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DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

GRETCHEN DOMINIQUE HOLBROOK

PRODUCER NON-RESIDENT

License Number:
PRN511926
Status:
First Licensure:
04/02/2025
Cancel Date:
None

Mailing:
PORTSMOUTH, OH 45662
Phone:
+1 (800) 543-2644
Fax:
+1 (513) 906-6042
Email:
gholbrook@amig.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/02/2025

Agency

Name Issue Date License Number Expiration Date Cancel Date
ATLAS INSURANCE AGENCY INC
04/07/2025 AGN60400

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN MODERN PROPERTY & CASUALTY INSURANCE COMPANY
04/07/2025 PCF234561

Authority

Description Issue Date Termination Date Status
CASUALTY 04/02/2025 Active
PROPERTY 04/02/2025 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
21434995

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: 05/25/2025 01:12:56 AM