black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MALLORIE COMMODORE

PRODUCER NON-RESIDENT

License Number:
PRN454903
Status:
First Licensure:
06/21/2023
Cancel Date:
None

Mailing:
MACON, GA 31210
Phone:
+1 (920) 330-5100
Fax:
+1 (920) 330-5124
Email:
mallorie.commodore@connectbyamfam.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/21/2023

Agency

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY CONNECT INSURANCE AGENCY INC
07/06/2023 AGN121078

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN MODERN HOME INSURANCE COMPANY
07/12/2023 PCF808 12/13/2023
BRISTOL WEST INSURANCE COMPANY
07/25/2023 PCF78370
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
07/25/2023 PCF445
HOMESITE INSURANCE COMPANY OF THE MIDWEST
06/29/2023 PCF116371
MIDVALE INDEMNITY COMPANY
06/29/2023 PCF79410
PROGRESSIVE NORTHERN INSURANCE COMPANY
08/25/2023 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
08/25/2023 PCF27738

Authority

Description Issue Date Termination Date Status
CASUALTY 06/21/2023 Active
PROPERTY 06/21/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8692104

Other Addresses

Address Type
3500 PACKERLAND DR
DE PERE, WI 54115-9034
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: 06/30/2025 03:54:49 AM