black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CHRISTINE M. WILLARD

PRODUCER NON-RESIDENT

License Number:
PRN306208
Status:
First Licensure:
03/28/2018
Cancel Date:
None

Mailing:
CINCINNATI, OH 45244
Phone:
+1 (800) 543-2644 x6987
Fax:
+1 (513) 906-6042
Email:
cwillard@amig.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/28/2018

Agency

Name Issue Date License Number Expiration Date Cancel Date
ATLAS INSURANCE AGENCY INC
03/28/2018 AGN60400

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN MODERN PROPERTY & CASUALTY INSURANCE COMPANY
04/04/2018 PCF234561

Authority

Description Issue Date Termination Date Status
CASUALTY 03/28/2018 Active
PROPERTY 03/28/2018 Active

Responsible For

Name License Number
ATLAS INSURANCE AGENCY INC AGN60400

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8732805

Other Addresses

Address Type
7000 MIDLAND BLVD
AMELIA, OH 45102-2608
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: 05/15/2025 02:33:06 AM