black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KERRI L. DOUGLASS

PRODUCER NON-RESIDENT

License Number:
PRN68380
Status:
First Licensure:
03/20/2000
Cancel Date:
None

Mailing:
GAINESVILLE, GA 30506
Phone:
+1 (678) 852-6489
Fax:
+1 (678) 999-5242
Email:
kerri.douglass@colonialga.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/10/2009
*** NOT ACTIVE *** 08/31/2001 09/09/2009
PRODUCER NON-RESIDENT 03/20/2000 08/30/2001

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY
11/17/2009 LHF100

Authority

Description Issue Date Termination Date Status
HEALTH 09/10/2009 Active
LIFE 09/10/2009 Active
LIFE AND HEALTH 03/20/2000 08/31/2001 Terminated

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3336572

Other Addresses

Address Type
9085 BETHEL RD
GAINESVILLE, GA 30506-3963
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: 07/17/2026 07:54:46 PM