black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KAYSE LYNN NICHOLS

PRODUCER NON-RESIDENT

License Number:
PRN441599
Status:
First Licensure:
01/13/2023
Cancel Date:
None

Mailing:
WHEELERSBURG, OH 45694
Phone:
+1 (800) 543-2644 x1251
Fax:
+1 (513) 906-6042
Email:
knichols@amig.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 01/13/2023

Agency

Name Issue Date License Number Expiration Date Cancel Date
ATLAS INSURANCE AGENCY INC
01/17/2023 AGN60400

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN MODERN PROPERTY & CASUALTY INSURANCE COMPANY
01/17/2023 PCF234561

Authority

Description Issue Date Termination Date Status
CASUALTY 01/13/2023 Active
PROPERTY 01/13/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20540701

Other Addresses

Address Type
7000 MIDLAND BLVD
AMELIA, OH 45102-2608
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: 05/14/2025 12:03:37 AM