DEPARTMENT OF INSURANCE
Affiliations
NameNGLS Insurance Services , IncDOIID399928NAIC NPN55700
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty8/15/2000 3/31/2025
ActiveNon ResidentAgentCasualty8/15/2000 3/31/2025
InactiveNon ResidentAgentPersonal Lines7/17/201410/8/2015 
InactiveNon ResidentAgentGeneral Lines2/4/19998/15/2000 
ActiveNon ResidentSurplus Lines BrokerNot Applicable7/28/2008 3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/2025   
Surplus Lines Broker01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty9/29/20046/6/2011
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property9/29/20046/6/2011
InactiveCentre Insurance Company301599Agent - Casualty4/7/200310/10/2007
InactiveCentre Insurance Company301599Agent - General Lines12/1/19993/31/2000
InactiveCentre Insurance Company301599Agent - Property4/7/200310/10/2007
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty5/9/20066/6/2011
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property5/9/20066/6/2011
InactiveEmpire Fire and Marine Insurance Company300666Agent - Casualty8/15/200011/17/2015
InactiveEmpire Fire and Marine Insurance Company300666Agent - General Lines2/4/19998/15/2000
InactiveEmpire Fire and Marine Insurance Company300666Agent - Property8/15/200011/17/2015
InactiveFidelity and Deposit Company of Maryland300976Agent - Casualty8/15/200011/24/2015
InactiveFidelity and Deposit Company of Maryland300976Agent - General Lines4/26/19998/15/2000
InactiveFidelity and Deposit Company of Maryland300976Agent - Property8/15/200011/24/2015
InactiveFirst National Insurance Company of America301690Agent - Casualty4/23/20096/8/2011
InactiveFirst National Insurance Company of America301690Agent - Property4/23/20096/8/2011
InactiveGeneral Insurance Company of America300261Agent - Casualty4/23/20096/8/2011
InactiveGeneral Insurance Company of America300261Agent - Property4/23/20096/8/2011
ActiveIntegon National Insurance Company301600Agent - Casualty10/28/2016 
ActiveIntegon National Insurance Company301600Agent - Property10/28/2016 
ActiveMIC General Insurance Corporation300398Agent - Casualty10/28/2016 
ActiveMIC General Insurance Corporation300398Agent - Property10/28/2016 
InactiveMerastar Insurance Company301363Agent - Casualty6/16/20085/9/2023
InactiveMerastar Insurance Company301363Agent - Property6/16/20085/9/2023
ActivePraetorian Insurance Company301021Agent - Casualty8/29/2008 
ActivePraetorian Insurance Company301021Agent - Property8/29/2008 
ActiveQBE Insurance Corporation300515Agent - Casualty10/5/2009 
ActiveQBE Insurance Corporation300515Agent - Property10/5/2009 
InactiveSAFECO Insurance Company of America300159Agent - Casualty4/23/20096/8/2011
InactiveSAFECO Insurance Company of America300159Agent - Property4/23/20096/8/2011
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty4/23/20096/8/2011
InactiveSAFECO Insurance Company of Illinois301350Agent - Property4/23/20096/8/2011
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty9/29/20046/6/2011
InactiveStandard Fire Insurance Company (The)301068Agent - Property9/29/20046/6/2011
Pending ReplacementTesla Insurance Company300337Agent - Casualty7/6/2009 
