 | LHF250 | ||
| RELIASTAR LIFE INSURANCE COMPANY |
04/19/2024 | LHF22 | ||
| STARMOUNT LIFE INSURANCE COMPANY |
07/02/2024 | LHD131525 | ||
| UNUM INSURANCE COMPANY |
07/02/2024 | LHD241 | ||
| UNUM LIFE INSURANCE COMPANY OF AMERICA |
07/02/2024 | LHD145 |
| Description | Issue Date | Termination Date | Status |
|---|---|---|---|
| HEALTH | 04/11/2024 | Active | |
| LIFE | 04/11/2024 | Active |
License/Disciplinary Action
None.
GENERAL INFORMATION
NAIC Information
National Producer Number (NPN):
16790621
| Address | Type |
|---|---|
| ELLENSBURG, WA 98926 |
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: 06/18/2025 12:38:03 PM
