black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MATTHEW BUCKALEW

PRODUCER NON-RESIDENT

License Number:
PRN422349
Status:
First Licensure:
06/27/2022
Cancel Date:
None

Mailing:
PARK CITY, UT 84098
Phone:
+1 (800) 748-0351
Email:
mbuckalew@nationalaccountservicesinc.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/27/2022

Agency

Name Issue Date License Number Expiration Date Cancel Date
ACRISURE OF CALIFORNIA LLC
08/04/2022 AGN242411

Employer

None.

Authority

Description Issue Date Termination Date Status
CASUALTY 06/27/2022 Active
HEALTH 06/27/2022 Active
LIFE 06/27/2022 Active
PROPERTY 06/27/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16883132

Other Addresses

Address Type
425 W BROADWAY STE 300
GLENDALE, CA 91204-1219
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: 05/16/2025 10:39:29 PM