black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KIMBERLY M. BURLESON

PRODUCER NON-RESIDENT

License Number:
PRN189433
Status:
First Licensure:
04/27/2011
Cancel Date:
None

Mailing:
MATTHEWS, NC 28105
Phone:
+1 (704) 691-8773
Fax:
+1 (704) 675-7231
Email:
ncinsgal@aol.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/27/2011

Agency

Name Issue Date License Number Expiration Date Cancel Date
WILLIS OF ILLINOIS INC
10/24/2018 AGN51320 01/01/2020
WILLIS TOWERS WATSON MIDWEST INC
01/01/2020 AGN36667

Employer

Name Issue Date License Number Expiration Date Cancel Date
COMBINED INSURANCE COMPANY OF AMERICA
04/01/2012 LHF144
CONTINENTAL AMERICAN INSURANCE COMPANY
12/13/2011 LHF80843
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
10/10/2011 LHF250 11/03/2011
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
01/16/2012 LHF250 07/17/2020
RELIASTAR LIFE INSURANCE COMPANY
01/11/2012 LHF22 03/01/2021
TRUSTMARK INSURANCE COMPANY
10/14/2012 LHF132 09/12/2014
UNUM LIFE INSURANCE COMPANY OF AMERICA
10/10/2011 LHD145 11/03/2011
UNUM LIFE INSURANCE COMPANY OF AMERICA
01/16/2012 LHD145 07/17/2020

Authority

Description Issue Date Termination Date Status
HEALTH 04/27/2011 Active
LIFE 04/27/2011 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
6601870

Other Addresses

Address Type
MATTHEWS, NC 28105
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: 05/19/2025 12:43:56 AM