black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

PATRICE ERIKA KARWOWSKI

PRODUCER NON-RESIDENT

License Number:
PRN44882
Status:
First Licensure:
02/16/1996
Cancel Date:
None

Mailing:
CAPE CORAL, FL 33904
Phone:
+1 (866) 597-2424
Fax:
+1 (501) 664-8044
Email:
patrice@microchipidsystems.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/03/2016
*** NOT ACTIVE *** 08/20/2015 06/02/2016
PRODUCER NON-RESIDENT 02/16/1996 08/19/2015

Agency

Name Issue Date License Number Expiration Date Cancel Date
PTZ INS AGENCY LTD
06/20/2016 AGN161448 03/11/2022
REVIVAL ANIMAL HEALTH INSURANCE AGENCY, LLC
04/01/2023 AGN447974

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN HERITAGE LIFE INSURANCE COMPANY
03/20/2011 LHF594 03/05/2012
CHASE INSURANCE LIFE COMPANY
02/16/1996 LHF345 11/27/2006
FIDELITY LIFE ASSOCIATION A LEGAL RESERVE LIFE INS CO
01/01/2001 LHF170 05/25/2007
GLOBE LIFE AND ACCIDENT INSURANCE COMPANY
07/19/2004 LHF854 06/08/2005
INDEPENDENCE AMERICAN INSURANCE COMPANY
04/10/2024 PCF86149
NORTH RIVER INSURANCE COMPANY
08/03/2016 PCF698 05/09/2022
PRAETORIAN INSURANCE COMPANY
06/10/2016 PCF68207 08/26/2019
UNITED STATES FIRE INSURANCE COMPANY
08/03/2016 PCF101256 05/09/2022

Authority

Description Issue Date Termination Date Status
CASUALTY 06/03/2016 Active
PROPERTY 06/03/2016 Active
LIFE AND HEALTH 02/16/1996 08/20/2015 Terminated

Responsible For

Name License Number
REVIVAL ANIMAL HEALTH INSURANCE AGENCY, LLC AGN447974

License/Disciplinary Action

None.

ADJUSTER NON-RESIDENT

License Number:
ADN280655
Status:
First Licensure:
12/29/2016
Cancel Date:
04/01/2024
Renewal Date:
04/01/2024

Mailing:
CAPE CORAL, FL 33904
Phone:
+1 (866) 597-2424
Fax:
+1 (501) 664-8044
Email:
patrice@microchipidsystems.com

History

License Type Start Date End Date
ADJUSTER NON-RESIDENT 12/29/2016 03/31/2024

Agency

Name Issue Date License Number Expiration Date Cancel Date
PTZ INSURANCE AGENCY LTD
06/09/2017 AFN288095 03/03/2022

Authority

Description Issue Date Termination Date Status Additional Information
LIMITED TO HOME STATE 12/29/2016 04/01/2024 Terminated
Designated State:
Oklahoma
Authority:
PC

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
252802

Other Addresses

Address Type
CAPE CORAL, FL 33904
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: 05/16/2025 09:48:34 PM