black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DOMINIC JOSEPH ETCHEBERRIA II

PRODUCER NON-RESIDENT

License Number:
PRN173610
Status:
First Licensure:
12/29/2009
Cancel Date:
None

Mailing:
GRANDVIEW HEIGHTS, OH 43212
Phone:
+1 (714) 989-0555
Fax:
+1 (855) 863-3606
Email:
petlicng@nationwide.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/29/2009

Agency

Name Issue Date License Number Expiration Date Cancel Date
DVM INSURANCE AGENCY
12/29/2009 AGN27317

Employer

Name Issue Date License Number Expiration Date Cancel Date
NATIONAL CASUALTY COMPANY
03/24/2010 PCF85

Authority

Description Issue Date Termination Date Status
CASUALTY 12/29/2009 Active
PROPERTY 12/29/2009 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
15483961

Other Addresses

Address Type
1205 N 3RD AVE
UPLAND, CA 91786-3227
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: 03/07/2026 07:27:36 AM