Pending ReplacementTesla Insurance Company300337Agent - Property7/6/2009 
Pending ReplacementTesla Property & Casualty, Inc.301611Agent - Casualty4/30/2011 
Pending ReplacementTesla Property & Casualty, Inc.301611Agent - Property4/30/2011 
InactiveThe Phoenix Insurance Company301502Agent - Casualty9/29/20046/6/2011
InactiveThe Phoenix Insurance Company301502Agent - Property9/29/20046/6/2011
InactiveTravCo Insurance Company301828Agent - Casualty9/29/20046/6/2011
InactiveTravCo Insurance Company301828Agent - Property9/29/20046/6/2011
InactiveTravelers Casualty Company of Connecticut301505Agent - Casualty9/29/20046/6/2011
InactiveTravelers Casualty Company of Connecticut301505Agent - Property9/29/20046/6/2011
InactiveTravelers Commercial Insurance Company301506Agent - Casualty5/9/20066/6/2011
InactiveTravelers Commercial Insurance Company301506Agent - Property5/9/20066/6/2011
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty5/9/20066/6/2011
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property5/9/20066/6/2011
InactiveTravelers Indemnity Company (The)301855Agent - Casualty5/4/20076/6/2011
InactiveTravelers Indemnity Company (The)301855Agent - Property5/4/20076/6/2011
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty9/29/20046/6/2011
InactiveTravelers Indemnity Company of America (The)301093Agent - Property9/29/20046/6/2011
InactiveTravelers Property Casualty Insurance Company301508Agent - Casualty9/29/20046/6/2011
InactiveTravelers Property Casualty Insurance Company301508Agent - Property9/29/20046/6/2011
InactiveUnitrin Direct Property & Casualty Company637443Agent - Casualty10/17/20145/9/2023
InactiveUnitrin Direct Property & Casualty Company637443Agent - Property10/17/20145/9/2023
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAlcala, Jeannette 800560Agent - Casualty2/26/20139/15/2015
InactiveAlcala, Jeannette 800560Agent - Property2/26/20139/15/2015
InactiveAnaya, Norma 797953Agent - Casualty2/26/20139/15/2015
InactiveAnaya, Norma 797953Agent - Property2/26/20139/15/2015
InactiveArchibald, Julie Rae 646563Agent - Casualty6/1/201110/9/2012
InactiveArchibald, Julie Rae 646563Agent - Property6/1/201110/9/2012
InactiveArgueta, Glenda 800289Agent - Casualty7/10/20139/15/2015
InactiveArgueta, Glenda 800289Agent - Property7/10/20139/15/2015
InactiveBaron, Katherine 798639Agent - Casualty2/26/201310/8/2015
InactiveBaron, Katherine 798639Agent - Property2/26/201310/8/2015
InactiveBender, Gregory Alan 735568Agent - Casualty4/2/20146/5/2015
InactiveBender, Gregory Alan 735568Agent - Property4/2/20146/5/2015
InactiveBender, Gregory Alan 735568Surplus Lines Broker - Not Applicable4/2/20146/10/2015
InactiveBlessie, Christine 795933Agent - Casualty11/19/201210/8/2015
InactiveBlessie, Christine 795933Agent - Property11/19/201210/8/2015
InactiveBlessie, Melissa 817674Agent - Casualty8/20/201310/8/2015
InactiveBlessie, Melissa 817674Agent - Property8/20/201310/8/2015
InactiveBoelens, Jennifer 742874Agent - Casualty7/10/20139/15/2015
InactiveBoelens, Jennifer 742874Agent - Property7/10/20139/15/2015
InactiveBossoletti, Michele 802932Agent - Casualty2/26/20139/15/2015
InactiveBossoletti, Michele 802932Agent - Property2/26/20139/15/2015
