black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

PATRA CORPORATION

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN216546
Status:
First Licensure:
05/15/2013
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
4207 TOWN CENTER BLVD STE 100
EL DORADO HILLS, CA 95762-7100
Mailing:
4207 TOWN CENTER BLVD STE 100
EL DORADO HILLS, CA 95762-7100
Phone:
+1 (415) 884-8008
Fax:
+1 (925) 951-0077
Email:
licensing@patracorp.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 05/15/2013 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN GENERAL LIFE INSURANCE COMPANY
05/10/2016 LHF119 04/16/2019

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
LORIE ANSLEM
10/29/2025 PRN532004
TINA ANWAR
05/09/2023 PRN451134
CRYSTAL R. ASHLEY
11/26/2025 PRN388757
ANTHONY J. BARAJAS
10/27/2022 PRN435506
DAMEAN BECKUM
12/02/2025 PRN232378
ANGELA C. BENNETT
01/19/2017 PRN160554
ROBERT LEWIS BENNETT
12/30/2025 PRN241612
LAURA BERSOZA
06/27/2024 PRN487789
JASMINE BETTIS
03/02/2026 PRN471554
JONATHAN BOKAR
03/20/2026 PRN206666
LATCHMAN BOODRAM
11/20/2025 PRN509051
JENNIFER ELLEN BRAY
08/11/2025 PRN242342
MICHELE BROWN
12/06/2024 PRN282265
HELEN R. BUTTS
11/13/2025 PRN403433
JESSICA CAUDLE
07/05/2016 PRN269720
DEDRA LEE CHAMBLEE
06/25/2022 PRN422174
NITAYA CHEPTIONY
03/16/2026 PRN543050
ELIZABETH CHIPMAN
02/23/2024 PRN476613
BAILEIGH COLE
03/16/2026 PRN543051
ALEXIS BLAIRE COLEY
03/02/2026 PRN461223
SARAH CRAIG
04/08/2025 PRN436581
JESSICA DANZE
12/16/2025 PRN535621
HEATHER DAVIS
08/08/2025 PRN523103
SHAQUANA DAVIS
12/23/2025 PRN536184
JASMINE DAWSON
01/06/2026 PRN536946
MELISSA DETLOFF
08/12/2022 PRN426600
JOSEPH DILLARD
11/20/2025 PRN454784
DENISE LYNN DORSEY
04/03/2025 PRN374435
DEBRA L. DOSS
01/08/2018 PRN300023
KENDRA NEKAI EDWARDS
11/10/2025 PRN427830
BISHOP VERNER ELLIS
11/10/2025 PRN393484
TANIQUA ELMORE
12/02/2025 PRN439686
ZABRINA FAYE EPPS
11/17/2025 PRN380470
PEGGY L. FOOTE
05/30/2019 PRN331572
DANA LEEANN GAMBLE
03/11/2026 PRN279413
MADISON GESIK
08/16/2024 PRN492083
CINDY GIBBENS
08/21/2025 PRN212780
AMBER GILLEY
03/17/2026 PRN543192
TINA GUENTHER
10/10/2025 PRN213447
CHATYA HALL
12/16/2025 PRN535319
ALISHA L. HARMON
06/23/2022 PRN421911
STEPHANIE HEINZEL
11/06/2025 PRN187063
ANGELA M. HILER
03/24/2025 PRN436181
TODD ANTHONY HILL
11/17/2025 PRN509566
WALTER HODGES
02/11/2026 PRN540321
MARK ANTHONY HUGHES
12/30/2025 PRN494753
SHIRLEA JEFFERSON
11/20/2025 PRN475703
TAMELYN RAYE JOB
11/09/2022 PRN436641
CURTIS JONES
03/17/2026 PRN333755
DAWN JONES
09/19/2023 PRN463688
KISHYRA JONES
11/13/2025 PRN384818
TARIN JONES
01/10/2025 PRN505226
TRACY KEITH
10/30/2023 PRN467701
BETHANY KERELUK
08/12/2024 PRN244777
SHAREK KHAN
12/16/2025 PRN535601
LINDSEY QUINN LAMB
06/19/2020 PRN355062
TERESA ANNE LAMBORN
03/20/2026 PRN163655
ANNA LANIER
09/26/2025 PRN528613
AIDAN LEWIS-DUNN
01/06/2026 PRN536943
CLAY LINN
12/16/2025 PRN535604
ELIZABETH LOWERY
12/14/2023 PRN470894
KAREN LYON
11/17/2025 PRN406594
TYWANNA MAYE
12/16/2025 PRN535315
DAVID M. MERRITT
11/10/2025 PRN511062
JEANNETTE MORA
03/09/2026 PRN513770
LAUREN MORSE
12/16/2025 PRN535054
LOGAN MOUSER
10/09/2025 PRN529956
MADISON MURRAY
02/06/2024 PRN475499
JENNIFER O NEILL
07/17/2023 PRN456657
TONI PACHTER
10/14/2024 PRN333425
ELIZABETH PENA
10/20/2025 PRN401632
SANDRA PETRUNGER
10/09/2025 PRN529950
AZRAYEA POWELL
11/17/2025 PRN455396
ROBERTO RAMIREZ
07/31/2025 PRN470691
VINICIO RAMIREZ
11/20/2025 PRN443783
CLAUDIA RANGEL
02/05/2026 PRN539677
NICOLE RASPANTINI
02/02/2026 PRN435735
JEAN M. RICHARD
07/22/2021 PRN389099
MARC ROLNIK
01/22/2026 PRN538515
PAT ROONEY
01/22/2026 PRN538507
DESALYN SANCHEZ
03/16/2026 PRN533851
EMMALEE MARIE SHERWOOD
07/13/2022 PRN423578
JOHN KARY SHUMATE
03/02/2026 PRN506740
BRIAN MURRAY SMITH
01/06/2026 PRN123922
SANDRA SPREIER
01/18/2023 PRN441435
AMY STILTNER
11/20/2025 PRN343201
AMANDA STOCKTON
12/01/2025 PRN524486
CHELSEA STRATTON
06/24/2022 PRN421998
JORDAN MATTHEW SULLINS
04/04/2025 PRN444684
MIKHAIL SWEET
03/16/2026 PRN543055
DARRYL TAYLOR
02/26/2026 PRN411048
RHONDA KAY THRUSH
02/07/2018 PRN302575
JUAN TURRI AREVALO
03/02/2026 PRN497183
KRISTINE VINSON
11/26/2025 PRN533714
SUSAN VONGPRATHOUM
05/23/2025 PRN480794
WAYNE WEBSTER
11/20/2025 PRN339719
KENNEDY WEST
02/11/2026 PRN540306
BOBBI WHITAKER
11/10/2025 PRN448766
CHARLES GUNNELL WILLIAMS
03/17/2026 PRN394759
JACQANI WILLIAMS
01/09/2026 PRN537477
KIMBERLY WOOD
04/02/2024 PRN480520
ZENALLAH WOODS
11/13/2025 PRN471943
BRADLEY ZELINSKI
10/08/2024 PRN497962
CRISTINA ZUNIGA
02/05/2026 PRN539574

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
JASON DAVIS PRN170534

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16859766

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: 03/28/2026 01:50:46 PM