black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SHANE MATTHEW JOHNSON

PRODUCER NON-RESIDENT

License Number:
PRN433071
Status:
First Licensure:
10/05/2022
Cancel Date:
None

Mailing:
BERWYN, PA 19312
Phone:
+1 (610) 854-0035 x1022
Fax:
+1 (610) 854-0042
Email:
sjohnson@pfg1976.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/05/2022

Agency

Name Issue Date License Number Expiration Date Cancel Date
PENTRA, LLC
10/21/2022 AGN111495

Employer

Name Issue Date License Number Expiration Date Cancel Date
PENN INSURANCE AND ANNUITY COMPANY
10/05/2022 LHF65787
PENN MUTUAL LIFE INSURANCE COMPANY
10/05/2022 LHF242

Authority

Description Issue Date Termination Date Status
HEALTH 10/05/2022 Active
LIFE 10/05/2022 Active
VARIABLE CONTRACTS 10/05/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
7945641

Other Addresses

Address Type
1041 OLD CASSATT RD STE 100
BERWYN, PA 19312-1152
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: 06/22/2026 07:55:03 PM