black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

INSURASOURCE INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN330673
Status:
First Licensure:
05/04/2019
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
1111 W LONG LAKE RD STE 104
TROY, MI 48098-6332
Mailing:
1475 S PRICE RD
CHANDLER, AZ 85286-6175
Phone:
+1 (800) 409-8958
Fax:
+1 (480) 993-2623
Email:
agencylicensing@vensure.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 05/04/2019 04/01/2027

Employer

None.

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
STACIE ANN ALVARO
04/07/2020 PRN330743
CHRISTOPHER A. BELTZ
05/04/2019 PRN330390
JENNIFER LYNN BOHNSACK
04/15/2020 PRN336310
KELLEY LYNN MANNING
05/06/2020 PRN336552
RICHARD D. WILCOX
04/15/2020 PRN337519

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
DANIEL C. THOMPSON PRN367097

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8149423

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: 10/27/2025 08:27:06 AM