black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MICHELLE DEFOUW

PRODUCER NON-RESIDENT

License Number:
PRN376342
Status:
First Licensure:
02/26/2021
Cancel Date:
None

Mailing:
DUBLIN, OH 43016
Phone:
+1 (380) 204-7889
Fax:
+1 (380) 204-7649
Email:
mdefouw@dimtpa.net

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/26/2021

Agency

Name Issue Date License Number Expiration Date Cancel Date
DIMENSION INSURANCE AGENCY INC
04/21/2021 AGN53597
FORTRESS POLICY AND INSURANCE SERVICES, INC.
09/07/2023 AGN459010

Employer

Name Issue Date License Number Expiration Date Cancel Date
STATE NATIONAL INSURANCE COMPANY INC.
06/24/2022 PCF75933

Authority

Description Issue Date Termination Date Status
CASUALTY 02/26/2021 Active
PROPERTY 02/26/2021 Active

Responsible For

Name License Number
DIMENSION INSURANCE AGENCY INC AGN53597
FORTRESS POLICY AND INSURANCE SERVICES, INC. AGN459010

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
9274390

Other Addresses

Address Type
5500 FRANTZ RD STE 120
DUBLIN, OH 43017-3545
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: 04/01/2026 09:25:16 PM