black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JACK BREEN DIESTELHORST

PRODUCER NON-RESIDENT

License Number:
PRN38809
Status:
First Licensure:
02/25/1994
Cancel Date:
None

Mailing:
TALLAHASSEE, FL 32314
Phone:
+1 (800) 821-0821

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/25/1994

Agency

Name Issue Date License Number Expiration Date Cancel Date
NOTARY PUBLIC OF AMERICA
05/14/2011 AGN190033
NOTARY PUBLIC UNDERWRITERS INC
02/25/1994 AGN38808 07/01/1996
NOTARY PUBLIC UNDERWRITERS INC
07/01/1996 AGN38808 03/03/2011

Employer

Name Issue Date License Number Expiration Date Cancel Date
WESTERN SURETY COMPANY
03/08/1994 PCF96

Authority

Description Issue Date Termination Date Status
CASUALTY 07/01/1996 Active
PROPERTY 07/01/1996 Active
SURETY 02/25/1994 07/01/1996 Terminated
LIABILITY OTHER THAN AUTO 02/25/1994 07/01/1996 Terminated

Responsible For

Name License Number
NOTARY PUBLIC OF AMERICA AGN190033

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
256674

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: 06/24/2025 12:41:15 PM