Search → DANIEL PETKEVICH

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
DANIEL PETKEVICH
PRODUCER NON-RESIDENT
License Number:
PRN297835
Status:
First Licensure:
11/09/2017
Cancel Date:
None
Mailing:
MILL VALLEY, CA 94941
Phone:
+1 (281) 236-2023
Fax:
+1 (281) 236-2023
Email:
daniel@fairsquaremedicare.com
| License Type | Start Date | End Date |
|---|---|---|
| PRODUCER NON-RESIDENT | 01/25/2021 | |
| *** NOT ACTIVE *** | 07/01/2019 | 01/24/2021 |
| PRODUCER NON-RESIDENT | 11/09/2017 | 06/30/2019 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES INC |
04/17/2026 | AGN91433 | ||
| TRIM INS SOLUTIONS LLC |
12/07/2017 | AGN299447 | 07/01/2019 | |
| VIRGIL INSURANCE AGENCY, LLC |
02/06/2021 | AGN374723 |
| Description | Issue Date | Termination Date | Status |
|---|---|---|---|
| HEALTH | 01/25/2021 | Active | |
| LIFE | 01/25/2021 | Active | |
| CASUALTY | 11/09/2017 | 07/01/2019 | Terminated |
| PROPERTY | 11/09/2017 | 07/01/2019 | Terminated |
| Name | License Number |
|---|---|
| VIRGIL INSURANCE AGENCY, LLC | AGN374723 |
License/Disciplinary Action
None.
GENERAL INFORMATION
NAIC Information
National Producer Number (NPN):
18594245
| Address | Type |
|---|---|
| MILL VALLEY, CA 94941 |
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: 07/08/2026 08:01:58 AM