black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

TIFFANY LYNN CARTER

PRODUCER NON-RESIDENT

License Number:
PRN384585
Status:
First Licensure:
05/29/2021
Cancel Date:
None

Mailing:
VALENCIA, CA 91354
Phone:
+1 (818) 472-0326
Fax:
+1 (866) 467-6701
Email:
staceyr@sisinsure.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/29/2021

Agency

Name Issue Date License Number Expiration Date Cancel Date
GASLAMP INS SERVICES
05/29/2021 AGN213709

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY
03/14/2024 PCF75617
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
03/14/2024 PCF145893
CAMPMED CASUALTY AND INDEMNITY COMPANY INC
03/14/2024 PCF186224
CITIZENS INSURANCE COMPANY OF AMERICA
03/14/2024 PCF937
THE HANOVER AMERICAN INSURANCE COMPANY
03/14/2024 PCF197298
THE HANOVER INSURANCE COMPANY
03/14/2024 PCF712
MASSACHUSETTS BAY INSURANCE COMPANY
03/14/2024 PCF505
VERLAN FIRE INSURANCE COMPANY
03/14/2024 PCF161934

Authority

Description Issue Date Termination Date Status
CASUALTY 05/29/2021 Active
PROPERTY 05/29/2021 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
9640613

Other Addresses

Address Type
27504 PAMPLICO DRIVE
27504 PAMPLICO DR
VALENCIA, CA 91354-2033
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: 06/08/2025 12:19:58 AM