black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MADISON KIMBERLY POORT

PRODUCER NON-RESIDENT

License Number:
PRN467033
Status:
First Licensure:
10/14/2023
Cancel Date:
None

Mailing:
LAS VEGAS, NV 89117
Phone:
+1 (920) 330-5100
Fax:
+1 (920) 330-5124
Email:
madison.poort@connectbyamfam.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/14/2023

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
HOMESITE INSURANCE COMPANY OF THE MIDWEST
10/15/2023 PCF116371
MIDVALE INDEMNITY COMPANY
10/15/2023 PCF79410

Authority

Description Issue Date Termination Date Status
CASUALTY 10/14/2023 Active
PROPERTY 10/14/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20734105

Other Addresses

Address Type
3500 PACKERLAND DR
DE PERE, WI 54115-9034
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: 05/21/2025 08:01:51 AM