black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

STACEY RACQUEL WALLACE

PRODUCER LIMITED NON-RESIDENT

License Number:
PLN421790
Status:
First Licensure:
06/22/2022
Cancel Date:
None

Mailing:
PROVIDENCE FORGE, VA 23140
Phone:
+1 (866) 455-6116
Email:
stacey.wallace@allianz.com

History

License Type Start Date End Date
PRODUCER LIMITED NON-RESIDENT 06/22/2022

Agency

Name Issue Date License Number Expiration Date Cancel Date
AGA SERVICE COMPANY
06/22/2022 AGN38374

Employer

Name Issue Date License Number Expiration Date Cancel Date
BCS INSURANCE COMPANY
08/05/2022 PCF928
JEFFERSON INSURANCE COMPANY
08/05/2022 PCF488

Authority

Description Issue Date Termination Date Status
TRAVEL AND BAGGAGE 06/22/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16194540

Other Addresses

Address Type
AGA SERVICE COMPANY
9950 MAYLAND DR
RICHMOND, VA 23233-1463
Office

Other Phone Numbers

Phone Number Type
+1 (866) 455-6116 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: 07/27/2026 09:06:14 AM