black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DANIEL ELLIOTT

PRODUCER NON-RESIDENT

License Number:
PRN446398
Status:
First Licensure:
03/16/2023
Cancel Date:
None

Mailing:
WEST BRANCH, MI 48661
Phone:
+1 (989) 345-0200
Fax:
+1 (989) 345-0232
Email:
michelle@dieboldinsurance.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/16/2023

Agency

Name Issue Date License Number Expiration Date Cancel Date
DIEBOLD WEST BRANCH LLC
08/28/2025 AGN525351
TAWAS BAY INS AGENCY LLC
03/11/2025 AGN158620

Employer

None.

Authority

Description Issue Date Termination Date Status
CASUALTY 03/16/2023 Active
HEALTH 03/16/2023 Active
LIFE 03/16/2023 Active
PROPERTY 03/16/2023 Active

Responsible For

Name License Number
DIEBOLD WEST BRANCH LLC AGN525351
TAWAS BAY INS AGENCY LLC AGN158620

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17428389

Other Addresses

Address Type
WEST BRANCH, MI 48661
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: 05/02/2026 02:21:48 AM