black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SHAUN PAUL CARLOSS

PRODUCER NON-RESIDENT

License Number:
PRN73486
Status:
First Licensure:
10/17/2000
Cancel Date:
None

Mailing:
ORLANDO, FL 32828
Phone:
+1 (407) 829-6622

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/17/2000

Agency

Name Issue Date License Number Expiration Date Cancel Date
21ST CENTURY INSURANCE & FINANCIAL SERVICES INC
12/13/2004 AGN22030 07/01/2011
CRC INSURANCE SERVICES LLC
12/13/2022 AGN38700

Employer

Name Issue Date License Number Expiration Date Cancel Date
AIG PROPERTY CASUALTY COMPANY
01/19/2006 PCF393 05/15/2006
AIU INSURANCE COMPANY
10/23/2002 PCF308 05/15/2006
AMERICAN HOME ASSURANCE COMPANY
10/23/2002 PCF367 05/15/2006
COMMERCE AND INDUSTRY INSURANCE COMPANY
01/19/2006 PCF413 05/15/2006
INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA
10/23/2002 PCF482 05/15/2006
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH PA
10/23/2002 PCF527 05/15/2006

Authority

Description Issue Date Termination Date Status
CASUALTY 10/17/2000 Active
PROPERTY 10/17/2000 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3535018

Other Addresses

Address Type
240 E CENTRAL PKWY STE 3000
ALTAMONTE SPRINGS, FL 32701-7848
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: 11/21/2025 10:39:15 AM