black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DOUGLAS WALTER DODGE

PRODUCER NON-RESIDENT

License Number:
PRN124145
Status:
First Licensure:
02/17/2006
Cancel Date:
None

Mailing:
LYNN, MA 01904
Phone:
+1 (781) 581-3685
Fax:
+1 (781) 596-8610

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/17/2006

Agency

Name Issue Date License Number Expiration Date Cancel Date
DODGE INSURANCE AGENCY INC
03/13/2006 AGN124942 07/01/2011
MAI TAI ASSOC INC
05/07/2011 AGN189742

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN ECONOMY INSURANCE COMPANY
05/16/2023 PCF363
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
03/28/2006 PCF445
PHENIX MUTUAL FIRE INSURANCE COMPANY
03/01/2007 PCF554 05/01/2022
STILLWATER PROPERTY AND CASUALTY INSURANCE COMPANY
03/15/2007 PCF988 11/21/2013

Authority

Description Issue Date Termination Date Status
CASUALTY 02/17/2006 Active
PROPERTY 02/17/2006 Active

Responsible For

Name License Number
MAI TAI ASSOC INC AGN189742

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
5428616

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: 05/14/2025 07:50:52 AM