black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

GLENN JERMAINE GOLDBURN JR

PRODUCER NON-RESIDENT

License Number:
PRN42908
Status:
First Licensure:
07/12/1995
Cancel Date:
None

Mailing:
IJAMSVILLE, MD 21754
Phone:
+1 (301) 762-3600
Fax:
+1 (301) 831-8851

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 07/12/1995

Agency

Name Issue Date License Number Expiration Date Cancel Date
OXLEY & GOLDBURN INSURANCE INC
07/12/1995 AGN42907

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN CASUALTY COMPANY OF READING PENNSYLVANIA
12/01/1995 PCF358
CONTINENTAL CASUALTY COMPANY
12/01/1995 PCF420
GREAT AMERICAN ALLIANCE INSURANCE COMPANY
11/18/2015 PCF46804
GREAT AMERICAN INSURANCE COMPANY
06/12/2007 PCF764
NATIONAL FIRE INSURANCE COMPANY OF HARTFORD
12/01/1995 PCF523 01/24/2012
WESTERN SURETY COMPANY
06/18/2002 PCF96

Authority

Description Issue Date Termination Date Status
CASUALTY 07/12/1995 Active
PROPERTY 07/12/1995 Active

Responsible For

Name License Number
OXLEY & GOLDBURN INSURANCE INC AGN42907

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
256369

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: 06/10/2025 04:36:43 AM