black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

YADIRA MIRAMONTES

PRODUCER NON-RESIDENT

License Number:
PRN462678
Status:
First Licensure:
09/09/2023
Cancel Date:
None

Mailing:
PHOENIX, AZ 85043
Phone:
+1 (800) 842-3344
Fax:
+1 (920) 330-5607
Email:
yadira.miramontes@connectbyamfam.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/09/2023

Agency

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY CONNECT INSURANCE AGENCY INC
10/27/2023 AGN121078

Employer

Name Issue Date License Number Expiration Date Cancel Date
HOMESITE INSURANCE COMPANY OF THE MIDWEST
09/09/2023 PCF116371
MIDVALE INDEMNITY COMPANY
09/09/2023 PCF79410
PROGRESSIVE NORTHERN INSURANCE COMPANY
11/07/2023 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
11/07/2023 PCF27738

Authority

Description Issue Date Termination Date Status
CASUALTY 09/09/2023 Active
PROPERTY 09/09/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17821540

Other Addresses

Address Type
PHOENIX, AZ 85043
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: 05/01/2026 10:25:25 PM