black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MIA CLEMMONS

PRODUCER NON-RESIDENT

License Number:
PRN241484
Status:
First Licensure:
11/05/2014
Cancel Date:
None

Mailing:
DAYTON, OH 45405
Phone:
+1 (937) 303-5939
Email:
miaclemmons@gmail.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 11/05/2014

Agency

Name Issue Date License Number Expiration Date Cancel Date
AFFINITY BROKERAGE LLC
01/07/2015 AGN55398 01/21/2016
CWI LLC
01/07/2015 AGN173565 08/17/2015
NATIONAL GENERAL INSURANCE MARKETING INC
11/05/2014 AGN43510 05/05/2015

Employer

Name Issue Date License Number Expiration Date Cancel Date
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
11/24/2014 PCF445 06/19/2015
GARRISON PROPERTY AND CASUALTY INSURANCE COMPANY
11/17/2019 PCF110777 05/11/2022
NATIONAL GENERAL INSURANCE COMPANY
11/07/2014 PCF647 05/05/2015
NATIONAL SPECIALTY INSURANCE COMPANY
09/12/2022 PCF94585
PROGRESSIVE NORTHERN INSURANCE COMPANY
11/22/2014 PCF51006 05/26/2015
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
11/22/2014 PCF27738 05/26/2015
STATE NATIONAL INSURANCE COMPANY INC.
09/12/2022 PCF75933
UNITED SERVICES AUTOMOBILE ASSOCIATION
11/17/2019 IIF108 05/11/2022
USAA CASUALTY INSURANCE COMPANY
11/17/2019 PCF35290 05/11/2022
USAA GENERAL INDEMNITY COMPANY
11/17/2019 PCF47444 05/11/2022

Authority

Description Issue Date Termination Date Status
CASUALTY 11/05/2014 Active
PROPERTY 11/05/2014 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17379876

Other Addresses

Address Type
DAYTON, OH 45405
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: 05/23/2025 05:55:49 PM