InactiveBradshaw, Athena 832089Agent - Personal Lines7/17/201412/8/2014
InactiveBruck, Vicki 504065Agent - Casualty2/26/20136/2/2015
InactiveBruck, Vicki 504065Agent - Property2/26/20136/2/2015
InactiveBrumme, Michael John 828302Agent - Personal Lines6/11/201510/8/2015
DeniedBudzyn, Mark Steven 625315Agent - Casualty  
DeniedBudzyn, Mark Steven 625315Agent - Property  
InactiveBurmeister, Marcus L 647988Agent - Casualty2/26/20133/3/2014
InactiveBurmeister, Marcus L 647988Agent - Property2/26/20133/3/2014
InactiveCallaham, Timothy Louis 664850Agent - Casualty6/28/20129/15/2015
InactiveCallaham, Timothy Louis 664850Agent - Property6/28/20129/15/2015
InactiveCampbell, Melanie Rae 745052Agent - Casualty2/26/20133/28/2013
InactiveCampbell, Melanie Rae 745052Agent - Property2/26/20133/28/2013
InactiveCarrillo, Linda 798913Agent - Casualty2/26/20139/15/2015
InactiveCarrillo, Linda 798913Agent - Property2/26/20139/15/2015
InactiveCarullo, Veronica 799013Agent - Casualty2/26/20139/15/2015
InactiveCarullo, Veronica 799013Agent - Property2/26/20139/15/2015
InactiveCastano, Oscar 645791Agent - Casualty6/1/20113/18/2015
InactiveCastano, Oscar 645791Agent - Property6/1/20113/18/2015
InactiveCastro, David 798995Agent - Casualty2/26/201310/14/2014
InactiveCastro, David 798995Agent - Property2/26/201310/14/2014
InactiveCastro, Randy 784429Agent - Casualty11/9/201210/8/2015
InactiveCastro, Randy 784429Agent - Property11/9/201210/8/2015
InactiveChacon, Anthony 796285Agent - Casualty11/12/201210/8/2015
InactiveChacon, Anthony 796285Agent - Property11/12/201210/8/2015
ActiveCook, Howard 1335790Agent - Casualty4/22/2024 
ActiveCook, Howard 1335790Agent - Property4/22/2024 
InactiveCorona, April 349158Agent - Casualty6/25/201410/8/2015
InactiveCorona, April 349158Agent - Property6/25/201410/8/2015
InactiveCorona, Hernan 811248Agent - Casualty6/20/20139/15/2015
InactiveCorona, Hernan 811248Agent - Property6/20/20139/15/2015
InactiveCorrales , Guadalupe 305460Agent - Casualty6/13/201410/8/2015
InactiveCorrales , Guadalupe 305460Agent - Property6/13/201410/8/2015
InactiveDe La Cruz, Jinny Ann 732192Agent - Casualty4/19/20118/16/2011
InactiveDe La Cruz, Jinny Ann 732192Agent - Property4/19/20118/16/2011
InactiveDe La Cruz, Jinny Ann 732192Surplus Lines Broker - Not Applicable4/19/20118/16/2011
InactiveDickson, John Allan 734742Agent - Casualty6/1/20113/6/2015
InactiveDickson, John Allan 734742Agent - Property6/1/20113/6/2015
InactiveDickson, John Allan 734742Surplus Lines Broker - Not Applicable6/1/20113/6/2015
InactiveEwald, Thomas 799107Agent - Casualty2/26/201310/8/2015
InactiveEwald, Thomas 799107Agent - Property2/26/201310/8/2015
InactiveFaulkner, Jon Kevin 647019Agent - Casualty4/2/201410/29/2014
InactiveFaulkner, Jon Kevin 647019Agent - Property4/2/201410/29/2014
InactiveFerrell, Kendel 799930Agent - Casualty2/26/201310/8/2015
InactiveFerrell, Kendel 799930Agent - Property2/26/201310/8/2015
InactiveFlynn, John 361826Agent - Casualty7/17/20144/17/2015
DeniedFlynn, John 361826Agent - Personal Lines  
InactiveFlynn, John 361826Agent - Property7/17/20144/17/2015
InactiveFonte, Nilda 878656Agent - Personal Lines6/11/201510/8/2015
