black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

PETRINA TILLMAN-JOHNSON

PRODUCER NON-RESIDENT

License Number:
PRN79700
Status:
First Licensure:
07/20/2001
Cancel Date:
None

Mailing:
DOVER, DE 19904
Phone:
+1 (215) 773-4839
Fax:
+1 (866) 461-1226
Email:
petrina.tillman-johnson@aon.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 07/20/2001

Agency

Name Issue Date License Number Expiration Date Cancel Date
AFFINITY INSURANCE SERVICES INC
03/25/2022 AGN50950

Employer

Name Issue Date License Number Expiration Date Cancel Date
CONTINENTAL CASUALTY COMPANY
01/15/2009 PCF420
MERASTAR INSURANCE COMPANY
05/03/2002 PCF84706 12/16/2002
PROGRESSIVE CASUALTY INSURANCE COMPANY
11/12/2001 PCF637 01/23/2003
PROGRESSIVE NORTHERN INSURANCE COMPANY
11/12/2001 PCF51006 01/23/2003
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
11/12/2001 PCF27738 01/23/2003

Authority

Description Issue Date Termination Date Status
CASUALTY 07/20/2001 Active
HEALTH 07/20/2001 Active
LIFE 07/20/2001 Active
PROPERTY 07/20/2001 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
4036027

Other Addresses

Address Type
1100 VIRGINIA DR STE 250
FORT WASHINGTON, PA 19034-3278
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: 10/20/2025 03:53:35 AM