black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ADRIANA PATRICIA DOMINGUEZ

PRODUCER NON-RESIDENT

License Number:
PRN338348
Status:
First Licensure:
09/12/2019
Cancel Date:
None

Mailing:
GRANDVIEW HEIGHTS, OH 43212
Phone:
+1 (951) 751-5931
Fax:
+1 (855) 863-3606
Email:
petlicng@nationwide.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/12/2019

Agency

Name Issue Date License Number Expiration Date Cancel Date
DVM INSURANCE AGENCY
09/27/2019 AGN27317

Employer

Name Issue Date License Number Expiration Date Cancel Date
NATIONAL CASUALTY COMPANY
09/27/2019 PCF85
SPINNAKER INSURANCE COMPANY
03/17/2021 PCF77301

Authority

Description Issue Date Termination Date Status
CASUALTY 09/12/2019 Active
PROPERTY 09/12/2019 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8684356

Other Addresses

Address Type
5820 GREENS DR
JURUPA VALLEY, CA 92509-7326
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: 05/17/2025 08:29:25 PM