InactiveFowler, Dawn 799322Agent - Casualty2/26/201310/8/2015
InactiveFowler, Dawn 799322Agent - Property2/26/201310/8/2015
InactiveFurgatch-Lopez, Jody 800305Agent - Casualty2/26/20139/15/2015
InactiveFurgatch-Lopez, Jody 800305Agent - Property2/26/20139/15/2015
InactiveGarcia, Carissa 800403Agent - Casualty2/26/20139/15/2015
InactiveGarcia, Carissa 800403Agent - Property2/26/20139/15/2015
InactiveGarcia, Joson Augusto 748470Agent - Casualty6/28/20129/15/2015
InactiveGarcia, Joson Augusto 748470Agent - Property6/28/20129/15/2015
InactiveGardiner, Silvia 799290Agent - Casualty2/26/201310/8/2015
InactiveGardiner, Silvia 799290Agent - Property2/26/201310/8/2015
InactiveGonzales, Vanessa 877901Agent - Personal Lines6/11/201510/8/2015
DeniedGonzalez, Cristina 831575Agent - Personal Lines  
InactiveGrace, Isabella Angeline 513112Agent - Casualty1/10/201410/8/2015
InactiveGrace, Isabella Angeline 513112Agent - Property1/10/201410/8/2015
InactiveGrebe, Kevin Patrick 861700Agent - Casualty12/1/201410/13/2015
InactiveGrebe, Kevin Patrick 861700Agent - Property12/1/201410/13/2015
InactiveGutierrez, Michell 833803Agent - Personal Lines7/17/20142/16/2015
InactiveHerring, Lisa 832392Agent - Personal Lines7/17/201410/31/2014
InactiveHouston, Stephany 812944Agent - Casualty2/10/20159/15/2015
InactiveHouston, Stephany 812944Agent - Property2/10/20159/15/2015
InactiveHughes, Jennifer 811257Agent - Casualty6/20/20135/8/2015
InactiveHughes, Jennifer 811257Agent - Property6/20/20135/8/2015
ActiveHughes, Lelia Renee 1334295Agent - Casualty4/19/2024 
ActiveHughes, Lelia Renee 1334295Agent - Property4/19/2024 
InactiveHyde, Robert 384321Agent - Casualty5/23/201310/8/2015
InactiveHyde, Robert 384321Agent - Property5/23/201310/8/2015
InactiveJohnson, Marlon 876933Agent - Casualty6/11/201510/8/2015
InactiveJohnson, Marlon 876933Agent - Property6/11/201510/8/2015
InactiveJohnson, Richard 770589Agent - Personal Lines7/17/201410/8/2015
InactiveJoneschild, Matthew 800398Agent - Casualty2/26/201310/8/2015
InactiveJoneschild, Matthew 800398Agent - Property2/26/201310/8/2015
InactiveKavanaugh, Katherine 877788Agent - Casualty6/11/201510/8/2015
InactiveKavanaugh, Katherine 877788Agent - Property6/11/201510/8/2015
InactiveKay, Robert 811366Agent - Casualty6/20/20139/15/2015
InactiveKay, Robert 811366Agent - Property6/20/20139/15/2015
InactiveKearney, Johanna 811404Agent - Casualty6/20/20139/15/2015
InactiveKearney, Johanna 811404Agent - Property6/20/20139/15/2015
InactiveKratz, Laura 799494Agent - Casualty2/26/201310/20/2014
InactiveKratz, Laura 799494Agent - Property2/26/201310/20/2014
InactiveKuhn, David Allen 595028Agent - Casualty6/1/20114/10/2012
InactiveKuhn, David Allen 595028Agent - Property6/1/20114/10/2012
InactiveKuhn, David Allen 595028Surplus Lines Broker - Not Applicable6/1/20114/10/2012
InactiveLacy, Angela Lynette 761402Agent - Casualty6/28/20121/20/2015
InactiveLacy, Angela Lynette 761402Agent - Property6/28/20121/20/2015
InactiveLanigan, Christine 799408Agent - Casualty2/26/201310/8/2015
InactiveLanigan, Christine 799408Agent - Property2/26/201310/8/2015
InactiveLarp, Patty 833658Agent - Casualty2/24/20149/15/2015
InactiveLarp, Patty 833658Agent - Property2/24/20149/15/2015
