black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

PAUL MONTUORI

PRODUCER NON-RESIDENT

License Number:
PRN418891
Status:
First Licensure:
05/19/2022
Cancel Date:
None

Mailing:
BOHEMIA, NY 11716
Phone:
+1 (516) 827-6792
Fax:
+1 (210) 926-5722
Email:
licensing@versanthealth.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/19/2022

Agency

Name Issue Date License Number Expiration Date Cancel Date
DAVIS VISION INC
12/28/2022 AGN143023 01/13/2025
SUPERIOR VISION SERVICES INC
12/28/2022 AGN45321 01/13/2025

Employer

Name Issue Date License Number Expiration Date Cancel Date
NATIONAL GUARDIAN LIFE INSURANCE COMPANY
01/10/2023 LHF84860

Authority

Description Issue Date Termination Date Status
HEALTH 05/19/2022 Active
LIFE 05/19/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8462083

Other Addresses

Address Type
BOHEMIA, NY 11716
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 05:59:06 PM