black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

REVIVAL ANIMAL HEALTH INSURANCE AGENCY, LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN447974
Status:
First Licensure:
04/01/2023
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
1700 ALBANY PL SE
ORANGE CITY, IA 51041-9680
Mailing:
PO BOX 200
ORANGE CITY, IA 51041-0200
Phone:
+1 (712) 737-5555
Fax:
+1 (712) 737-3077
Email:
karenvb@revivalanimal.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 04/01/2023 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN PET INSURANCE COMPANY
04/11/2024 PCF204502
INDEPENDENCE AMERICAN INSURANCE COMPANY
04/10/2024 PCF86149

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
PATRICE ERIKA KARWOWSKI
04/01/2023 PRN44882

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
PATRICE ERIKA KARWOWSKI PRN44882

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20664735

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: 11/13/2025 08:16:44 AM