black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SUSAN L. PARK

PRODUCER NON-RESIDENT

License Number:
PRN198259
Status:
First Licensure:
12/20/2011
Cancel Date:
None

Mailing:
REDMOND, WA 98073
Phone:
+1 (206) 336-1572
Fax:
+1 (206) 269-0179
Email:
spark@ahtins.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/20/2011

Agency

Name Issue Date License Number Expiration Date Cancel Date
THE BALDWIN GROUP MID-ATLANTIC, LLC
12/09/2019 AGN11175
KIBBLE & PRENTICE HOLDING COMPANY
12/12/2018 AGN96674 11/16/2022
USI INSURANCE SERVICES NATIONAL INC
05/05/2016 AGN57447 10/09/2019

Employer

None.

Authority

Description Issue Date Termination Date Status
CASUALTY 12/20/2011 Active
PROPERTY 12/20/2011 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
12314642

Other Addresses

Address Type
600 UNIVERSITY ST STE 1200
SEATTLE, WA 98101-3300
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: 06/11/2025 02:12:40 AM