Search → DORI C. BORUM
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
DORI C. BORUM
PRODUCER NON-RESIDENT
License Number:
PRN436553
Status:
First Licensure:
11/08/2022
Cancel Date:
None
Mailing:
CHICAGO, IL 60619
Phone:
+1 (773) 703-1663
Fax:
+1 (773) 483-3005
Email:
doriborumjackson@gmail.com
| License Type | Start Date | End Date |
|---|---|---|
| PRODUCER NON-RESIDENT | 11/08/2022 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| OPTAVISE LLC |
11/11/2022 | AGN167845 | ||
| WILLIS TOWERS WATSON MIDWEST INC |
09/23/2024 | AGN36667 | 12/27/2024 | |
| WILLIS TOWERS WATSON MIDWEST INC |
10/10/2025 | AGN36667 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY |
10/17/2025 | LHF250 | ||
| STARMOUNT LIFE INSURANCE COMPANY |
10/17/2025 | LHD131525 | ||
| UNUM INSURANCE COMPANY |
10/17/2025 | LHD241 | ||
| UNUM LIFE INSURANCE COMPANY OF AMERICA |
10/17/2025 | LHD145 |
| Description | Issue Date | Termination Date | Status |
|---|---|---|---|
| HEALTH | 11/08/2022 | Active | |
| LIFE | 11/08/2022 | Active |
License/Disciplinary Action
None.
GENERAL INFORMATION
NAIC Information
National Producer Number (NPN):
7811278
| Address | Type |
|---|---|
| CHICAGO, IL 60619 |
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: 10/28/2025 06:05:10 PM