InactiveLopez, Alita 811365Agent - Casualty6/20/20139/15/2015
InactiveLopez, Alita 811365Agent - Property6/20/20139/15/2015
InactiveLopez, Eduardo 807681Agent - Casualty5/23/20133/4/2014
InactiveLopez, Eduardo 807681Agent - Property5/23/20133/4/2014
InactiveLopez, Flavia Maria 799327Agent - Casualty2/26/20139/15/2015
InactiveLopez, Flavia Maria 799327Agent - Property2/26/20139/15/2015
InactiveLunsford, Kayla 810357Agent - Casualty6/8/201510/8/2015
InactiveLunsford, Kayla 810357Agent - Property6/8/201510/8/2015
InactiveLyon, Marren E 596498Agent - Casualty2/26/20134/4/2013
InactiveLyon, Marren E 596498Agent - Property2/26/20134/4/2013
InactiveMatamoros, Christopher 729755Agent - Personal Lines7/17/201410/8/2015
InactiveMiller, Kayla 691384Agent - Casualty2/26/20135/23/2014
InactiveMiller, Kayla 691384Agent - Property2/26/20135/23/2014
InactiveMiller, Sandra 825278Agent - Casualty11/14/201310/8/2015
InactiveMiller, Sandra 825278Agent - Property11/14/201310/8/2015
ActiveMontcrieffe, Evelina Katherina 996826Agent - Casualty4/12/2019 
ActiveMontcrieffe, Evelina Katherina 996826Agent - Property4/12/2019 
ActiveMontcrieffe, Evelina Katherina 996826Surplus Lines Broker - Not Applicable3/25/2019 
InactiveMunroe, Andrea Lee 776892Agent - Casualty7/27/20129/15/2015
InactiveMunroe, Andrea Lee 776892Agent - Property7/27/20129/15/2015
InactiveNardulli, Stacy 799916Agent - Casualty2/26/201310/8/2015
InactiveNardulli, Stacy 799916Agent - Property2/26/201310/8/2015
InactiveNelson, Morgan 726396Agent - Casualty2/26/20134/3/2013
InactiveNelson, Morgan 726396Agent - Property2/26/20134/3/2013
InactiveNunez, Jenny 799763Agent - Casualty2/26/20139/15/2015
InactiveNunez, Jenny 799763Agent - Property2/26/20139/15/2015
InactiveO Neill, Patricia 809132Agent - Casualty5/23/201310/8/2015
InactiveO Neill, Patricia 809132Agent - Property5/23/201310/8/2015
InactiveOliver, Colleen Gail 586522Agent - Casualty2/26/20136/2/2015
InactiveOliver, Colleen Gail 586522Agent - Property2/26/20136/2/2015
InactiveOsweiler, Kathryn 795807Agent - Casualty11/9/20122/26/2013
InactiveOsweiler, Kathryn 795807Agent - Property11/9/20122/26/2013
InactiveOsyczka, Michael 676959Agent - Casualty6/1/201110/8/2015
InactiveOsyczka, Michael 676959Agent - Property6/1/201110/8/2015
InactivePedack, Richard E 352654Agent - Casualty7/27/20123/25/2019
InactivePedack, Richard E 352654Agent - Property7/27/20123/25/2019
InactivePedack, Richard E 352654Surplus Lines Broker - Not Applicable7/27/20123/25/2019
InactivePenaloza, Ana 799772Agent - Casualty2/26/20136/19/2013
InactivePenaloza, Ana 799772Agent - Property2/26/20136/19/2013
InactivePerella, Stephanie 809069Agent - Casualty5/23/201310/8/2015
InactivePerella, Stephanie 809069Agent - Property5/23/201310/8/2015
InactivePetersen, Frances 598088Agent - Casualty4/10/20136/2/2015
InactivePetersen, Frances 598088Agent - Property4/10/20136/2/2015
InactivePickerill, Scot Alan 688507Agent - Casualty6/1/201111/27/2012
InactivePickerill, Scot Alan 688507Agent - Property6/1/201111/27/2012
InactivePringnitz, Paula L 649718Agent - Casualty2/26/20136/2/2015
InactivePringnitz, Paula L 649718Agent - Property2/26/20136/2/2015
