black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ANDREA MICHELE VAN BUREN

PRODUCER NON-RESIDENT

License Number:
PRN290587
Status:
First Licensure:
07/27/2017
Cancel Date:
None

Mailing:
ATLANTA, GA 30338
Phone:
+1 (770) 227-5500
Email:
andrea@lancetoland.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 07/27/2017

Agency

Name Issue Date License Number Expiration Date Cancel Date
LANCE TOLAND ASSOC LLC
07/29/2017 AGN290746

Employer

Name Issue Date License Number Expiration Date Cancel Date
OLD REPUBLIC INSURANCE COMPANY
07/31/2017 PCF543

Authority

Description Issue Date Termination Date Status
CASUALTY 07/27/2017 Active
PROPERTY 07/27/2017 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
15973557

Other Addresses

Address Type
ATLANTA, GA 30338
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: 11/27/2025 07:06:42 AM