Search → DEREK J. WITHAM
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
DEREK J. WITHAM
PRODUCER NON-RESIDENT
License Number:
PRN178789
Status:
First Licensure:
06/19/2010
Cancel Date:
None
Mailing:
MALDEN, MA 02148
Phone:
+1 (781) 324-2752
Fax:
+1 (781) 324-0105
Email:
withaminsurance@verizon.net
| License Type | Start Date | End Date |
|---|---|---|
| PRODUCER NON-RESIDENT | 06/19/2010 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| DEREK WITHAM INSURANCE AGENCY, INC. |
02/24/2022 | AGN411426 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| AMERICAN ECONOMY INSURANCE COMPANY |
05/10/2022 | PCF363 | ||
| FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN |
05/13/2011 | PCF445 |
| Description | Issue Date | Termination Date | Status |
|---|---|---|---|
| CASUALTY | 06/19/2010 | Active | |
| PROPERTY | 06/19/2010 | Active |
| Name | License Number |
|---|---|
| DEREK WITHAM INSURANCE AGENCY, INC. | AGN411426 |
License/Disciplinary Action
None.
GENERAL INFORMATION
NAIC Information
National Producer Number (NPN):
5423040
| Address | Type |
|---|---|
| MALDEN, MA 02148 |
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: 05/25/2025 01:36:11 AM