InactiveRomero, David Brian 334496Agent - Casualty6/1/20117/8/2013
InactiveRomero, David Brian 334496Agent - Property6/1/20117/8/2013
InactiveRosales, Carmelo 841316Agent - Personal Lines7/17/20149/15/2015
InactiveRudd, Katie 800291Agent - Casualty2/26/20136/26/2015
InactiveRudd, Katie 800291Agent - Property2/26/20136/26/2015
InactiveSantiago, Sara 837477Agent - Casualty5/12/20149/15/2015
InactiveSantiago, Sara 837477Agent - Property5/12/20149/15/2015
InactiveSeink, Patricia A 542782Agent - Casualty6/1/201110/31/2018
InactiveSeink, Patricia A 542782Agent - Property6/1/201110/31/2018
InactiveSeink, Patricia A 542782Surplus Lines Broker - Not Applicable6/1/20119/2/2015
InactiveSeminario, Michael Carlos 683988Agent - Casualty7/14/20087/27/2012
InactiveSeminario, Michael Carlos 683988Agent - Property7/14/20087/27/2012
InactiveSeminario, Michael Carlos 683988Surplus Lines Broker - Not Applicable7/28/20087/27/2012
InactiveSiler, Tracy 380336Agent - Casualty8/15/20002/23/2015
InactiveSiler, Tracy 380336Agent - General Lines2/4/19998/15/2000
InactiveSiler, Tracy 380336Agent - Property8/15/20002/23/2015
InactiveSmith, Crystal J 553748Agent - Casualty2/26/20136/2/2015
InactiveSmith, Crystal J 553748Agent - Property2/26/20136/2/2015
InactiveSmith, Mark Alan 556963Agent - Casualty2/26/20136/3/2015
InactiveSmith, Mark Alan 556963Agent - Property2/26/20136/16/2015
ActiveSmith, Taysha Nichelle 1331406Agent - Casualty4/19/2024 
ActiveSmith, Taysha Nichelle 1331406Agent - Property4/19/2024 
InactiveStange, Ellen Catherine 760984Agent - Casualty9/6/201110/8/2015
InactiveStange, Ellen Catherine 760984Agent - Property9/6/201110/8/2015
InactiveStykes, Toni 877874Agent - Personal Lines6/11/201510/8/2015
InactiveSykes, Elizabeth 793006Agent - Casualty11/13/201210/8/2015
InactiveSykes, Elizabeth 793006Agent - Property11/13/201210/8/2015
InactiveTahoor, Mojgan 845084Agent - Casualty7/18/20149/15/2015
InactiveTahoor, Mojgan 845084Agent - Property7/18/20149/15/2015
InactiveTetreault, Bette 823924Agent - Casualty10/15/20132/23/2015
InactiveTetreault, Bette 823924Agent - Property10/15/20132/23/2015
InactiveThraen, Tracey Lynn 511834Agent - Casualty2/26/20133/14/2014
InactiveThraen, Tracey Lynn 511834Agent - Property2/26/20133/14/2014
InactiveTucker, Doreen K 553758Agent - Casualty2/26/20136/2/2015
InactiveTucker, Doreen K 553758Agent - Property2/26/20136/2/2015
InactiveWalker, Kirk 774222Agent - Casualty11/9/20121/9/2014
InactiveWalker, Kirk 774222Agent - Property11/9/20121/9/2014
InactiveWenzel, Peggy Ann 761396Agent - Casualty6/28/201210/8/2015
InactiveWenzel, Peggy Ann 761396Agent - Property6/28/201210/8/2015
InactiveWhite, Carol 807420Agent - Casualty5/23/20139/15/2015
InactiveWhite, Carol 807420Agent - Property5/23/20139/15/2015
InactiveWilliams, Tracey 800383Agent - Casualty2/26/20139/15/2015
InactiveWilliams, Tracey 800383Agent - Property2/26/20139/15/2015
InactiveYanez, Socorro 825276Agent - Casualty11/14/201310/8/2015
InactiveYanez, Socorro 825276Agent - Property11/14/201310/8/2015
InactiveYoung, John Ray 745599Agent - Casualty6/1/20116/11/2012
InactiveYoung, John Ray 745599Agent - Property6/1/20116/11/2012

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