| PR00313: Executive Insurance Agency, Inc. | 
| Experior Provider Number: | S11930 | 
| Provider Type: | Independent | 
| Certification Date: | 9/20/2021 
 
 | 
| Address: | 130 Springside Drive Akron, OH   44333
 | 
| Contact: | Nathan Flacker | 
| Telephone: | 330-576-1234 | 
| Status: | Active | 
| Termination Date: | N/A | 
| 
 | 
If a status is Pending or Pending Replacement click on it for more details.
| Instructor DOI ID | Name | LOA | Status | Status Date | Instructor Type | 
     | 1366522 | AMOIA, MICHAEL | Life | Active | 10/11/2024 | Continuing Education | 
     | 1366523 | BOTTARO, CHRISTOPHER | Life | Active | 10/11/2024 | Continuing Education | 
     | 1408572 | DAWSON, JAMES | Life | Active | 07/02/2025 | Continuing Education | 
     | 793449 | Finefrock, Christopher J | Annuities and Securities, Ethics, General Insurance Principles, Health, Life, Life / Variable, Life and Health | Active | 10/04/2012 | Continuing Education | 
     | 1366524 | HURST, ZACHARY | Life | Active | 10/11/2024 | Continuing Education | 
     | 1408571 | MICHLITSCH, MICHAEL | Life | Active | 07/02/2025 | Continuing Education | 
     | 1366525 | MOORE, GEOFF | Life | Active | 10/11/2024 | Continuing Education | 
     | 1366526 | RYBKA, LAWRENCE | Life | Active | 10/11/2024 | Continuing Education | 
     | 1366527 | SAMUELSON, KENNETH | Life | Active | 10/11/2024 | Continuing Education | 
     | 1408573 | TRICASO, MICHAEL | Life | Active | 07/02/2025 | Continuing Education | 
     | 1366528 | WILBURN, DOUGLAS | Life | Active | 10/11/2024 | Continuing Education |