black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KOKU MILLETT-BARRETT

PRODUCER NON-RESIDENT

License Number:
PRN506453
Status:
First Licensure:
01/28/2025
Cancel Date:
None

Mailing:
SCOTTSDALE, AZ 85251
Phone:
+1 (888) 360-6623
Email:
koku.m@matic.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 01/28/2025

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN ECONOMY INSURANCE COMPANY
05/01/2025 PCF363
AMERICAN STRATEGIC INSURANCE CORP
04/15/2025 PCF258492
BRISTOL WEST INSURANCE COMPANY
04/19/2025 PCF78370
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
04/19/2025 PCF445

Authority

Description Issue Date Termination Date Status
PERSONAL LINES 01/28/2025 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
21368298

Other Addresses

Address Type
777 E MISSOURI AVE STE 210
PHOENIX, AZ 85014-2832
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: 05/25/2025 11:43:54 PM