black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DAWN MASSOM

PRODUCER NON-RESIDENT

License Number:
PRN414312
Status:
First Licensure:
03/24/2022
Cancel Date:
None

Mailing:
HUDSONVILLE, MI 49426
Phone:
+1 (616) 949-6920
Email:
dawn@watermarkins.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/24/2022

Agency

Name Issue Date License Number Expiration Date Cancel Date
ACRISURE GREAT LAKES PARTNERS INSURANCE SERVICES, LLC
01/24/2025 AGN450447
ACRISURE LLC
04/06/2022 AGN160630 01/24/2025

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLIED INSURANCE COMPANY OF AMERICA
02/19/2023 PCF216138
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY
02/19/2023 PCF223935
AMCO INSURANCE COMPANY
02/19/2023 PCF223938
DEPOSITORS INSURANCE COMPANY
02/19/2023 PCF223940
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
02/19/2023 PCF151937
NATIONWIDE ASSURANCE COMPANY
02/19/2023 PCF38952
NATIONWIDE GENERAL INSURANCE COMPANY
02/19/2023 PCF30
NATIONWIDE INSURANCE COMPANY OF AMERICA
02/19/2023 PCF422
NATIONWIDE MUTUAL INSURANCE COMPANY
02/19/2023 PCF32
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
02/19/2023 PCF151089

Authority

Description Issue Date Termination Date Status
CASUALTY 03/24/2022 Active
PROPERTY 03/24/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19153590

Other Addresses

Address Type
THE CAMPBELL GROUP
4808 BROADMOOR AVE SE
KENTWOOD, MI 49512-5306
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: 06/16/2025 03:18:03 PM