black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

HOLLY DEE BOURNE

PRODUCER NON-RESIDENT

License Number:
PRN507875
Status:
First Licensure:
02/13/2025
Cancel Date:
None

Mailing:
RIVERSIDE, RI 02915
Phone:
+1 (916) 303-3318
Email:
bourneholly@gmail.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/13/2025

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
HUMANADENTAL INSURANCE COMPANY
09/11/2025 LHF173873
INSURANCE COMPANY OF NORTH AMERICA
09/22/2025 PCF480
PHILADELPHIA AMERICAN LIFE INSURANCE COMPANY
03/10/2025 LHF789

Authority

Description Issue Date Termination Date Status
HEALTH 02/13/2025 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20372828

Other Addresses

Address Type
RIVERSIDE, RI 02915
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: 05/07/2026 03:46:43 AM