black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DANIEL COOK

PRODUCER NON-RESIDENT

License Number:
PRN481715
Status:
First Licensure:
04/16/2024
Cancel Date:
None

Mailing:
MADISON, WI 53783
Phone:
+1 (920) 330-2280
Email:
dan.cook@connectbyamfam.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/16/2024

Agency

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY CONNECT INSURANCE AGENCY INC
01/14/2025 AGN121078

Employer

Name Issue Date License Number Expiration Date Cancel Date
HOMESITE INSURANCE COMPANY
11/21/2024 PCF249667
HOMESITE INSURANCE COMPANY OF THE MIDWEST
11/21/2024 PCF116371
MIDVALE INDEMNITY COMPANY
11/21/2024 PCF79410

Authority

Description Issue Date Termination Date Status
PERSONAL LINES 04/16/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
21135605

Other Addresses

Address Type
2290 E YEAGER DR
CHANDLER, AZ 85286-1755
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: 05/24/2025 05:52:08 PM