black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CAPTIVE RESOURCES INSURANCE SERVICES INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN45326
Status:
First Licensure:
04/02/1996
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
1100 N ARLINGTON HEIGHTS RD
ITASCA, IL 60143-3111
Mailing:
1100 N ARLINGTON HEIGHTS RD
ITASCA, IL 60143-3111
Phone:
+1 (847) 781-1400
Fax:
+1 (847) 781-1455
Email:
gcarlson@captiveresources.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 10/01/1997 04/01/2027
ORGANIZATION NON-RESIDENT BROKER 04/02/1996 09/30/1997

Employer

Name Issue Date License Number Expiration Date Cancel Date
FIDELITY AND GUARANTY INSURANCE COMPANY
01/03/2006 PCF832 05/17/2024
FIDELITY AND GUARANTY INSURANCE UNDERWRITERS INC.
01/03/2006 PCF441 05/17/2024
TRAVCO PERSONAL INSURANCE COMPANY
01/03/2006 PCF92565 05/17/2024
UNITED STATES FIDELITY AND GUARANTY COMPANY
01/03/2006 PCF608 05/17/2024
ZURICH AMERICAN INSURANCE COMPANY
05/14/2004 PCF61397
ZURICH AMERICAN INSURANCE COMPANY OF ILLINOIS
05/01/2009 PCF165251

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
GLENN G. CARLSON
09/28/2010 PRN182263

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
GLENN G. CARLSON PRN182263

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
663514

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: 06/30/2025 03:58:49 PM