black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

GENESIS FREDRIKA PARKER-DAVIS

PRODUCER NON-RESIDENT

License Number:
PRN481144
Status:
First Licensure:
04/06/2024
Cancel Date:
None

Mailing:
LOS ANGELES, CA 90044
Phone:
+1 (213) 741-3072
Fax:
+1 (213) 785-5077
Email:
parker-davis.genesis@ace.aaa.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/06/2024

Agency

Name Issue Date License Number Expiration Date Cancel Date
SKYBLUE INSURANCE AGENCY, INC.
04/06/2024 AGN318146

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN MODERN PROPERTY & CASUALTY INSURANCE COMPANY
08/20/2024 PCF234561
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
01/14/2025 PCF445 10/14/2025

Authority

Description Issue Date Termination Date Status
CASUALTY 04/06/2024 Active
PROPERTY 04/06/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16771158

Other Addresses

Address Type
4007 PARAMOUNT BLVD STE 100
LAKEWOOD, CA 90712-4138
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: 02/18/2026 02:16:18 AM