DEPARTMENT OF INSURANCE
Licensee Search Details
NamePetrillo, Kimberly BushongDOIID1319682NAIC NPN13988771
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
ActiveNon ResidentAgentProperty1/18/2024 10/31/2026 
ActiveNon ResidentAgentCasualty1/18/2024 10/31/2026 
ActiveNon ResidentSurplus Lines BrokerNot Applicable1/18/2024 10/31/2026 
*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.
No License Renewal Information
NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.
Address Information
TypeAddress
Business / Home Office400 Ponte Vedra Blvd Ponte Vedra Beach, FL 320822817
ResidenceNot Public Information
Phone Information
TypePhone
Business / Home Office(904) 285-7683

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