Search → CARLY DANIELLE BRACK
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
CARLY DANIELLE BRACK
PRODUCER NON-RESIDENT
License Number:
PRN520816
Status:
First Licensure:
07/15/2025
Cancel Date:
None
Mailing:
LAS VEGAS, NV 89148
Phone:
+1 (920) 330-2129
Fax:
+1 (920) 330-5607
Email:
carly.brack@connectbyamfam.com
| License Type | Start Date | End Date |
|---|---|---|
| PRODUCER NON-RESIDENT | 07/15/2025 |
Agency
None.
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| HOMESITE INSURANCE COMPANY OF THE MIDWEST |
08/05/2025 | PCF116371 | ||
| MIDVALE INDEMNITY COMPANY |
08/05/2025 | PCF79410 |
| Description | Issue Date | Termination Date | Status |
|---|---|---|---|
| CASUALTY | 07/15/2025 | Active | |
| PROPERTY | 07/15/2025 | Active |
License/Disciplinary Action
None.
GENERAL INFORMATION
NAIC Information
National Producer Number (NPN):
21606659
| Address | Type |
|---|---|
| 6000 AMERICAN PKWY MADISON, WI 53783-0001 |
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: 04/01/2026 06:05:25 PM
